HomeMy WebLinkAbout0501 MARINER CIRCLE .� ... a «.
{ .. �.
��
i
r
'Town of Barnstable ern-fit:
Regulatory Services ate, q
4, THE T
of oy,` Richard V. Scali, Director
' Building Division b
snxrisTnsi.E Tom Perry, Building Commissioner
.� Mass. � y, g
1639. a�0 200 Main Street, Hyannis,MA 02601
TED MA'S
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
TOWN OF BARNSTABLE
SOLID FUEL STOVE PERMIT
Owner:7\ oqpel � Phone: T-N _SS 3 T 31F
Install at: s OW-1 n e r Ct` U _ Village: W
o� U
Map/Parcel: �� Date:
d
Sto
A. �)/Used
B. Type: adian Circulating
C. Manufacturer: Mo m 4 FL%C. Lab. No.
D. Model No.: �5j-\C o ram. �—
Chimney
A. New/Existing (If existing,please note date of last cleaning) a
B. Flue Size Cc'k Nam) = '
C. Are other appliances attached to Flue?
D. Pre-fab Type and Manufacturer {
E. Masonry: Lined/Unlined
Hearth _� 7-1
A. Materials:
B. Sub Floor Construction: 1 y
rn
Installer
Name: Address:
Phone:
Location of Installation:
H.LC Registration#
Construction Supervisor#
OR check(Homeowner Installing, no license required
LICENSED INSTALLERS SI ATU
APPLICANTS SIG A
APPROVED BY:
Please make chec s payable to the Town of Barnstable
*This constitutes an official stove permit after inspection,photographed, and approved by the
Building Inspector
Q:forms:stove
Rev 11/4/13
f
27Y.e Conmomawkh of Massaouselft
Dqarkuent of Iirtdks&id Accidents
600 Whom meet
Boston,M4 02M
wnw.mamgo Adia
Workers' CampensatianItisurance Affidavit:$uildersfC�antractors/EiectriciansMumbers
AppficantlInfarmation Please Print LegiMy
me tiva[�: ry� �ieCSci�
Ciq/S9t-,J--Zip: C_6 �'X V\A-R- OW Phone A_ 3S
Are you aii employer?Check the appropriate box: T of project s
1_El am a employer with 4. I am a al contractor and I lam.o 3 �
emplo� d
ll(€u andlorpart4irve�* � havehiredthe sub contractors. 6_ New won
2_❑ I am a sole ptaprietQr orpartner-
listed on the attached sheet 7- ❑Remodeling
ship and have no employees These sub-oontractors have g_ ❑Demolition
worinng for me in any capacity employees and have workers'
comp-ins-uran 9- ❑Building addition
[No wkconrp.mwxance��e-1 5_ ❑ We are a corporation and its 10.0 Electrical repairs or additions
,3:❑'I am a hoineou ner doing all work officers have exercised their 1 LE]Plumbing repairs or additions
Myself [NO workers'camp- HE d of eimmption per MGL 12.0 Roof
tnanre regIIlTed,I.F
c-152,§1(4),and we halm no. repairs
employees-[Nowmk=' 13_❑4tht r
comp-insurance required]
*Any appUout that ched:sbox-#1 mast also fiia out the:section belowshnvdng theirwoikea'compensation policy infbrautitm
ruxneowners orho submit his fiffida-VI indkstag dLey air doing:nvmk Rn4&ea hTMe autside contncmrs omit sulmfit a new afd.Tvit m rating MrIL
ems ibat check thfs box must xt&,hed an zdditional sheet a awe ig the nmme of&e so#t ciixs and state crhether ornot Iho5a milities have
emgLiyees If the sub caal��uis bare—ployee%they Est provide their workers'comp.policy number I——
lam an empLo w that is proiidbig ti�orkers'cong> en atio.n irmirarice for rrzy amplay�es. Betotr is Ste patio}and job site
ire,f ormadam
Insurance Comparryldame:
Policy 9 or self-ins.Lice 4 ExpirationDate:
Job�e Address: CitylStatelzip-
Attach a copy of the workers'compeusaf=policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 ran lead to the imposition ofcriminal penalties of a
fine up to S1,500.0a and/or one yearim " onme*t,as well as civil penalties in the form of a STOP WORK ORDER`and a fine
of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Iuvestig:±M of the DIET;for insurance,coverage verificatim
I do here ,render t ptuns andpsnaLCies ofper�ruy Sratfhe ir{fnt�tratianpros�tdcFdit Ie zs rrnd correct
c Si tore: Bate`_ Z
Phone i#
1WkioI arse only. Do not trritg in dds area,to be completed by city or town o•ffrciuL
City or Town: PermitUcense#
Issuing Authorritg(drelc one):
1.Board of Health 2.Building Department dty(rawn Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone 9.-
6
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursua atto this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelEng house having not more than three apartments and who resides therein,or the occupant of the -
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states thzt"every state or Iocal 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 requirrd."
Additionally,MGL chapter 152, §25C()states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fll out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s), addresses)and phone number(s)along with their certificale(s)of
insurance. limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no emrlo)Jees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees;a policy is required- Be advised that this affidavit maybe submitted to the Department of Industrial
Accidents for confirmation ofinsurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not The Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insi=ce license number on the,appropriate line.
City or Town Officials .
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant
Please be sure to fi.II in the permitllicense number which-YiU be used as a reference number. In addition,an applicant
that must submit multiple pennitJlicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves ete.)said person is NOT required to complete this affidavit_
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's a.ddress,'telephone and fax number. _
The Commonwealth of M ssachuse�tf -
Depaz$nGnt Qf lndustial Accidents
office of kvestigatioas
600 WasbMgtGa St=t
RGstQrl,�IAA 02111
Tel.#617 727-4900 W 40 6 or 1-9 MSS. E
Fax# 617-727-7749
Revised 4-24--07 -
www.mRss.govldia
c
Q. ho is.responsible for making application forth
,permlt?i -- — --�
Application for a permit is required to be trade by-the owner or lessee or
their agent of the building (e.g.; the HIC registrant), if application is made-
other than by.the owner, written authorization of the owner must
accompany the application. Such written authorization shall be signed by
the owner and shall include a statement of ownership and shall identify the
owner's authorized agent, or shall'grant permission to,the lessee to apply
for the permit. The full names and addresses of the owner, lessee,
applicant and the.responsible officers, if the owner or lessee is a corporate
body, shall be stated in the application.
Please note: 1t is the responsibilify or•the registered HIC to obtain all .
Permits necessary for work covered by the Home Improvement .
Contractor Registration Law, M.G.L. c 142A.• An owner who secures
his or her own permits for such shall be excluded from the guaranty fund
Provisions as defined in M.G.L. c. 142A_
Back to Top
Q. M ntractor told me 1 need to obtain -- -
'm construction. Ma I obtain the relevantthe permits fo
permits from,
Imy local building departrnenf, or. is the contractor
ire
qulred to do that?l -- - —.---�
While you may certainly obtain your own permits, be aware that if you do,
You will fall into a homeowner exemption that'will disqualify
q fy you from being
eligible to•receive recourse through M.G.L c. 142A, the HIC Law, or the
statutorily authorized Guaranty Fund, should a problem arise.. It is the
responsibility of the registered HIC to obtain all permits necessary for work
covered by the Home Improvement Contractor Registration Law M__G_
142A. If the HIC you are contracbng mfith refuses, you may wish to
reconsider using that contractor's services.
0
Town of Barnstable
` Regulatory Services
t r
MASS �, Thomas F.Geffer,Director
z6gq. �0
'oho►�►y" Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnsfable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using;A Builder
as Owner of the subject property
hereby authorize to act on my behalf
in all matters relative to work authorized by this building permit
(Address of Job)
Pool fences 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 Name
Date
Q:FORMS:OWNER.PERMISSIONPOOLS 0012
�sl Town of Barnstable _
P` s Regulatory Services
{
* BAMSTAM
, : Thomas F.Geller,Director
pT163F9. � Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.b arnstable.maxs
Office: 508-862-4038 . Fax: 509-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
., JOB LOCATION:`- 1 �i e.r CA CC
number street village
"HOMEOWNER":
c :1349
name home phone# work phone#
CURRENT MAILING ADDRESS: , rY�y.r lief CAk
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such.
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The dersi d"homeowner"certifies that he/she understands the Town of Barnstable Building Department
um inspec -on procedures and requirements and that he/she will comply with said procedures and
eq ements.
Sig wneT_
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control. .
HOMEOWNER'S EXEMPTION
The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this-case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a foraJcm tification for use in your conun unity.
Q:forms:homeexempt
O�TM[�0
TOWN OF BARNSTABLE
� Permit No. .,.36.5,5.6.
BUILDING.DEPARTMENT
TOWN OFFICE BUILDING Cash
7 '659•�e+u1 HYANNIS.MASS.02501 Bond ........x......
CERTIFICATE OF USE AND OCCUPANCY
Issued to Cotuit Trust
Address 501 (lot 2) Mariner Circle, Cotuit, MA
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
.. ..August .17. . .......... 19...94.......... .. ............ ...
Building Inspector
` AssLssor' ; office�(lst floor}: FTN¢
Nt;TIC.
Assessor's ma and lot 'number .,R .°. . f! 3 ..:.. R+p SYSTEM MUST BE
.Board'of Health�,(3rd floor):
Sewage Permit number , . II'1STAL.LED.I� ®�l➢�LIANCE '
. tlf9ITS7 TITLES t Baaa9Tl1BLE,
Engineering'Department (3rd floor);: o rasa
l � S 'ENVIRONMENTAL CODE AND �
House number` .... :...... ..........'........ o�oYpY ale
Definitive Plan Approved by Plannmg Board _ _ ° I�VSNu-f `
`� K L.
y , APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only R¢y.k r%Q eG( P lc
A"NOMTOWN '.. 0F IRARNSTABLE
_a ILDIN INSPECTOR
PLICATION FOR .. ....7...C..�..N. ` ..... . i/ .�,,,,•, ....................................
TYPE OF CONSTRUCTION ..L ,J..p.
19.9 3
TO THE,INSPECTOR OF•BUILDINGS:.
The undersigned hereby- applies for a permit according to the" followingninforrnatiom.
Location ............. .. 2: J%G.l!a. ... .... K.
i
Pro osed' Use "
p .
Zoning District �..: .. ......... ......... .........Fire District �U , :.....
C 1
Name of Owner'...... ...:: . ✓..I ........Address ....... .... .Z.Name of Builder .... ..... .. .. ` . .......Address ........ C�?r 4- .
Name of Architect ....... ..... .. ..•......................:.......................Address ............ J s_�... . ...............:.
Number, of Rooms . ..:..... . . ......... .:.: Foundation ... .....
�. .. .......
Extei nor �1%//�� '!�"' .9. ................Roofing
/ . " ,
Floors ......................... ........ ........Interior-
... ........... ....
Heating .............../...:.. ..,...."` ......:Plumbing ..:'. . ........................:
.....� --r.... c� a o............................Fireplace .... Approximate Cost
0�7— f/
GG � Area . .Q: ...............
.
Diagr of Lot and Buildi �,A�ithDime'nsiohs,
Feed . ................
t
OCCUPANCY 'PERMITS,REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... ...
Construction Supervisor's License
,COTUIT TRUST
No ...,.....
lz Story
36556.., Permit for .F........,.......................
...Single.Famil dw ing..........
Location Lot #2 501 Mariner Circle
c .. .... ......................
.......... otuit
Owner ......Court Trust
..
r
Type of.tGonstruction Fr me.. eft. ................
. ...................................... w
Plot '.....:...................... Lot ....Y.`........................
Permit Granted , March 23 ,_•••••• 19 94
,�, �_„ J
Date of Pnspection �.�.�'.���� ......��.. 19 •. �•� •-
�, 11"
Date Completed ....1� 1 ...................19
Al
in
CJ
COMMONWEALTH OF 2v,A.SSACHUSE'M
DF1'AR—, � TTTOF7NDUS?Ri ,ACCIDENTS
600 v,7ASHrNGTON ST-T P=-
jarnes-* Ga-130e+ .liOSTO;N,.MASSACHUS=S 02111
mORjCF-RS'COMPENSATION INSURANCE AFFIDAVIT
l'
Qiccns miac
with a principal place of business/residenoc at:
7�* 2-A kWA WJ4,4m- 0 z 6
<Ciry/StacclZip)
do hereby ccrtifj; under the pains and penalties of perjury; rhsr.
( J l am an cmplovcr proviaing ncc following workers'compensation coverage for my employees-orking on This
job.
Insurance Company Policy Numbcr
( ) l am 2 sole proprictor and have no onc working for mc-
( 1 am a sole proprictor,general eontnaor or homeowner (tirde one) snd have hired the eonrnaors lisred below•
who hZvc the following workm'compensation inst=cc politics:
Im - O_C&A C1 fzys"�'lo
h ofCon=cror Insursncc ComplAyNblicy f4=ba
%-1 J1 M4 c9:5 ►v��u I��.,,,. 1��.,�, � lD C--1; V,Z4-(!3 S3
1'2mc of Contraaor Insurance Company/Policy Number
Lj'Li �" A
�2� L<,,.G u A C $o D
Nzmcof&ntnaor Inn=ncc CAMpanyfPoliqNumbcr
Q I am a homeov,•ncr performing all the work mysd£
NOTE Plcasc be aM:1c thetw; <hora<o�acr:wbocmploypersoa:to cro ra:iotcnzacc,cooanusiocottcpaitMrockca a
,J-0lins of not ruorc tb=tSrcc ua;u is t,A',6%I<bomco--Mcr also resides or oa the Eeouads appueuz=t tbcrcto arc Dot Fenerzll)•
<onsidcrc2 to b<employers t=&r tbc�or':<ri Corapwsstioa Act((;L C.1S2.<cct- 1(5)),appl;cit;oa by:bom<O-acr for a l;ccos<
or p<rnit r..:Y CN;& :cc 6c 1<fJ sun:,cf zz<crioycr uoc+cr the Workers'Corapcoszt;oa/tct.
cnccrs+:rsc cn:t a copy of ties st:,cra<r.t w;c oc for�.u&d to we Dcp:.rt-cnt of IndustriJ/tcodcnu'OG',cc of lnrc.:ncc for.covcri,�c
�Yrifiuuon:nd that f.;lure tosceutc tortr:�c:s rcluitcd undcr&&don 25A of MGL 152 can lead to ttac impos;uon ofstirninal pen:Jucs
consorting of a finc of up to 51500.00 tridor imprisostmcnt of up to onc yeas and uv-tl pe-n-Jtica in tlsc form of:Stop�lork Order and s
finc of S 100.00 a day against mc-
LSigncd this d2y of `1 " , 19
Uccnscc/Pcrmittcc Licensor/Pcrmiaor
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
IM A , -�
DATA
� "TOWN OF BARNSTABLE, MASSACHUSETTS BUILDON
DATE 19 _ PERMIT NO, -+ � 36556
APPLICANT a�-:y. - D L�±. .':-'i' '� f f-` C r
ADOR ESS r{.J :560
}t (NO.) (STREET!
' ICONT R'S LICENSE)
`",j i UMBER OF
Buda Dwc ill .� ;�e�c il.:nc
PERMIT TO _C•i 1 STORY WELLING UNITS
(TYPE OF IMPROVEMENT) NO. 1 X.,(PROPOSE USE)
AT (LOCATION) lot #L, 501 Mariner Circlf,', !CU'tui-1 _ _ ZONING RF
(NO.) (STREET) .DISTRICT
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
h
BUILDING IS TO BE FT. WIDE BY FT. LONG BY - FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Skc:waa #93-651 -
Bond
ARE A OR
VOLUME 831 sq. $ 60, 000.00 PERMIT $ 66 o 75
ESTIMATED COST FEE
ICUSIC/SQUARE FEET) -
Co quit Trust _
OWNER L
.38,21 Rtu 2 , iad z U:is L�1 �..,_. BUILDING DEPT. �f
ADDRESS BY i
i
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBFINAL I SSE T1 TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET i
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
/A/ L
n J
2 -
1 HEATING INSPECTION APPROVALS ENGIN ING DEPA M T
,h
OF HEALTH
OTHER SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W;L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
r .
DEPARTMENT OF PUBLIC SAFETY
ONE ASHBORTON PLACE
BOSTON,MA 02108 3, _
LICENSE
' CONSTR. SUPERVISOR
EFFECTIVE DATE LIC-NO.
106/30/1993 004560
JOSEPH P BREENI
2 3281 RTE 28 BLDE 1 SUITe,
MARSTON MILLS MA 02648
z
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY .
STAMPED-OR-SIGNATURE OF THE COMMISSIONER
(3, f
SIGNATURE OF LICENSEE
;AlI QI`JER
y ty, � •' y, '
I.
I *i! I N—M�ll
..,{
J �
i
s..'a!-c � �z _:.- , .. --6—=sr.-i�.'v'-Tom"--•--'ri- "'T' -i —=-4-�v..����
f
r _
2 _
1
•1
Y
. mat.. !-t_ — —__..-_—. - —u_--_ ___-___ ._.' _-._ _ _.._ _._._._...--.._ _.-__- - -�- � ••.
} 41
i _
r '. r _
11 y<
ire t t ,
_ S i
.,,... a -
{j
.sq -y?o�ef
:. - ,� ��'<.�-�. k� "��-� =`� 4 r _ .�� � � , f• mot,,
} v=x t#+}r'F
� t3�Q' .i `-F^Y�:.EZYJ ✓y � �1 `f. � t ( / _ �F �t � ; •+.�
h4. �._ $ 'r, x'y x�r--. •-"� Rf" -`` _4 }. 'l 5 � I t - � 4 ,} "i' c y< ';�
6r-t.<,�v"SG✓ .i �k 8a•-ac�('�.."`�1 tea` 4 Q y A, - _ .. _- I 4 } � I_•• i-
.s � .,�=' .� •�T-,tii�a -�;:V i '= 1 _ � f 'ai, PS��- I -� � 5•i<Y'4ECC•C i ( ,�.- ?r:,r y.-
fIS
e?� �'��
';•�::Y �r'+•Sc. -;•:rs.r.k': - } - '1. _ t -�} - _ — r--1= __ - �� a ''` / �:�,r �ti.
�: _ 7�..� '�4.,,`'y'iT.ii's- �Y.".�,ar�a'� .'4 +{- 'f � '4 t.,` '.� 1. _ T-F 1 -I .;^ .�.-i-. '� 1 ��• :_� f�.t }' �:
r .t..
_
g q •mow-7-.:z.:£ *>,3L..a'F r+ia y - i•!p. �sb°�K i ( f �a_ _v.V. b=a - v-L G-!. •F ,�, ,r.�•`
�R } �� 'gz�a•�� z,a.�,t`f.;
.r I� -�'T'. 1^2•ii .RiA!.:fR �Y 1�. 8 ( } Or
'S�VtAIJ
� 51 � �•j'a-� "'r`�`'lam y �s `3 '� . —/ t -� .. i � l -� - � �z,' t u' � L...'.
t-'.• .ev ,,. ...' a „4�'.�ia�� • .,aye :'y_.t J -,�- ' -1.. ,�= { _ ( "��1-��.�°:.IK:A.'' '' V'.r. `Y ? i• �� �`
— — — —— 4 •a s £ � x" :
-
~. �•'^`�af�i,� Z,�E ��.� _ Zt3c� ----- .� ; � � rx�k�,r.� -
��r. •>- .[.y3• v�'v�',.s-�t>a�-- "- a5 �,R! T �"„-.-.-�'_«- __- ____ -_-_..____ _�-___.--___.____.'-_�_ :�r T �
...a'c -��".t..:�--S�ar r4 4`: �, r •'1 -j zy`,2C t t`Li �.
� s .. atY�Ws: 3t T.4�• �.��•`�1:`r'-; .; �tl. ,r 4 G-.o�1 � _ .i�.t.-. es•
77is. :.. _
Y
i IJ 4
� S C
'1C�'a ��• .aY v`�
..�F
� �aye«•x,.� y � j
;may.will
�.
rc us ti _
F
Y
7
A a
iIL
vt
L;OG O.G-
�": _ � � � car �__ _ � 73 b i(.L��y�il'�f �•
ICA
r _ .. ti3 n xieF:mc�
���3,i 4 - � � �I �1'ato°-:i{ti. 3'ri'e u�:x.:aw�; �• Ia
L
T-� 1`t .
7!IK.FV,. I cti I-1
�. tea_ F�4ti I ✓��-:
:T-'-
•.9 °•� TOWN OF BARNSTABLE
S � BUILDING DEPARTMENT
i �iBIST : TOWN OFFICE BUILDING
HYANNIS, MASS. 02601
�o ru�c►•
MEMO TO: Town Clerk
FROM: Building Department �j IM
DATE:
-' //MJ% t`
An Occupancy Permit has been issued for the building authorized by
BuildingPermit #...... .6.5-5.6.. ..................................................................................................»......_.....................
issuedto ...........� Q� .�...... ...._...........�.....V. .`�.. _.................................._...............................__. .....»_ .... _._... ».. »..»»»»»
Please release the performance bond.
—-- — _
LOT .51 .
N 57.44 33 E
O �
�O
Q 1
LOT 2
43,941 S.F. cn
N J
N �
a CP O
y N J
J 1
rn
N
t
t
j
i
CERTIFY THAT THE EXISTING
FOUNDATION IS LOCATED ON THE LOT
AS SHOWN, AND THAT ITS LOCATION
N �
N CONFORMS TO THE MINIMUM
OD SETBACK REQUIREMENTS OF THE
�_ BARNSTABLE ZONING BY-LAW.
N }
DATE: 1 199
Registered Profes ional L nd Surveyor
CERTIFY THAT THE EXISTING
,FOUNDATiQN .Ic ) OCATED..IM f!L:O01)
PLAIN ZONE C AS SHOWN ON
FLOOD INSURANCE RATE MAP
COMMUNITY PANEL NO. 250001
0018C AND THAT FLOOD PLAIN
ZONE C IS NOT A SPECIAL
FLOOD HAZARD AREA.
j
28 7' Registered Pr fessi aI Land Surveyor
EXISTING
FOUNDATION
,102.1Un
f
a
DATE DESCRIPTION Drawn pecked
R E V I S I O N S
"f' E -
CERTIFIED PLOT PLAN
N 52.28'S3
PREPARED FOR
160•34
COTUIT TRUST
R,366.78'
IN
�=10.00' CIRCLE
sANTUIT BARNSTABLE
- Mp,RINER MASS.
SCALE: 1 ' =20' DATE: MARCH 1, 1994 a '
holmes
. and me rath inc. -
g
civil engineers 'and land surveyors
200ma'n street
f
i t
. t y
}r
� Er
falmouth _ x . y ma. 02540 508 548 3564 x .
DRAWN: . ,.
,. . .. - sDH CH t
- -
ECKED•
B ',_NO: U184:, nWf, N