HomeMy WebLinkAbout0020 TRUMAN LANE _ _ �
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Town of Barnstable
oFt"E ra,� Regulatory Services 'TOWN
Thomas F.Geiler,Director QF�� �TA .
I(BMMSTA "'}
aLE. ��
MASS. Building Division 1Q� $Ep 25
pM
e1 M9+°,�� Tom Perry,Building Commissioner -- 56
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# Q FEE: $ C
SHED REGISTRATION
120 square feet or less
90 JlRrl C.PrM� COT0r
Location of shed(address) Village
1✓G*9 N ls2 L s�cg— 7'76.— t7 1 oq
Property owner's name Telephone number
Size of Shed Map/Parcel#
ature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEETHE APPROPRIATE COMMISSION-FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:042506
3d(j'7 ,
41 .
tS'�l a
LOT 44 '
A.M. 391-46 ti�°p sue,
`�- fig• v ,�
LOT 43 �s %
s. A.M. 391—45
11 AREA=21,958-&S.F.
Ile
iiiiiiiiiilelleellell elool I
Il;;;;EXISTING:,II
(;;:HOUSE;;;;;;;,
le eeleeeelee
�. olloe
ell
s
°tip LOT 42
A.M. 391—44
oo, /
FLOOD ZONE "C" FO UNDA TION CERTIFICA TION RES ZONE. "RF"
TOWN. COTUIT SCALE. 1" 30' PL REF` 36606,5ASH.•3ELEV N/A SETBACKS.• 30"-15"-15'
YANKE'E' LAND SURVEYORS
-71
�``S�
I & CONSULTANTS CERTIFY THAT THE - t �ti
"FO UNDA TION" IS SHO WN c STER HEN P.O. BOX 265
ON THE PLAN A5 IT EXISTS - p' : UNIT 1, 40 INDUSTRY ROAD
Y ,5,9
MARSTONS MILLS, MA 02648
ON THE GROUND. a ��� TEL• 508—428-0055 FAX 508—420—5553
suk� �� JOB
v �
DATE.• 07-30-07 NUMBER 54188FND
eK '713/Joy
LOT 44 '
I
A.M. 391—46 16p 6>
LOT 43 /
A.M. 391—45 /
11 AREA=21,958-1&5.F.
d
/II rI o
l , ♦III/IIIIIII /II'/ ��� j
IIIIIIIIIII/III'♦ /IIIII/I
♦IIIIIr III/
EXISTING
LOT•� " ,//♦III/L/I/I///I////
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LOT 42
A.M. 391 44.
ol
FLOOD ZONE "C" TO UNDA TION CERTIFICATION RES ZONE.• "RF"
TOWN.• COTUIT SCALE- 1"=30' PL REF` 36608 ASH 3ELEV.• N/A SETBACKS. 30'-15'-15
"°'°40� YANKEE LAND SURVEYORS
�2ol I"r 11�SS °,
I CERTIFY THAT THE \r_T times : & CONSULTANTS
"FOUNDATION" IS SHOWN s PSTEPHEN � P. 0. BOX 265
ON THE PLAN A5 IT EXISTS c ooi�Lt � UNIT 1, 40 INDUSTRY ROAD
MARSTONS MILLS, MA 02648
ON THE G UND. TEL• 508-428-0055 FAX ,508-420-5553
,►�y c \�yo��
JOB
DATE: 07-30-07 NUMBER 54188FND
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 7 Parcel Application#
Health Division
Conservation Division m '� =� ' ` Permit#
Tax Collector Date Issued'-
Le a�
Treasurer y=. ,,- Application Fe
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis _
Project Street Address a?® 1 /�">✓ �� ��� ��'"
Village /eolvi 7"
Ownernrtvll� TNr9Lfl3'L �5 yu�, Address
F-
Telephone
Permit Request eo
t
Square feet: 1st floor:existing 11,1' SZ proposed 2nd floor:existing proposed TotLP-new -�
Zoning District Flood Plain Ala Groundwater Overlay
Project Valuation21
, Construction Type ��. ��
W ;-- .
Lot Size Grandfathered: ❑Yes ❑No',lf yes, attach supporting cumentOon. co
o c
Dwelling Type: Single Fami Two Family ❑ Multi-Family(#units)
Age of Exisfing S*ture i iLS Historic House: ❑Yes �Oo On Old King's Highway: ❑Yes qNo
Basement Type: 1:Full ❑Crawl ❑Walkout ❑Other
Basement Fit�ishedaArea(sqft.) Basement Unfinished Area(sq.ft)
9 /
Number of Baths: Full:existing new Half:existing new .
Number of Bedrooms: existing new—b—
Total Room Count(not including baths):existing new First Floor Room Count 6
Heat Type and Fuel: LTGas Xpil ❑Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:l(existing ❑new size )YX Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# - —-- ---�-Y-
Current Use Proposed Use
BUILDER INFORMATION
LName_= R rTelephone Number
Address ® T_r1unaZ!3 License#
�Dtf/Li "P- QZ Home Improvement Contractor#
Wor, er's Compensation#
AL CONSTRUCTION..DEBRIS.RE.SULTING:F.ROM.THIS'.PROJECT WILL�BE TAKEN TOE--
SIGNATURE I -DATE 07
FOR OFFICIAL USE ONLY
PERMfrT NO.
DATE ISSUED
MAP/PARCEL NO.
9 t
1
i
ADDRESS VILLAGE
OWNER
F
DATE OF INSPECTION:
i QQ
FOUNDATION P 7 V7/-�pp
fi4 C-f4C
FRAME BIL / D ? MI 0(D 07 c•- - -.-_ _ p1 `, -- - — _
"'i'
_ -
INSULATION 1�6NC p p' /�Qec� a Lp
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL t
f
i FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
3« r
T Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
�'OtEp ;►1e Building Division
Thomas Perry,CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
'Office: 508-862-4038 Fax: 508-790-6230
PLAN REVIEW ,
Owner: Ib o ti JVU*6LLtr Map/Parcel:
Project Address ,*?D* ramo-4i e `. C'r- Builder:
The following items were noted on reviewing:
�G'ZCd ! !! LLL- ZE �l��OtLI�L) /2E�G1�GE���jffi(G�wJkf��
I� f�i(Jl� `l � l: [.El4?{�4��E �Q'�3d2f� ✓-'�R�E'/'S•� �t"!�-� . `"_� �
Reviewed by:
Date:
Q:Forms:Plnrvw
t RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $10
Residential Addition 50.00 ' _ D
Alterations/Renovations 0
Builditg Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVJNG SPACE
square feet x$96/sq.foot x.0041=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS.OFEXISTING SPACE
Q=F "' square feet x$64/.sq,foot= —x.0041=
plus from beI (if applicable)
GARAGES(attache &detached)
3L. square feet x$32/sq,ft.
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00 . .
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00 ..
>1500 sf-Same as new building permit:
square feet x$96/sq,foot x.0041=
STAND ALONE PERMITS
Open Poach x 530.00=
(number)
Dec x$34.00
(number)
Fireplace/Chimney x$25.00='
(number)
Inground Swimming Pool 560.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable) Z
1q,
Permit Fee sit,
Projcost .
Rev;063004
ar
The Commonwealth of Massachusetts
Department of Industrial Accidents
" d Office of Investigations
"
d 600 Washington Street
OWE Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insuran a Affidavit::BuUders/Contractors/Electricians/Plumbers
Applicant Information I✓i g. Lf f)oAn.e Please Print Le 'bIy
Name(Business/Organization/1-ndividual):
Address: a"O ?71.V1n1*4 l/V,
City/State/Zip: ��ru r .M14 02W5JPho et
Are you an employer?Check the appropriate box: Type of project(required):.
4. ❑ I am a general contractor and I
1.❑ I am a employer with 6. ❑New construction .
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a`sole proprietor or partner- listed on the attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have g. .❑Demolition
workingfor me in an capacity. employees and have workers'
Y P n' 9. ❑Building addition
[No workers' comp.insurance comp. msurance.t
quired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their 11. Plumbing repairs or additions
3.�' am a homeowner doing all work ❑ . g P
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.] .
"Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Hbmeowners 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.#: 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
Investigatios of the DIA for insurance coverage rage verification.
I do hereby ce- un r pains enalties of perjury that the information provided above is true and correct
Sy
r 'Pho e#� =0
f Official use only. Do not write in this area,to be completed by city or town offcciaL {
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#: .
Inf®rmati®n and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more
of the foregoing engaged in a joint enterprise,and including the legal 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, §25C(6)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,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."
1' .
Applicants
Please 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
employees, 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
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the ldw 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
I
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 permitllicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Sile 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 burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone-and fax number:.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600'Washington Street
Boston,MA 02111
Tel. 4 617-727-490Q ext406 o.1-877-MASSAFE
Fax:9 617-727.1749
Revised 11-22-06 1,
www.mass.govidia
R
e Town-of Barnstable
TM r
°^ Regulatory Services
* 6'r'AMM Thomas F.Geller,Director
y Mass. $ .
ib.9' Building)Division
��fD MA'S a b
Tom Perry,Building Commissioner
200 Main Street, Hyamiis,MA 02601
Office: 509-862-4038 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, c
Type-of Work: Es'tTmated Costa'f
- ---
tlddrf Work: �J4�ee,.»&411 Lill,
ate :_
Date_ofApplication:
I hereby certify that:
Registration is not required for the following reason(s):
[)Work excluded by law
❑Job Under$1,000
11B dmg not owner-occupied
rD6ftet:pulling-own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD 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.
y 4+
Date Owner' am`e- �
Q:fo=-.homeaffidav v
Tame JSZxn(eontoaae� .
prescriptive Psekegm far floe and Two-F'ansHY Aaideatls3 Baiidlagy Hsstsd�r9ill possll F pels
1HA.�CfIHtIM MIIt'iUA3(
GIL-t ing Glazing Calling Wail + Floor Ba=nrw Slab •I3eaflug/Caolting
Arcs Clad U-value= R-value' ' R•value R-Yuluc' Wail �Peslracw Eop=cnt EtSdeacy9
P 'tea R value° R-nlue�
570I to 6500 Hefting llegm Dada'
1Z°/a 0.40 33 13 l9 10 if Normal
• � 1ZYs 0.5? 30 I9 + i9 10. $ N0�
R ' ''3374f'US
g . I2% 0.50 31 I3 19 ID 8
IS/® 036 31 13 23 NIA NIA. loraisl
T Norsaal
�p 15% 0.46 33 I9 19 10 S
y 15% O.A�S 3>i I3 23 NIA NIA t5 AFUE
p� 13% 0.52 30 19 19 10 U AFUE
�g 11% 032 31 • 13 21. NIA NIA Alommi
Y 11%. O.42 33 19 25 NIA N19 Normal
z M . 0.4t 31. 13 19 10 d 90 AFUE
0•.30 30 I9 19 IQ 6 AFUE
I, ADDRESS OF PROPERTY:
2, SQUARE FOOTAGE OF ALL BXTTMOR WALLS:
3, SQUARE FOOTAGE OF ALL GLAZING:
4, % GLAZING AREA.(0 DIVIDED BY42)'
5, SELECT PACKAGE(Q m AA see chart ahavc);
®' OTHER IdiORE INVOLVE I MTHODS OF DE G ENM'Gy REQUMENIEI�TS
ARE AVAILABLE. ASK.US FOR THM MORNIATION6 '
f
EUIT,DI TGTNSPECTORAPPROYAL!
YES;. NO:
..17
'pFTHETp own of Barnstable
yQ� Regulatory Services
BARNSTABLE, = Thomas F. Ceiler,Director
Y MASS.
i639. ��� Building, Division
'�fD MAC
Tom Perry,Building Commissioner
200 Main Street, Hyannis,]`Lk 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWN"'ER LICENSE EXEMPTION
ATE: 7�
Please Print
C 1 L
COB-L-OCATIC*I' .o�C7 TM4,40 4 6M C 7 u4 F 7
number street
village
v n.ell g(5`5 ) �o- SS'- ce/l
I30MEORTER":F �1 "�� vr I
name ' . home p* ne 4 work phone r
CUTFZRENT-DIAIL--ENTG A-DDRESS:_:...:c:2C) T—rA m
ctty/to am state zip code
The current exemption for"homeo\vners"leas 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,pros-ided that the owner acts as
supervisor.
DEFINITION OF HOMMOWNER
Perscn(s)who oN rs 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 homeo«toner. Such
"homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be .
resi)onsible for all such work performed under the building permit (Section 109.1.1)
The undersigned"hemeo-,ner"assumes responsibility for compliance-with the State Building Code and other
applicable codes,bylaws, rules and regulations.
The undersigned."homeowner"certi ies that he/she understands the Town of Barnstable Building Department
minim inspection proced lires and requirements and that he/she will comply with said procedures and
requ' ents.
tun= Homeov.mer
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 12 7.0 Construction Control.
HOMEOIVNER'S EXEAlPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the proNrisions
of this section(Section 109.1,1 -Licensing of construction SupMisors);protrided that if the homeowner engages a persons)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are una A,ze 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 licensec
Supen.-isor. 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 bomeo•vner certify that he/she understands the responsibilities of a Supendsor. Or,the last page of this issue is a form currently used by
several tovms. You may caret amend and adopt such a fornv'certification for use in your community.
Q:forms:homeexempt
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map t, 03_ Parcel 17 , F s� T ,t3LE Permit#
_ TOWS� O 0 E,
Health Division • -W: 3 M Date Issued
?�g,2 APR 25 Air q. 43 �j
Conservation Divisio `4 -LUG Z Fee y"Y I. 0 -f
Tax Collector
Treasurer - �oZ 0H
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address a ® -Mum ( In LQy) -
Village C_.0+u 1
Owner 1 ��� s� 1U I Address a® -vim +'1 Lei hk, 1-l
Telephone P
Permit Request k e. i� (-X 1 S 0�e_ c_ k cvd 10 ' a l(5n � mv-
ve+ Q1 (
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Valuation " Gbh Zoning District Flood Plain Groundwater Overlay
Construction Type L&i15`0
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting docl mentati.. --�
Dwelling Type: Single Family f Two Family ❑ Multi-Family(#units)
<; N
Age of Existing Structure Historic House: ❑Yes g No On Old King's Higli-w y: ❑Y9s No
co
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other `'' ZZ Z;-;
o
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) .' w
— m
Number of Baths: Full: existing new Half: existing new
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
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing Cl new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
1/�,� BUILDER INFORMATION g5_ep, 5� 4y S y1,7
Name R 1 c��l�� `1 Y &-fA Al I C,ano t r Telephone Number 50 7- 7-7 , gad 66
Address e�, f Y\ License# 9 9 c
4 0a 0 I Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO yF 1-1M& bl,M-rp
SIGNATURE DATE o�
FOR OFFICIAL USE ONLY
PERMIT NO:
DATEJSSUED
` MAP/-PARCEL NO.
'J �.
ADDRESS VILLAGE
OWNER
k.
DATE OF INSPECTION: I
'K
FOUNDATION
FRAME
i
INSULATION
FIREPLACE
' ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
T
? A'1rkc!0-j-- ?' To
DATE CLOSED OUT
. E
,R
ASSOCIATION PLAN NO.
k
y4
R
E
f
°FIHE T°w The Town of Barnstable
BA LB.MASS. �,- Department of Health Safety and Environmental Services
MASS.
7� i639• `eo a.
prFDMP�a _ Building Division -
367 Main Street,Hyannis, MA 02601
Office: 508-862-4038
Fax: 508-790-6230
PLAN REVIEW
Owner: _�, v rrL-1-)v L 1 S Map/Parcel: d 15�' 11V�5—
Project Address: A c�) `TW u/W 4 At ro Builder: rr r5 it./ WL�_
f
r1
The following items were noted on reviewing:
Reviewed b L
Y-
Date:
q:building:forms:review
The Town of-Barnstable
Regulatory Services
Thomas F. Geiler, Director
-Building Division
Peter F. DiM.atteo, Building Commissioner
200 Main Street;Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
i1OME 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. y�Type of Work: Ca C'f- Di C_k Estimated Cost 1�
Address of Work: ao 1 I ,
Owner's Name:' V ' 1 �Z-� l`�1X_du ( 1
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
[]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: '
Date �1Gk Contractor Name 61, Registration No.
OR
q:fo=s:Aff1dav
:rev-122001
The Commonwealth of M assacn useus .
.... r Department of Industrial Accidents
-
_ 600 Washington Street
Boston,Mass. •02111
��='c`y •• Workers' Con easation Insurance Affidavit
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am a homeowner erformin all work el£
i am a so a rietor and have no one wbzldn u ldin
capacity
I am an em 1
er pFovi g
wor loyees working on this job.
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(3QgI1CC:rain::::,.rr..•<'<:::::•>:-x:.r:::•:<.::•::?:•r..;;.<;.�?::;:;,.::..:;L;L•:{.<:•}::.�...:, �
ire to secure eovera;e as regidred midersection 25A of MGL IS2 can lead to the I aposition of eti¢ntnal penalties of a Sne up to SI,500.00 md/or
m yam}impre c overat as wen as civil penalties is the form of a STOP.WORK ORDER and a Sne of 3100.00 a day against me. r understand that a
spy of this statemeatmay be forwarded to the O1IIce of Investigations of the DIA for coverage verification.
do hereby certify under the penalties of perjury that the information provided above is+trt�and eorred
Date T a�
'i Al,
pr_
CV1 Inn Phone#! F�
l
print name 0 V Y ` CS`P
oincial use only do not write in this area to be completed by dty'or torn oMcial
peisnit/licwe# ❑Building Depattzt�mt
city or town: ❑Licensing Board
response is required ❑5electmen}s Office
❑checkif immediate rop° q QHealth Department
Other
contact person:
phone#; �
(revised 9/95 PJA
Information and Instructions
achusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
)yees. As quoted froin the "law'; an employee is defined as every person in the service of another under any contract
e, express or implied, orai.or written.
rtployer is defined as an individual; partnership, association, corporation or other legal entity, or any two or more of
)regoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
:e of an individual, partnership, association or other legal entity, employing.employees. However the owner of-a
;ing house having not more than three apartments and who resides therein; or the occupant of the dwelling house of
oys persons to do maintenance, construction or repair work on such dwelling house or on the•grounds or
ier who empl
g appurtenant thereto shall not because.of such employment be deemed to bean employer.
in
chapter 152 section 25 also states that every state or local licensing agency shall withhold the:issuance or renewal
license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
3roduced-acceptable evidence:of compliance with the insurance coverage required. Additionally,.aei her the
monwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
ptable•evidence of compliance with the hisi ce requirements of this chapter have been presented to the contracting
ority.
dicants
,se fill in the workers', compensation'affidavit completely,by checking the box that applies.to your situation and
plying.company,pames, address and phone numbers along-with a•certificate of ms rance'as all affidavits may be
miffed to the Department-of Inr}ustrial Accidents for confirmation of insurance coverage: Also be sure to sign and.
e the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
ig requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law"or if you
required to obtain a workers' compensation policy,please call the Department at the number listed below.
y or,Towns
ase be-sure that the affidavit is'complete and printed legibly. The Department.has provided a space at the bottom of the
:davit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
'tire to fill in the perniit/liceuse number which will be used as a reference ni nnl}er. The affidavits may lie retxmmed to
Department by mail or FAX unTess'othei`&angemeuts have'beea made:-•--�--.-- �--_.. _. �._........_
e Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
ase do not hesitate to give us a call.
►e Department'•s address,telephone anal fax number: "
The Commonwealth .Of Massachusetts'
Department of Industrial Accidents -
CMCe of Wvestlgatloas
600 Washington Street
Boston,Ma. 02111.
fax#: (617) 727-7749
phone#: (617) 7274900 ext. 406, 409..or 375.
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Board of Building Regulations and Standards
One Ashburton Place - Room 1301
Boston. Mas usetts 02108
Home Improvemek� 6ntractor Registration
Registration: 119266
Type: DBA
—_ Expiration: 06/12/2003
All Cape Deck & Remodeling 1 _ — n.
RICHARD MOEN
PO Box 1911/ 18 Knoll St
Brewster, MA 02631
Update Address and return card.Mark reason for change.
n Address Renewal n.Employment n Lost Card
�1re Vi oorvrea.uuea`C/ �../�aaaaclzuaelta __ _
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registratr 19266 Board of Building Regulations and Standards
4:!expiration g6/�12/2003 One Ashburton Place Rm 1301
Boston,Ma.02108
( Typed D13�4
All Cape Deck&k6ir.o-ddl
RICHARD MOEN `^
f
PO Box 1911/18 Knoll-St-_'
Brewster,MA 02631 Administrator Not valid without signature
� � .•, fee V�arr�nlza�zui�'a� o�� czc�u�aP,%.� Ili
BO lk,4OV Br1@DINGGREGULATIONS
?? License g615TR GTION S�1PE1��✓ISflft j
= Numbe*r es 063999
F
�i srEhd tee D910211,
Mire, �( 1/1?J2�02 " Tr.no: 6260
Restricted To:
RICHARD C MOEM _
PO BOX 1911 r 9.f ��_:Jl�file✓`
9REWSTER, MA 02631
Administrator
i
Town of Barnstable
F THE Tp�
"o Regulatory Services
Thomas F.Geiler,Director
* BAMSTABIA •
9� MASS.1639. Building Division
�0
'OrEn '�° Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT#
7911 9 9 FEE: $ 00�o
`
SHED REGISTRATION
120 square feet or less
Location of shed(address) Village
5vl Y2,-w r72y2f-
Property owner's name Telephone number
10)( 12. e)?
Size of Shed Map/Parcel#
-2 J7/yV
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction? ,(�
Conservation Commission(signature is required) -7 ZJ o y PVX,
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:121901
L P.
FND.
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LOT 44
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LOT 43
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RES ZONE.- "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE "C"
Bank Use Only
TOWN: _COTUIT-------------- REGISTRY OWNER: STEP_H_E_N &_JEAN B_U_N_TI_N_G________
DEED REF: _ CTF. 155811 ___ BUYER: MICHAEL_J_ & NANCY A_ BURI7ULIS ___--__-_
DATE: _5 3%1________---_ PLAN REF: _L._C._3tKOU—C- ____SCALE:1"= _30FT.
I HEREBY CERTIFY TO JOH1V _W_ KSIVNEY_ESQIlIRs___ 1N'p� YANKEE SURVEY
___THAT THE BUILDING '�?�
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL CONSULTANTS
SHOWN AND THAT ITS POSITION DOES ____ CONFORM A. = 40B (SUITE 1)
THE ZONING LAW SETBACK REQUIREMENTS OF THE '-' MER111��N ;I
[AREA
OWN OF _BARNSTABLE _ Na. 1 INDUSTRY ROAD
__AND THAT DOES_ NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD �faE MARSTONS MILLS, MA. 02648
AS SHOWN ON THE H.IJ.D. MAP DATED_ 292 TEL: 428-0055
o nit -Panel 250001 0018 D FAX: 420-5553
_ ___ —_--_— THIS PLAN NOT MADE FROM AN INSTRUMENT 30934 LM
L A. MERIR SURVEY NOT TO BE USED FOR FENCES ETC.
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FAss6ssor's map and lot number ... ................... .9
................... �Oi TN E TO
ewa a Permit number .................. < d
g u�. ®............................ SEF�i TIC SYS"TEM MAST BE �Q o
INSTALLED IN COMPLIANCE
Z BABHSTABLE, i
Holjse number ............ . ............................................ " � r Mass
WITH ARTICLE II STATE °o i639•
€. SANITARY CODE AND :TOWN �OypVa
. .
TOWN OF .-Y--BARMSTANB
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO "....... ............................................................
..................
TYPE OF CONSTRUCTION ....W: 11...... ...................................................................................
E,9...7-T
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby, applies for a permit according to the following information:
Location,:, e �....4,41 ...........Goo, lit ............................I.......................................
ProposedUse ...Rz.5.................................................. ........................................................................................................
ZoningDistrict ...kr: ..........................................................Fire District ......:.......................................................................
Name of Owner .... /!°�//1!-A �..T CG<,0Address ..A ex
Nameof Builder ............. .....................................Address ......�.j..........................................................................
Name of Architect y �/ , <d... zv.A....................Address ....... 2�...
Number of Rooms �� .... 4W. G�Q2 �Foundationd' .................. ...........
Exierior ..... ...Roofing ........................................................
Floors Interior �6tx.
......................................
Heating 'T.c!y!.-�f/a/�..............................................Plumbing ram, fib
Fireplace /,`/**/.&.w...... ,I.A'p ....................................A roximate Cost .� �j
pp ........................5..3..6.....
..4 .......
Definitive Plan Approved by Planning Board --------------------------------19________. Area ...../................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
7
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..... ...... ;4----------------
,I
'r
Seminara Const 4
r --.'Permit for
...............................................................................
Location ...Lbt_.�j3••.Fnftman-•i,ae••Cc1tuit........
...............................................................................
Owner ................................
Type of Construction W.aad..frame.........
.......................................... ...............................
Plot .....M39....L..145. lot .................................
Permit Granted .................JU1.y...3.1........19 78
-Date of Inspectional ....... .............19 `
Date Completed ....,�ls� � .........14
PERMIT REFUSED `
...... ...................... .............. 19
...... .. ... .!!�l.Y. ........................
. .. .... ................................................
............................................................................... • r r
Approved
.....................':......................................................... '
t
%I"`'� TOWN.OF'BARNSTABLE Permit No. 20440
------------- —
Building Inspector"az`
»n.n
i ■..A �. Cash --------- ---- —
Bond X I78
OCCUPANCY PERMIT ----- ----__-��`�0
No building nor structure shall be erected, and no land, building or structure shall be
used for a 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 Scminara Construction Corp. Address Box 860, South Dennis, MA
lot #43 20 Truman Lane, Cotuit
Wiring Inspector Inspection date �` j .,
Plumbing Inspector, � Inspection date
Gas Inspector R � � A I Inspection date
✓ Engineering Department '14,41"Z ����� � / Inspection date
THIS PERMIT WILL NOT BE VALID,`AND THE BUILDING SHALL BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
................ ...........,.........., 19 ..............._... ............... ..Building..Inspector .......................
p L D T". 44 .
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5/�� Ft �.✓ --- �E-ET LJc30✓� Z�O.d73
L O C.4 T/ON �C�9
- :%4 TL-
F�GAA/ A2EF , ENGE:
LOT• 4 3 AS ":SHOiA1N N
;Y LAND ^C-O R7 PLAN 3L O.&C
Aft lyi Mq
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swL-FT �.
1Qw.aa: fE'QEBY: C,Pr/x"Y 7'i4/A7' 7`4/, ,6X/sT
/NG FOUNDA T/OJ V GOC.47'•iQN 1,15 P�
A �,� .4s 3h�oh/n/•A��_�CZ�?� _CD•vf"O,�'-�y wirN
OF TN p
&' 4t/(G•GC74G/.� .Yd42,/�-f4 7°�/'X�.��'T M.�, p ,�
Assessor's Office(1st floor) Man Lot 1,+�° Permit#
Conservation Office Oth floor Q, ��`�� Date Issued Z -
Board of Health Ord floor CJ
EEPTiC�S ST BE
Engineering Dept. 3rd-floor House# INSTALLS ANCE
w i
19 IRON E AND
TOWN R ONS
(Applications processed 8:30-91 & 1:00-2:00 .m. ;
TOWN OF BARNSTABLE
Building Permit Application
Pro'ect Street Address 6 UvtkyxJ 1—ioc M
t
" Village G6 T% U t Fire District
Owner Le.) f}27 #0130Ab-dress
Telephone
Permit Rcauest: ADD 1 1 0 I'd - 7 e- Cie--- G Le �4,4-1
ee- +>n /�" ►ate, �L[�v a d �,,�
41 '�"' "Im,CI C. 12,0 . Or
Zoning District �-¢ Flood Plain rL o D -Rout a Water Protection
Lot_Size Grandfathered
Zoning Board of Appeals Authorization Recorded
Current Use S "�G'u" Fl"I �-`/ Proposed Use
Construction Type bee-(L4- IN-0 6 U.ra o Y-) P-R-O w ca—
. / Eaistine Information
Dwelling Type: Single Family v Two family Multi-family
Age of structure CAI ST'1„1 6 Basement type PUZ-1- 1=0 o u 0 - a 7►� - _CID v 10,&0
Historic House ��d Finished
Old Kin!' ghMLay Unfinished y�
Number of Baths No.of Bedrooms �-
Total Room Count(not including baths) S First Floor
r
Heat Type and Fuel H'd r w -6,L.Central Air a Fireplaces
Garage: Detached Other Detached Structures: Pool 14 e N iL
Attached Barn ti 0?v -C
None Sheds /L a Al C
Other
Builder Information
Name J�/ �G' ((L J L�✓L� Telephone number
Address 3 /3 -(D-9 !&ryL / LL License#
0,f!MLyl ( L,9 01A: Home Improvement Contractor#
Worker's Compensation # N
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3�� LAIR b F/ L 2�
Pro'ect Cost I 0 40-
Fee �2 O
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
Z U BPERM T
4/24/ 5 y FOR OFFICE USE ONLY
039. 145
ADDRESS 20 Truman Lane VILLAGE Cotuit i
Ward Huber & Margo Hint Huber
OWNER .�
DATE OF LNSPECTION:
FOUNDATION_. r
FRANE
INSULATION
FIREPLACE '
,
ELECTRICAL: . ROUGH FILIAL i
? ,
PLUMBING: ROUGH ` FINAL `
GAS: ROUGH FINAL
FINAL BUILDING:
DATE CLOSED _
ASSOCIATE?I?I;i .
f"=a S!M 3 �• r 1 .1w s .5 a .. tr �� � fi/^••
i
COMMONWEALTH , x J. � F�NTd��,P4JBLIC SAFETY , `� 7 M�tsteAratttsStot�Bdl/ilea,
OF - 1)NE`.S BtS M PLA P.� r C CIQpe/ aPrltf► IT�t �f�w
Q`AS ►CHUSETTS
t
EXPIRATION DATE
},u � I •_ FORYRO•?ECTIO,N AGAINST.
04/30/1996 FFE=: WE' ATE IGNO��� , TCI FT;
RESTRICTIONS ' �� r�r xr y k' x F1T RIGHT THUMB. .,
NONE 0�/ PRINT.INAPPft01'RIATE
BOX�1N LICENSE.
`W' �)UN-5, D2 '� BLASTING OPERATORS
SS .1l 02b-3$-5166 OSTL ;t ' 0f2b5 t �i7. "MUSTINCLUDEPHOTQ i
�1ynh
.PHOTO(BLASTING OPR ONLI� f �..
1 �•ODi � N .� L.SIQNEtlBaaIJCENSEOQEFICIALLV ( t I },pia �1r
'2u-.r-Ya+.a } tlEN �• lb1 I�ti-
HEIGHT:,
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I DOB
4 30/1:,94 9"' �Ci s9�a ...� ��..
THIS'DOCUMENfiyMUSri•e .- - "' #a SIGN NAME,IN�, 51 El�lyt�Ery
CARRIEDONTHEPERSON 1VRE OFL1ENSEE
THE HOLDER WHEN'EK s� k�` ; ' �?�� "fir '7 jt LS ,•t '�' { 4t v� -
•OTHERS-RIGHT THUMB PRINT GAGEDINTHI90CClJPAT10 �[ -r,F.( i`.�k,� ;�<. �, S910NER
HOME IMPROVEMENT CONTRACTOR
Registration 118709
Type - INDIVIDUAL
Expiration 04/13/97
FRANK J. HEIDENRICH r
313 TOWER HILL RD
ADMINISTRATOR� RVILLE MA 02655 �
i
of t�
• BAMSIABU-
The Town of Barnstable
peg Department of Health Safety and Environmental Services
" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-775-3344 Building Commissioner
For office use only
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-xisting 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: 1 lD D " DG<k- fir I—. j 011 Est Cost 10 S—
Address of'Work.
_1iC3 ('�fUV!/YI U. (�y� �' 0% `J
Owner Name: �? w/Z_ C4d
Date of Permit Application:
I hereby certifv that:
Registration is not required for the following reason(s):
Job under 51,000
Building not owner-occupied
0%%mer 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 fora permit as the agent of the owner:
nar Contra r name Registration No.
OR
Date Owner's name
11;02'94 17:02 *C617 7 27 7 122 DEPT IND ACCID Qo
CotjunoizuUea& ol &Jacl"4etb
' a1J�arti,tenE o�.�"�Erial�cc�dent�
600 W while# n.,Slmn l
James J.Campbell &Ion, MaaagwA 0211 f
Commissioner
Workers' Compensation 'lttsurance Affidavit
with a principal place of business at:
(Gtp/stma/zlip)
do hereby certify under the pains and penalties of perjury, that:
0
I am an employer p>rovid'mg workers' compensation coverage for my employees working on
this job.
Insurance any Policy Number
I am a sole proprietor and have no one working for me in any capacity.
() I am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation policies:
S 7-6 insuranceCompany/Policy Humber
Contractor
PC - ,*1itVeP
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy dumber
{) I am a homeowner performing ail the work myself.
1 u?der<_cand that a copy of dhis sltement will be fone.zrded to d:e Office of investigations of the DiA for coverage verification and that failure to secure
cove-age as recjired under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or Cr.
yea-s' impri<o-Went as well as civil penalties in the forns of a STOP WORK ORDER and a fine of S 100.00 a day against me.
Signed this day of
e eelPe tee Building Department
Licensing Board
Selectmens Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
"
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LOT 44
160 sue.
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LOT 43
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FND.
LOT 42
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0 WNERS- ROBINSON, WILLIAM, HELEN, ROBINSON, WALLACE, EXECUTOR
RES. ZONE.- "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.• "C"
Bank Use Only
TOWN: -CO-WLT-------------- REGISTRY OWNER: S�'�'_AR_0yT________________--
DEED REF: -fTF--7-8206--_-__-BUYER: �L�JBLB______
DATE: _3f���5____________ PLAN REF: _LC_366Q8_C_3 ----SCALE:1" = 30 _ FT.
I HEREBY CERTIFY TO PLYMDIITIL hfDRT�A� .�Q__--_ .���1► of yANKEE SURVEY
___THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS o� PAUL cyo CONSULTANTS
SHOWN AND THAT ITS POSITION DOES __—_ CONFORM A. 40B (SUITE 1)
TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 8 MERITHEW H INDUSTRY ROAD
TOWN OF ___L?A&Y_ 'TAZU-------------AND THAT �, No.32099 c
IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD �fClSTER�� �� MARSTONS MILLS, MA. 02648
AREA AS SHOWN ON THE H.U.D. MAP DATED_�?f�9_Z__ LaNOS°Q TEL: 428-0055
Co nit -Panel �50001 0018 D FAX: 420-5553
_ ______ THIS PLAN NOT MADE FROM AN INSTRUMENT 16476 BJS
�AUL� [1 HE11� PLS SURVEY NOT TO BE USED FOR FENCES ETC.
GoNSTQ�GTiov %ET.tf�S
ADD,TIDM— DEGc fkhw1
-----__----...-- -...- ..._,._..___..-.__.
- •Jo,sT IFh.�CEYl_$ p wous� -1- CCGe -ADD. co�u.
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ADD D fa< AW1010VA17 y ,eDX
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LOCUS
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4 0
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LOT 44
A.M. 391-46
COTUIT
LOT 43 %/ LOCUS MAP
PLAN REF- LC-A.M. 391-45 % CERT REF. 1751826085 SH. 3
1S AREA=21,958fS.F d/ ZONING: "RF"
SETBACKS: 30'-15'-15'
FLOOD ZONE.-
PANEL NUMBER: 250001 0018 D
DATED.- 07—02—92
PROPOSED �j/ PLOT PLAN OF LAND
ADDITION � LOCATED AT.•
TRUMAN LANE
Q Ole ��' ��o/ CO TUIT, MA.
��. �' ����' ♦�a' / °1� LOT 42
PREPARED FO
A.M.k 391-44 R.-
►�°'� �'41®® WALTER & SYL VIA DONNELL Y
nF
FEBUARY 08, 2007
� s STEFH=N u �
® o J. ►
REV
REV
��• s �` ®� REV
YANKEE LAND SURVEYORS
GRAPHIC SCALE & CONSULTANTS
30 0 15 30 60 P. O. BOX 265
UNIT 1, 40 INDUSTRY ROAD
MARSTONS MILLS, MA 02648
TEL• 508—428—0055 FAX 508—420—5553
1 inch = 30 ft.
' SHEET I OF 1 JOB ! 54188 JF