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A 'e: .. -°, .. , r� r� c� t cf, fk ^:it �� �R �� .95aa"'i � '.,n� `r�..-- ry m, .x� v n„ q,ka is .. «$„ � � .gip: • q', >< L'y�^ `� � .,i : ,. .: L: I* h b - �. G. Yf ' er 7• n r a � 4 y. Town of Barnstable *Permit Ex�Tres 6 months from issue date Regulatory Services Fee y MASS. Richard V..Sca%Director 1639• V Building Dr RDRE&, a pp Paul Roma,Building Commissioner �•�' H ' 200 Main Street,Hyannis,MA o oR 252017 www.town b e.ma ias Office: 508-862-4038 ��11! - r Fax: 508-790-6230 EXPRESS PERAHT APPLICATION - RESIDENI Y f —/ Not Valid without Red X-Press Imprint " • Map/parcel Number I U 11 1 Property Address Is® ✓� ❑Residential Value of Work T / Minimum fee of$35.00 for work under$6000.00` t Owner's Name&9ddfde9s 1 1 Contractor's Name Telephone N ber -` G 6 S6 —_7 c Home.Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: r ❑ I am a sole proprietor I am the Homeowner w I have Worker's Compensation Insurance, t Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request_(check_box) F1 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ' ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof). Pf,Re-side `. ❑ Replacement Windows/doors/sliders.U-Value - {maximum.32)#of windows #of doors: *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the me Improv Contracto ice se&Construction Supervisors License is re u' d. SIGNATURE: • 1 QAWP=SIFORMSIbuildingpe formsTXPRFSS.doc 01/25/17 The Camxw2rweah€3e Ofmarsacir • �,eP �t a� rlFif�lAc ._ . 600 waddngtErrr,S`treet BostoY4 MA f12H u F;n%ma&gvVdfa War ere Co ensafrmnIusmrance davit B�derslOau rslE ecftic an&Thmhers APpRean# Please Frin f re y �Citgl� ♦ PhMO hire you an emplayer?:(Meckthe appropriate bam type of project(reed}_ L❑ I ant a emplaces v ith. 4_ ❑I am a;eaeral scnfactctr aac1I 1 employees( . P * bzvehiredffm sobb-ca ms• 6. ❑1 eBr full a�for art�ime. I❑ I am a style prgpdetot arguer- Fisted oalhe aftched sheet. ?. ❑Remodeling ship and kne no employees Tlxt�e sob-contractors bafie . 8.' ❑De.ml fion modring forme is 'arrg .; eaaglagzes fFndbatire xgotlsrss 9..❑Build addittfln: Iff iTr udmm comp-msmance camp-i nertrary p I. re�ized.I .5.❑ We are a corpomficm and its 1{k❑Electrical repairs or od ious .KI aura homwwnar doing all work . officers have exercised Burly 1L❑Plu gingrepz:=or adcE6=s , mymeM o wakes xigft of emm3pticm per l 4GL �n�reclniredj Y c M§§pplle{4k anddwehwemo J�a•L�� T-J-^ '�G W{,iA=e 1.7_❑LttiCL 3 can ms mmce mquidj '2�aprpp€c�S�sc�buz�ltansiaLsasno�the�cticab�Iowfhe's,ua�'c��mp�atinapescyia�s�c� _ #I�mvraexs�o submit aril�� they�a�zg�c amdtbeabiS aartsid�cnB�ctarss�snhmit s new sffida�t m�Ca sarli Sit cber]ctbis boa mast ffi.sdffiffami sheet de i=ft eaame of the s*-c =d stga vehedm ornotf me eatirieslin e employees.Iftbe bze=Tioges�they p=mi8e tbek 'gyp.FGHU mmsbn ' I am an effiPIapfrr that isPrauifNFr,-Iraj*es'aafgensadc'n irwaram"for my ample,W-T. Herviv is tltePONCY=d jab sits - in,jormotr`afi, _ - TrSMMne CampangIName= t •Po}ficy�ar�f-ia�Litw•� 3�pi�iauDu: - . Job Re Addre CffglStaf p_ AEfach a-mpp of fhe workers'compemadanpalicy d edaraflon page(shamming the poRcy number and expiration date). FasUme to securer coverage as re4uimdunder 5ec6m 25A of MJGL a 1572 caa lead iv ee fimpositioa of criminal pemlt w of a fine up to$L50a SOU andfor o:ie-gearimprisonnteuf as well ash pe 16F,s jn fbe fiormL of a STOP WGIN OMERand a fine of uplo$Z5M a c#ag ab the violator. 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'■•u 1 u t 1■n ■�.rn n ram. �•■ rat u• a _n 'J'�• •r.. ..�. •• \•/nq Ip is■.• 1 ■■• t•:n■ u■ �a ■■ It •■O. ■•■ 1 .�rwYY\ :tl■ ■1\/•' •• 11- • t raI wK ■ /• V.t■t ■• ■ ••r.• :1 •►:■. ■ 1. wl • 1•..■ •■• • ■t .■■■1_•1 ■1 ■ ■.ra . C■w 1• YI■■t.i• •. .1.1..•�. ■• ■■ MI •] ■.-'I ./_ .- •1 . • -a 1• ■■ :.•. .I.:.a. •1 •• .■ ■ ■■/_•1 \II �I 1.1 Itltlf ■A■1. •. •1 ►�. � t ' .1 ��■�t _ ■•.■ - ••'t i. •) MI■%1■ •.Ylt■It■ Y.f■� •1 ■�.•a.1 ■• - ••• ra■ - � e-:■u 1 .• .■In as .: • 1�F u. � �•■u .• n r■ntu �.r u n■. 1 • i■ • . v\•.n 01. •••■ \ ..� n n_n. ••1 t. :.•_n.� lu ■n ../•"- .n m _n\ ../ • •1 ._ .n ••�+\•n iais r- I ■ • G..1■■= . ■ a a s: s � r Town of Barnstable F Regulatory Services Richard V.Scab,Director �1 Building Division. Paul Roma,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable.ma.us Office:6.509-862-4038 LFiba'508f79.0-6230 -Propertp'Ownet•Must . Complete and.Sign This Section k If Using A Builder I, ,as Owner of the subject property hereb7 authorize • to act on behA - in all matters.relative to work authorized by this building permit application for. ` (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; Signature of Applicant Print Name Print Narde Date Q:F0RMS:0WNMPEPUMSI0NP00I,S Town of Barnstable Regulatory Services Richard V.Scab,Director Building Division swsflvAM Paul Roma,Building Commissioner ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION (a Please Print �i� /� 1p r �JOB_IACATION:l � �v' V 1 / Ce� f(A -number (6v 2 'v 1 village � ..� ,,HOMEOWNER""t V name h�e phone# work hone# 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. DEFT NTITON 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 hermit (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 men d will comply with said procedures and requirements. 157, _o� Signatur6of m Irr Approval of uilding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner.performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor • (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is . ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFMES\FORMS\building permit fonms\EXPRESS.doc 0620/16 Town of Barnstable [HE Regulatory Services F Tp� o Richard V. Scali,Director + >1axsz-42M + Building Division mass Paul ma Building Commissioner i639. a�0� Roma, g fission r �'°JEo met 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 _ . Fax:. 508-790-6230 � Approved: a` C���� Fee. T 4%0 T Permit#: HOME OCCUPATION REGISTRATION Date: N L . Name: �Jtry✓1 7(Oli�re �l Phone#: �y�'"� +(��e ✓��T Address: 5(,l S V\U h C��� r i l l r Village: r Name of Business: ) e ✓1Ct V1� ` p— — Type of Business: e( i C e 5 Map/Lot INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes,and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit.• • Such use occupies no more than 400 square feet of space: - • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use.- No traffic will be generated in excess of normal residential volumes. • The use does notinvolverhe production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: b iro n Po v--te ( Date: © 0i 1Z Homeoc.doc Rev.06/20/16 . S YOU W1SW TO OPEN A BUSINESS? . _ E in town[whibh' r ., r atian. 8ustness'.certtcata~s.[cost$ D:OO:for.4:ye..ars) A;bus)�ess`sertifcate,QNLYREGISTERS YOUR>NAM' 1=ci Your tnf4::rn to You.mustfrrstobta to the n; ce sary,signatures on this fo,rrn of 20Q Main St.,.H .... qil m.ustd by MG L rt�oes;nat glve;:you p�rrntssion tq opera .] ,.. :. i and: he Business Certificate that.is Take,the carripleteCl::fdren:to tlle.Twt�Clerks Uffice;.1<st F1.,367 Main St,:Hymn,�s,l.MIA I .Clown Ha lb and.-get. .. . required by law: DATE6 Fill in<:pleases APPLICANTS YOUR NAME F J' BUSINESS YQUR.HOIVIE ADDRESS _ . 1- 4 t+� tt„� TEMPI-IONS # Horne Telephone Nurnber ;EIN #:;. E MAIL3 N7 I 1A01 r:. j NAME OF CORPORATION NAME:OF NEW BUSINESS O TYPE [S.THIS A HOME OCCUPATIONS;YES> NO ADDRESS:OF BUSINESS MAp/pARCEL NUMBER -: G Assessing) ernt,.bustness::thera.art several:Cliln s; du must do rt flrtter-to be (vpgMpl pnce Vniith tF�s:rules and`regglat ons of the Town nf_ When forting e n a ` 1 iba dedto.asSist ou.in abtatntn the:irtfarf[fattat�.ytp.,.M.q04. :Yls�t,MUST GO TO 200 Main St. - (cr�rnernfYa.Fmouti earnsrabl� This f rrn is n. n , ,- y g Rd &Matn:Street .to make sure: qta have the appraprtat:e permits=and itensee requltr.. d to leally opel^ate yaur bu5rness in tht5 town; »< ). . Y E OCCU�PEATION . MUST COMPLY WITH HOM 1 Hl11LDII�iG Cdl"111MIBSIP)NE 's;i©P-ICE ikt ANDREGULATIONS FAILU TO This Nividual has I ett ofarty p. . rlretnents f lot pertain to is tjtpe of l :lstness CMP�y MAY R RULES.: 0 uthorizedStgna.ur ** .. CONI. NTSs .. �S 2. BOARD l HEALTH k a. 3. This individual has been InfgrmedofthgpermrG reqult`ements that pertain to:this type ofbusiness. : Auttorized'Signature** �° 'CO MMENTS: _ . - 1 HORITY 3. CONSUIVIEH AFFAIRS[LICENStNO ALIT j - ThIs andNlduat has been informed of the licensing r w egrements that:pertaln o this type of b:uslness ; t *:*...... a ». Authorized Signature COMMENTS: J 1F Town of Barnstable Building Post,hisrdtiSo That`,rt csjVis>fble Fro the Street'-�► roved IPlansMust a Retained on lob nd.thix:>Card Must a Ke t , ' Posted Until inallnspecton HasBeen Mader ' Sf1SSM + , rf . g w =3 Permit i>ria� p here,-a.. ertificate of ccu an asNRe wired,such Buildin shall Notbe Occu ied;until a F al nspection has`been made...�� 9. A . .��� ... g� Permit No. B-17-953 Applicant Name: EFTIMIADES,MARIA Approvals Date Issued: 04/06/2017 Current Use: Structure Permit-Type Building—Home Occupation Expiration Date: 10/06/2017 Foundation: Location: 562 SOUTH MAIN STREET,CENTERVILLE Map/Lot 186 047 Zoning District: RD-1 Sheathing: Owner on Record: EFTIMIADES,MARIA ,; Contractor�Mame Framing: 1 Address: ,18:SYLVAN.LANE y Contractors I ennse 2 K SAG HARBOR,NY 11963 3 " C E t"Pr6ect Cost: _ $0.00 Chimney: A � # ' Description: .HOME OCCUPATION.-:PAINTING SERVICES AliPermit Fee: $35.00 Insulation: 'Project Review Req: HOME.000UPATION=PAINTING SERVICES ee I'a►d ' $35:00 ;Date ' 4/,6/2017 Final r w , Plumbing/Gas Rough Plumbing: ,Zoning Enforcement Officer ' . Final Plumbing: This'permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sa months a#ter issuance. r r Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents'for which this permit has been granted_. All construction,alterations and changes of use of any building and struct ru es sha�llibe in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street o'road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ' C y Electrical The Certificate of Occupancy will not be issued until all applicable signatures byYthe Buddmg'and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Worka 1.foundation or Footing �. Rough . .,,. .. . . _ i; 2.Sheathing Inspection ' 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.final Inspection before Occupancy tow Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health , Work shall not proceed until the Inspector has approved the various stages of construction. Final:. "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MG c.142A). .Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT f D 4 Q-Y�+ { { S S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ,-.;;'. t., Permit# Health Division , �U _ a3�neg Date Issued - 10 Conservation Division s l Lo P11 1 Application Fee Tax Collector � Permit Fee T Imo': Treasurer SEPTIC SYSTEM MUST P� - �"�'��/U•;° "`"----. WTA'LE®IN COMPLIANC 7 Planning Dept. _ WITH TIM 6 Date Definitive Plan Approved b Planning Board EI�9IIROMMENTAL CODE A�4 PP Y 9 TOWN REGUI.A�I "S Historic-OKH Preservation/Hyannis Project Street Address 5 u Z W IP 1. fotl Village l �"�i✓V�) Owner E- Ir l�&, 5 Address Telephone N Y. Y Permit Request� ( f) f D/�Y �D VYY±10 f lD_w/ 0 a ;7 4 hk)L U�q __CCO"AMS 5k- &VVaNq�Q6 o3 PLAU Square feet: 1st floor: existing2tZPI proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project_Valuation 76 0 ; Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 2" Two Family O Multi-Family(#units) Age of Existing Structure �o Y� Historic House: 0 Yes * O Vo On Old King's Highway: ❑Yes Do go Basement Type: 0 Full 0 Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new Half:existing new O Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: W Gas 0 Oil 0 Electric ❑Other Central Air: ❑Yes 1111�o Fireplaces: Existing New Existing wood/coal stove: 0 Yes 0 No Detached garage:O existing ❑new size Pool: 0 existing ❑new size Barn:0 existing 0 new size Attached garage:0 existing Cl new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use _ BUILDER INFORMATION Name 1'►n Telephone Number �_�ta_ (OLPCeo Address oco-k) rn License#r "1 MQ✓�77�-,7 MU 1 Eq OAA 67105� Home Improvement Contractor# I )24 l Worker's Compensation#(PM00XI"") , O2, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO r7r SIGNATUREZ& V _ I DATE l FOR OFFICIAL USE ONLY , + PERMIT NO: {` DATE ISSUED t ! j r+ n MAP)N-PARCEL NO. i w - � ADDRESS VILLAGE �I OWNER " . =DATE OF INSPECTION: FOUNDATION FRAME — INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH" FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN.NO. The.Commonwealth of Massachusetts Department of Industrial Accidents �' -- OA7S8 el/�rSd�stl�s \ F 600 Washington Street Boston,Mass. 02111 Workers'Compensation Insurance Affidavit-General Businesses �iir i as ���������� name./ Kl V(iV1 I✓1 address: city state: TI ziu: 1/L ® phone#E /1O-(d&0 work site location(full address):5(PZ— '�-21 -n ►Vlap'l �w ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em loyer with employees(full&part time). ❑Other /1///f/%//O�%%% %/%/%%%%/O/'�i� �1//%/%/%%%%%///O%/O%%%%�/O�%/////%%%%�%%/%%%% Ili I am an employer prrooviidingl workers' compensation for my-employees worldngon this job. company IIame: 1 I�/ 1 i lJd/�—L j�LLL 1 3�b"1 1_lJ IC addressc L if ffA�i�I Y 9b Doi f city: i�/l(/II� QI�I - 1 je7`. }� obone#. V/�1d1'� _ msurance.co:,: .: olic. # I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name: . . . addresv. city phone insurance co. olio # company name .. city*.. uhone# insuranee eb. . "olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce der the pains and penalti s of perjury gn that the information provided above is tru and correct Siature l� /�'� S ' �1�n Date o o Print name PIN Phone# --n to M. 01- - .- official use o do not write in this area to be completed b city or town official "14" �Y P Y �' city or town: permit/license# []Building Department ❑check if immediate response is required []Licensing Board P q []Selectmen's Office t contact person: phone#, ❑Health Department ❑Other �r�.,�(_redsed Sept 2003) i. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernrit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: # The Commonwealth Of Massachusetts Department of Industrial Accidents BMW of Imsugmens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-774.9 phone#: (617) 727-4900 ext. 406 i o�TME r Town of Barnstable Regulatory Services 9S�xrr at.E,$ Thomas F.Geller,Director 5 i639' ��� Building Division rFD MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 • Fax: 508-790-6230 Office: 508-862-4038 , Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to e done b registered contractors,with certain exceptions,along with other • such residence or btuldmg b y requirements. Type of Work: ® ��✓) Estimated Cost U/G ��� yP n^ / Address of Work Owner's Name: Date of Application: f Z I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑lob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OARS PULLING THEIR OWN PEMT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME Il12ROVEMENT WOMDO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERNRY I hereby apply for a permit as the agent of the owner: ICon ctor Name Registration o. D OR Date Owner's Name .« �-'3�I`Ji .any. `�'1,�. „'`�`�•. :��� 3�d ,�,�'.t' 3 �, 'r':r�-t d5�.a" ,. ��" � ,F',. a,>�.ti3i � t a Town of B arnstable Re0WAA ry9Services z Thomas F.Gener,Director ' prE°?� .�� Building Division - Tom Perry, Bullding Commissioner 200 Main Street, Hyannis,MA 02601 office; 508.8624038 Fax. 508-790-6230 r Property Owner Must Complete and Sign This Section If Using A Builder �� t Jr '� -�s�"'�s*' "a9 -�, e�''='�i fir` r•��7-'�%., �'a'`� n?� fFk. A,I IVI. 1... • I MOO lOOy.�ft�' 4A r? .., ....... ..... � as Owaet..of the.subject pzope�y- _. authatiz .to"ILd on iny.b ehal£,. hereby ia`'all taattets relative to work authoi"ed`by this building'pmmit-application for, �,p (Address of Job) S, ' e of Owner Date V ir 1 pFTME The Town of Barnstable BARSS. u MA a SS Department of Health Safety and Environmental Services MA 9�A iA7g' `em 'Fo MAC Building Division 367 Main Street,Hyannis,MA 02601 )ffice: 508-862-4038 lax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: Project Address:')(D 2_ Builder: ���� r✓Q�9 ,,, The following items were noted on reviewing: v 0�2 `Reviewed by: Date: rf 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS REPAIR,ALTERATION,ADDITION AND CHANGE OF USE OF EXISTING BUILDINGS 3404.8 Means of egress lighting: Means of egress 340.4.15 Institutional Use Groups:Notwithstanding lighting shall be provided in accordance with the provisions of 780 CMR 3404,Institutional Use 780 CMR 1024.0. Groups shall comply with the provisions of 780 CMR 3400.3,item 7. 3404.9 Height and Area limitations: The height and area requirements of 780 CMR 5 shall apply to 3404.16 Residential Use Groups:Notwithstanding existing buildings when such existing buildings are the provisions of 780 CMR 3404,Residential Use modified by addition and/or change in use. Groups shall comply with the provisions of Modifications to the height and area requirements as 780 CMR 3400.3,item 8. provided in 780 CMR 504.0 and 506.0 are permitted. 3404.17 Fire hazard to adjacent buildings: Any proposed change in the use or occupancy of an 3404.10 Existing Fire and party walls: No further existing building which has the effect of increasing compliance is required with 780 CMR 707.0. The the fire hazard to adjacent buildings shall comply height above the roof of existing fire, party and with the requirements of Table 705.2 for exterior exterior walls need not comply with 780 CMR wall fire resistance rating requirements, or with 3404.0 approved compliance alternatives. 3404.11 Fire Protection Systems: Fire Protection 3404.18 Accessibility for Persons with Systems: Design, installation and maintenance of Disabilities: Accessibility requirements shall be in fire protection systems shall be .provided in accordance with 521 CMR as listed in Appendix A. accordance with 780 CMR 3404.3 and 780 CMR 3404.12 as applicable. 3404.19 Energy Conservation: Energy conservation requirements shall be in accordance 3404.12 Fire protection systems are required for with 780 CMR 3407.6. the following cases: 1. Additions where required by 780 CMR 9.0 for 780 CMR 3405.0 REQUIRMM FOR the specific use.group. CHANGE IN USE GROUP TO TWO OR 2. For existing buildings and additions to existing MORE HAZARD MICE.S GREATER buildings, where required by 780 CMR 9 or 3405.1 General: When the existing use group is where required by 780 CMR 506 to satisfy height changed to a new use group of two or more hazard and area requirements. 3. Existing buildings,or portions thereof which t indices higher (as provided in Table 3403), the existing building shall conform to the requirements are substantially altered or substantially renovated, and where otherwise required by of the code for new construction,except as provided 780 CMR 9.0 for the specific use group. in 780 0 3408 or as otherwise allowed in 34 780 CMR 3407.0. Note: Notwithstanding the provisions of 780 CMR 3404.12, automatic Fire Suppression 3405.2 Accessibility for Persons with Disabilities: systems are required in municipalities which have Accessibility requirements shall be in accordance adopted the provisions of MGL c148 §26G,H or with 521 CMR as listed in Appendix A. I(See Official Interpretation Number 45-96 listed, in Appendix B). 780 CMR 3406.0 COMPLIANCE 3404.13 Enclosure of stairways: Open stairways AL7ERNA77YES are. prohibited except in one- and two-family 3406.1 General: Where compliance with the dwellings or 'unless otherwise permitted by provisions of the code for new construction,required 780 CMR 10. There shall be no minimum by 780 CMR 34, is impractical because of fireresistance rating required for an existing construction difficulties or regulatory conflicts, enclosure of a stairway. Partitions or other new compliance alternatives may be accepted by the construction which is added in order to fully and building official. solidly enclose a stairway shall provide a minimum Examples of compliance alternatives which have fireresistance rating of one hour. All doors in the been used are provided in Appendix F. The enclosure shall be self-closing and tight-fitting with building official may accept these compliance approved hardware. All doors in those portions of alternatives or others proposed. the stairway which are fireresistance rated shall comply to the applicable provisions of 780 CMR 9. 3406.2 Documentation: In accordance with 780 CMR 3402.1.5,the building official shall ensure 3404.14 Assembly Use Groups:Notwithstanding that the BBRS is provided with information the provisions of 780 CMR 3404, Assembly Use regarding compliance alternatives accepted or Groups .shall .comply with the provisions of rejected by the building official. 780 CMR 3400.3,item 6. 12/12/97 (Effective 9/28/97) 780 CMR-Sixth Edition 449 yof114ET�� Town of Barnstable *Permit# ` U 2 2 Expires 6 months from issue date Regulatory Services nnarts BLE, Fee v MAM $ Thomas F.Geiler,Director 'Eon Building Division Tom Perry, Building Commissioner X®PRESS PERMIT IT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 a AUG0 2003 Fax: 508-790-6230 EXPRESS PERMT APPLICATION - RESIDENTIAL® F BARNSTABLE Not Valid without Red X-Press Imprint /a Map/parcel Number /Z 6 6 j S-� Property Address In 'Residential Val e of Work Owner's Name&Address ( � ne, I �qqr Ui Z; (i� ���(,,q�" S'6 ✓� Telephone Number f a� e; Contractor s Name Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: _ ❑ I am a sole proprietor - '(&I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑'Re-roof(stripping old shingles) All construction debris will be taken to -I;rr-l$e-roof(not stripping. Going over'existing layers of roof) s ❑ Re-side ❑ Replacement Windows. U-Value (m um•44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvemen actors License is r Signature Q:Forms:exf Revise053003 Gs t -*-.... Remember Luj can Printing for all your printing needs! 428-8700 •4507 Falmouth Road (Route z8), Cotuit J PROPERTY ADDRESS ZONING i DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE CLASS I PCS NBHD FICATIO KEY No. 0562 SOUTH MA114 STREET 10 RD-1 500 1UCO 07/09/95 1041 JJ 3 AA <1 ;b U47. 107075 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T`, UNIT ADJ'D.UNIT r R I c 4 D/ (+ TIMOTHY $ L—d BY101te s�«D�mens�on LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Deagription M A P— / CD. FF De tn1Ac-es E 41 L AN D 1 5 2/3 0 0 CARDS IN ACCOUNT — L 10 16LDG.SIT 1 X .1. =10C 363 89999.9 " 326699.96 .16 52500 13LDG(S) -CARD-1 1 65.000 01 OF 01 ;PL 562 SO MAIN ST CENT �T73= A N BATHS _j.0 U X C= 100 7000.0 7000.U0 1 .00 70JU 3 11RR 1 5 J 7 OO 0 MARKET 104000 ID INCOME SE A APPRAISED VALUE 117o300 A JPARCEL SUMMARY A AND 52300 A T S I LDGS 65000 T —IMPS m ITOTAL 117300 F E CNST E N DEED REFERENCE Tyne DATE R—detl —PRIOR YEAR VALUE Inst. A T Bonk Page Mo. Y,.D S.lea Price AND 5 2 3 0 C T S 7637/349tEIJ8/91 L 100000 TOTAL 1173300 U R 2'/27/271: 'r,0/00 E[ BUILDING PERMIT S Number Data Type Ampunt LAND LAND—ADJ INCOME SE SP—BLDS FEATURES BLD—ADJS UNITS 52300 7000 Const. Tel ea,B It Norm. Obsv. Class Units Units Base R.I. Atll.Rate A Age Depr. Contl. CNO Loc. 4b R.G Rapt Cost New Atll Repl Velue Stories Height Rooms Rms B.— I Fia. Paltyw.11 F.e 01C 000 100 100 59.40 59.40 35 60 34 56 100 56 116074?� 65iJJU 2.0 11 5 2.0 3_0 Description Rate Square Feet Repl.Cost MKT 1 00 IMP SCALE / 1/0 U.5 t SAS 100 59.40 9 3 6 55593 .INDEX:OSS E .BV/DAT,E: C f- I IlLY : B L I SLEME,N'TS. U CODE CONSTRUCTION OE-TAIL S FEP 65 38.61 150 5792 *---19---* STYLE 16JLD STYLE 0.0 T UWD 85 8.50 150 1275 8 FEP 8 J ESTGIv-al?JMT- -?0 --------7-0 R FEP 65 38.61 152 5369 *---*-26-----* EXT=R:W-A-LL3-- -JT4DVJ-"I Wig'=--------- U FSF 90 53.46 110 5881 ! ! EArtAC-TYPE J4 Z-C---------------1T:0 C 820 60 35.64 936 .33359 F-WISH- -Ju------------------- t"T.-0 T FFB 650 65.00 20 1300 ! ! IW7t2:LXrG0T- -J7 -------------------�=0 U ! ! I NT-_R:ITJ-XL-TY- -J23-AAiE-A�-EXTFti:--1r.-0 R 36 BASE 36 F tJ7TR-3TTtUCT- 7J0.--------------------T:O A W ! ! E `LUJR-CT)VER - -J -----.-----.--------0-.0 L i tlOt--TYYf---- -)6 ------------------77-:0i E Total Au•_ 452 Baae_ 1046 - - - ------------------ BUILDING DIMENSIONS ! ! 'L l T I�I }'�L U(I �.�j T BAS. WZ6 FEPSlU E15 N F 07U-4-01Ai-1-O-Iq- — ;JU -----------------9�=9 A UWD E15 S10 W15 N10 BAS N36 ! ! --------------- --- ---------------------- I E26 FEP. N08 W19 S08 E19 .. BAS *-----26*-11-X -----NEi-G-RUOR- Ju 35-AA--O-S-TERV-rLtE---- L S36 FSF S10 Wll N10 Ell .. BAS 10 UWD 10 10 LAND TOTAL MARKET ! FEP !FSF ! PARCEL 52300 117300 *---15--*-11-* AREA 25802 _ VARIANCE +0 +355 STANDARD 25 P�oFt '°wti Town of Barnstable *Permit# (a `2, Expires 6 months from issue date B"NSMBLE, : Regulatory Services Fee 9 i6 g. Thomas F.Geiler,Director A�ED MA't p` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I no 4 7 Property Address !�-Ce2 S . A",,., �' L�aTC4-'—U X-& Residential Value of Work Owner's Name&Address yTC�► � —T���w� ' Vi1 Gt-c.en�.^r � KoA� �o.�`7+t W tl� f2 �i O Ca0 Contractor's Name Telephone Numbe& e"�) Zs!�_Gt(o`7 Home Improvement Contractor License#(if applicable) `` Construction Supervisor's License#(if applicable) G.� ❑Workman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor M AY 2 8 2002 R I am the Homeowner ❑ Ihave Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Permit Request(check box) K71 Re-roof(stripping old shingles) All construction debris will be taken to •L�e��s�+�c L,o,�fl�,�,, ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Repl4cement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. � � f Signa#ur�—.._ •.tee �L Q:Fomvs:expmtrg Revised121901 Engineering Dept. (3rd floor) Map Parcel �� Permit# House# Date Issue -- Board of Health.(3rd floor)(8:15 -9:30'/1:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) IHE DefilidtiveYMn roved by Planning Board 19 • BABNUABLE. ` TOWN OF BARNSTABLE Building Permit Application Project Address `J ��' F� Village ����,f!,V 1 11a, Owner !!7� "I t? Address 1 11 4,0IQ � ✓0�1I�S® _Telephone Permit Request ew a.J J :k 6&i JLV-9071AJ y 0 D/&U 1L4� ) First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 45 .7 0 a a tiZoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name emu Telephone Number Address a yu es TFv �7- License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING F O THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DE IED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. •r _ DATE ISSUED MAP/PARCEL NO. + �' ADDRESS VILLAGE-) ` 5 - OWNER .�* - - M. •--- � 3. DATE OF INSPECTION: + FOUNDATION FRAME ' INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL � FINAL BUILDING 2' 3 • •DATE CLOSED OUT ASSOCIATION PLAN NO. The Connttonwealth of 4tassachusettt •«�if �.j -=�.� Department of 111dustrial Accidents " i- pffitoA Y95119211oos 600 1f asbittt ton Street Boston.A1ass. (12111 ' Workers' Compensation Insurance Affidavit eRniic•+�n nrmatton•fo Please 1'RiNT le:ibjy �_, , nnme• `+Ma ex, I am a homeowner performing all wok myself. I am a sole p�lrietor and d have no one working/in any capacity 1 am an employer providing workers' compensation for my employees working on this job. • I comnanv name: - address: city: phone#• insurance co nolicv# lam a ode proprietor beneral contractor, or homeowner(circle one)and have hired the contractors listed below who hay the following workers' compensation polices: C; Q m inv n•tme• 9 i a ®o f� ` w idres cit • nhone#• insur-ince co nolicv# ,• ., ... _. w:nrsr .. T'ea-`�f-+; �'-•-- --sae•+•r�.y�,-y1'7'trrz+w.,.; �s*.-•^_"'`' 57..,-•-�..�.w;�ns,J;tee-r--*_ cnm anv name• iddre s- city nhone#! incur�ncc ce nolicv# .Attach addi_tionafshcet if rieeess •,.i�' i�a:��.�''.o `q._..... . :..•�..�t_... .�r. s .r -,a��ti+.r,� - �..��.. _•�as=tea.rrt.:.=:�a Failure to secure coverage as required under Section 15A of AIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 andiur one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement mac be forwarded to the Office of Investigations of the DIA for coverage verification. ' I do hereby certd} )under th ills and penalties of peduq that the information prodded above is true and correct. Si_naturc Date b id- Print name Phone# official use only do not write in this area to be completed by city or town official City or toicn. permit/license# Mudding Department ❑licensing Board ' ❑check if immediate response is required ❑Selectmen's Office ❑1lealth Department phone M. nOther contact person: Imosed 3M5 P1A1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for the employees. As quoted from the "taw-. an emplgree is dcf incd as every person in the service of another under ally contract of dire, express or implied, oral or written. . An empinrer is defined as an individual_ partnership, association. corporation or other legal entity_ or any two or mor the foregoing enuaged 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 th owner of a dwellin�� house having not more than three apartments and who resides therein, or the occupant of the dwel big-, house of another who employs persons to do maintenance, construction or repair work on such dNiielling the or oil the ;;rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe MGL chapter 152 section 25 also states that every state or local licensing ragency shall withhold the issuance or reneil•al of a license or permit to operate a business or to construct buildings in the commonwealth for and• applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into anv contract for the performance of public wort: until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. ' ...... i:. .... .:..:. .. .. :�. .•'. Lam. ....._ .{•..'T•...)'yi:j•:'.�_ r ..\Y•:!M .. .'+.!}•m'•_, . Applicants , Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should ydtt have any questions regarding the "law"or if you are require-- to obtain a workers' compensation policy, please call the Department at the number listed below. Cit1' or Towns Please be sure that tlhe affidavit is complete and printed legibly. The Department has provided a space at the bottom o the affidavit for you to fill out in the event the Office of Investigations ihas to contact you regarding the applicant. Pie. be sure to fill in the permit/license number which will be used as a reference number. 7171e affidavits maybe returned the Department by mail or FAX unless other arrangements have been made. Tlhe Office of Investigations would like to thank you in advance for you cooperation and should you leave any question, 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 fax #: (617) 727-7749 nhnne.g: (61 7) 727-4900 ext. 406. 409 or�75 " RESIDENTIAL PROPERTY d� MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 562 South Main St. Centerville 1$6 47 C-0 73 LAND �'c; V.,,,.� 1.y rn BLDGS. i3-'.S OWNER ,,._._..:....,.. 7 TOTAL ai y so LAND • RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: unnumb BLDGS. Of G. �° B TOTAL �. lL LAND 2t _ V �. BLDGS. TOTAL LAND BLDGS. all TOTAL LAND Jakielo, Barbara E: _ 6-4-79 2927 271 $2,50Mtge) BLDGS. ch TOTAL LAND 0) BLDGS. TOTAL LAND BLDGS. Of TOTAL LAND J BLDGS. INTERIOR INSPECTED: ✓ rn TOTAL DATE: U �/ LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT z./ �� ?'� ^,7c�cGa �.-� LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR rn BLDGS. WASTE FRONT TOTAL REAR LAND Of BLDGS. TOTAL LAND e BLDGS. LOT COMPUTATIONS LAND FACTORS — TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND So ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. m BLDGS.. LAND COST e.Wells Fin. Bsmt.Area Bath Room Base /C, �r �G A BLDG. COST ic.Blk.Walls Bsmt. Rec.Room_ St. Shower Bath Bsmt. e` ' c. Slab Bsmt.Garagey St. Shower Ext. PURCH. DATE i Walls PURCH. PRICE. k Walls Attic Fl.&Stairs Toilet Room Roof RENT. Ina Walls Fin.Attie Two Fixt. Bath s INTERIOR FINISH Lavatory Extra Floors 2 3 Sink % Plaster Water Clo. Extra Attie 3 p/Ci XTERIOR WALLS Knotty Pine Water Only f 3 5 ,1`. S .� • ble Siding Plywood No Plumbing Bsmt.Fin. le Siding Plasterboard Int.Fin. Shingles TILING r p Bik. G F. P Bath Ff. Heat nd• 8 y e Brk.On Int.Layout Bath Fl.&Wains. T~ Auto Ht.Unit Veneer Int.Cond. Bath Fl. &Walls Fireplace ' Brk.On HEATING Toilet Rm. Fl. Plumbing d Com.Brk Hot Air Toilet Rm.Ff.&Wains. ' Tiling . I !�!✓ of u Steam Toilet Rm.F.I.&Walls nket Ins. Hot Water St.Shower f Ins. Air Cond. Tub Area Total 8eso faro. /,0 ROOFING COMPUTATIONS ' h. Shingle Pipeless Furn. 3 S.F. �j//7 5— d Shingle No Heat sJ U S.F. .0 0 S. Shingle Oil Burner S. F. 7. U 'A e Coal Stoker U S.F. Gas ROOF TYPE Electric S F /(� 3 p r,, OUTBUILDINGS n ` , As Flat S.F. _ 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 1 7 8 9 10 MEASURED Mansard FIREPLACES S•F• Pier Found. Floor j brel Fireplace Stack Wall Found. 0.H.Door LISTED FLobRp Fireplace r V41 Sgle.Sdg. Roll Roofing c. _ LIGHTING T.= / Dble.Sdg. Shingle Roof 'tn No Elect. D TE,. Shingle Walls Plumbing rdwood ROOMS Cement Bik. Electric >h.Tile Bsmt. 1st 6 4-8 TOTAL o? �� Brick Int.finish PRICED ogle 2nk5"; .a 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. VLG./ F M s .COAIV s fled- - � t 2 3 4 5 6 7 3 9 O TOTAL i [ ] [R186 047 . ] INVALID FUNCTION LOC] 0562 SOUTH MAIN STREET CTY] 10 TDS] 300 CO KEY] 107075 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 FRIEND, M TIMOTHY & MAP] AREA135AA JV1427577 MTG10000 FRIEND, KATHLEEM M SPl] SP21 I SP31 887 ELLINGTON RD UT11 UT21 . 16 SQ FT] 2002 S WINDSOR CT 06074 AYB] 1935 EYB] 1960 OBS] CONST] 0000 LAND 52300 IMP 65000 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 117300 REA CLASSIFIED #LAND 1 52, 300 ASD LND 52300 ASD IMP 65000 ASD OTH #BLDG (S) -CARD-1 1 65, 000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 562 SO MAIN ST CENT TAX EXEMPT #RR 1507 0050 RESIDENT'L 117300 117300 117300 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 04/92 PRICE] 95000 ORB17974/305 AFD] I TE L LAST ACTIVITY] 08/31/93 PCR] Y i R186 047 . A P P R A I S A L D A T A KEY 107-075 FRIEND, M TIMOTHY & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RD- 1 52 , 300 65, 000 1 A-COST 117, 300 B-MKT 104, 000 BY 00/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 2002 JUST-VAL 117, 300 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 35AA -- TREND EXCEEDS STANDARD y. NEIGHBORHOOD 35AA OSTERVILLE PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 523001 LAND-MEAN +0% 1173001 129010 IMPROVED-MEAN -500-. 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R186 047 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 107075 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT } ✓fie i�Q��uaectf� a�✓vCaaaoc�tuae� x• ilug, f i DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION_SUPERVISOR LICENSE Nattier, Expires: Restticted T• '7S � EDtlARD H GRANGER `Q �. `'POBX 116 MARSTONS MILLS, NA 01648 > r tw* nYME IMPROVEMENT CONTRACTOR= Type It 9 INDIVIDUAL ' t . ; EDHARD.H 6RAN6ER III :. EDUARD H. GRANGER III _ j0 BOX 716/50 10NE5 RD , MARSTONS MILLS MA 02648 f ADMINISTRATOR S - 4 PROJECT TITLE h _ _ ... ......... r I i 1 /yt I i - I I , —4— _ .. C y,f r t : `s , , I �(/ { y \ , i v ' 1 77 at a, ' �"�' PREPARED FOR ziv 06 \` I , - - ct.�,u, ail j .. 4 • U 1 1 1 di I .. _ .. ■v Ce u C®nstruc Company. Uh! OY+GF ma's I rJ r:ri (LY4 i K: �J ^' Steve Devlin •.President I ' Y rvI ' 2b1 Blackthorn Drive�Marstons Mills,MA 026.48 0 508420-13 i t= SCALE L�IyS �4�Ih Zo3 S 2n3( 2i)36 t I -- SMOKE DETECTORS O.K. - t ILu DATE DWG NO- �Wd4 D �v' Div RNSTA®LESfGN, CHECK — i, JOB•NO. SHEET O n p • r ' PROJECT T1TLE vi r Y U'(Lc�.SCr/I ZnLUvn.It! OA. — - j f1 C-F 1._ — • i 11 l+,x 9G ,))SS ' I v kTai' 15-- rJL .r L 6 77 dd £ i - { l • ' 117 1 — zw- Ia I m` �3p d '�'R yr- 1 - I 4 r 1 2 , i ` �e I - « - , .sylv �7°l, IL 0 -- t PARED FOR PREPAR I , " ° I r I { �. a s'• }. a p '. :. :, 3 - .. , .... L I,_ :e.®a is I! r i o , -- Y ® pant' -: . • I -- -- f I Central Construction Pres SteveDevlin • denf i I I n 261 Blackthorn Drive Marston Milk MA 02648 508-420-13 I f I , I SCALE „ I q is S I .0 [ I DATE i Z;)1. �3 DWG NO_' �P -- — DESIGN �u CHECK — — C.Zt' Vim'., iSt s l . � DRAWN SHEET. I "JOB-NO. ' '