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�� -�'�j oaG �'� / � { Application number y '�z' ' Fee : 3 S- _ PT } Building Inspectors Initials.............:.... ................ ' Ak FEB 08 2019 TOWN O � Date Issued....................:7� ... .......................... Date Map/Parcel...!1 v TOWN.OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 6 l Se 1 7� NUMBER STREET VILLAGE. Owner's Name: JAV p�f �p Phone Number rl 7 z/ - J 34`5°3/7 Email Address: OrhCe �C'rc ZeC�w% Cell Phone Number Project cost$ 3 U O }Check one Residential t Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding 0 Windows (no header change)# F 'Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than Player of shingles) Construction Debris will be going to , CONTRACTOR'S INFORMATION Contractor's name '^ Home Improvement Contractors Registration(if applicable)# 1P,3 ` (attach copy) Construction Supervisor's License# l D-5' 1 S_ 7 (attach copy) Email of Contractor Qi�l �t'`¢� � C GWPhone numberU ALL PROPERTIES THAT HAVE STRUCTURES,OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER................................... .........:::..........:. t *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES *. Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Ifassac,latsetts Department of str^ia'Accidents Congress Street,Suite 100 Boston,MA 02,l_74-2017 M www mass.go ldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Pliitubers. TO BE FILED VVI T H THE PERMITTING AUTHORITY, Applicant Information �M � _ .�. Tease k°r ut Led' Name (Business/Organization/Individual): i'Gi l tom'` •� �f1t �r_""� (�:1` I ��:(i`L-S Address: r i ity/State/Zip: Cj 1��`t�V'i ��ter; tir:'l, ti`i hone#: ' t`z/ L Are you.an employer?Check the appropi-iate box: Type of project (re i etl9: 1. construction i, 5m a e:nployer with ! )__employees(full and/or part-tune). j. evr 2,H I am a sole proprietor or partnership and have no employees v:orking for ntc'in °, U Remodeling any capacity.[No worker'com El 9• t_J p.insurance required.) DemO11ti011 3.❑1 am a homeowner doing all wort:myself.[;o worlcers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my properly. I will 10[J Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.F-]I am a general contractorand I have hired the sub-contractors listed on the attached sheet. 13,❑Roof repairs These sub-contractor have employees and have workers'comp.insurance 6.❑We are a corporation and is officers have exercised their right of exemption per MGL c. 14y[]Other 152—: "r?tbGlE 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box rcl must also fill out the section belov,showing their[workers'compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. [Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they trust provide their workers'comp.policy number. I arrt an employer that is providing rvorket:s'conipertsatiotz insurance for my employees. Below is the policy and job site information. _ Insurance Company Name: Policy#or Self-ins..Lie.#: VV G zj L S �3'1(� (� l(1 C -Q Expiration Date: S�j.DZ j Job Site Address: (�� SG��o� S� City/State/Zip: �G�L</ /ll✓�f�' ba�3�^ Attach a copy of(lie workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under NIGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi�under the pains and penalties of'perjury that the information provided above is true and correct. Signature: ,6l Date:i / Phone#: Jr-� --��20 _ // ? r Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person:. Phone#: T A S Prop-in y Owner i1r�Ir Ist i` ofrJ p ,,,,,ta & 1�(y rni I I A f 1 it the ;�I')�.s�a`��.' ,rrl;yi,�- 1 �7,(?n��;���� r lam. 1 � '(4;�? J= to PC ,11 N ray pI n i1 +� f p,A F✓1 j7 ' , y¢d t p t� 1s9 a'�,��f�1 v11'�3"� !' ��l l,' ,rl ti cs��.f'�i � ::+18P�y''G 6G4 L W -u-,ffiroinized P - W,,," J7 y hlli, Permit application for: r Address of Job 6S`C �m� � S �� fvi7` Signature of Owner � Mailing Address of Owner 9 /�,yl, Telephone # Date i Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project, fax#508-420-4555 office@cazeault.com _7 Can,,gl ss Stm-t, 5,1dfte 100 �H A,)`021-N-20-17 yi;w 1,,wn C,S3.g,.0 TTT � 73 T fYv/-i h- Wor�cc s, Compensatio-] 3ns ,aricA dpit:Bu-'Jdevsl Ce-Ai,--ac t-rs/L, icia= "'ui7 b e TO E FI 71) i), TH THU"PE-,Uv-1T1iNG U 7111.0 e-1711 rs. -Pleiu-e Lea-i"IFY.1v Name U/ Adid-ress: f F"— rZ- P 2 A-,e y 0 11 a,11,enip!a v,--7?Ci,tch th C a p.�V-I ur e e o.v.; 1. 1433 a em-ployer-,-,ith cm,))oyces 01"fl!2-,Idfo�I aft-": T New Construction 2,E]I am sole uroprietor or partnersh il)andliave jio employocs v,,oikfii., for inc,�-1 8, Reinode-linc, any capacity.rNo workers'comp.insurance required.] I 1 9. ❑Demolition I am a hom wrier doing all work in 3.[ co myself.[No workers'comp.if-ISL'ranCe required.]I J.0 Building addition ❑I am a homem.vnerarid will be hirin.,contractors to conduct,all work on nny property. I will ensure ilia,all contractors eiffier have workers'commnsation insurance or are sole 11, Electrical repairs or additions proprietors with no employees. I 5.F-]J Pima general contactorand.1 have hired die sub-contractors listed.on'die attached sheet. 11 E]Plumbing repairs or additions These sub-contractors have employeesand have morkers,comp,insurance-, 13.[]Roof repairs 6,F-1'we are a corporation and its officers have exercised theirrighi ofexerliption T,,Cr MOL c. ;,E Other /3/�� 152,§1(4),and we have no employees.[No worker'comp.insurance required.] '^Any applicant that checks box-,"I must also-fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicatina iliev are doin2 all work and then hire outside contractor's must submit a new affidavit indicating such. 'Contractors that check this box must attached an addidonal sheet shoviing the name of the sub-contractors and state whether or not those enthics have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I a2m,an employer that isprovidifiig Tvorkef;s,compensation insitrancefop my employees. Selow is the policyand job site information. Insurance Company Name: o3z L'. -2 151 Self-in --'-Q Expiration Date:Policy or s.Lic,1: w C zo 0,,,, fob Site Address: City/State/Zip: Attach copy of(lie workers'co-reipensntion policy declaration page(showing the policy numbe.-and e-xpiralion date). Failure to Secure coverage as required under TMGT c. 152,§25A is a criminal violation punishableby a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up-to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerlifi under thepains andpenalties oj'pe;-jwy that the,;ifai-iizatioiipi,ovi(,cd above is(7,ve and correct. Signature: Date, Phone 41: Qfjicial use on1j). Do not 1-Wite in this ai,ea, to be cotnplete(z by city of Town official. City or Town: Permit/License Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Tori!n Clerk 4,Electrical inspector S.Plumbing Inspector 6. Other Contact Person: Phone 4 g3 q I ���.� 1iil iCl," 11 il`Ir� S 10 31 Mail', 0"'Orew' 0sY(VIIIe, 11M tt265,5 }Ntl if i i.C,Y it �i i 22 Ltidrlia;h 140$NW"aifi 10-00ai1..IViA a i t k � ee � i i sHN rH It c � J� ,j w, pC to F ( ta11L6 l��l Jl of � [S 6 x`. h I . FPS tiq��t _P �4 ,•_x'?k t 151 CSubvBmg6SSHo'F W. S: f Offlf..C-: of C7naimr`Pfici'a and BaS11e ::,-3 �Ze ut%..i;N_ €gg® Washington Shea:- Suite 710 Boston, Maust'Cip LiSe is 02118 Type: Corporation Registration: 103714 PAUL J. CAZEAUL T&SONS, INC. Expiration: 07100/2020 1031 MAIN STREET OS T ERVILLE,MA 02655 Update Address and Rem n Card, SCA 1 CaeOLi-05!l7 W Once of Consumes Affairs Z Business Regulation HOME I1APP0VF=Mr::N T CON T RAC T OP Pecgis&ation valid for in:�;vidual use on-hi TYati,.Comoration Enero'e the eipiraidon date. hf found return So; RegiscsatioB E:caisaeio t tJiiice of Gorsuraer!-1 oaisS and RuSi eSs t.e�-uta?aola N 103 14.- 07/08/2020 1000 Washing-tan Street-Suite 710 PAUL J_CAZEAt)�-TSONS i G- Sesfien,MA 02118 RUSSELL CAZEAULfi-! 1031 MAIN STREET;..' OSTERVILLE,MA 0265- Undersecretary -• k T6101-11rea in MA:(800)699-5569 0sterv€11e:(508)428-1177 . Orleans:(508)255-55H Falmouth:(508)457-1141 Fax:(508)420-4555 6 /`- Cw �KE 1 •['t�OiP S=t�. (;eiter, Director �— Building D;vision ref 1, }� Trim P rry, Building Commissioner t 200 Main Street Hyannis, MA 02601 �efl aar�> www.town.barnstable.ma.us Office: 508-862--^.O38 'Fax: 5()fi-790-62'0 N OF BARN.SIIABL,E SOLID p(,��` ,N(��¢(�F,j'FUEL STOVE, `\ 71}{{'1 ER M I :�l�3t. , (:)wrier: �. hhc,�, • 5(� - �2$_b9 41_ tnstall at: Icl I&CftDL— STgevi— VdIage: N,Iap/Parcel: V C)� Date. _ ZJ _l o Stowe A. New. U>cd 1=3. Type: adian ("Ircul at"n C. Manufacturer: 4-S. Lab. No. D. Model No:: Chimney _ A.4Ew�i existing (If existing, please note etc of last cleal?.bl / 13. Flue Sizc C. Are other appliances attached to D. Pre-lab Type and ufacturer j3FWt&Z N(,tE l Gl � egr }� _ a_ I:. Masorii-V, Line fnlijied Hearth A. -Materials: _ RIGS rr i B. Sub Floor t_:onsiruction: �x � OAAAe Installer Narn�-: ddress: Phone: .. Location of installation: 1.1.1.0 i2eGistration # construction suix-rvisor^ + OR check 14orneowner Installing. n6 license rce pair•,cI 4 APPLICANTS SIG'NA'I•URE . APPROVED BY: Please make checks payable to the 1 uivrt of 1lamstrible 'I i71S CDiZslitides'aw oyfici tl stove p' erl?111 after lilopectio!?, photogru?71ied,'1,ind approved by he Pifildbi lnspec r Rev ii 1107 • ' f, w Town"of Barnstable Regulatory Services - BARNSTABLE. ' Thomas F.Geiler,Director MASS. a 9� 039. �.� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA.02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION o� Please Print DATE: Z D ZO 10 JOB LOCATION: number ( p. street q q village "HOMEOWNER": RCN �1�P7 tOS"C�ZS'-6 l 1 name home phone# work phone# CURRENT MAILING ADDRESS: P0 • ©2_O36 city/town state zip code The current exemption for"homeowners"was extended to includeowner-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 responsibilityfor 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 inspect n proce and requirements and that he/she will comply with said procedures and requirements. I Signature of Homeowner vv 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.". 1, f 11 1 1 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 cirrently used by several towns. You may care t amend and adopt such a form/ceitification for use in your community: Q:forms:homeexempt ,. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street -� Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information tt Please Print Legibly Name(Business/Organization/lndividual): J Address: (o 8CC•f2!:Vl, S'1- City/State/Zip: O2w35'- Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• $ 9.-❑Building addition [No workers'comp:insurance comp'insurance' 10: Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t. c. 152,§1(4),and we have no employees.[No workers' 13.0 OtherD SfiW� comp.insurance required.] IN�st7r(,t,>l�jle *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who.submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: s `` Expiration Date: Job Site Address: _ City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains nd pena i of perjury that the information provided above is true and correct Signature: Date: I l� Phone#: OZ-- Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one}: 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact.Person: } Phone#: " 0 Town of Barnstable *Permit# ti Erp,'res 6 m the from issue date Regulatory Services je Thomas F. Geiler, Director Building Division �, 3 2008 Tom Perry, CBO, Building Commissioner ®K//u 200 Main Street, Hyannis, MA 02601 0��q www.town.barnstable.tna.us - Office: 508-86224 03�8AgL Fax: 5087790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press fmprint Map/parcel Number (,3 5~01 5r Property Address (Sp/ SC461ol Jf C4Tu X Residential Value of Work l 6)DO0;lac Minimum fee of$2S.00 for work under S6000.00 Owner's Name Address an Contractor's Name -,7y54u, Br-5-Sef— Telephone Number ��()�`76,0-ol(g2 Home Improvement Contractor License#(if applicable) 13&35 S r ❑Workman's Compensation Insurance Check one: {A I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance f/ Insurance Company Name prree r . �t�r��fin wt p � 1 S�vf C,nce Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: [ssuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. " A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:IWPFILES\FORMS\building"permit forrnsEXPRESS.doc The -Commorfwealth of McUsach-usetts Department of Industrial Accidents Office of 1-nvestigations 600 Washington Street Boston, MA 02111 1 www.mass.gov/dia Workers' Compensation Builders/Contractors/EIectricia-ns/Plumberr. A-Pplicant In-formatdon Please Print Legibly Name (Business./ora�an 7�onflndMilual): � u4 us 3ci SSG' I- �/, -,3(n0 - 01 (c Z City/State/Zip:. - u ,his P.0 f+AA1141 Phone.#: S Are you an employer? Check the appropriate box: r7. e of project(required): 4_ I am a general contractor and I 1.❑ I am a employer with D New construction employees (fall and/or part-time).* have hired the s'nb-contractors 2 I am a klc proprietor or partncr- listed on the a-ttached sheet ❑ K�modeling ship and have no cmployces These mbl contractors have g. Demolition working far me in any capacity. eroployces and have workers' 9 Building addition [No workers' eaarii.-;orura„ce comp-insurance$ 5. [] We arc a corporation and it!-- 10.❑ Electrical repairs or additi rtquircd] officers have exercised their 11.❑Plumbing repairs or additi 3.❑ I am a homeowner doing all work myself [No workers' comp_ right of exemption per MGrL 12 []Roof repairs r t c. 152, §1(4), and we have no insrrrancc .� c�loyecs. [No workers' 13.0 Other camp,mR,rancc required.] *Any applicant that cheeks box#1 roast also 5U aut the section belrsw-bowing theirworkers'cornpcn-wtion policy iafam-atim-L t Hr;meawoas who subnut this aSdavit i53ealing tbey arc doing sA work and then hire outside eouhmutl3m must submit anew a BLvit indicating such- rCmlt m.t.rs that ebezk this box must attathcd an additional sheet showing the name of the mb-cooha&Dn z,d d ,whether err not thosC cntitia have crnployees. if the sub-eontraetrn-s bave cnUploycrs,they niust pravi&th6T Wmi_ers'comp.policy number. jam an empLoyer that is providing workers'camp ensation insurance for my employees Heraw is the policy anal jab site ' information. . . Incr-ranCc CompanyNamc: Policy#or SeLf--ins.Lie.#: Expiration Date: rob Sitc Address: City/St itclZip: Attach a copy of theworkers' compensation policy declaration page(showing the policy number and e7cpirafion der Failure to scctac coverage as rcgtrir�d under Section 25A.of MGL c. 152 can lcaii to the iMpW ition of criminal penalties r fine to 1,500.00 and/or onL-year impnsonmcnt, as Weil as �vtI penalties in the farm of a STOP WORK ORDER and of Tip to S250.00 a day against thn violator. Be advised that a copy of this statLmarit may be forwarded to the Office of luvr,gtigmfions of the DIA for insurance coverer c verification I da hereby certify under the puins-and penaLdzr cf perjury that the information provided above a Prue and Correct Phone# j'�? 3&0—01&F Ofpchd use only. Do not write in this area, tb be compCeted by city or town officiaL City or Town: Permit/License# Isgniag Authority(circle one): 1.B•oard of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector' 6. Other -- -- --- - eye, 0010-ou 3 YAKI —_ 'PROPOSAL S Grq PC, C. P(ROP,OSALNOg' ._ SHEET NO ; DATE PROPOSAL SUBMIT T ED TO: WORK TO BE PERFORMED AT: NAME - y F � x r s r ADDRESSTJ t � ,, ��4 "E,",a ADDRESS x DATE OF PLANS' PHONE NO: ARCHITECT 07- 4 2 �-, Ci We hereby propose to furnish the materials and perform the;bbor,necessary for the completion of Ln _S ,i u , r r. ±' ..✓. All material is guaranteed,to be as.specified, and the above work to be performed in accordance with-the drawings and specifi- cations submitted for above work and completed in`a,substantial workmanlike manner for the sum of Dollars ($ l n o n ) with payments to be made as follows. f i J4 U t.�.:f)t? `�-.!' J. tf-' \) t,«fi Ci .J Respectfully submitted Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge Per over and above the estimate. All agreements contingent upon strikes; ac- cidents,or delays beyond our control. Note—This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE-OF PROPOSAL The above paces, speclflcations and condltioris are satisfactory , d,'are hereby accepted: You, are authorized to do the work as specified: Payments will-be as outlined above: Signature �" 7 Date / / (L% Signature 9 zf r NC 3818 50 PROPOSAL r i 4 i d for vidul use ✓ ,�04"n' ;o sand Standards License or registration date` If foundtreturn to only Board of Bui►di Rceu►a before the expiration HOME IMPROVEMENT CONTRACTOR Board.of Building Regulations and Standards One Ashburton 010 Place Rm 1301 Registration 136395 1 l _ Tr# 271566 'V Boston,Ma.02108 Expiration 7/2212 E �,► ;� Type Individual. � - _i t JQSHUA B.BASSE�TI ► - _ JOSHUA BASSETTs N valid without signature 71 TOBEY WAY Administrator W.YARMOUTH,MA02672"'. �,` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel o 1.� NI S 1. Permit# %05313 Map t.�k� S��I?t4,�1r�:S�,..� � 29 oS R14— Health Division _ 2 ° Date Issued P'''Kj' -3 rF.� `,: , Fee 11, o0 P44- Conservation Division p p Tax Collector o Ss— 1-6— —�� .�IV IS"IP,N -Treasurer Chem Planning Dept. LW roved b Planning Board g9e1q OF B®ROOMC A Date Definitive Plan pp y Historic-OKH Preservation/Hyannis Project Street Address 61 S c,14coC Village Owner Address P®° B e y Z�f Telephone a Permit Request Sr LA-P- o�D x Square feet: 1 st floor: existin proposed 2nd floor: existing proposed Total new Valuation G�©— -- 7 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) _ ..- Age of Existing Structure Historic House: ❑Yes ❑No On Old Kings Highway: ❑Yes 0 No J Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new 0 Number of Bedrooms: existing - new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other y Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization Cl Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# ' Current Use Proposed Use S..i BUILDER INFORMATION Telephone Number o 2$ 4 Z Namedv"R't License# Address P`6, BOAC l 0.ts oA A 6'zG°r Home Improvement Contractor# 1 6 27� Worker's Compensation# j ALL CONSTRUCTION DEBRIS RESULTING nFROM/THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE S �"2 0 5 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. � 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE 1 ELECTRICAL: ROUGH _ FINAL , PLUMBING: ROUGH Mn FINAL- : r GAS: ROUGH R OI FINAL FINAL BUILDING OK }rVw� f A 0 r DATE CLOSED OUT rq 4` o ASSOCIATION PLAN NO. A N L° The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street y 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): C al"'-Js-T -Cody'-1 0 &F-1 S eft- Address: P-0, 1B Ox y. City/State/Zip: C e Y-u� k A,* 0 U $T °Phone#: SSA . . �,Y`f 4 1- . . Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I / 6; ❑New construction � Mloyees(full and/or part-time).* have hired the sub-contractors 2.!�J I am a sole proprietor or partner- listed on the attached sheet. T 7•-Wemodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. g, ❑ uilding addition [No workers' comp. insurance 5. ❑ We are a corporation and its _ officers have exercised their 1 required.] 0. Electrical repairs or additions . . 3.❑ I am a homeowner doing all work right of exemption per MGL ri.❑ 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' comp.insurance required.] 1- - Other *Any applicant that checks box#1 must also fill out the section below showing their worker;'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating suck tC ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers compensation insurance for my employees.'Below is the policy and job site. information. - Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500..00 and/or one-year imprisonment, as well as.civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of . Investigations of the DIA for insurance coverage verification. I do hereby a fy under t e pai nd penalties of perjury that the information provided above is true and correct: Signature: A. Date: Phone#: '�-- Official use only. Do not write in this area,to be completed by city.or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an e, to ee is defined as"...every person in the service of another under any contract of liire, m P Y express or implied,oral or written." association,Eorporation or other legal entity,or any two or more An employer is defined as"an?ndividual,.:partnership,: engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the e foregoing. of� g g , . However.tlte receiver or trustee of an individual,partnership,association or other legal entity, employing employees. . ov�,ner 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 building a loyment be deemed to be an employer." or on the grounds or g appurtenant thereto shall not because of such emp MGL chapter 152,.§25C(6)also states that"every state or local licensing agency shall withhold the issuance or . a business or to construct buildings in the commonwealth for any renewal of a license or permit to operate applicant who has not produced acceptable evidence of compliance with the insurance coverage.required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements Of this chapter have been presented to the contracting authority. Applicants pl ease fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if.necessary,supply sub-contractors)name(s), address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners) are not required to carry workers' compensation insurance. If an LLC or LLP does have ,_mployees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should being requested, not the DeparEment of application for the permit or license 1,b g q , that the be returned to the city or town app Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain.a workers' compensation policy,please call the Department at the number listed below. Self-insured . companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure'to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"'the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for:future permits or licenses..A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would h7ce to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massa chusetts . _ Department of Industrial.Accidents Qffice of Investigations ,. 600 Washington Street . Boston,MA 02.111: Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 www.mass.gov/dia oFtNE T Town of Barnstable Regulatory Services * �, B`� ' Thomas F.Geiler,Director Eo Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: S 0LW T_IJ C'*Tir V Lh-`y3:40%J Estimated Cost 10, 000 Address of Work: 6 f SCf-{-�tl(, , Owner's Name: Date of Application: 2t A 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 ❑Owner 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: o S Co N GAS it Lf 6 2-?16 Date Contractor Name Registration No. OR Date Owner's Name Q:formslomeaffidav E r Town of Barnstable Regulatory Services BARNSUBM Thomas F.Geiler,Director 39. AifoA�e� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, J610 as Owner of the subject property hereby authorize r�N yWJL to act on my behalf, in all matters relative to work authorized by this building permit application for: ( dress of Job) 29V 5— Signature of Owner Date Print Name Q:FORM&OWNERPERMISSION ■ ■ tea■ ■ MOM MOM ON MEN no ONE MENOMEN ME ON 0 SO 0 No ON m�m ON ■ ENE ME ENE mom Ellmom =WN ME ME mommummoss mom MONSOON ME mom= ME ME m ■ i C ■ ■ pia � ■ n va ■ �� Board of B"W"MiWzn Regulati ns and Standar s One Ashburton Place - Room 1301 Boston. Mass usetts 02108 Home Improvemen orractor Registration Registration: 146276 Type: Individual z F Expiration: 4/8/2007 CONRAD GEYSER CONRAD GEYSER a P.O. BOX 89 COTUIT, MA 02635 q' r - °� 5„'e Update Address and return card.Mark reason for change. Address Renewal Ej Employment Lost Card 41 is 50M-W04-G101216 T1. ea ..e." o�✓�aaoaclu�aelta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. ff found return to: Reg istray g}146276 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Ex 2007 Boston,Ma.02108 �r dual )NRAD GEYSE a )NRAD GEYSE r'Y OLD SHORE RDc ?V,`' jam, )TUIT,MA 02635 Administrator Not valid without signatu e e j . .Assessor's map and lot,,number *THE T0� r Sewagi"~Permit number' yK. ,,, ' oWQ� �o,► Ho�?se .number .... �p.�.....�G. l,...�� ......... . sasasrsst, 7 MAo6 `i TORN S x OFt 4, ARN TABLE1 } �:; "� r�i .a: .. , �t:•fY,t. � T �. t r, d a .ram ... .a•;3 � a t i•V,' ' rt �. INSPECTOR PEC S •TOR .. t t { APPLICATION, FOR, P®RMIt TO .i........ ` TYPE OF CONSTRUCTION :. t b ` ..,........: f I S'. t T . ....... .�5.: . Q.:. ..19. it AfiS?✓rN'•''••r T -KeY 4'9+15 h Y `Y r , j" k'�'' < L W.3 y s yl1 zi`' t TOE T#FNSPEGTOR OF;�BUILDIN6S ` v. $j The undersigned hereby applies for.a permit according to the following information: Location �al. 5It B2 Q. �. . ...... ..........:........:......... ............................. • ................. ......... 1 Proposed Use .......... ..1�....p...f.�1��..c......Ll::Li.p........ ......... ..... .................. ....... ..... ; ..... ... Zoning District ................................................................. .....Fire"District ............ .. r.. T.v..l..� ..... .. .. x� 3 Name of Owner ....JAt v, thC 1,.P ,,,Address . C �, . .. ..................... .�.... s .. .... .1.T �A A.. a P.O. Name of :Builder'. Cl U. Lv ,t Address (. 1 PA4,MPS r Nameof Architect ......................................... y `.y"Addres .. ........................ J1i,- .... ......... .. .. . ti ,`.` K. Number of Rooms .................................................................Foundation vv.... ..... :n /,.t �' i l�,.... is Exterior ......................�?.N.1.�J.51.!-f ... ...........Roofing ..........f'����� 1 .... j:N ..... Floors .....................�:.Y.i.0.Q..............................................interior ............. .N..F. .l�!.�. .J.!.1 .. .................. .... :. ...Plumbing ..... ... ... Fireplace ........................I.v.Qh�!.......................................Approximate Cost all— ................... �. ... ...... ..i..QQ. l.,:.... `. Definitive Plan Approved by Planning Board Area ..... .. s ..,. .� Diagram of Lot, and Building with Dimensions s Fee .. y_�- yy, SUBJECT TO APPROVAL OF BOARD OF HEALTH N� 7. �Ar-� M n ` .. 9 ,/0 � � V aV 1 L P11Q Cr- - FDR S 1 a�G� R is OCCUPANCY PERMITS REQUIRED FOR.NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town,of Barnstable.: gard the above; construction. ! 1 � R Name ......... ...... ........ - •�1a RAPP 24302t .Bu..........s..°rage ed ................. Permit for r �. Accessory to Dwelling ........................................................................ ... , Locotion ....6.1...S.chao1..St.rjeet.....::.......... - ...................C;otu.i.:t............................... ............ owner ....J.an R42P......................................... Frame Typeof Construction .......................................... ................................. .. . . ... .... .......... V_ Plot ........................... Lot .......... August 20, 82 !I Permit Granted .... ...................................19 i Date of Inspection .....19 Date Completed ......................................19 ; t t �L i.r =fir RESIDENTIAL PROPERTY MAP NO.- LOT NO. FIR_DISTRICT SUMMARY STREET School St. COtuit 35 13 — C .73 LAND BLDGS. OWNER TOTAL ;LAND D RECORD OF TRANSFER DATE eK PG I.R.S. REMARKS: GS. AL R.anng Walter P.' & F, Luci_le 12 2 662 26 _ / BLDGS. / RicV j� jll'1Y i('1 S/ I�`,...-r - —i ..� ..a��� '� TOTAL _ LAND 0) BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: �^ ' BLDGS. DATE: TOTAL LAND ACREAGE COMPUTATIONS BLDGS. rn LAND TYPE OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT T� o o U LAND GLEAMED FRONT 01 BLDGS. REAP. TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. NASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND 0) BLDGS. LOT COMPUTATIONS LAND FACTORS — TOTAL FRONT DEPTH STREET PRICE DEPTH go FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER 0) BLDGS. HIGH GRAVEL RD. — TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. FOUNDATION BSMT. & ATTIC PLUMBING PRICING , LAND COST :onc.Walls Fin. Bsmt.Area Bath Room Base AlEILOG. COST Conc. Blk.Walls Bsmt. Rec. Room St. Shower Bath e - Bsmt. .onc. Slab Bsmt.Gara a St. Shower Ext. PURCH. DATE S g Walls cc S 3 �/�2. . �"•�' 3rick Walls Attic Ff.&Stairs Toilet Room PURCH. PRICE / Roof RENT /9 •0 atone Walls Fin.Attic 4 i Two Fixt. Bath , Floors � Q 'iers INTERIOR FINISH Lavatory Extra ------� �y 3smt. 1 F j 1 2 3 Sink Plaster Water Clo. Extra Attic �[) 9; � EXTERIOR V/ALLS Knotty Pine Water Only ij �D f )ouble Siding Plywood No Plumbing Bsmt. Fin. .Qr Int. Fin. D Single Siding Plasterboard �� —' �juShingles TILING Q 1d :onc. Blk. G F P Bath Ff.- Auto Ht. Unit Heat ? Q -ace Brk.On Int. Layout Bath FI.&Wains. . (�3. Veneer Int.Cond. Bath FI.&Walls Fireplace ,om. Brk.On HEATING Toilet Rm. FL Plumbing solid Com. Brk. Hot Air Toilet Rm.Fl. &Wains. -- 3� Steam Toilet Rm.FI. &Walls Tiling • 31anket Ins. Hot Water ,';/I St. Shower Total toof Ins. Air Cond. Tub Area Floor Furn. r / ROOFING 1 / Z•o ^' COMPUTATIONS t ) 6 a� 1sph. Shingle Pipeless Furn. S.F. 3 I rho good Shingle No Heat �� S. F. .sbs. Shingle Oil Burner cooly' S. F. ;late Coal Stoker S. F. QC� Ga s as D S.F. OUTBUILDINGS ROOF TYPE Electric ;able flat / S.F. 1 2 3 4 5 6 7 8 9 1 30 1 2 1 3 1 4 5 6 7 1 8 1 9 30 MEASURE[ lip. Mansard FfREPLACES S. F. Pier Found. 11 Floor LJLJ ;ambrel - Fireplace Stack Wall Found. ;� 0.H. Door LISTED FLO-3 RS Fireplace Sgle. Sdg. Roll Roofing 7-7,no. LIGHTING / ;o _ Dble.$dg. Shingle.Roof :arth__ . No Elect. Shingle Walls Plumbing DATE lardwoed r ROOMSCement Blk. Electric — �sph.Tile Bsmt. TOTAL Brick int. Finish PRICED ;ingle 2nd f.�� 3rd FACTOR REPLACEMENT 3 J,5 Q OCCUPAINCY CONSTRUCTION SITE AREA CLASS AGE REMOD. CONE). REPIL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL�JVAL. )WLG. , - �/rjf sa-L r t-/ ? ✓Q 1/ .3 / So al e 121, jD .3:5- 3 4 6 8 9 - lo ��•;•h !J TOTAL Property Location: 59 SCHOOL STREET MAP ID: 035/015/// Vision ID:2212 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 07/11/2001 ement Ca. Ch. Description commerciatDataDements ty e ype ape Cod Element Gd. Gh. Description Model 01 Residential Heat Grade C Average Grade Frame Type tones .5 1/2 Stories Baths/Plumbing Occupancy 0 eiling/Wall ooms/Prtns 18 Exterior Wall 1 4 Wood Shingle /o Common Wall 2 Wall Height Roof Structure 3 able/Hip g Roof Cover 3 sph/F GIs/Cmp ul - 1F1 � a Interior Wall 1 3 Plastered lam' 0 ryw 2 5 all ement} Go de escription 1,actor BAS Interior Floor 1 2 Hardwood Complex 13 2 Floor Adj Unit Location eating Fuel 3 Gas 4 Heating Type 5 Hot Water Number of Units C Type 1 None Number of Levels %Ownership Bedrooms 2 Bedrooms TQS 6 Bathrooms Bathrooms 15 BAS 1515 0 Full . .. MIMI na �- I.Base e Total Rooms Rooms Size Adj.Factor 1.07954 27 18 Grade(Q)Index 1.01 ath Type Adj.Base Rate 65.42 Kitchen Style Bldg.Value New 109,186 Year Built 1900 26 ff.Year Built G)1980 rml Physcl Dep 20 uncnl Obslnc con Obslnc Spec].Cond.Code .. •.:.. . � pecl Cond% Code escr tion Percentage Overall%Cond. 80 mge tam eprec.Bldg Value 7,300 ff�v, All Code Description LILf units Unit Price Yr. Dp x t %C:nd Apr. Value irep- T,60 FGR2Garage-Avg L 400 25.00 1950 1 100 5,000 SHED Shed L 288 8.00 1950 1 100 1200 WE.' ... .,..a ,.-�,.. ;�s.',�,�., -. .:tee.- �,x•. �. �.. r .„• ..�_ r rop(;ode escription wing rea ross rea rea nit ost n eprec. a ue ►rs oor , ,pen Porch 0 182 36 12.94 2,355 hree Quarter Story 324 405 324 52.34 21,196 IFYL urolsLivlLease Area g Val: , 4 #}rto .r gllk" KIN M G • rK o-t 't 'Ile ,. ''''`�h- •fir ssessment Reults Page 1 of 2 G Site Contact �' Map 1 B..L,r G e=kc 40 i Wednesday,July.11.2001 Horne ' Search Site Government Departments_ Information Center What's New Data is based on Fiscal Year 2001 Assessor's database and is provided for information purposes only. Data presented here will be reflected on the Tax Bills mailed late April, 2001. _......................................_..._...................._._........._......._._.................. 59 SCHOOL STREET M;ap Map/Parcel/Parcel Extension: Mailing Address: 035/015/ RAPP,JAN Owner of Record: RAPP, JAN BOX 771 Property Location: COTUIT, MA 02635 59 SCHOOL STREET Parcel ID:035015 Fiscal Year 2001 Assessed Values Building Value: Extra Features: Outbuildings: Land Value: Totals: Appraised Value $87,300 $2,600 $6,200 $72,300 $ 168,400 Assessed Value $87,300 $2,600 $6,200 $72,300 $ 168,400 Sales History Owner: Sale Date: Book/Page: Sale Price: RAPP,JAN 8/15/1978 P54542 $ 0 Land and Building Description Land Building Lot Size(Acres): Year Built: 0.45 1900 Zone: Living Area: RF 1633 Appraised Value: Replacement Cost: $72,300 $ 109,186 Assessed Value: Depreciation: $72,300 20 Building Value: $87,300 http://www.town.bamstable.ma.us/Information_O1/Assessment/results.asp?MAPPAR=O35015 7/11/01 ;Assessment Reults Page 2 of 2 Construction Details Style: Interior Walls: Cape Cod Plastered D rywal I Model: Residential Interior Floors: Grade: Hardwood Average Grade Stories: Heat Fuel: 1 1/2 Stories Gas Exterior Walls Heat Type: Wood Shingle Hot Water Roof Structure: AC Type: Gable/Hip None Roof Cover: Bedrooms: Asph/F GIs/Cmp 2 Bedrooms Bathrooms: 2 Bathrooms Total Rooms: 6 Rooms Outbuildings & Extra Features Code Description Units/SO FT Appraised Value Assessed Value FPL2 Firepl-1/2 Sty 1 $2,600 $2,600 FGR2 Garage-Avg 400 $5,000 $5,000 SHED Shed 288 $ 1,200 $ 1,200 http://www.town.bamstable.ma.us/Information_O1/Assessment/results.asp?MAPPAR=035015 7/11/01, Yip RESIDENTIAL_ PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY r STREET School St. COtuit LAND /o7cD 35 �5 - C 73 eLOcs. /G V06 OWNER TOTAL /OG LAND RECORD OF TRANSFER DATE BK PG - I.R.S. REMARKS: � BLDGS. TOTAL '. LAND Shaw. Laurence C. 5 6 71 Prob. 4687 ' BLDGS. TOTAL LAND C) BLDGS. TOTAL LAND 4 a, E7 t4,K rn BLDGS. TOTAL LAND BLDGS. 0) TOTAL LAND BLDGS. - TOTAL LAND INTERIOR INSPECTED: // / BLDGS. TOTAL DATE: LAND ` ACREAGE COMPUTATIONS BLDGS. LAND TYPE t OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT G7 { /G D 00 /C 7-0 /C 7G LAND CLEARED FRONT BLDGS. G� REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAN D BLDGS. TOTAL LAND y 5 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND T ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TnTei FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST . ;onc.Walls Fin. Bsmt.Area � Bath Room Base cr BLDG. COST 'one. Blk.Walls Bsmt. Rec. Room St. Shower Bath Bsmt. PURCH. DATE one. Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE ;rick Walls Attic FI. &Stairs Toilet Room Roof RENT �r_-•�„�, tone Walls Fin.Attic ©/ Two Fixt. Bath D Floors iers INTERIOR FINISH Lavatory Extra ;smt. _F t '1 2 3 Sink /i 1/2 1/4st€r ,?rL4.--t,'g 1 Water Cl.. Extra Attic . EXTERIOR WALLS Knotty Pine Water Only or G• (o 'ouble Siding Plywood No Plumbing Bsmt.Fin. '. S�_ °•� .ingle Siding Plasterboard - Int. Fin. ,� �1� ��%��• /p rrs i� Shingles TILING jj L", one. Blk. G F P Bath FI. Heat 7L �p (� ace Brk.On Int.Layout Bathp: .&Wain CJ Auto Ht.Unit e Veneer Int.Cond. Bath FI. &Walls Fireplace S'��' om. Brk.On HEATING Toilet Rm. FI. Plumbing olid Com.Brk. Hot Air Toilet Rm.FI.&Wains. Tiling •_a� 8. Steam Toilet Rm. FI. &-Walls 'lanket Ins. ,Z. Hot Water �_ . St. Shower - 's D ,f oof Ins. Air Cond. Tub Area Total Fes, Floor urn. 18 ROOFING ! i COMPUTATIONS sph. Shingle PiDe!ess Furn. S. F. lood Shingle No Heat / S. F. 1/519 `Q As. Shingle Oil Burner /� a S. F. J J O o .late Coa!Stoker / D S.F. .F !DQ O 6 ile Gas S. F. OUTBUILDINGS ROOF TYPE Electric j S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURE table flat yip Mansard FIREPLACES S.F. Pier Found. Floor(5, fl Eambrel Fireplace Stack WaILFound. 0.H. Door ' LISTED FLOORS Fireplace Sgle. Sag. Roll Roofing l_ 'one. LIGHTING Dble.Sdg. Shingle Roof :arth No Elect. - I a DATE i _ Shing!e Walls Plumbing ine lardwood ROOMS Cement 9ik. Electric sph.Tile 9smt. 1stL-fjj TOTAL Brick Int.Finish PRICED jingle I 2nd 3rd FACTOR TE G-� REPLACEMENT ' OCCUPANCY CONSTRUCTION SIZE AREA I CLASS AGE REMOO. COND. REPL. VAL. ,I Phy.Dep. PHYS. VALUE Funct.DeP. ACTUAL VAL. )WLG. � "/Z ram._...- ..� C , 7 JC.% l p efL r,'. �_. 'TITS /• �:�'r=..• 2 4 7 � / (o rib_ �'' '/ 3 4 5 6 7 8 9 10 ��id(✓ TOTAL t TOWN OF BARNSTABLE BUILDING DEPARTMENT Z NAEI1T : TOWN OFFICE BUILDING HYANNIS, MASS. 02601 �o rnr►• MEMO TO: Town Clerk FROM: Building Department DATE An Occupancy Permit has been issued for the building authorized by BuildingPermit #............. . -� --------............................................................................................... ...._......_..........................._. issued to ..... !` t-/,,,,_ ........... / ,,,// /d ..........................................................._..» ._ ...... .... ..._ _..__»� Please release the performance bond. • -'-b!�pssor' office(1st Floor): ``ll Assessor's map and lot number lJ v(l )V Qyof THE Tp�` Board of Health(3rd floor): �,'� A Sewage Permit number t DADSSTSDLE i Engineering Department(3rd floor): rus House number °° 1639• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1*00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO -RCO(^ TDRCN tt,j TYPE OF CONSTRUCTION �i�r►ul}I�'� 19 �i Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ( �Cht oo�. COTI.I 11 Proposed Use Zoning District Fire District eOTLLl-f Name of Owner Address &( S--RaD L S ( Co 12.0- Sox I33 Name of Builder 'go(3 PR1;)V,-E-TT - ?k1DC4a-rT �►.�R s Address CoTi ii T Name of Architect t3//} Address 13/A Number of Rooms Foundation Wpi Exterior Roofing 2 354 AS PHA LT Floors Interior Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab a re arding the bo construction. Name Construction Supervisor's License RAPP, JAN i, 4* Nb 35593 Permit For -RE—ROOF PORCH & ? GARAGE ` Single Family Dwelling Location 61 School Street Cotuit i Jan Rapp PTA Type of Construction• Frame " x. Plot Lot G Permit Granted January 4 , 19 93 ` '3 Date of Inspection 19 Date Completed -`- 19 1 s i a ' J t r Assessor's ma and lot number // p 4, .....f. .....Y a ' .l Q�pF tp`♦ 1 T E Spwag4 Permit number fi:�t..�:ro�ss�. .;.�� .�..,�.......:....... IMSTAX House number .... Y 'ops,039 AEG MAt a` TOWN OF BARNSTABLE 4 f BUILDING INSPECTOR • tit APPLICATION FOR PERMIT TO .........31..E�.�, Q....A......�'� - �T�.....Gam` .. ......................... TYPEOF CONSTRUCTION ...................L ................................................................................................ .......... ,AU .......:Z:o............,913.z TO THE >INSPECTOR OF -BUILDINGS:, The undersigned hereby applies for a permit according to the following information: Locationt. N PQ 53 ..•............................................................................................................... ProposedUse .......... .. - . A.(:rd ..... � .. .....p........................................................................................................... Zoning District ......................••...''................................................Fire District ............. .. . l...:: 0TU..1. ......::............................. Name of Owner .........1j b�.........R/.::1.PP.......................Address ... J ��4`��L-..�{......0 .�.�....�Ak POI Name of Builder" ... M..A. ............. Name of Architect ..................... ......... .............................. .Address .............................................. Number of Rooms ..................................................................Foundation - JLC�G c�r, IJC .0;..� �--P........ Exterior ..................... .N. .........Roofing .......... Floors ..................... .00D........... ................................Interior ........ .... ,.,. .. .i. .L ?.i .............................. -Hea#ing _.-.._ ............. Ap 4 .......... ........... .Plumbing ...................... ....................................... Fireplace ........................ ............ �-.. p lv�jv�'......................................Approximate Cost ................b..DO�.�..................;I.....\. Definitive Plan Approved by Planning Board -----------_______-----------19_ . - <_' Area .. ................ Diagram of Lot, and Building with Dimensions fee .... ........ .... SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 ; 604r f I� , v tl� aviLpt0o FDA 51-09-Als9� 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 .... .... ......�:.............. . ! t RAPP, JAN 135-15 No .;24302 Build Storage Sized Permit forj Accessory to Dwelling ..................................::........................................... Location ....b.1...S.chool..Stree.t.................. i ............... .C.otld t............................................ Owner ...Jan ! ajPp • i • Frame Type of Construction .......................................... ....................._.......................................................... Plot ............................ Lot ................................ August 20, 82 Permit Granted 19 Date of Inspection ....................................19 Date Completed ........................... .19 H Assessor's map and lot;.number ..Sf..... THE ��..... .! 4 Off♦ Sewage Permit number ?!its%-1U-- - ............... AM TABLE. . House number .......... .... 4Roo. ...................:' INSTALLED IN •` �Me � w . 9' a�pYsa TOWN �OF . -BARNSTA � AARENTALECODE , i:,.) TOWN REGULATIO.NS . r BUILDING . INSPECTOR AOLICATION FOR PERMIT TO .; ........ .C�....1�....:.�� .:. .............................. �� . TYPEOF CONSTRUCTION ...................N..S 0......... .................................................................................... ............A: ..........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location.. .................k-s9A......5(�AWC.).km...5.1.... . ..................................................................................................... ProposedUse :.........ems) :Al ...... ......................................................................... .............................. Zoning District Fire District ..................5. .�. .....�.7.................................. Name of Owner ......... /'?N.......RAPP .. .............Address ...6.1 Pop Name .of Builder. .......6-i cAblr�. ..W. ........Address ..1.1.1... r- NI.I.. . 4A. ............... Nameof Architect ............................................... .... ......Address ....................................... .. ................................. Number of Rooms ...................:........�............:........:..............Foundation .........hi { �. �?J ��.......... Exterior ...................... .................................Roofing ........../`�. Floors .....................ir .t 0.D...........:...................................Interior ............. .................. Heating ....................................... .........................................Plumbing ...................... .............. ......................... Fireplace ........................Ov®�C.......................................Approximate Cost ...............b..Q.�.0.a ........ ........ Definitive Plan Approved by Planning Board _______________—_._________19________. Area ..... ./../....` ........... . . Diagram of Lot and Building. with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH jq D a.. f� V BiJiLt�rD�t� ��2 5P-.�4Cr y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the, Town of Barnstable reg g the above construction. Name ...... ..... .............:...................... ~ ?............ r4 ;t. RAP P, .JAN No .... ... Permit for nt Buil/tp?� S Shed Accesso w.ell...... Location ...6.1...School Stre , Cotuit. ........................................ Owner ... Jan Rai?........................................ Type of Construction .....tame......:. .............. ............' - .... . ................................................ Plot ... . .............. Lot. ........... ................. - ust Permit(Grantecl w..........g............. .�19 82 ( Date of Inspection ............................... ir1'9 rr Date Completed ............../9-75...F'' 9 - - # } 7?: 5r1 aN 4 e i '_ �•Y t At 1 w v My o NO t r