Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0065 MASHPEE ROAD
�s ���� �/ �5 :. Town of Barnstable Building _ Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept • .nxxsreei,e. tMAS&: Posted Until Final Inspection Has Been Made. ems• , Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit Permit No. B-20-1489 Applicant Name: Henry Cassidy Approvals Date Issued: 06/22/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/22/2020 Foundation: Location: 65 MASHPEE ROAD,COTUIT Map/Lot: 007-036 Zoning District: RF Sheathing: Owner on Record: KMIECIK,BARBARA J Contractor Name: HENRY E CASSIDY Framing: 1 Address: 65 MASHPEE RD Contractor License: CS-100988 2 j.Est Project Cost: $6;500. Chimney: Description: Insulation/Weatherization Permit Fee: $85.00 } Insulation: Project Review Req: Fee Paid:. $85.00 Date: 6/22/2020 Final: Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after,issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 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 Low 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 MGL c.142A). elz� Fire Department eV Building plans are to be available on site �� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 1 �9 F p�,� Town of Barnstable *Permit# pbCoy1�5 Expires 6 months from issue date saxwsrws�, Regulatory Services Fee 1ss .g Thomas F.Geiler,Director X. Building Division Tom Perry,CBO, Building Commissioner OCT 200 Main Street,Hyannis,MA 02601 2 6 2006 www.town.barnstable.ma.us T�VVN OF Q �v Office: 508-862-4038 -6230. EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Aap/parcel Number 00 (a ?roperty Address (Z-a Co T-V ' "r Residential . Value of Work a-0 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address AL 1ZA k-or-i`i K = Contractor's Nam t t._+�t&Telephone Number 50 9, — 4no �— Home Improvement Contractor License#(if applicable) 1 t 0 _4'75 Construction Supervisor's License#(if applicable) b q-7 65 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name t�{dz iA Workman's Comp.Policy# 0 91 1 (P G<-7 — 1 b� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ® Re-roof(stripping old shingles) All construction debris will be taken to TS vi-M 04 S—Iv% _'S,-X M/i — ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side FA Replacement Windows. U-Value f (maximum .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 Improvement Contractors License is required. SIGNATURE: V'` Q:Forms:expmtrg Revise071405 DATE(MM/DD/YYYY) J ? -.CERT'IFICAT'E OF LIABILITY INSURANCE 9/26/2006 { tifi+ S ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Agency, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ` rhea Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, k . g'g''.ria l fy pgte �111e, Ma• 02655 9011 INSURERS AFFORDING COVERAGE NAIC# The Hartford Insurance Company :- S`teVen- P. McElheny Builders, Inc. INSURER A: l' i' p,p. Box 460 INSURERB: The Hartford BOX 460 INSURER C: Cotuit, Ma 02635 INSURERD: ` ` T `508-364-1926 INSURER E: v� vFIGES . o IH POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING d = �iEQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR $L $TAGGREGATE LIMTSS OWN MAY HAVE BEE BY THE OREDUCE BYLICIES RPAEDCLARMS.EIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY EFFECTIVE POLICY EXPIRATION v POLICY NUMBER LIMITS I TYPE OF INSURANCE DATE MM/DD/YY DATE MM/DD/YY p ' -T;; r. 'GENERAL LIABILITY EACH OCCURRENCE $ 1,000 ,000 f_ �• X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 50,000 �CLAIMSMADE CI OCCUR MED EXP(Any one person) $ 5,000 NPP916772 09/22/06 09/22/07 PERSONAL BADVINJURY $ 1,000,000 \ % GENERAL AGGREGATE $ 2 ,000 ,00o GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,0 0 0,O O O ffbE °q>` PRO- „ PQLICY JECT LOC p' .AUTOMOBILEL'IABIUTY COMBINED SINGLE LIMIT ANY'AUTO. (Ea accident) ALLOWNEDAUTOS SGH i,:; I (Per person) RY $ EDl7L•ED AUTOS n dt HIREDAUTOS - BODILYINJURY $ ' It NON-0INNEDAUTOS (Peraccident) h' PROPERTY DAMAGE $ (Peraccidenl) a >: -.OARAGELIABILITY AUTO ONLY-EAACCIOENT $ ANYAUTO ` EA ACC $ OTHERTHAN AUTOONLY: AGG S 1�e Zvi EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ trZ OCCl9R CI CLAIMSMADE AGGREGATE S T zvyr a Ah r--c .. '. - - $ w DEWGTIBLE $ 4 r °� �" RETENTION S $ �11�QRiCERSCOTkI ENSATIONAND X W T ORYLIMITMIT H- IOYERS'LIABILITY ' TS ER p IETOR/PgRTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 MROPR WEREXCLUDED? 0816C17-7-05 09/04/06 09/04/07 E.L.DISEASE-EA EMPLOYEE $ 100,000 "d LPRVI$(O descnb NS below DVISe[ E.L.DISEASE-POLICY LIMIT $ Jr 0 0 000 I RTION op OPERATIONS/.LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ; _f ZA> a. lCATE a , ..HOLDER CANCELLATION t dF My E ""4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TIOIN " TOWn Of "Barnstable DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN ,Tr ,BuldinDepartment g NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL main St , CO tul t, Ma 02635 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR . 5�.8--7 9 0-62 3 0 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE a�20tI1108) ©ACORD CORPORATION 1988 :' r - ---------��—TT---pp ac�ttuaraa +- 6 ✓7te toa�y�nzaruueai a \ Board of Building Regulations and Standards lug/� HOME IMPROVEMENT CONTRACTOR Registration ,\,l10485 ,E)6 at on 1©120)2008 GROVER&MCELHE BI;J£k�CF?S STEVEN McELHEf�1� 523 MAIN ST COTUIT,MA 02635 Deputy Administrator BOARD OF BUILDING REGULATIONS " License: CONSTRUCTION SUPERVISOR Number_:.S O47693 B�rthdate �9/236n1.958 E�Cpires 9/2W2007 Tr.no: 6108.0 Re STEVEN P MCEL st Feted PO BOX 460 COTUIT, MA 02635 Commissioner The Commonwealth of Massachusetts h, [LA Department of Industrial Accidents r Office of Investigations 600 Washington Street Boston,MA 02111 « s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ' i�7 A ►—I yr L- -x c , Address: ?V S 4C, City/State/Zip: C u;u c'- f—A 6Z(,3S Phone#: Sv - Ire you an employer? Check the appropriate box: Type of project(required): [�I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the'sub-contractors ❑ listed on the attached sheet. t ?• Remodeling I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its officers have exercised their 10.0 Electrical repairs or additions required.] ❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] my applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. iomeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. zm an employer that isproviding workers'compensation insurance for my employees. Below.is thepolicy and job site formation. surance Company Name: )licy#or Self-ins.Lic.#: Expiration Date: ,b Site Address: City/State/Zip: ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). d1ure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ie 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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of vestigations of the DIA for insurance coverage verification.. do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct mature: 1i ;/4" C�c.--, Date: 11, Z 4- ('o lone#• 5�� Offuial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: } P . . : Town of.Barnstable snaxst�►B�, � Regulatory Services ► Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02661 www.town.barnstable.ma.us Dffice: 508-862-4038 Fax:. 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder �i e—t K , as Owner of the subject property hereby authorize 97�-0 7-V �--Z f—i L� -i J-i?��to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date �c�,r�0.✓a ILN-ue,i e�� k Print Name Q:Forms:expmtrg Reyise071405 _TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 Map ' iParcel ©0 7- a,j (o Permit# ?2� f � f1, �a J !Ai Health Division Y, 21q 10 b103 (Sw) ��e�*$ Mki, LE Date Issued t ol-7 l 03 , 0 — Conservation Division �IP ►�'�'�- �;J�} i - i }: 23 Application Fee I Tax Collector 00 3 �O k-— !v L- �o � Permit Fee JAI D 1,c — N) �� /D. f - SEPTIC SYSTEM MUST E J1ti1STAUED IN C01APL1ANm`2 Planning Dept. NTH;ME S Date Definitive Plan Approved by Planning Board €L��9IIRONMWAL COD-2. � -rOWN RECUL-f I N.'a Historic-OKH Preservation/Hyannis Project Street Address 19 5 � aS A 4ec Village Owner j%jzt%)s L°�✓�'�7 Address 65 Telephone S a 8 - ya.e - 7 3 0 5 /-,ions C-e t( So AZ -Z 7 H- IU / 4, Permit Request �e /.3 '/� ,Win-{- go-ee"k a and a c c,._ss To Square feet: 1st floor: existing/,3_5o proposed /000 2nd floor: existing proposed Total new Zoning District Flood Plain lVb Groundwater Overlay Project Valuation aYg°��. e c Construction Type ,Oech a X/o av &x c, - Lot Size • 7S C.tc&j Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Y"' Two Family ❑ Multi-Family(#units) Age of Existing Structure R3 jjeaeA Historic House: ❑Yes W lqo- On Old King's Highway: ❑Yes B<OO 11 Basement Type: W5ull ❑Crawl ❑Walkout Wither A,,� c r/� a wa/k o V rArcr mw E dsk..✓� QCkJJ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /.3 sa . Number of Baths: Full: existing o2 new �' Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing Ce new First Floor Room Count Heat Type and Fuel: 0 Gas roil 0 Electric ❑Other Central Air: ❑Yes f/a'I<lo Fireplaces: Existing Z - New Existing wood/coal stove: ❑Yes 4-No Detached garage:O existing ❑new size Pool: ❑�Zxisting O new size Barn:0 existing 0 new size Attached garage:0 existing Cl new size Shed: ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# Current Used' Proposed Use p G BUILDER INFORMATION Name---.�uJ_y& _���,/{�/� Telephone Number -e I --PAo . 7 7-35 A 8.�9 Address �QS• �0-S/1 ga «o a ej License# C o )�vy'f Az C, O of Co 35 Nome Improvement Contractor# ?A, S O,9 , V a o . 13 0.q Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO R6 vnJ SIGNATURE DATE ZOA, , r FOR OFFICIAL USE ONLY PERMIT NO. ;t DATE ISSUED ' � MAP/PARCEL NO. ADDRESS g VILLAGE i OWNER r- 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 office oflasesffgatioos _ 600 Washington Street = t- Boston,Mass. 02111 Workers' Com ensation Insurance davit name f� , location 62�S G t d.G'e A ex& J I city n`Fw. t e_ b L 4�S phone# 7Sin S dam a homeowner performing all work myself. ❑ I am a sole netor and have no one worldng in any capacity ////%%%/%%%O%%///////%%/��%/G/%�////%/G///�%%% Iam an em 1 raviding workers'compensation for my employees working on this job.:..::::.::::.::{}:{:{::::{}}}::..}}:.:.}:.}:::.:::::?:{;,,:::::}:;;:;:};,: :com an :n m ...............::.}'::v.v:::::.v:;::::::•;r::v::::::•}v,:v:::v::U{4:{v};{.ti>%:;jj•}:;{?j}}}:{.}}?::::n•.v:v:i•:•}}:::•..{,...r:v.v{:.:{::.}:�;}}'?:?}vJ:::•ir:':? n.....r'::i•iv'-�+:v::;:...}:;.}:•}}i}:;ti•}:{•:•}}:•Y:::::.:......:;v:x{{?;• ,•.:vti':ti�Y}:<::.}}:•}:::.... .....................................::•::....:::{•}i:v:{•}:•}}h::v::::Y:{v'{�::v:v:3:?i•....... :v:}}:::•:}:{%}}%•Y.:y:ti{•:;•`Y:Y}:;i:{ti•}},{;:ti{{•}�!•}:r•:{yv'.:.....• .........1.v......•...:. n::^}'v:4:•i:{tiJ::{•}:{{•}:n}}:•:y:v•• •,?:?•}}•x.t:..v:.:v::• ww:.w.}:............ txv...,.:nv....... .x.+•::.v:rv::t.....:r.:v.:..... Y .....,:.::::}}:•:;:+:'-}h:ry}}}}'::::::::.:v:::.::rL:J;};{•}:T:w:.}•:::.-�.v.: A }}•}''r':v?:i4i34'riij}ii:L%ii:{%}ii}i}i}i}:iiy}?X::}i}$i:{>i:tii _ _ •}:•i}'•}•i:•}}}::4:{•}:;.:�}}}}Y}:•T•}:•:i:i'::v:v:•::::.•. :.v:::i•::.i:+-ii}:}}';•}}}::.v::i:{:;+v:}:•}}:{;.::::::.:}'•}}}::.;v:r:$?Y:'rri ... r ......... .v...rr:-:::::.:v}::•::.v:.:. v.vi:4:•}}:{v;.{•}:.t .v.............. ....v ,vv-v:'{:j•:ti::tivi:•}i:-}}v. ........ v....................................................v.... .............................:v::..:.........r....t.:..... v::::tip:nv:}::... y�� �•:J:v�:•�'}� �'r:��:;:+t;j}:vi}{!:^:;:;:J,;i}�}i:?}'{'i:?��::;:ti;i•:�i(:;il::d::is:C�;t:�n::?}'}:�C:ivi){�:~��?:4•%;%'%i}: ii:y:':isti{}<{$%;}:i?:`vii::::iiiiii:;.$tii:?ii:•:i::j'.%':?st}{jY>%?'%ii?:}iY:+'%i'.%:i+{':i}::{itii�::;i'.::.:iS:::$�ij{:'i{:+::^.:?$?!�; ufa _ 4::•�{:%%i:%i:iiijiii: • .: '}f};..;.}?,;•.;}};;;4;`$:;Cy%':•ry?;;;•;•::r.;n}?;•:t}};{;ti::.y:::X;ii?.+::(C::j: :}}:{Sti:j�:;:j;:;:;:;:;:�i:{{;}}:iT`: %Mali ` .... �ftseLan ❑ I am a sole proprietor,general contractor,or om wne (circle one) and have hired the contractors listed below who have the followin workers' compensation olives; ............................. .........::::...........:::::.}•.:::.::.. } {•rrv: %$:•'l.%i............: :i �:::i%ii tii>::i:•,i:::::%:ii:%i::!;:;i?:i............•v.w::::::r:::::::xx::::}}:•: ............................. v}::i}}}}:.:}:v.n.n{.; :::::::r:•:?:::::::.;;:w::q}:• .. ...........w.v::..,......r...;%::::::i::4}}:v:::•:•..:...........::::::•}'•}:tii};}Yv:::;:•.;::v,:•}:}.•:::...i,}??ti{%iYL{?::?q}}`C"}^':•}':-. ....,.......:::.::.............................•,.:..: •..t.............................-:•:::::::::.:::::.:.:..............................::............. ...:..,....::::•::,r::•r:::.tr•.::•:;r{:}:{{.;v}.ti?�::i•}}:•}'•}�i:::;•.ti........x...x..v:f:?,�•rriv:.v.a::: ::is•.:•:}:::::.v::::?•.v:. ....:... ...........J.•}}}}:{6}}i:•...:...':�:•}:?::;?::%i�:{%i:�:.`::::}?:::%}:{.;'::,`:Y{.{;}:;:?}:i?Y.•}}:y{•}:::i:ti:{;{•i'ff{i2%:{%i::i:., rr._-i,i,{{,x+„•m.• ur v_: Y.v::v.v.v:::::::::•:::::.:::::......v...:.,.......:..::::.:{0::�:�• .•... ...,;...{...::::.. ........ .. ................. ...................:..............n..... ....................m:::::.v:::x::.{v.....••w:... ... .. {v.w::rv:h:.:•}."•....:}:^::..:..};K:•. ' }.�;}ryn;:;n ......n................ .::.............r...:...n............• .....................................m r....r............... nY...x::ntn :."'� {: 3:.6.tt.�.•... .......}.......... ........................ .........{...................................:.v.v,.:..................... vn. {.v;;::•.;•.v:•.•.v:w:r.,w:•:••.:v v::nv•w.}'.}:•} ...... ........:..........r... ............n..................... .:::.w::w:::xv:ni........ ......t:w::.:...•}Y:{w}::iv...:::.:•;..v,{G:{.y;:::•...:.•r?•:{{::.v.}.;;..;. •+' .n.r.:........r... .n.........n....... ..........r. .....r...........................r..n.{ v}}}.:�r.;•,•.:,v:::.v:+.v::.:...r... ;?;,; .r.. ..::................r.....,•.:. .................r................................................}.r....... :...a:.{-::::::::::..........:....a::.:•:�t.::::•::.::::.a:::.�:::::.:�+.••::•..:..:..•..}:..}:.:•::-..}:.{;-•r:.tt:..5?.s•.'.l::a}.axk•:}>:::.}:{.:: n�nran .}: ?•}rr .'}pi;: ?jj ?;:}i:'?fi'.%'itC`viii:%4:?:ti:(%.r•:%?i:rit%i.'4?vi%'iCt?iiii%:>:+:%::;:y!�{;:::::i}� ::^::{%.:Y%?i:}i:::;vi:;: :v:::::::::•::::•::::::::•: .:::?%i�iii:'.vi�±::}::{{iiL•i}}%v:•i:::?f}:•}:•;•}:•Y.{v:?:J:^}:{:�??.,?%;..�::�:'::,:::ii %�%% '::v% ::��>ti i ... ......... ... .>:•::^::•}:•.v:•.{.}::?v:::;;}%:{'{%}:%:%:•yi:{{}.;;::ti;?:?{:;%}:i%i:%:?i4:::•::.:v::::••}.v::F.v:::::::v::.v::::::w:::v.v.v:Y.:.r:::w::.:..:..:.:..:.::....:..:::.v.:............::i: .v};•X{{.}}•.:n}+}:•':::::i;.}{}}Y:;:!{•}:jp:?:w:::{}:C;tii:tii}:i.::::':::....::::::v::::r:i:.n%v:.:v:::..,;:.:.....n:•: ......... ........ n•..rn+W:;•};;v}:::"".:,:J}ii;•i:i rii;�}:::•}:{•}.•:}:.v.v:::}%...,.... ..., ...n............................... ..4::::... .. .. .... .............. ....t......... .... ........................... ...w:::v::,{{{{•}:w::v::::::v;;::{::v}:•:;'{}}::{%}ii:-i:i::...•::'4"�.v::. 2`essi' :ie: ''ti::':;:?':;:i.:>�:r:s::;{$:;:}tii$:;:;;;:;isi:C;{:::}Y...,.:!.�Lti:;,?;:;.;..:.....F:.}ii::f::i`•`*,ii:2}::;:j::;:;}`;i: tt 'ii QD .......:.....:}tii'tip:•::.v::::.v:::.:v::::::.v:::::n..........•.v:;......•::.....v:.........• :... ..... {}� i:%i:%:;:.:::;:iY,:.;.}:;}}:{.}:::i:%:':%:%:%::.:till:!%i::;:;:ji;:;:;i:;:{?�:;:%::: .�.wv Lr r ::::::ri:•}Y}:•�}i}:•}isi;Xi4}Y}}:•}•::::::::::..:vY•}}iii:i:}:•}Y w:::::::::::::..} :::..4 .... r.... .r.....................:.....n.n.........n........• :• .................v.....................::•w.v:. .. .............•x;:.. v.}}:r?:.};•.Yti:{?ti• ....x....r ...n.....:.... .....+............... .............. ........{.:::::.v::...:'•. •. .............. v} ..:'{4:•}:i•}}Y;�{ti•}}:•v:;�4ty ti,•}}}:}}v'•;•:v'ii:::::::r.; .......n............... n..:..... :...r. ................:;1.}:iti{•:v...:.r.......nr..n........:v:}:::::kv::}:^::::.:•;�x:w:}}ii$Y:{}:• ............w.......:..>.�.:::;:•::r i}}:{•:ar{•}}}}}}:•}:•}:i r:•Y}}:4:•:tii;?:5;::isi%tii.'{i:;:i;:2;:{.;i•}Y}:O:{ i:•:{{{•:;......v....::r::.v::::::r.v::.v::::.. Y1� :;^}i}tii:•:;;}:^:{{4::{3Y?::}:•}:;:.}'::w::•:nv::::;}n;,ry}:?i{;'.{{•ii:{•}::�:;.}}:;�}:tit:{s}:•isnji?i:•}:;}:•}:{<{•%{{{•:i{{;{•}:; .......::......:..:...:.... .:: j/ Fafi Section �e to secure coverage as required under 25A of MGL 152 can lead to the imposition of crbnhml penaitie�of a fine to$1,SOO.QO and/or one years'imprisonment as weR as dvfi penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand tbat a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct 01 Signature Date 40 41zo% Print name � U$ •�.� �• �' w .r/'�4�Lf Phone#' .�o�.. a . . oMcial use only do not write in this area to be completed by city or town official city or town: perndt/llcense# ❑BuIlding Depulment ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contactperson: phoned; _ Other avviwd 9/95 PJla 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`emp.,loyer is defined as an individual,partnership, association,'corporation or other legal entity; or anytwo 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. r, Applicants JJ Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and A- supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may e A, submitted to the Dep artmeat of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and y date the affidavit. The affidavit should be retumed 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"Iaw"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 pi cease number which will be used as a reference number. The affidavits may be retarnR'lo the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department s address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 ET Town of Barnstable Regulatory Services saxxsraHr.$. Thomas F.Geiler,Director 9`bA1619. a`�� Building Division rfD MPS Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. DateA4Za"Z AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: /Re.4�t��.We a� ��'G �� Estimated Cost S®c�c, e e Address of Work: S As M, Owner's Name: Tuj iu% X eMue� Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied [P�ner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. R 00 _ Da = Owner's N�me QSorms:homeaffidav f P�pfTME 1pf� Town of Barnstable , Regulatory Services BARNSTABMASS, 'g` Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, JR 14W., CD'4/.WWf-- ,as Owner of the subject property hereby authorize v$`40A C&..'/ate/� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) /v ignature Olowner Da C0fV4Vt—a Print Name /1•LYIDLRC.l1R71.TIIDDT:D�.TTCCTl1T.T Town of Barnstable t StiE 1p�, Regulatory Services • s�rrsresi.s, Thomas F.Geiler,Director MAM �.� Building Division Tom Perry,Building Commissioner 200 Main Street,`Hyannis,MA 02601 )ffice: 508-862-4038 Pax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �Q Please Print DATE: JOB LOCATION: 6 pal• fq,-,C� G O 1' number street village 5a a name home phone# work phone# CURRENT MAILING ADDRESS: ADid N1!td' JQ�e. 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 vermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules-and regulations_ :- The=undersigned"homeowner"certifies that he/she understands.the Town of Barnstable Building Department— minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. e ignature of Ho caner 5 Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larg6r.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 biulding 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,maaycommunities 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 fomm/certification for use in your community. F I LC '.'14.IP 17470 '"` CENSUS TRACT Il 132 ' CLIENTLDunnina & Kirrane L.L.P. " "'DEED BOOK 8660 PAGE 245 OWNER-._ John eck & Laura C. 0 ie `P AN BOOK 256 PAGL- 46L APPLICANT : Barbara J. Kmiccik & Justus P. ASSESSORS PLAN 7 PLOT Conant MORTGAGE INSPECTION PLAN OF LAND L0C :AT. 00 AT 65 MASHPEE ROAD SCALE : 1 50` COTUIT. " MASSACHUSETTS :; NOVEMBER 19, 1999 NIF MILL011A I • \o t LOT G LIX N p Q d i SHdED > STf ►. - - RAMP 1 co �- I.`41,Q0, _ MASH pEL ROAD I' CERTIFY TO DUNNING &' KIRRANE.4 L. L . p�, , °COMPASS BANK FOR SAVINGS, AND ITS TITLE INSURANCE COMPANY) THAT - THERE ARE NO: :VIS1-BLE` ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN' WAS PREPARED.�UNDER MY IMMEDIATE SUPERVISION , THE LOCATION OF THE DWELLING AS SHOWN -.HERE.ON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE`! "'_ .ZONING BY-LAWS WITH RESPECT 'TO HORIZONTAL' T DIMENS tONAL REQU IREMENTS , ��P`�" ►ss,� - H N�' R yG� THE DWELLING SHOWN HERE DOES NOT FALL WITHIN O . i v ' IRA in A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON o. 28716 A MAP OF . COMMUNITY #250001-0021D DATED {. , 7/2/92 BY THE F. I .A. anwi lA� THE EXACT LOCATION OF THE BUILDING ' SHOWN;; CAN . NOT BE DETERMINED WITHOUT AN ACCURATE x INSTRUMENT SURVEY 1<cnnct�i Lt. Ferreira . L'ngincccinh, Inc. r� 11.0. 11(Ix New oeILIfor i,MA 02741.1903 '' • Pax:508 992-3374, GENERAL NOICS: (1). Thc declarations made above are:pn' th.c'_basis of my knowledge, information, and belief as the' " result of a mortgage plot plan tape survey inspetllon.;,iiadc.to the normal standard of'care of registered land surveyors practicing in Nassachusctls. (2) Oeclaralionst'a 1.re made' to the above named client only as of this date. (3) This plan was not made for recording. purposcs, ' for use in preparing deed Descriptions or for con— . structions. (4) Verifications of- property line dimensinns,,':'bullJing offsets, fences, or lot configuration may CONANT AND KMIECIK ` RESIDENCE 65 MASHPEE ROAD COTUIT,MA 02635 t i PENNELL DESIGN,LLC y 133 EIGHTH AVENUE R4C BROOKLYN,NY 11215 i _- _ _-- --- - TEL 718.399.3882 1 I 2V &I CLP w P- °x .PP eyre ILP ..'ur; 21W fl.Wr Nn'l _ 7no fF Pnluuy lC 2'KtA'4f1JWFPN+IUy'9d • aw....c h_ _ .. �=d 24 0" eq•y f JYN 4' ,•�,$o^a.P fIP� • I I I II nl! t c 1'-Y° FnA11WlT(eEE f1 z) i a- II li i : ' I gux,+ 0 pk- • T `r I v" 4^LII-,FIf-Pdll[U .. - L.PP.ER.W°1VPD III - 44Y'LaX 7'IP NI fN. pETNUIUG W ZAxL (N P WX 0 .FI CVV PIP• I.".17AWLAUY ,rF. I i i d'f<L• fn•,T,vP Y - , U'+ a)Z'x 10°P.L I I I I I I:"rnn m.IolubE W� ( 2",loa�ri va yxb°UAugfF hv. I i I I I i i I V�w T YT. I 1 ys" 61UE 9"r4"Prof b"i,r `_) .I —— —— _ — — — — ———— —— —J l——_——�_t—I--r r lL/ - • y r- ELEVATION DETAIL BENCH '//.,"��' SCALE VC-7'•P' t^ SCALEt'-V-0' 1 4.10.nh (O FItPncmr UnfC:AU4U F•�of�� — 5y"xtu°efulU:t TIP- avaW PP%m. NNYxxUy P.rkc'I I . VPf141 ^ - Ae 007E17 I . a)z'ao'.a. � (e)z°.v''Ps (e)2"•I•'n� — . PLAN FRAMING PLAN ELEVATION DETAIL FOUNDATION&FRAMING PLAN �1 PLAN �1 A 1 SCALEVC-f-r I - SCALE LP•1'•0' TOWN OF BARNSTABLE BUILbING PERMIT APPLICATION � t � Map Parcel (0 a,, to%,, , Permit# Health Division (i Id y $! � r �, � .�,, Date Issued 6_3 0':� Conservation Division �G�® �® °a'� 'Application Fee �� Tax Collector t�,y��► ob, Permit Fee Treasurer d' �>h _ Planning Dept. Date Definitive Plan Approved by Planning Board Historic -DX "Preservation/Hyannis Project Street Address AaA Village g co&f Owner yS >yS -/� C on/An/ I Address "11A4 e4A Telephone 61 yd,6 - 73 CIS C-el( ..4;29'A 7A/ at Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type C _wodk /,ems Lot Size_ moo Grandfathered: ❑Yes ' ❑No If yes, attach supporting documentation. Dwelling Type: Single Family a,", Two Family ❑ Multi-Family(#units) ; Age of Existing Structure g g o� al Historic House: ❑Yes a-go' On Old King's Highay: ❑;-Yes _p No Basement Type: U Full ❑Crawl ❑Walkout ❑Other X 6 GvcL_J/�"O U+ /l/'o t C,_ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 9 Number of Baths: Full: existing of new Half:existing -rtew % Number of Bedrooms: existing new N rn Total Room Count(not including baths): existing new First Floor Ro m Counter; Heat Type and Fuel: ❑Gas 8/ail ❑Electric ❑Other Central Air: ❑Yes U6*No Fireplaces: Existing A' New Existing wood oal stove: ❑Yes 8 No �SIfeV Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:AlKisting ❑new size Attached garage:O existing O new size Shed:&16isting ❑new size ®&' Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use ALL -� -_ BUILDEk INFORMATION =`' all 3 �Na e f _� - (oN�n/T_ Tel phd' one Number ® , o C Address 6S A93S as Licenseco # — C.0 AA(93_4 Home Improvement Contractor# ✓�'o� 40 o - 73o Worker's Compensation# v ?BALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO as zr-fe- �, r-��✓ V SIGNATURE DATE 3 o9&d FOR OFFICIAL USE ONLY PERMIT NO: � DATE ISSUED - MAP/PARCEL NO.- 77 -i ADDRESS' J VILLAGE r' ' } OWNER _ 1 DATE OF•INSPECTION: FOUNDATION ti FRAME INSULATION.-, FIREPLACE <.'t s/ �+ '•..'�; ' ELECTRICAL: 'IROUGH�' Z-- FINAL PLUMBING: ROUGffs FINAL ' ' GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT ' r ASSOCIATION PLAN NO. The Town of Barnstable Regulatory Services Thomas F. Geller, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 2 Please Print DATE: � 3 [v'©© ATI JOB LOCON: �✓ �Q2 Caw 1 Cd TV e f number street village "HOMEOWNER": `S()A name home phone# -work phone# cvRR>;NTr arGADDREss: ]TVS FVS e C o IVAIt ( Z:fJA A�e �oR Co t�v i�'� /77 cc oo?6 3S 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. DEFe=ON OF HOMEOWNER Person(S)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"'shall submit to the Building Official on a form acceptable to the- Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable.codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures d requirements and that he/she will comply with said procedures and requirements. RigpAnatarc of Ho o er 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-Sup ervisor. The homeowner acting as Supervisor is ultimately responsible. Tn—eimP that rha hnmenwner is fully aware of his/her responsibilities,many communities require,as part of the perrnit . i The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnYestl9stiL . ' 600 Washington,street Boston, Mass. 02111 Workers' Com ensation Inssu•ance Affidavit / / tkjtN ,.. S- ) ci - [f�]Tam a homeowner performing all work myself. ❑ I am a sole r n or and have no one workin in ca achy /%%%/%//�///�%/%J%/////%%/G/%%%%%///l%//////%�/%%%///%/%�/ � i om ensation for my o9 c :ar.}:::ss:c:j:;:Ffkr9}:•{rrv:{g f;\ }E:::.;2 �.Y y' •};!:a •;}, F. .^�"ty.Y? is (� workers' P •tt:J 4:: +.,4,:;.{s .: :?,.:.:t}:r:,•r•:::.:?�5 :•:..,'d:.F, y er_ rQvldSnoo .r}:•s.4:G:{g„ff•:3 .,2..;<::$ '.f5:: `;:;kf.2;i s. {,7. :j:r';:'tS`2;� V, :;:2{{,:+:r,.}}2}::'i::Y,:^•,%:•.:.�$?•::,..t.,:f:•:i:::'}.•$•::: ...{:4r. n ...:4�{:'•}:€::.:.,..:.rn,.::j:;:J,•.i::`•k{:\:3:%}:.}.•}:::;.:nn .,:'S:•34'\{L•:.,•..:. I am mP .� . J•}>}+:}2'<:2..r...v.;..nn...:. ,::�::., ':«.•:.} }•;F•:<r' ..:.�r.,.. ,...�.:{. :G.L•.c-;j•��\+.,. ❑ ..... ..:•.,,•r:•:,:• ?::a••r�{{:r;s,::;:f::•.':r{:f<'•r:.,,{... ....... ... ......n..., '}.. ....:....... .r.r:?..•+ }:•}}•?• ...}.r 1.:..,..::"..� ) ... .f .. .. ) .n•::•:•:.,.:•:::::.::....::..{,•.:••:•::}}.:..... .. .•:-:•..4}.. :..:•::L•?•:.,.n2,S`n.:2<}':?: ...:}:::n:•:•..,•::•r•...,..nr}. •-:'„•,.....!,..v}2;.J.;r4 , v.,•.:r.!.. r v::.::, ....:.. :r....,i, ..r r::n:,.....: ..:•} {r:v,•.. ,.}.:v:,,....�:.,.,:.•:n•...... .. ��..n•:v;,.....��.:•:v•,A!•x4'r:•f}f•.,.:...::v:. ,LJ..r.,.}\,,M}52:]:4'T: ?::•::+•: '..:.w:f..•}>4::n'n•:r..+.v..•....:nv ...{:•:::vnr ...y•:.:.....:rv... ..;..r:n:• :+•:!..nr 2:v•.n..,.;7...•.;..n:•:}::.,+w.�..r ,}n••{•:^: ...}':A'r:):•ru..:{v v.,4:;.;.::•,•::.n::+?:•,F.•v.t•.v...4i...n. ..,}, f•n..:...::..r...:::•..r::v:::::nv;.r7i•:v., :...r:2:•:'rf. :7::7:r.::.nrr.:.:...::.x:n3.•,:v:4.,...,{•vv$n.:$x.•nvn:....�r...:}•:.•}:x{:•}}}}:?{:??•nv..r.,.S G3•::{.r.. .... ..r.G.:::..:.::r:r..:}.:•....f:rx•:•: :.dr+,.:G2•::,...:•.,:•r:;....:.»•.:t.•:+f:••::{ ..:•:::••....i,,,:'.::r.,.:..;;...:•...:::•.:�:••, .,.�•.. r.:.tt,{..:.., Y. r.,•.r...,...r;.}:.r....,..::... ...�,,.,4.,.}$:•r...r ...:,•:.2•}:•'.a:?r.;.;}:•:::{•::?,...:::. ..•: .......:....r.:.. ........,L..,.4r ..3... ...,...r..t r.:,....:.:. •h,....;;r.:•. .,v.}.,?<:..r.n,......?:+,...,.,...,.r.. .. .. .}ra•{ ,... <... :.... n...:... :n...,. .r... :.n... ... ...n,�,}..:.:.. �,}•{::}}'{?a2v v'\22}:'"' :�t22>;{::.h?r.;;F::G. i`.�:;>, yr t.n...n•...n..?,......r..., nr. ..1 .vr t ,nv:.,..xv.,}... ..... ..... ....:....r:x•.?+, .. r. .::A:kv..:::::. ...........v:r:•:+.•.:vnv:r,::{:ia:.;{.;.•{.}:?FS$R:S::':2%}YS?':?;}r.::..};„U:•::;.::.j;':'•{ •,\• ..r.,.,...r3..,rn.Y..... ......:.,••:•::-:,r:{•]:t•:..x,......,,:...Y•:,{{.}sai.t;..,,.,n.f.,. ?...}u:+y,:Ya]}:, •• ":• «iir;y_Y {.r:.'c�i:{•;<.,R.; .n •<•:k:•r.... .G'Ns{!.:•':•%:+:{j{••`.{+�;i:{ji}::'n}:..,?{:{{z:::a,,��,.,..3.:}:{{}:^,�:.,�.: � ..1::>..,qy:\i C •:{4}:•?.:•::e•:?G%fF::::•2:f'<.. •.x...:{•.,�,...?;::r.:G.'x ..... ••.a:.2.:£:. x. .'.'+n. ...a:,:,.:,;: .......::::.w:ru::r:rff:L.v:?•• ........ ... n.??::•.n.... ...�:... : .....5. ..:,4:3::{:•....::<..:'G:?:S:!w::!.?:.:.n,:;:•.v,...4....,. ...........n,...,, ..).... ..::....v. :.-. .....nn ..,....{ .......n...........:.. .......i;.V4>::::.}:'•:.......: +:.i3. '{,f\S}:{{t{:r\;:r ,�?�.,, :5,+}4�.,'. .... ..... ....r. .....:, ?...4. ...i;.... ....n.• ...:..n• .{., •. ,...... /.:... ..:,::::.:, ... ...:n � .:..F....n r••;.;•;ti.}}'}.,},.yw;,:v2.;.>fi n....•r.•: :v$•Y;},. .,'�•: .•G"::i{:2:ff:%;22�,f ..a::.{....;r.,..4:•.,.,......:::•: v.v:.S a},......,.;.;;:•v.....:•:•........;..,}:. ..{v:••..n.n•:.v n....::t:v..:........:::?.{,.}. ,..n. �. {�<. r:..u:.:.......:. .,.........................j..... .. ..,....:.....:.....,:. .-.... \...t.f ..•:..... .rSv.,.�..,. ...r...........:. ..•,>}• :..4. ..{.,v•::.}}}j.ff:.•. o:.u,:>,.;;>.,;.::t�.Y;: ..2.it•2%:%.+4 j.:LAn {:F("4,r;, r..,r.�::....?..}+:Y.;.,{ :r,.. r.... r..:., n}..1.:........n v... : r.r.....:v::,. .:. .,... .... ••.,:jt} .:.a.:v.:. •:•::•.:,•:2•:.4::.::;•;........:....... .:.r::\rr::S:::.:.f•.:......4.:•r:4•:...n#:.......-.. ...t..:•:.,•:•h rt........,...f•:...}]}:{}-:::£':..:�:, ..ii•}• •:2:£.. %:,}..:. ;-;affix ,................r..f.... S.. ..r:n..:..'..r. ..:Yn....... ......... ?.......... ........ :..: ...:: .:. .. 4:<:•'.:,:.t••;•;{::{:.if{:. ::Y�a: .)•:,•�;YS} +. ..... ..... ...: ....2 r..,.• r.,r...............,........ ........ ..:v:.,....;,....::�::.� .:::v•..•:}i:f:•++:rr.,s`>' :%:2•.:•rr ,.{.},.:, .vr,..'!t'r'.;�Lv�.•{•. .r..y ],:b :�i2•.+•'•�.,J,.}:?'.,v. . {... .. ...;.,:.:•:•:.:. .:n:{.;r.......:.:•:•.:...{:?:•.:.::............ ............:.;.:.•.,....,•.:•::a:..:.,r,;t•::rc•n{•:::?.^...:. t t r2,.::..>.'•::n•t•r:•.�n:t•:f•.::;? ;.}•}•;)::::L:jr: :.r..,�,:,.•S• .,.�}.••}.•+:j3:: .NN .«... ........... ..................... :....n.+•..{.... ni:.....r. ...:,. ... .......w'v::...:1. ,!•+.•, ...r?::,•:x:+•{•}Y"FFh:>}}\;•} :;<}:;j; w.,}h\•::}.;}.{`: ..{{Y}):•}y- .G�S........... .. .........:::.........V r......:;....:...:::{.:..,.::af.r... .:..:.,{..... .r.}..;h.r:.n...r.•x:,�•:::;::•:v.,:..r•.. Y..,.,. •'i�{i• ,h•x .>�:3'x':n+" :f):•: .a t1�T .,\ .:.Y ..{•.... n.}.Y..v.....,.tar•.::::.. ..}...4....:+,.....: }}..n.:.$ 2.::: lz}G:;•jf.z..-: {.",S-. .......... :::::•.,•.,•::::,•:.r•r:�•:.:•r.:::::::?r•., .:.•:.::...,.L ..,:::;::.::':.:•... ...... ... ...:n.:•.. ...:....: ',,,f......::r3r.... .. .Sr ...... .... ...... ..:.... v..:r. n h .. .n...}.� .. ...r .r ..,.... ..,..r.... .::•::x...+•. r v-,v v. .v:r:,}til+: {:tiro +,^� •.'J}x '+%i.Ck. .. ..... ..r. ... ..,... .. n..vr.....?r.:..... ...... n.... :n,..4 i...{... ....:...m ....... : ..:::r..• •4:?v::.+r.+..v.r.,.;:}••.. � ,.,:•'':i:{�.%::4': }•r:'•},+.. .4:n:•.;+ •:},hn3., •+:}.. ..r.\r:.... ..}.,Y.:... .\....... ..} fii: .dery.!.,. ::n•n::::{••.:::a::•::.....;.. v:.•nv?.. w:::::::r v::::.vn:+}:::: ,.:.r:.,... r..:..,;n. :..,:. ..... ..... ..:.......:............ ..... ......:r. .... ......:•...::.C..r::•.v... ..;;.}:.:...n:•.;,,•?':•:... .... •::: ... ::tit+• ;.;•€vv. ....{ v;}..... .h.:v..... .:\r.r..:...r.{{:...n.. !]:•:!i:;`''•.•.,•:...:, :{^Y:'a:{•:a:4�4u:•n:vy;t2? ••'l ,•::�,.'{•..:n.•.r.J:n•n>:•::::vn,n{••:•.v:.:+.......{:.. r....n.;}::•:.;.}!..:{a.•r,;.f.nr..:.}:•>'::?w:?of ... r......... ]4:.. r...rv. ...•;.,....:....,r.nn:...n v..•x:{• .........:.r....,:..:+ ...:V.. ......:• :.n..•;,,:..:�..,!,.{vn r,........':v:":v:.Y,v.f Qae:• ::. .,5....:i..fl:;:;'•::.v: :•.•..J.n�.,,n,..:.,r....na....... .•.:•+....r.n...+r:r.......]:. .v.F:....v:.s...+n:.•:..,...,..R2):t:+-,};di•F. .. h....,,:,.., it •.:... n:+ .. '<;ti•y?�: • .:................ ..............r.v .r.....£..r.... .h....., .J,.:...,...,.. .....:.::nv ..rv.v+•L.:.Y?Y�.vn;.;:.+?xtv{:••,."2}::.}+:'+v';{'f�. ,},•.....;4.....:}:::J..r:•:•• ....:.a\,}{..... m•:.,n...,+:v:.4...4.}..,v+•..:..;h............... .........::•..•• ...r ,h.:... ..v:?•+..,{,...h.•::. ..:•vr r...+.•:.a:?n:.•.2.., .. .. ...i.. ..:.... :.r.. ...,.f .. ........... .,.: .."...... .............:::•::n.......•::r:••i.,:.{..,::.:•:.v:ej:::}:;'{.;,n.,::F ::}f:2:•.•.}}}'•:}•.:•,•::: }::vi)}':n3�i:'3.i'F,{r'3:{i.v,�;,'ii:'•:;hv}rv:;.;y;. s::..••.....:r•:....:n+•:n!.:e::>•::..r..;::ks•:•.......;,,,.::.r.:.,....;....r. ..... .....:. ....�:::...;,r,..:::::7•...n.:•:::\•::•,..:.}.:.,:•:.2::.. ..�..::r•a::.....:j.":: ...,{,{.....3i#+:n.t•;h:•,4r:3}}:a}:+-`?:•.:., I r....w:.,n:•::•...r:hr::::vn..,..r..�..... ......:::::•..,.na•::•.. 4:-.•�w:n..a:•::nA•r.:v.r...+.,:•.i•:w: ..r.....:.........r. ... ........:....:r.,...,.,...t r ..r. .r.,;t..:,... .................. r. r..,:;:.;{::2}rt•r:::} ..}{.; ••'S;%?} %;:9:. {24:•.h• +J:?avi:4Y}:$}:. .:r:s......... ... ..............:. .....:..r::.....f..., .....n:.::a. ..,..:.}.... r. ,.t•,;:£rr..:r.•.¢{r .. :r:,:•%...•i ::%� :�G£i"+.%: ..:}.'2:f :+.{� Cl .... ..... ......rr..........:.. :........... ...::.f:r. ....n•..Y... .}:{p:,:..::........::. :::::::...}:••:{....., ......2..h. ?:• •4..:.! :i2'.,L•, .;:'}':•• .f.• .•'•�{ .... rr. .n ... r.rr ....... t•:x•:. ...r?)::.'......;s,}. ......:::... 3 ....,:•n•f..r.,.... ..:•:., ....y,;{.,.... ,..-••:+" n•.s£y. ;r>:. .Y•.:j:jpr' ....... ,..:..:.x....,...:Y... Y... .,GS .... ......: �.t...........r........w. .... ..nv•.'\. :... .... 1 r.kv ' .. ..:.. ..:. r ... :.✓.. .,.:.. .. ... .. .. :......r.r:..•r. n:::r}.vn....,yv: .. " ..f::�5i:;4:�n, ...... ...... .r.... ........\: r.r,..r. � x. ., n.,...: ....r..v.:....... ...... .n..r. .. .r...:•.,. }fv, 4.f';j:'•.N::�•:?: ....v, ...... r.... n...:. r? ir.. n.• .n... .:.:. ..,...+ r. .... ..:n..... ,.:. .... x+.x.,:n::: v,5 Sfi i.},•. r.:. .:.r..r.r.. :...,.• r. r... ,r...:.. ...rr. ..s..... ...{: .r....}. ..il... ... .. {. v• .. •{..•::;4:a'?•Y ..Y,:;Y.^:•..f+ .Gk:.:3:}.:%:. {.:x•;r .�{:;;C:ti:N: :::•.v, v:+..n••:;x••••:vn?•.•..,t:.., ..r. .n:((.......N:::.v. .r,.).rr..n•-:;;•........,;} .....:+u:.++.•: ••u}:• ..:.. }} .n.. < .,........,r.. : ..r...5............r....Y......:......,............. .....:....A.fi.,...•. ..............;.},;•�;L•'r':{ti• :•:•.?•.:•v v:'S:�2;�. ,u.,...t;.... ..J.:.:.:...,..::.. ..x..:x... .:/.... .:.2.: .:.5:<;`.'2{::?y::n:•}>:.}n::F:?.2;?f2;`.:;,::,:. rr...:?r•.:.}..;5:•SY:•r:.Sri•.:..........:.:...:+::••x:;•rt•:;•rn•n•.:}:e2?•+.•}.,:.:•.n.:..,.+•:::e•;. ,.+,..::•:•::•• v..,:?•:,•:•: .•:5.;.{• .i.;.:r{:•::...r...:•:.......r,:.a•r....:f{.:.::.:..:.:•}.:•::.'•:f•%jfj x•):%'%3f:{'}. },f r:•,•.:•:..,}.:.�:. 5,•;:{•. [] I am a sole proprietor, general contractor, hom own circle one) and have hired the contractors listed below who have ."r••�+'' - olices: •• '{{+2: Sf•f.S::£Yi:."•'`.:i'•`•f`':.Y•z;^^ssy;!Jt:�C'M"' ""'' rYi : ensatian L{:4;5:a}:a};f;} 2r•Fff::2}r workers' come }Yxar,,:; }:?a)w 4. vi%E:•.'•.':"•'::?i•:u.}:4;i+• .,.}•rxt{{i:z.yFv }}�.{..}:a}'.. :+T ,:).. ��2,3u,.`>y�r s{}.t0}.:• a?',>' tile ollowin .Y.:,22::n.:::....« .r`r..#.: `?::a•; .L..: .:�.. .�..} pp 4Yff n Y i:.•.;:::.w'r•:wnax?r.•},.f.;f{.Yt:+.,..... ..hr.3},•: +5:;2 i2}i.. ...., nv, .... ....r� ...}.. ........ ........ ...\.. : .+.. .....n.r•::.•........r:r.-.. :; :{.. ..+u.;v} 1Y,.;.:..: ,? M. .: x. S}.•v. v;`•fYF`) r.:u.: r....... ........ ..,..rr ,...:.\•. ...... .r..... ...... .....,. nr.-. .,:..r:.. ..:::::."..:• .,•:?^::•:..:at:::r.f...: ...?.. .n:•:{.Y::':•'t+.x6::2•:G: "u::xi•. .a...}h.. �.::n.r.• ....... .... ....... ....r..� .. }n....r r ..{. :..r. n.2.. :>...n• ..:..:n.... r:{•}:!:.},,•.:,..;..;nr;r{.,{.:a:£•...r it{:22%:ri. ?:'f:rr•.ti:}:vt•.v ..h:f{} ..:rvn•vrY...;•{..n..v•.,:v...:...:r.v....nv.i... .:?.•.?.......:?:: ........:::•?ti,n r....:+... •..}... :....:•::::x::nv;::::,+.v:::1:::,::::::n{'rh:::.�. .n .:....� .. ...... .r.i... r::. ... ..,n,::;+.• .. r ..} �. .f.. '! ..:t•:, n...:v:• n•.:-0{•::r.•. r.•, 2a..y.av,V':r...4.;.. ,+}:}.,•{:•.,v:•. . ,..::• ....,. ..... .....f. ... ... r .:,..... :..:... ....... ... G .t.,,a:::•:w.•::..:.J.:•>rr: ,.:.:...:........ .4;:...+}i....:r.?•S}•{.}::2`•::7;.} •r...:.:•.!...r..:;.{..,..:::::r, ..:::•:•::.. .::. J...::..>v:.r ...., n•,.'....••.�.. .:{.::.....::.::G.?::....., �:•)rr•2:{i;. 2;5;\...::Lf t'•:•.......:.:. .n• ,\...t:.J t: x.. ,.:.:..r....,:.:........... ... ..:•.:::..:.•.n ,:.:.r.:. ..,.. , ..r::2• .:::.? +?a,}}•],;;r`r.%£Yf%Ltis..]•:r'+" +'3'%:tr'„:?'{:;ib.n 2•%'2+.••}`• v.,}.:w.,f.,.xn•::,:•{.x.n ...v.;r:::...,-;::-r.. n:. . ;.. M. .?;;.,'.•{:Y:S,:}, ,JS.. :.�i+. fiU}4 :+n:}:r.b' :?vi?.:.1•:•:f2+ r.•t n!:•>Y• ,:•f. v }2:]. :?:A:%f::'v':•,...\f:• .\, 'v:Y..... L... tit{:I?!v},:. .,{ ...;::•::$?•^} •::%tii::{•, v. .{ �'•:4:•:•h}n an-.. .:)J•}}':. {.y}>+:tF•.;:;:,•., ,:.h...r.::>:•+n,2.. ..Fi. };§•. ..Sn'•I^x r Y.�}•:n,{v}•;•>;;4 ::•.�,.i'aU•i2C v�n'••}V•a .. :......+••.. , .:.. ...:..� •,..:..J]::.'•:•]),•:+• •;•'•••:•:}r:?,x:..}}.:•.•.:...:;::•:}. ...;.. r:.. :. r..},:c::�v+ S3?••+ ::h:r Y..G.{ai •: :]:.};,rn .r.,}•.+.:£kY k:it.4 d,r r+..'• :•-� '•.v•.•:vv.v:!'}2{}{?•:•'}r.:..�. v.v::• :rf:i:••?r•:•..:.•::Y:•r:::i.... : ..v?:; .. v.r.:......n. ..r .1..:: ..}is .,......:...:.+. n{.nr':v.n.••:...::1 .r SF$•:v .::•.'«::....r:v{•::4:�..•;.?{i2;•n•.:•''}%:b•,:..' }r .. .....:::r.v'•.}:.:r ..5.w'' ".}..v.� V :)}x:t......,. ...:...:::.....:..vv/.•.....r:v..n,+•v.iJf•,.'fr...F.:{•..,...rvJ,$,•..):n::;•7.. n..-h:•r..r,....:. n.S:•::,:......;:.}..::•. ?.•}...:..rf?•.v, ,......:+: ?']{• :.�.:........nr........;..r... .::•.... .r...{.r... ::?:... ..r:.:.:.....•r.,'n•:'.....y•n•:.•r, }rn.::..,G ..+::}.•.:..:..2r�'{f•fa�i,}7::{},,a}••;},!•.:::•.{7.}.,'::::{:/.:..,{4:a:?t:tia}:}.,•:.j::::•.•.:... }{•:,-'r.:?:F:i+r'.5:..�....:i•..... vrr.v,:w.v......;;.:r•.r.•}:.::a:•.•n:a:;{rr..}.J{. ,v�:,h{.r...;.,:3.:.....rxn.}.......v:.v.:..:v:X•::v..Y.:hri•.,./..v::•ar•n•: r.;a::::r.:nL..ax•:•}:•:•x,n............... ., •:x!•......w:::.:,O.:{•w...:::•«:. .,?r,!!..:r.+{..•.,t{.::n::7:'n•:v•...•.v.+.v::•:•„v;n4•...•nS.v:)r i..:4:n•,v; v}.: . .... .:..... ... ....... ....hr...:. ::. .....:. ....::.. ,:......, ... ...::.::.v.::Y..:r :n•:::;r:rY:t,..• ,:;:4;;:r }..�:3:£2:;2:;.: CtiR: ayt R' i':; •.)r...:.;:.?...,:4,...r4n•::.r....r-.,•rrh.{.. :.,:e•n?:..:..:fr:•...:,.n•s::1.........:. .. ..:..:..:....:.:,.....;.:....r:!-:::•r .......,n::,.:.:, ,::+•}r7.4}}::•.•;:r•:€T....,. a+::n•n•n•rryL'+:fi• •+} sf�y,1Xr. ..::.. ...r... ....::.::.,.nu•::.•.n•n•:•f•:.,2a ;.••:n•.5:.•::.....,...:.:• .. ......:::...:....:::•n••...:a::.3,::«.:..?.•.},r.:nv:.v.,.a,v,..v:•}.4 4.Y.. ..nv.v:;12•:.{t• ,..}..:,?•5 v:\•.,::•${£ �f:v ,..}x�: r r.:?4..vr.V•?::x•.v::.v...A.......:.,.. .....:::.v.v::,.•:•:v:r r•+...nn,\:;�...v..+ .•F,..?:. - ?:;a}f5, a.,•t•}'ts:v:•:,:'t.•+.fd:'}:{•f•:rf}F�i?:;2}i„{1.,;. .aa,.,} 's',:J.x•?Yr}y%€ }• es&:•:..........: ....:.....::.>::rn,::}.�}:}:?+::...:•:.::r:r:...:..;,t,,.,., :.r.r::•r;.r..:., ..:r3..r....,......... ..... £.i., . .a}}xf•3.:ff7:,:.•}..}.:.{;U c. .G:''`,•�'`� '• {.rr,.c;;�S,•yYi . .r:..rn.•�.:•::•::::..i.:.3!..!v.:::/•:w•3., :}-�•.•. r:4}r r..y!.}•:::,,.;,:r}.;SS,{n,vn.v �:. ..{.;•.};•r•}•r...:;L•Y:{{;:.;..rrv::>+}r ..,{....r. ..inr S•.'•:•?'•:. .�r 4}.t4...n,. ,;. a,a .'2{%:,kK :3'{{.;•:y: .. .......:.:+r•::n•:r:})r�:•rx• .Y..... :....:r...:. r :. ..r :•:: .:: r. .o;.<,•r.. .i.•. { ..a. .{. .l. ..3 h•. ..} }:}::•. .,4,:jr?{t�r,3 :;j g.;2Y:x},!';,'?.{{.}t' .T:.}.'S}r;f G%:,r:..;.}2:3...•... } .•r.,.,.r.. ..:.. n•;.:. -�+if:2:•: '.•:Y'+:•}r+}}fY..:,.? +:4:+::. :tit{•. ..4::v.. {:ti}•{:'. .:.. ...: :.....r:.:... : ... ....:r.......v ..:n•.....v...:•.....}..::L•:v.•v;r{::. ....:...n.t.......v:•},•Yi ti•)rr:: i ,Cv}}::.n 7.: £;:ar.. +'}+,'i:t:{t•:i,'':?•. ..:..r-C....:. .�.....r n..:4.,..} Y:•::.•. ...... ....:..�....:.::......n•: . .. l::n+...n....:nv:{.., {,•:::.. ':¢!:}: f+,. S Z .:J..Y.:,t..,. .l'f••, •i'{.. :rh.. Can: :r}•, of . .... ...... ...nnr. :f.+S.:r:. ... ..:.... ?{... ..r:.. .rr... .a.... �{•.•. ... ,...3.s• •.�111 :::•::r:}:;:•::.:vr.- ;;:: •� ,r..3..r....... ........r..:.4.•..a......r.....n...n..... ::....•... ..:.... ... ,...::•'>:.r?;•:4 ..... .:.r ...., ,.. , ,.... .. :.:.:.......:... ..... <,,:•:: ...... .... .........::::....:.,..:.>:•}r>:+•:a:.:{•'>::Y}•2%f:::%':2{}:?:•c:?:SF'tr�%::?i,'i:t.• r..a•}.4.!'`+'• •:....v.; ...v.;.�.;....;;:•:::r.:. .rr:n.. vVvin•:,:v.•.,..•••nvn n.4 V:r:.:...:•.:+.{•...... ..................:n,:..r.;+i::.•ry;r...:.::a: .ni••. f..v, I .: .. ... ?. .n,r.....:.?.., .:... n..n...,r. ...., ..... .........,. r......:.5..4n..}...n.,...x.v.... .r .L,:•{.:i2' •xF,:n ;':j:;:: G'.}l'•: ::vh,.',4?,:,La{{¢•± ,.u..vy,:4nw:;k.n,J-.,.;.. :•v«::::::.v.}:•: .v..:....... r.n•.•v:.i':v...........ru.,....G, 'f\ \}: '+4)..{ ;.Q.: r .;•::•}:+::,r!a;... ..... ..:,•:•rrr ...:t:: .....;.;. ..J,.jf•,,rta-, .:•:•. ....., {{'' . ...:..,..... ........ ,. . r. ....,..., :r,:... r. ...d::: ..}}:.f.:.t:;'.;... t.r .... ;••r.thF•+.•:::r:.f:::•::•::..:K{::.�.r+ •}:aii .••i,,• ::rr::• r5.f.. ::j;...�sf3. L'I ;!... ..i::r.Y,•.• :+sn.....:•:•::,.a.. .tS, <••: :.f., •b.t:. j.+• ra+S ::£, }}Y.....'•$. !?iNi' i ,.., ... ..:,... ....:... ........... : ... .: . ....... :h::x•:. <.::+..;•:.Y...:.::;}•f:•r,,,:.:• x•:}•;x.{••;{+?;,. ........::::...... ,....>..........: ...]r.....w... ...... ...:....a...t.•r..,....:• .. .h.r...,......:. ..,n..,..., r i r, ..,. :2�:YL:ta: ����••+. .?, .: ...............:......r. ..t..:...n,.n..:..,..:. n..r:.• .,......... :..{.... .......:.. .,....... .r...>. :.r .....:,..:•:{•::h.r. 5..:.: ...:).}:7jj%:'''2%,'+.:£:.{.:. {j+:? ;i�'�>../ .•r,vF�ln.. {,•::�w2, ,� n....•:......• r.......::..,.n.....}2•r .,.... ... >.n.... :•..... r........:: .....i r :..Lv, ,.•�•....+:r4: r::F•r..k�}n :3•.iv, .•.J.:. ...\v. :{•}viti: •. ;..;.;r.: r...:v,f••r.� v::i••::}'!...v.{?v ....;ar•n•.a:;::F:•.. :<•.•. ..:v::r •.,.. ......::.......:.r. •,•. .:,., rr......x."...F•:,:.:.,:t....r:,•:....,. :2,.. ...{':.k ? .._. :.::,:i.7•r.2} sF �k •t:rt•:}:•}fy:fi:4:2::F:in sr ..,:r:2•.v:::..,.;.r.•:::r:::irr:.r<{...r4....{.,.n•::::.:Y.,!.:•:3i4:::r•:::�• ..�:•r•.•f.r.�:..)::.::!.;•:.#.y !; ..:a....,,..+.E::.,£•:rr. 'OsC� .j :;•r;:$:: a:i!4•{•} ••:d;i{.Y}•,.,:�:}:xi•}<::.}:``,f3S>:f{:s}.••:?a}:+?»€.F:Y;;L:x•rr::rrh:.:n'3•:is2,'•:£•:..•U t:a:,r.;n+•\q:.. .:.... ..,� r.:;.v.}•.�..}:.}::.::."::? ? .........n•..:::.:�,{•:.is?%$s: •Ce„eQm't{•:''{:F:Y.>}. 'd..?•:• ,xi:.. {•::5'•f::}%:22`:S:Yit�S:.•:32:tfi::;:{;r �:L•$3L :r};{s% :S��i:�SS:',x::v:i>ss>;••:,sr•:•F a•: . :i�i%fir ?•::?.:;,••{:+•.}:.:+..2,i.;.,.;. ..........:::•:::•::.:vi!!.'i.L{!4}�':;2:r•:S'Y:}3:£:}i:;:.:•;:.::•}: ,r ,..v: n.,:::.v:r} :r,:. ., ....... ... ...... .. :r...r.: r.r.r. ..... .... .. 3.r..c r....r. ..:...r.....:•v...... , ::J.....;,.•..;.., ';:t)i,F, ...... .... f.. .:..n.: ..r rn• .n, n,,....• r...,. ...... 2•n. :. :+:•.:�.W:, a:f'•:• :•i]? }{Y. , ... :.... :....r .:. .... .r.r.. :. rr ........ v.,...rr,n...t.:,... ..::::n•::::nv::;....•� .. .Y ... .... ..n ... .v..... .. .r :.:}... ...........: K .............:v•{•}+::?L.......na'a"^-G.:•:4ri::n,j•:•:: :2{•a.{:?:€';•:l•+'•' :^^ ...4 •\:��{f ::i•:::}.::•::•,. ::.�h;: .;}..r. r,.•r::rr r::r:.,:.•::,.,: •...•:..... ...; :..n+.�:••.•...:+rr:.v:r:r ...,... .r... ......rn ..:.... f........ : ..,n.. i{{.):•V.. .......r. L.;{•}:•:.. n.:,. .......:..... :.,:.. :.'•+.•:} :•~,4.. :{r,.j. ..f:.. , .. ...:.!•. .!:n,..•:,..?::. ..,.;..•.n x.. a....v...•......:::••.....:•n:.... .v:x::•:......,.).u:::: ..,... ,}'r{!28:`' :??. :..: x..v; , ........:.:.............r .. ....: , .r.,r.:,•r ....�., :•...«..........•..: ....r.}.... .....v�....-r...•,.......,..•3>..., ,, .{.:•r.;;Yf.r..•::r.fF?ix;:}}'•}:::, «.r........r.l,.{...+: .n..r:.:.r...fri7........:.....rr..;.........:....r..vv...,. ..a•.u•, ...:....,.,;•, ... ....n.• ..n.• ....., r. ..r ..C: .,.. .. .. .: :�:.. } ,•:.:w.vu:::,:....xYY:.i4:::n:v:•:v:•:'.... .v... .. ...., .,...,,. h..-.../. .h J.... ,..... .,:.:... ::.r... }. .�,.,,r...{::?•-....n .... ..... .:;.:.......,:v:,:::,•vA::. :vi{':L::+]:t??.L;??'%:•$::fiJ:•ivf::;2%:{:FF'i',:? :r•:n:•:ni•::••.a::r..r:;{::...:.;:!�..(.::}$••::.i n:G•::}r:,.....::•r:j{:.:.:...•'::.n•..•,..•::}:;:•r:.t•:r:::w�'.....n.... .... ....,.r..n.....n...:.•:+.,......s....r.... .r{..:..:.... .r....:.. ..........:4..... ...:�: ......,..»..?•,;r.,;.•;•.},}:a:•:+•::4s':Y:?••}:•:?.•{a,+,r,?;::;.Yr:2+.:2}fi.•r:s`•i:`r,+}.}Lf:.? :: :a+::•;r.L{•..,:j;.,Y:•xaF {•2•:}:::x.r::•:::::/,......,:•.,•.J• .,,..F:.,7.:r..:!.:::.:•:::•.#{.:::.�:::::.•.:....'�..., 4.,{.::.•.•. ,.r.1•:.t•{.,•..:::.:•n:?.:n..:s4,.;:v3:.:.:•, •.S•r. R j%:�..r .r........ ...}...si•^..h...:,;{.}:)......}...:.. . ...:...: :.,:-.•r•}}:t:{•]:?{•s7r?::;:•;+v:t:::i;t•`.•F1n.•:•.:La•:a:.. ::..n.....:...• ,.,.,.....r,,r•„r,,..:•.:....,. i n....:.y5;.;;}. i•:::.};r•.,}:•}:.yr....;;;a,••:::.,,r s:£S:'S'{r r \tn• 1 "., y �hYe.... ..4..:r:... ;,}••}}:•}:,::•. .{..,? •.,}: .?.y .ar ,r. ::/, \:i3.t i4.yL:,v,:.i.rL}',{}n;:•:{•�^. .i:.iY••:... %}:4.. •:�•.. .:•f:2%%isf...;;r<;r ::•n:;2 �%f€r..i�:.. .........:•:::•:rL4}s],';tn:•}>22%}•%}:r:r .. .. ..,,..,....r::•::::?•. ,•n.:.: :i:.,:+:..+. ... ....,. n.,.n .......... ....... ........ r.... n. ........:,.,{•:.t•;:.:•.:..•:-.:?w:{•....:...::6::J ..{•:.:::• f4... ?%<:+: 2jGf:Lt;2:;i.`,+ :{r, :.. C... ....� .. n. ,,.. ..:..., .... : r. n:..•;r,:.:::•.v::n•: .v�:n,>::'r':2•ri!:{!•:;,rn,., if�':•+.;}�.?::' •;x:'i • r... .....v....,... ...v. r...n...v. r.r...... ....err.v.. ...........r{. .r. .f....:....... ......{.. ...r�.v.: f...r....�.:,n..,r. r.n.n.... :•Y.r:::a'.. ? i.):• ii�{:; ^.?,.:, ;,. a:i .r... ,Y.•.., .i{.::•. ..tr£., ,n{,f.f... vrf.•r >2.5'•:h!?, :t.3 ....:%w:v,..;.:�:v:vvrn.. ..,.,::r-•,.•....::x.: ..:::...{.......,:••:::. .%. h:!v:..n.,., •;,;.:r:!x +•.:i:• .:.Jv:Y:{ .... ...,... rn.. .....:. f. ..:. .......... v.v...... .,...]., .::.. .:.: .+.::vrrnw••,+?'•Y':+un:v}'•U .....: :.... ..... .. .:..n n... .+.:.. .............v:,:::n.:..n; ,.,.;,r,.;.,•:?.}•t:•:::•:,•.........:....nh•.:r;:•::•:.::... ::;:.2}y ....n. .... .... ..:.. ... ..... .n,.r .... r::.vr:::¢.:r{{u{.•l,:;•:Yt;..+.•}r4`:.,j`n 4r:? i:?'. }:.}n•::v...:4:::•.... {•:-:.,.,., .... ..... .:..r. ...r...... .........:.....z.. ... .:.. ............::•;::::.: ......... .•r:..::L?•:{;:!r•.i•Yir•,••.r•?;r•+"••:c+f'•}•„;..,•-:jNY3 f .... ....v.. ...........:::.v:• ..... ..:•::::::n•..w:... wn•:?.,}•.::..:::.::::n•.v:.•.v.......}++•':.•}:: .:.................... ............,,...r.......,........... f......: v:•.'•:•Ff],.....:Y•:;};:::{;{:?f�r i':.v:{:na{}.•Y.}•. - ........... ...................... ......... ................r.r:.::•.•r:v:::..•:.:v:.•.v::rv...v:r:::•,vv•::,:•:nv,;::::.}}U:,;n:•::•.1v::h::::.»:•{:•..:.....�..:...n.,..\:.. address r:2.r .f}{• <:::••': ;?: . ...........r::::::v:::n..::.�..::.:...}.:•.:v.v••v,•:t:v;:;,+•••n•;:^{•:n•:.•.•r•;... v:nv.v:•}::::::v:•::.:•.:::,•::::::::•,:r.}:rv:::••. }':fti•: %•+.:k•:r ....... ..... ........... 4.:..... ..: ........ ..:... :.v:v v::.;..:{•}......... ........: : :x:::4:•xv:wn'•, .n::}Y'r:a'i:??•r::4•, }.%k{�. ::v.n.. .w:::..••:•.:•:.v:• ...........:v... ...::::.. ...:•,::n•n?•.....v::v...... •. ...m.. ......i...v..}.;:;n:,+,;?fix::{•>}:•... +:.>1•:>.'}rri? ....h^::::vn.v.:•.v:;..v;..n...:•?.... ....:..:::.:4:?:n..•:n......•:n:.r...............,..x........n..r...v..•:.:... ...rv.,..r....... .:........:,nv:............... ii:£{j $...•::n...:nv:...,•.v: ..v .;.;. ..x}.n.}.••n......::::::.. ....::n. .:...::;u:.....::On.....,).Y: .v, r+.:a:Y.:.....• �:�... ,.. ..,r......r.....r.,..r....rn:..:,...r... :... .....rr.. ....: .........:....n....,.., :...: ;s.•..•.::...... s;•:::a: hOII ... !.. }r....r......r......,...r....:.:....... r.............:.J...,.SY. ..,r.: ..r:,............ ,..r::..t:......:........: ......r.... ....... � ::::•:•:.:} ',. w+i'R:l-:: r..r :.....r.r r. r.. ... .,.n ....�. .r..... .)....r... ........r......,........ .. .. .,...............:...:, ..:.�.},}•r::•}:.. zi•`.%:qc?:<`.:F;:. ".'•2)2+• ..w:::::::::•.....v.V..a:v:':?..4w•n.{]!.•;,::•:n...{•:nvr:r..: .......:i r.i........n. .: ...... .r.: .. ,.. ..,.r. ....r.. ....n, {{.......n.'v::::.•• ,urn.n...::::.:..4:S:h-;F. Yfr:•:,ff$ii:.::. .,n..r. nn...r. ,....... ...r .>... ...:....... :.:.:r.::r.:a}.z•:•....t;•r.+.,•fi:£r'•�%12r]o' i}`•#gf3+'•i: ::::ia:`.','-i: ... ............ ......... ...........r.....r..........r....-.,...:-,. ......r:...:.n•:!?:{:!:{•.... r......:.... .. ?. r .r:4r:•L:a:•r.•••::. ,•.:..:.n, ",;-: .}•!; - ..:........... ...........;�...,........:.......... .f.....:r.........•:.......�.r.......:.:..,r.....:r.-.:..........:..}.•r•.,t:•t....,n..rrr .:rr•..:ai:'' ,.:+;£?�:.' .:A.4�:4�:-';bf:: .... n. .n...n. .......� ...... .....� ..... ..n.... ...........r.......... r. ......nn....n.::>i:?:n:+.4}:•Y.•}y:'•-:••;vr:.} n!r:i .........:..,.., .Jn.,.i_...r....,.. ,...,.�..,... ...; .........i.... ..r.n.....:... ..r..... r.,.;r ..,.. ..... is S..•,•;:,•}:.?.:•:,..:}�•:,`:�}x4:#t;Y:{t•�•.?;r;.•' : •:::•:,:::...,:{••....:...:::'rr..::::r•.{?-:.,,:•::r••.,•Jrn.•;{:.•r:... .... ,•,••..:.::n:!•:...•:n4F•::.•'•::::{......, .n::r:v.,....}:r. .:>.: •}::::. ....:.:.v•:.....,:;i•}•: ..,.rr:,.} {{S}z••::.,•:::...... .:Y...n..:.:•::,:.:.:::•:•:,,.:::::.+.•..:rn..:•:....f:•.,•:::•n..{.;;..::r....xf.�}.,:•....:::.�•..r::7:•:.,:+.rr:"r.....:.,r.•.•::.a• ..x}:•.L•:s::•}r.,.:, ::%:.r:h},.. •............::.....v::..:.....:..... :+,n..:r...r...rr..�vfr,•......:...:.r+.......Y........ ,:..�... {} "}<:£:::•.v... ; .}•.. ...............nv. ,.r...,...,.5+::i ..n......,•Y.�......:::..,n,r•%3..n....v.:::. ..{.:•.L{•?:h:.at?:]._.....:::•.+v?:v.v.•-v:a:....... :•'.:tii:a}%a}:•+.:r{>.??•}:nv. r::.;...:. .;...:. G,.,;:}J.:i•:n•,:.}}:arsalrrrrf.•::L.,.;.;r.:•::7.... „r....... .i:..,x;,, : r•«::::t:}y•.. K•r.n,.....::r.......r::....::::. r.:.v•,•.i..;..}•i•:•:€{Yh:;::;v:Ffi:i:{?{:: r.::.:.4}'{:..n?.}+?F:...,.... ;rn.+:r.,.....r. J.,•:f:2?S•r;:j:h'i'++:•;•..:.::•f:w:'.:.::r::::^ :irtsaYnarecoi:.'f;{;,;F,f•;,:?h:?{.:;,:.h:::is}:•}:•:rf•:}:YY:::.:::....}.::.:::.::....:. lties Failure to eecnre coverage as required under Section25A'of MGL 152 cah]ead to the imposition of crlmj00.00 a day F of a Snee. to aersis,00 and/or one years'imprlsottrnent as weIl as dvIl penalties in the form of a STOP wORK ORDIR and a fine of$100.00 a dap agaia+t me I mmdersfsasd that a' copy es this statemeatmay be forysarded to the Office of Investigations of theDIA.for coverage verification - - a ..• •fy-undefthe• airs-andpenallies-of-perjury•th�-the-information-prov�derLabvve_isscv�ar_id.coirec't I do hereby certi Date (000 02.80 Signature .,. ... .:•. :.. ,,,..•, '.. �D� oZ® l �� �• S, .. - :Phone ••Priat Dame U s� - � . do not write in this area to b e completed by city or town official + afficialuse only _ . ,,•�erntit/iicense# (3B�dingDepaxtlnent ❑Licensing Board cite or town ❑sele_trnen's Olace i contact person: .Information and Instructions atiors' compens Massachuseir etts General Laws chapter�152 section 25 requires ally employers per on i' the serviceeof another underanp;gptract employees. As quoted from the `law , an employee de every p , .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 apartrumts 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 onthe grounds or building aFPurtenant thereto shall not because of such employment be deemed to be an employer; c MGL chapter'152 section 25 also states that every state or to construct ocal bu•�ldingsing agency shall withhold in the commonwealth for any applicant who has f a license or permit.to operate a business or o insurance coverage required. Additionally,neither the' m liance with the insu g Q ' d acceptable evidence of co p • , not produce , p commonwealths nor any of its political subdivisions shall enter into any contract for the perfornamce of public work until . acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority -: . . . .. .. S Applicants Please fill in the workers' compensation affidavit completely,by checking the box that of insurance es all our situa maybe supplying company names, address and phone numbers along with a certificate _ _. submitted to the Departznent,of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and Y' date the affidavit. arb affidavit should'be returned to the city or town that the application for tlie permit or license•is d, not the D artment of Industrial Accidents. Should you have any questions regarding the"law",or�ifyQu being req a ,to btaiii a workers' campensaticin policy,please call the Depaituierit at"the number listed below:. ate requit o City or.Towns - • vy 4� Please be sure that the affidavit is complete and gritted legibly. The Deparime t has provided e at li he bottom f�he affidavit for you to fill out in the event the Office of Investigations has to conta yregarding the applicant. pp � {� the license riti nbei wlucli wilLbe used as a refeieace mnn er,�The affidavits maybe re ed t�?,. y be sure artm'eat by`"mail of FAX iinlass other arrangements kiave been made_' - ti the Dep w.: .�. . ; f ations would like to thank you in advance for you cooperation and should you have anyguestions, . The Office of Investig. �� ,,. •.,. - please do not hesitate to give:us'a call. 011 The Department's address,telephone and fax number: .•Y J •. rf•.•••• ..t.•, r �... Y.• - The•Commonwealth Of Massachusetts Department of Industrial Accidents ' � a>t�ce ollnitesdgatlatls - . 600 Washington Street Boston,Ma. 02111 fax 4: (617) 727 7749 .:�,n'na • (917) 727-4960 ext. 406, 409 of 375 Property Location: 65 MASHPEE ROAD MAP ID: 007/036/// I<sion ID: 197 Other ID: Bldg#: 1 Card 1 of 1 Print Date:06/23/2003 11:38 CURRENT OWNER TOPO. 'UTILITIES STRT./ROAD LOCATION CURRENT ASSESSMENT IECIK,BARBARA J& 2 Public Wate: Description Code Appraised Value Assessed Value ONANT,JUSTUS P 1 evel4 Oas RES LAND 1010 78,700 78,700 801 5 MASHPEE RD ESIDNTL 1010 126,400 126,400 OTUIT,MA 02635 optic Barnstable 2003,MA SUPPLEMENTAL DATA Additional Owners: ccount# 1964 Plan Ref. 256/046 Tax Dist. 200 Land Ct# er.Prop. #SR Life Estate VI IO DL 1 LOT G Notes: DL2 GISID: 197 Total 205,100 205,100 c 1 � , RECORD OF OWNERSHIP BK-VOL/PAGE SALE DATE /u v/ SALE PRICE.V C. PREVIOUS ASSESSMENTS WMISTORY IECIK,BARBARA J& 12757/342 12/30/1999 Q 1 208,000 00 Yr. Code Assessed Value Yr. I Code I Assessed Value Yr. Code I Assessed Value PECK,JOHN T&OPIE,LAURA 8660/245 07/15/1993 Q I 152,500 2002 1010 78,700 2001 1010 78,700 000 1010 53,200 ACPHEE,JOHN C 6424/113 09/15/1988 U I 119,000 H 2O02 1010 126,400 001 1010 126,400 2000 1010 120,400 HENRY,RICHARD K&BURTON,MA 5537/158 01/15/1987 U I 1 A HENRY,RICHARD K& 4815/311 11/15/1985 Q I 130,000 ACPHEE,BRIAN A ETAL 3291/ 12 Q 0 Total. 205,100 Total: 205 100 Total: 173 600 EXEMPTIONS OTHER ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year T e/Descri tion Amount Code Description Number Amount Comm.Int. APPRAISED VALUE SUMMARY Appraised Bldg.Value(Card) 123,800 Appraised XF(B)Value(Bldg) 2,600 Total: Appraised OB(L)Value(Bldg) 0 " Spe iatl Land Va uesed Land lue(Bldg) 78,700 Total Appraised Card Value 205,100 Total Appraised Parcel Value 205,100 Valuation Method: Cost/Market Valuation et Total Appraised Parcel Value 205,100 BUILDING PERMIT RECORD VISITICHANGE HISTORY Permit ID Issue Date Type Description .Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purpose/Result B23298 7/1/1981 ND 0 1/15/1982 0 CO2STOR 11/11/2000 JG 03 Data Mailer 8/13/1999 ITS 00 eas/Listed •.. , " = � ND LI1VE VALUA"TIONSECTIUN B# Use Code Description Zone D Fronta e Depth Units Unit Price L Factor S.I. C.Factor Nbad. Ad'. Notes-Ad%S ecial Pricing Ad'. Unit Price Land Value 1 1010 Single Fam EF 2 1 0.64 AC 128,000.00 1.00 5 1.00 O1BC 0.96 PCL(.64,U10)Notes:10 1BLD 78,700 Total Card Land Units 0.64 ACI Parcel Total Land Area: 0.64 AC Total Land Pala 78,700 Property Location: 65 MASHPEE ROAD MAP ID: 007/036/// rision ID:197 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 06/23/2003 11 CONSTRUCTIONDETAIL SKETCH Element Cd. Ch. Description Commercial Data Elements Style/Type 04 Cape Cod Element Cd. Ch. Description Model 01 Residential Heat&AC 54 Grade C Average Grade Frame Type aths/Plumbing Stories 1.4 1 Story F A WDK - Occupancy 00Ceiling/Wall 12 1 ooms/Prtns Exterior Wall 1 14 Wood Shingle /o Common Wall 54 2 11 Clapboard Wall Height 24 30 oof Structure 03 able/Hip Roof Cover 03 sph/F Gls/Cmp ;CONDQ/MOBILE HOMErDATff Interior Wall 1 5 Drywall BAS 2 dement Code Description actor 16 BMT 1616 Interior Floor 1 14 arpet Complex 2 Floor Adj nit Location eating Fuel 02 Oil 24 Heating Type 05 Hot Water Number of Units FAT C Type 01 None umber of Levels 36 BAS 3 %Ownership - Bedrooms 03 3 Bedrooms BMT Bathrooms 2 2 Bathrooms 'COST/MARKET VALUATION 0 2 Full nadj.Base Rate 60.00 0 Total Rooms 6 6 Rooms Size Adj.Factor 0.98285 Bath-Type Grade(Q)Index 1.01 Kitchen Style dj.Base Rate 59.56 30 Bldg.Value New 140,681 Year Built 1981 ff.Year Built (A)1988 rml Physcl Dep 12 MIXED USE uncnl Obslnc 0 con Obslnc 0 Specl.Cond.Code 1010 Single Fam 100 Spec]Cond% Overall%Cond. 88 eprec.Bldg Value 1 Qnn OB-OUTBUILDING&YARD ITEMS(L)/XF-BUILDING EXTRA FEATURES(B) Code Description LIB Units Unit Price Yr. Dp Rt %Cnd Apr. Value FPLl Fireplace B 1 3,000.00 1988 1 100 2,600 BUILDING SUB AREA SUMMARYSECTION Code Description Livin Area Gross Area Eff Area Unit Cost Unde rec. Value BAS First Floor 1,464 1,464 1,464 59.56 87,196 BMT Basement Area 0 1,464 293 11.92 17,451 FAT Attic,Finished 540 1,080 540 29.78 32,162 WDK Wood Deck 0 648 65 5.97 3,871 tl. Gro s LivlLease Are 2,0041 4 656 2 362 Blde Val. 1 140,681 FILE # MIP 17470 "..,:`r``'; CENSUS TRACT IE 132 Dunning ''bEED 300K 8550CLIC-NT : & Kirrane L,.L.P. PAGE -45 OWNER-: h Peck & Laura C. 0 ie 1,z. P AN BOOK 255 PAGE 46 LOT APPLICANT : Barbara J. Kmiccik & Justus P. ASSESSORS PLAN 7 PLOT 36 Conant MORTGAGE INSPECTION PLAN of LAND L0C 'A :T°:CD AT 65 MASHPEE. ROAD SCALE : 1 "= 501 COTUIT, `;`MASSACHUSETTS NOVEMBER 19, 1999 ry" f.n, N IF M I L.LENI 141,00 1 LOT N LOT 28,200,S"r ± 0 E SHED 200.00 ° V2STY.. A. `-; ti RAMF Q ' 1 co \ I STONE, i. MASH PEE;. ROAD I CERTIFY TO DUNNING & KIRRANE, L , L , p", , COMPASS BANK FOR SAVINGS, AND ITS TITLE INSURANCE COMPANY, THAT " THERE ARE N0.• VIS'I,BLE' ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED,-UNDER MY IMMEDIATE SUPERVISION . THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL AP PLTCABL&"-' ZONING BY-LAWS WITH RESPECT ;TO HORIZONTA;L`' DIMENS [ONAL REQUIRtMENTS , ��P scy t o` H O� THE DWELLING SHOWN HERE DOES NOT FALL:WI'THIN o R.RIR A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ,ONr o,2a716 �. A MAP OF COMMUNITY #250001-0021D 7/2/92 BY THE F , I . A, \�Nni L THE EXACT LOCATION OF THE BUILDING SHOWN CANe: .. ' NOT BE DETERMINED WITHOUT AN ACCURATE ` INSTRUMENT SURVEY, i 1<�nncth !Z. l��rrcira s " Lnl;inccring, lnc, I'.O.11,ix 190.1 New Ikdford,MA 01741-1903 Tv 1•tn8 9112-no2n• Fax:508 992-33741 GENERAL MOICS: (1) the declarations made above aro'on` lhe',,Ibasis of my knowledge information, and belief as the" result of a mortgage plot plan tape survey inspection made.to the normal standard of'care of registered land ' surveyors practicing in Massachusetts. (2) Oeclarationsare -made` Lo the above named client only as of this date. (3) This plan was not made for recording purposcs', for use in preparing deed descriptions or for con- . r structions. (4) Verifications of properly line dimensilJing offsets, Fences or lot configuration may be accomplished only by an accurate instrument survey. / Assessor's map and lot number .....7 ....�.. ... r{ J c., _ OFTNETD .� I EPTIC SYSTEM MUST- Sewage �l INSTALLED Permit number . . .. .. :.. C�.�:........................... �'"'• IN o� 4F:.1.... ..44.�. Y �g . .A''L A � AHHSTADLE ?j House number ......... ..: ...................................:. .,t.. 'oc rasa t6 4 ` ENTAL CODE 1 b�i°?FpMRY Iwo TOWN OF BARNSTABLE��'C)�,3:� F BUILDING INSPECTOR ; APPLICATION FOR PERMIT TO .S.Qa� :�: .Cr..�......... . '. , 1l"....,......C @ ................................. -� TYPE OF CONSTRUCTION ..4.!` �:: ..........1. F��k. .. ..... ..` ....®.c :� ..i:. ..h-A........................ . ......�................19..�..l. r TO THE INSPECTOR OF BUILDINGS:' The undersigned here//b�'yy applies for a(permit according to the following information:: Location ....`G? ......l:,l........ !4`. ............e�...................I�6. 0..�,..\................ ................................... ,. .. t J ProposedUse ... � 1e..............1L �. . ..............1 ./ .................. .................................................. Zoning District ......Fire District ............Co.tjv ,.T Name of Owner .( �c?� �. A .........�v�. C ......Address ..7:�.,.......(.-.V:t�...11�!�:°� �.V ....... �.t..l Name of Builder ........:...........�1..7.?,j 'e..............................Address ............J�..F' ..v": ................................................. A� ((��II n Name of Architect .. �.� .[Y Y P.6. ..................Address ..... f...L `�............ .......D.�?A,,,rs` . .. .......... . a Number of Rooms .......... ... ...................,............,.................Foundation ..(�.. ................................. Exterior ... ` . .. .............. C :. ,..........................Roofing ..... 5�. r ..b. .... Floors ..... ..................................................Interior k' .. ..~.... ......................................... 00, Plumbing .....•Heating ..........::® A.................:.......... : ....... .. ...... I � ,rt . Fireplace .... ......................................I.....................................Approximate Cost�.-qp+eqo......................................... Definitive Plan Approved by Planning Board ________________________________19_______. Area .....� a`� "�' 4................ Diagram of Lot and Building with Dimensions Fee '�.... ... ...°........ ................. SUBJECT TO APPROVAL. OF BOARD OF HEALTH ,1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...Y.................. . ......... .......... ..... . ,.,,�MacPHEE, COURTLAND ek 0 Permit for .. 23298 TWO Story ................. .................................. Singl,-- .Family .Dwelling ' ,............................................................................. Lot tG 65 Mashpee Road Location ................................................................ Cotuit ............................................................................... . 'Courtland MacPhee Owner .......................................................... Frame Type of Construction .......................................... �1:1/ ................................................................................ Plot .... ........................ Lot .............. . -4; r Permit Granted ..........July 22,.........................,......19 81 Date of Inspection .Z.-S.:70...........!......19 Date Com le ed ..... . . .... . PERMIT REFUSED ic ........... ...... ........................................ 19 ................................................................ P -.�. ... ............................ ...................... *41 ell..... .......................................... ........... . .......... .................................. ............................ 4 Approved ..........................................q......:.)q -- ........................................................ ................... .................... ............................................................ c.. lt,,(�.1_L-r FnM►t_�! - 3 �3�"D�Do�Nt `._'. L-10 (:.,ArC AS OPC ' j c �A I L-� F 1.A VC/ s 11 O K ?„ a rj".j p �.P•v 3G' Z + �r> � � . �t~Yl'.Ic `r- ►: 3 .. I�i0 % • 4 jF�6:PD. �Gi( •OD `L 1 i . USe-- %00(--I, 6AL-. �,Pc:�:AL l'IT IaSF o 40.3 i .� ToTAL Vr-rlc0L&-eloQ 01.1.-rE : I"n4 ?.Milt'o lx-.,6. 0 37B ,9�p o ? •4 t i r.; r8b£C;i^l�r 7•\t " � �, N .�Z:/i Ao �.?0 1 TorAo •� T.. i •7�J�ia.i�inG i.�. .yiin � 4 PPF_- . � e luv Lc�i•1�/ �-------�• '� si* I/P�-... 1[�00 t.W.ffi S RsaL 4 j�p% I:tl. Gal.. Z7 17Z, -SL-ne tG INN. Tq►riiC r Gov. i 77•e 2 274 ' A N,!�/ P4 7 d'. I Ll 1 . i C ~ZTI t+•t r-.-_; ) P t..ct T F=t.- A 1-.l 7 0' Lj f oi1 c t,IZ T 14=� SAT TNT. �oV 1DAZ-1�N ��ow #A J j R 1 r-`Iz.is c.� x- NF.t,�n�� c�,t�1.�s w 1-ra ��� -y:t�.4..c�#�• • �dT' G . A1.1c7 a C�'1',AGII �GG�U,�E.Vt�n•t�S t?E•: TNe .�k -ZG(, . 1� AT 1-7 4 I - -- ._�_ :rC�rit`i (Ci:.i�L-L� �.-�t►1CJ �l�ti�ri_`4�V c<'r. Tt-�l5 C7�i..Aa.t i'S 407, E�A►�,Ct? :)'v.�. �-s.i f: O`�TE :✓;l..t.C—.. o tv(�`.�•>. ItJ rrkz:J!✓tC � ;, ..:r.•..�• vg�t_'. t�c_r.r�, ,r. t�a»•t•�-c';c,:t'..1'� l..c�� ',�'�,.-.�„ `."'.."�_ � �! ., `r•,: r-, P• "'Q' TOWN OF BARNSTABLE'. Permit No -___-_- Building Inspector, a �1Cash -------- --------- I`^ � .. '"pYa OCCUPANCY --PERMIT `: =--- Bond °'.No building nor_ structure shall be erect4d,,and n�o-land, building or structure.shall be yused fora new, different, changed, or enlarged use without`a Building Permit. therefor first Having been obtained from the Building Inspector. No building-shall�be occupied until a certificate of"-occupancy has been issued by the Building.Inspector:" Issued to Courtland 'f4acPheG Address E:ttuit, > Lot #G 65 14ashpe- Road-,,-' o-tuit w Wiring Inspector y� Inspection date. ' Plumbing Easpectorf � Inspection date Gas Inspector Inspection date QfEngineering Departments Inspection date . ` 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. so' .............`Lm19 � v�} Building.6Inspector Assessors map and lot nu v r tuber ....../....... ... ...... �... _._ ?�'Of T11 E sewage Permit number C2.6 BAHBSTADLE, i f House number ......... .�....•T .G..:. .................................... y MA IL '. � �p t639. �FQ MPY�`• TOWN OF BARNSTABLE . t BUILDING INSPECTOR APPLICATION FOR PERMIT TO o.l�-' .SF,.:.. .........�z .. r '........... ;:10�/`t... .......... 11....................... `J`�' TYPE OF CONSTRUCTION r-...........r- j mt,., .............. r..IJ...4. ......................... .......I..................919.if f TO THE INSPECTOR OF BUILDINGS: The undersign'edd hereby applies for a(permit according to the following information: Location ....I.�..t..1.........1.�........,. •: K`. .r. .............R,.�....................(aA.Q..4,.�..�....:................................................... ProposedUse ... t.,.�• ...............( M il. . ..............�4.Q../.Ak: ..............................................,......................... Zoning District ...... .. ....Fire District ............c.atU.-r............................................. Name of Owner .(ACC I.P.J ..........(A.�C.�.�.�t 'P."P......Address ..,�.��......(..�.tf..����°�............ ........CcS�tl•/ t Nameof Builder ................ ..............................Address .................................................................................... Name of Architect ........../ �1 E'.6.��..................Address .....6 ,.. t< Number of Rooms �................ Foundation .. . .�....... ...... ��.. :�.. �'. '..,... (' II I ............ Exterior ... . � . .............. - ed. ..........................Roofin S .Pk.�e..I.-F...... Floors .....C.P,.0 ..............................................Interior .. f�.�. .�' 'e.. .................................................... HeatingFAW.... .......() L... ............................. ...........Plumbing .....Q...................................................................... Fireplace ..../................................... ...................................Approximate Cos, ..cf .1 epaa ...... ............................... Y Definitive Plan Approved by Planning Board ________________________________19 . Area .....! ..!.` ....?:................ Diagram of Lot and Building with Dimensions Fee ,, pp SUBJECT TO APPROVAL OF BOARD OF HEALTH a�az� Aw", 1, I hereby agree to,conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...✓......Cry` .. � k4aoPHEE, COORTLAND C____~-~' ' 23298 BuildTwo Story � No ................. Permit for .................................... . --.'.S' ]��. ..J�yK�11,illg............ ` ' Location ....Iigt...#.Q......65.. _�d�_ _ Cotuit ---~----'^----------`------'' Owner --Courtlaod MacPhee ----_____...............______ � ' Frame Type of Construction .----- �---. - --------------------------. � no, - . . - � u . � K .�' D"'= of ""pe`"`"' °�' ` - .... Completed ^ . . / PERMIT/REFUSED � ---------.....-------....—. 19 � ^ . ` ..................... ..................... ............. . . . . ...................... M �r -- ----. . . ~ � —.--.-------.—.~.—..----.----- ' - ' '^ ----.--.—.--.—.---.----.---~—' ` . ' ................................................. lV _ ....—.------.-----------------. � ----------'----------^^^—^~—' � �