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HomeMy WebLinkAbout0022 CENTERBROOK LANE �� i r� � 1 o s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ;� Parcel ' Application#62 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application FeeV.�® Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Ce J�F/3oA6 Historic-OKH Preservation/Hyannis Project,Street Address Village Owner = �11 Address SA C_e r)4--P r JJrn,,k_ In vie Telephone m g- 41 - W,241 Permit Request �l= �. �, (J S� Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation LC 00 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 :R.1 Historic House: ❑Yes &No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other 710 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new rNO Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count ' c.rJ r Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other { crl 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 ❑new, size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION r� ,�d � �I Name ;,- Telephone Number �7�-�J ` �(��! 3� Address �f fi �d ,> G( x� License/'064 # enh f f, Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� '� r FOR OFFICIAL USE ONLY r `�• M ERMIT NO. DATE ISSUED t MAP/PARCEL NO. ADDRESS: VILLAGE ;- i OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE 1 kk ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. s °FINE Town of Barnstable Regulatory Services snxNsz^si E. ' Thomas F.Geiler,Director p116 ' p`e� - Buildin Division Eo� g 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: Its/), Estimated Cost Address of Work: g —.cesC' ke i luoc��� Owner's Name: Date of Application: Tri I!I)/n 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 [gO<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 for a permit as the agent of the owner: Date Contractor Signature Registration No. OR Dat Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations ' a 600 Washington Street Boston,MA 02111 www.mas&gov/dia Workers' Compens.ation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizationa&vidual):. SUS ta,zt Address: 2Z City/State/Zip: he1- 0, 3,L Phone#sue- 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 employees(fulland/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 t ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9• ❑ Building addition [No workers' comp. insurance 5• ❑ We area corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3. I am a homeowner doing all work right of exemption per MGL ll.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12•❑ Roof repairs insurance required•] t employees. [No workers'' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inforrmtion: `• t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must.submit a new affidavit indicating such xContractors 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.Lie..#: Expiration Dater 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 cap 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Simafore: Date: 8 2 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): I.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 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. Howev..er 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." Applicants Please fill out the workers' compensation affidavit comp f. completely,by checking the boxes that apply to your situation and,i necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificates) 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 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 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 gf Investigations 600 Washington Street ` Boston,MA 0211 L Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www,mass.gov/dia �F'THE,� Town of Barnstable moo„ Regulatory Services BARN STABLE, ; Thomas F.Geiler,Director 9 mnss. g 039. a,0 Building Division rFD MA'I 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 Please Print DATE: Z 9(D(o JOB LOCATION: a IrPin A,P,,Alaak- la h�e_ &in y�ry/�� number street village "HOMEOWNER": -�1�s�4'!� (./?�_ 3�t�— CO���� ��'y� .S6&--�2 Yf k,3y7 name home phone# . work phone# CURRENT MAILING ADDRESS: city/town �— state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ep rvisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeown r Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt °FtHE ra,, Town of Barnstable Regulatory Services + BARNSPABLE, MASS. Thomas F.Geiler,Director 9� 1639. pTEDena+° Building Division Tom Perry,Building Commissioner t 200 Main Street,Hyannis,MA 02601 Al Office: 508-862-4024 Fax: 08-790-6230 May 2, 2006 Ms. Susan Yee 22 Centerbrook Lane Centerville, MA 02632 RE: 22 Centerbrook Lane Centerville, Ma 02632 Map 172—Parcel 248 Dear Ms Yee : This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-14 (A). You must contact this office by May 22, 2006 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, Linda Edson Amnesty Zoning Enforcement Officer Building Department V Q:zoning5 °ME T°y, Town of Barnstable Regulatory Services sa ASS.Mass. ` Thomas F.Geiler,Director y M � �A 039. ♦� A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 March 29, 2006. Ms. Susan Yee 22 Centerbrook Lane Centerville, MA 02632 Re: Illegal Apartment—22 Centerbrook Lane Centerville, MA 02632 Map 172 Parcel 248 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. t You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Linda Edson Amnesty Program Zoning Officer Building Department gforms:zoning3 iii-6s_____ -�a- -�rzvc-doy vw 7!' ODbI:39VdS1lVj3B PBPnlaw'slllnAle'P/�'e �, L8L �8E 805 ample set un- Nyp�:Studio.Bath. dry fa i bull fin.$6�o.includes. 5 • '� Ing.. d n 5(8 778-50A2 703 m na Lodging,B HYANNIS YARMOUIH 705 One DENNIS i HARWICH AREAS: sir Wanted b• t from:$74 CAREFREE LIVING ' • • 707 Two.Bedroom a AT REASONABLE RATES • note 4 House 5iih from:$788$g16 �_ •;, ,• a roperites.com R 710 All rentsOTATERHEAT& We offer localN owned dean, wait ned 1 B RT:Prime H 12 bedroom units. ' YAl w` building site. �l `� *24 Hour Maintenance .._ I eve► 200'frontage. 715 •Annual income vide *Senior Cittmn Discount 362-1�6 tD 720 lines from y$based on *small pets.atlovr� -- E in some units G� H00uses Y e725 unit&household size) - � � v�J" SD8-394-8800 x154 or 152 i Condo 730 For rentalinformation: 1-800-822-3422 . .BARNSTABLE HARBOR: wawa- 732 Mo 12pp State Street•� terfront office spacesthw Summer. + ble: 900 sq. fifL wwaa 733 Bier,MA 02631 • -$2250/mo includes utilities• Winter Rentals (5p8)896-5073 U 2nd level 397 st, $785/mo m Ron 734 TA 14MO-238-0782 www.davenhg Op orlunt n inc Of". Pe Equal Housing OPPortundy !.'� BOURNE: Commercial Land. Florida Rentals 735 EQUAL HOUSING HYAN IS NTERVILLE/ a �� H'�gh traffic,$499,000 1+- OPPORTUNITY NN ��EE �1t' + ACRE: $1,450,000-5 Yi+ yomtion Pr 737 Units available on an open FALi+A0l1TH Spacious 1 8 2 VuSEAcres. 740. occupancy basis bedroom apartments,$700 • BOURNE. Auto repair, high Nursing Ho $12D0/monih Plus utilities. • traffic,permitted,29T front 745 BUZZARDS BAY:2 BR,$975 re Pets.1st,last bl sable indu age, 4 bays, 2 1•dts. Turn (Amrr�rcial aired Basic r-round ndii $489,0�• includes heat & trot water. ad iN on Sotdt► S for Rent 750 b08 212 7353 eel in Hyannis.Yr-round sf _ Call Monfri.508 775 9316 n W�HATHAM. 1820 sf feted 755 pecodcanalapartmeMs.com for i�c 1 (A ace in Rte 28 ppost office Rentals Wanted BR/3of BA / stri mail.Available immedi 760 CENTERVItiE:2 right bright HPEE: /Falmouth area Rental Services t rlc&heat ate�i...::..........$2500/month oversized studios, 50om ideal for 1,quiet Private Onn- �DENNISPORT Cottage Con- �term'$650 $7. &utilities. dos.10 units 9 Gotta es+ non"smolurig SOS Fi41 834 trance,no daps,Prefer yyear rounds& 1 g smoking, u61s. 900. Dir. Flee. 2 OR house..........$995,000 THANI .Sunny 2 B Sg35/mo.1st,fast,security, e SOUTH t0 , (� Commercial RE Co. FALMOUTH:Quiet,dean, to- room w/dedc Year tease iyr]ease.508 477-5899. tam npht th-n 1-866-362-2123 . fessional + cat needs br gg90)mo sn 97E 8s712o0 Io apt or room to rent Rater- WICH: 1 & 2 ons � HSTABLE:Prime Village cocas avail.508 951 9275 CI�rooTH bedrooms No, o, 40 ecutives Lo(xtion.Four oifice uNts& $800.50 -8242 2 apts. Fully lea�tl. Good ng. Owner/ DENNIS:1 bdrm$685+. 2 Bro income. Partiker 508-737 4663 brim► $100D 0 YormouUr- n/ BOURNE: Housemates want- . rt$6 .Ipdudes.41111. n- (/ DENNIS'Commercial Condos ad for beautiful&spacious n]s 1 bdrm$725+,*`n"env $75,000 2nd floor, treft home dose to beaches, BR Props(508)394 4446 painted and now carpet,'ren- $750 Includes all. fj tat property or move your (321)723-5002 DENNIS W.:2$r.,1 ba.with business in highly visible BOURNE: Salt waterfront, all deck,beat & hot water In any-1s1 floor unit with ten- eluded. Avail, immediately. pp amenities, privil s, bene e ant in .17ace $85,000 774- �,$600+.508-563-5813. Mr meno@I-774-353-8313 SANDWICH: Large BR wiu- DENNIS,W:Center of village, Private BAP Ie�ef $600 n, mo includes.508 888 6439 2 BR, 2nd flr, large Wing immaculate includes heat e aat $1 OD0,all deposits.ideal for . A, 10(1.Owner,508-737-1776 DENNIS VILLAGE: 1300 Sq. y grad DENNIS. W.: S Cape Apts. I Ft. Office Condo:2 Roars, B URN i Lcabfa,roomienities� New construction. 1 Br. & 66 Central a/c. Endless Possi- 12tion (508)7 a 0 n studios,$75D-$850+ elec- ORT aQ bilydes in the heart of Dennis $ tric. No oet�non-smoking. (Q Villa e......:...,........$295,000 BOURNE:Year round,NOW Section 8 OK. 508-775- �1x�, d Call Patrick Todayl sMOKING, no pets. $125/ _ 2367 or 781-696-0469. U / wk.Kitchen use.References DEmKISPORT: 1 bedroom, &deposrL 508 759 9431. 1st floor.$850/mo.Includes �) CONWAY FORAM BREWSTER:2 large furnished heat/hat water. Call David Realty,Inc. tt....... Br. shared be., ideal for 1, Ho .5DB-790-2303 x11 `J (5og)3g�1355 $660/mo+security de sit. DENNISPORT: 18r., dean & Oqr pre'] No pets.508 247 cory, Imo. 1s last, www.ConwayForanRealty.com BREWSTER: Studio, in nice seemly. 508-208-91 1. 1�G� TOLL FREE 877 385-1455 home,w/li tchenette.$575+ EASTHAM: New building, 1 j DENNIS,W:4300 it Rt 28 a month(508)-896-8081 B�r,�ggas heat with a/c,w/d. • retail$550K.Poss�le owner CENTERVILLE- All amenities, $900+ utils, no 55�5§87 n finance 508 771 8137 $40D+,no pets,non smok- smoking,(508) DENNIS, W.: Great invest- ingg cell 508-Fem 92-ndo 508-028 FASTHAM: Stunning 1 8r., mend opporhiniy to run 10(l9 or 5D8 292 5110 111 Sa, w/d, deck, avail. yyour busfiness from 1 unit CENTERVILLE:Clean&com- now, $9DD/mo. includes 850 sq ft,and live or coked Portable rooms.CRAIGVILLE heat 508-240-3162. rent from 2BRtlBA apt plus MOTEL. 508-362-3401. FALMOUTH: Center 1 Sr., H. meme second unit Prime location, CENTERVILLE:Extra large w/ sunny convenient to all lt off street & frond Partdng, walk-in do fights,pri- $875+/mo. Non smopng, front&rear entrance,prime vats bath. 3600-4619 No pets.508 776 5217. stock)istinp display window.N''�r ran- I ovatBd.•�.•,,._....: $325,000 CENTERVILLE: Quiet nice FALMOUTH, EAST: Studio, sets of•thtl 501�3621993 room,$133 week tot pptivl- waterfront, funs a%prant d coverage Coldwell Banker leges,female 508 364 6303 kitchen,cable N,famished 01 Joy McAbee&Weinert cENTERVILLE:Room w/bath or .In lu es tease.$10 a- coldwellbankercapecod.com in exchange for lawn, car- mo.includes heat. hot via entry'odds&ends,salary ter.508 548 3400. DENNISPORT: Contractors negotiable.(508)775-1257 www.capewind.com ° Specla1.former W.Poten ES fiat club, 2 Family, home FALMOUTH,E•:$155/wk FALMOUTH,N.:1 Br.,2nd fir. business or ddaayy care. Laundry, electric and heat, �,,s�mo+south side,dean, PER. $379,000• 508 385 9155. famished. 508 274 9522. . ing now p�s Ids for 1. FORESTOALE:2 rm. suite in Avail now. 508-563-3918. gt Moved by movies? private home, separate en- '$1oo gift card offer goo Film critic Tim Miller tells you trance,full kitJbathI Weal for FORE fiTD fireplace $1200 mo Rockland Trust mortgage- film what's a hit- 1 non-smoldrtg, no pets, gas to availabinty.Limited tin 3J and what's worth a miss. $i125/wk.508-4 7-026 dudes.(5t58)539 0081 L � _ �FTME Toy, Town of Barnstable Regulatory Services * BARNSfABLE, 9 Mass, g Thomas F.Geiler,Director �A i6;q. ♦0 TE1639. A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 August 17, 2006 Ms. Susan Yee 22 Centerbrook Lane Centerville MA 02632 RE: Illegal Apartment-22 Centerbrook Lane Centerville, MA. 02632 Map : 172 Parcel . 0248 Dear Property Owner, This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by August 30 , 2006 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. . Thank you for your attention in this matter. By Order, dson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 , -� Town of Barnstable *Permit#o D4 C �I o Expires 6 months from issue date X-PRESS PERMIT Regulatory ulato Services F °� AUG.-.1 2006 Thomas F.Geiler,Director Building Division N OF BARNSTABLErom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number / Property Address - . �� LA /i2Q/ 7ce/w&- /11,4. . [residential Value of Work , R"QC2 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address l/5yl—/ � C�izJJ�,��/c'c.��` 1•i�1 �'�rit.�7�--�f✓iC.L,� da�A Contractor's Name_ �i f � C Telephone Number Home Improvement Contractor License#(if applicable) J f-2!z 7�S Construction Supervisor's License#(if applicable) DV/0or1:manis Compensation Insurance C�h.,ec,k ne: LJ'i am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 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. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property t si roperty Owner Letter of Permission. e I ov ent actors License is required. SIGNATURE: C QTorms:expmtrg Revise071405 Department of Industrial Accidents 1 Office.of Investigations' ' . a 600 Washington Street a` Boston,NIA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lep-ilbly Name (Business/Organization/mvidual): � �� �*,,/�, �5��� % 4 ice✓ �'QJ7[� . Address: �� c�G� ��,✓,ti City/State/Zip: Phone#: �_5 Z58- 7�,3 7� Z 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 loyees (full'and/or part-;;me).* have hired the sub-contractors 2. ' I am a sole proprietor or pier- listed on the attached sheet $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9• ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10-❑ Electrical repairs or.additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. C. 152,§1(4),and we have no 12.[�of repairs insurance required.]t employees.[No workers'- comp.insurance required.] 13.❑ Other . *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 cofactors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy inforrrration 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: A;t 6i fc � 1�ri C� . . City/State/Zip: eviu.� 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 certify u er the pai nd aloes of perjury that the information provided ab 7a. ' true and correct C signafore: Date:' : !P. Phone#: d d4- Z 7­2 7 2_ 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. t! Pursuant to this statute, an employee is defined as ...every person in the service of another under any contract of hire, r express or implied,oral or written." •« i , association,Farporation or other legal entity,or any two or more An employer is defined aR::an?nd dual,:p ax hAersk�ip 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. Howev..er.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 wofk�on such dwellingihouse 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 chaptq 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 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), addresses)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the ed to carry workers compensation insurance. If an LLC or LLP does have members or partners; are not requir 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 return to the city or town that the application for the permit or license is being requested,not the Department of be r workers Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a compensation policy,please call the Department at the number listed below, Self-insured companies should enter their umber on the appropriate line. self-insura nce license n aPP I 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 app lict 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.orli6enses..A new affidavit must be filled out.each owner or citizen is obtaining a license or permit not related to any business or commercial venture year.Where a home (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 . L�eparhnent of Industrial:Accidents Office Qf investigations 600 Washingfon�Street . Boston,MA 02111. Tel.#617-727-4900 ext 406 or•1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 vAw.mass.gov/clia 0 e . Town of Barnstable regulatory Services Thomas F.Geiler,Director %.61 , Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabie.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property O�mer Must Complete and Sign This.Section If Using A Builder I �t.lSCk K� yE-E ,as Owner of the subject property hereby authorize �` �F LSF Co►�l S i12 uCTI u P,-t to act•on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date 'Susc. -( �Q2 Print Name Q:FORMS:0WNmMR MM SION f I oardof Bugi`dmg t g IL Ions andStan d M „ HOME IAAP,ROVE�IA�VT CONTRACTOR x y 'e9�stratio49475 i EXR�ra rot may- om � Y*��� � 3J r .4 . `ERIC ENGELSENY� l` "+ �#'YANNIS' MA 0 '� �•"����{ G.G..,.h--� .: aX < fi ? s• k; '{ •.r�.o::a�z `i.".q 'ca'� 'q'.,w''xcfil..:\"ti `ui �.•�,m; � $s;�0.ml'i ?.0 x ;� Y,aao{a� �.�J'�t.�..�. C S � -s'•�•<��2�v:�\�L;�,:.-. ;.`"`C<y§ '�iy�t�\ �.�+. �.• � `�` � i vim' - t �-�: �t • I • •ilr ' • 1• • 1 rr..r • • � • • 1 1 Roll _ • «t - • • • • + D • g;"t.'•�.'�".r}x c�;�• �•"'✓.�x ��,.,�' ;`� •::rt�*'` '.��'� x F� '"��Y:a�'� :::�, k.z�� ;�i:• •�: ��.r. .;<:�. ���•` �,��{,F•.`S.r�OR NO. �~ • •;�. .:• P- e I r v �t - • -- rtti. ❑t • �ti -r, ..La.. :• `• I _.•. .•t I' a al •• !. !•If �=•' •i714 ❑'iw •- t•-11 • • •• •'- • I .••' wY• • P P ti�Y �t •�' -•'r 1�• : I "G1 M i'w P'll'7t ^.`7' >. I: -? -• .-.'1 L © «.: «. _ •1 1 ! 1. i f T.tkli iHb «•::.r n ! I 1 f ! .«. 3•'- : «r - r•- -'-a �« t hh '•rr•r � 1 ,1,, 1��/ 1 LLLff I e; h hh11:3 MINE ilk 3�- •ll• 111� 1, F 41=:` '?C� r ..A•�_ v3i'. :1t' ti 3 -....,.y"." J a,�•:.,,r,y; •�� .�• uy, •2 v-;sn� 'r.v�<?:,:r. •3.` r"�'•:;,v., �:1{,. .,�.,� .:. ..a; 'cr» ?+S�i'.. ,-r J i;.-. � � � ,'�'�'.�✓�'\;.:jl`','•'#,},'i$�%\`37�,,.`;`v>'> q''!vP�^n�i>Yµti"\'' � �<'�....'�tc.:�.---.�.:�.4ct:�x.'1t:,..2}�;s^; �..���','.,-•�. ,,.��,,�. ?',;a• �'�•"�'�,ti..�,�5: ..�.i��..'.,5�` .t.. 1:- • tl 11 I'I _ .`�a's�1`''gF���C.bt"2'�. W t�'-.ei'�<'.'{i' s� .e• �\2 T J �\k�.L'.��'i�:"\.�r'. »x'���•' � z;•'e•v.,-;� v��;,'`)x r 1'zit?'' " s• �.2v a'Si43L�.�',fv i•• J�Y..t's�'..•.� 4 :?`1,2 551+.••v 1'�S Z;}.: •S,)s'. "j i TOWNTJF BARNSTABLE BUILDING PERMIT APPLICATION Z i a Map_t , Parcel Permit# Health DiVision --� - uU �,-�'�'��� O+ B' RNISTABLE Date Issued �-2^0 Conservation Division i oZ �a�" 4.�r,; li # i ad j j �a Application Fee Tax Collector d��/� ��, % Permit Fee Treasurer '--.�--;��;----� - ION Planning'Dept. M % �' SEpTiC SYSTEM MUST BE Date Definitive Plan Approved by Planning Board INSTAA:.1-0 IN COMPUA ICE Wn Historic-OKH Preservation/Hyannis 'ENVIRONMENTAL CODE AND •p.,��►m�RF(9L1L �I'�NS Project Street Address Cc nier b roc)}< ko ne, Village t",P Y1fe-f V 1�I C Owner 5Q Y) \Jez ,o Address 4 9 01dhaw, F,-A &(k u r. N(YI ft Telephone '� �- q 3 9 1- Permit RequestsUA A Va Square feet: 1st floor: existing 4103 proposed 2nd floor: existing a r. proposed Total new Zoning District R C c V Flood Plain Groundwater Overlay Project Valuation cWW` Construction Type Lot Size 2 2 �J Grandfathered: ❑Yes 0 No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure r // Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full C)Crawl Walkout- ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 new Half:existing new Number of Bedrooms: existing Z new 0 Total Room Count(not including baths): existing �5__ new 0 First Floor Room Count Heat Type and Fuel: U' Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑'No Fireplaces: Existing I 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 ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes `O No If yes, site plan review# Current Use - —_— __ ___ _ .. _. _ _ Proposed Use BUILDER INFORMATION Name 4 cv h / Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE V 0 f . FOR OFFICIAL USE ONLY y PERMIT NO. a _ � DATE ISSUED ? t _ , MAP/PARCEL NO. ADDRESS VILLAGE OWNER ,A. \ r � j DATE OF INSPECTION: FOUNDATION ' 5I77f oz +: FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH r FINAL /~ GAS: ROUGH FINAL elk p'�( FINAL BUILDING L51 GIIS DATE CLOSED OUT ASSOCIATION PLAN NO. '.f •� s- 1, ~� The Commonwealth of Massachusetts -= n=• Department of Industrial Accidents Office 911"estiffatiens . _ 600 Washington Street ' Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name C) 0l.r1 �cot -��oy-o6'� ��n� location• L j ci v � ^1 ��� t'� �'�. � "' hone#X6 141 I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in a,ca achy ❑ I am an employerroviding workers' compensation for•my employees•working•on this job. ,..••.••.•:•• x : ro ar ltistlr n ...........%i ❑ I.am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have ^ ' the following workers...compe......n-s on olices: ....P.......:.:..:::::.::::.:::.:..:.:;::::::::.:::.::::::::::::::.:::::.::::::::::::::.::::::::::::::.::.::::::::::.:::..:.:::::::::::...:.......:.......:. :�wmbany:nam . .. .......:............::.::................................ ..... ..:.r..:...:.:.....:....:..::. :$.ddi• .:............ :• ::::::::•.:.;...;;{.:.:.;:ram;:;•;<:<•;<;•:<;-:}:.:;:;;:?;::}:�::•}}}:;•::: ::::::• .........: ...:.:::. .........::.:.... ::•.::•: xiii ,••::...,.::::::::.:,•.:::::.:::::::•:::::.:::::••::. ::..,..... ........;...v:•v::v:.�:::::�:...... r.•:::is+d.ii::i_v v:•::v:•::v:::::•vv::::•.v.:v.vn::,:...,:i.. ...................+:::.:::::•::::::�:•:::::++c•::•::::::]:.}:•}:•r::•}.7::::...;?.Fc...4-:)...::•.:mot. .�:: .:::??;•:•::::::•:.:.. ................... ... ..-..._..r,:•::>:e:;?•:;•}:•}:•:::a}}}r•:};•}::.::....,,s .................. .+{..::,:::::::. .................r»»::::::::}:vii::•:{i:}i.i�:.iS:i)iii:2{ti?{4 ii;:}::}:-ryy?::4}S::s.i:�:•iii:{?•r:•}}} ... •}::j:?`v'i+jiYii'i:_::{4}i:i;-:.}•,;•,Y••:{.:¢'4i}i}}si:}:L}:': v.�:•: :•v:i•. _ _ {{•:;i}i:•}}'r:•iii:�:vi:J}:{v:L:4:?v:�:}}}:::r::::::tiX:{•:::::::.v::::::::::::::.::{+<?•}::::::::.vry;w::::. ...:r ::::::::i}::::::::•::: (i?::?iv::J}::'';:!;:;:':?;i �,+};:;i:;';:;isii$i:}i}:;:;::':{::i:;?.';::;:::j r;:<;;:;ii:y i':;:;:;:;:?:i j'{::,..:j?�s:::y;:;}+:iT::ii'r:::ti:::i:::ti?:)?:i:::�j;:j'....:;.j� ::i :i::iJ:J:f.....:::iv..i'i: •:�:�}>::{•}:::•}:•};:•>:•:•?•::.r:;;::�?:.:::::}•:•::+•:;•»•::::}::::}:•}:•}s:•>:};:}:::>::%;::?�:'ij;.;:r:+�••::::::::.........,�::.-:::........:....:::i:?.not:::::}:.`-::i::�;: ::: Mr Failure to secure coverage as required under Section 25A bf MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby-certify-underthepoins andpenaldes-of perjury-that-the-infbrmationpr-ovided-abo-v"-true_aiid enireet=-__ - ._... Signature ►�1-�'-r ��, /��? :J Date Print name J C.t�'1 Pfione# - '-S3 7 !-(P3 ClIdonly do not write in this area to be completed by city or town of vial n: •� permit)license# • OBufiding Departrnent ❑Licensing Board immediate response is required ❑Select3men's Office OHealthDepartment son: phone#; ❑Other (rAwd 9195 Plgl f t r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,-and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a .._. dwelling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be:deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for.any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. -- ._ Applicants Please fill in the workers' compensation affidavit completely,by checking,the box that applies to your situation'and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law",of if you are required,fo obtam.a workers compensation policy,please ca11`tlie Depaitnierit at the number listed below:. xxxxx City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom�of`tiie affidavit for you to fill.out in the event the Office of investigations has to contact you regarding the applicant. .Please... be sure-6 fill in the.permrtllicense number which willbe used as a reference number..The affidavits ma .lie'retuxned t� the Department by mail'o'r"FAX unless other arrangements have been made: :r. .. The Office of investigations would like to thank you in advance for you cooperation and should you have any_questions. . please do not hesitate to give us a call. t The Department's address,telephone and fax number: TheCommonwealth Of Massachusetts Department of Industrial Accidents Office of Invest1gauOns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 oe 375 �OgTHE rp� Town of Barnstable y�P tiO� Regulatory Services " EMMSPABLE, " Thomas F.Geiler,Director T i6gqMA9S. g' �p . ♦0 �E039'�°i Building Division Tom Perry;Building Commissioner 200 Main Street, Hyannis,MA 02601 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: `1 Lw T)�_Cx Estimated Cost ea-0610 ws Address of Work: A 8 (1 r krnnl< Lcun e. Owner's Name: ��u5klo, -e-L Date of Application: �& ell a oL- I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied 215wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date n ac Co tr tor.Name Registration No. . OR Date Owner's Name Q:fomis:homeaffidav LOT 12 4 i 20, c79.S:;F I, IV . 0 83oq IV J LOT1e ti a� 1 l5w ,g \y LoT ,5 --L ,z Qtir1=D 1�.0 D7rt 2-DI 10 of aSsq CERTIFIED PLOT PLAN ROBERT y, . B. ^ L.oT 14 C ,�rtrQf/�c�, �✓� �6 r✓7E ILye ELDREQuE NEW CQNSTRUCTI.ON ` ONLY , �o� N.a.'193s�? ��; IN :TOh` OF :`FOUNDATION. IS �', FEE �ss��crstERo���� �•.�•�►+t ABOVE LOW POINT OF ADJACENT "L Lai ROAD* SCALE �" = 40 . DATE: .F48 2s�85 1 CERTIFY THAT THE FQ1-l"'A'naN �E EN�3J iNG C CLIENT SHOWN ON THIS PLAN 13 LOCATED EDOSTER REGISTERE® J�® NO. u. 617 ON THE GROUND AS INDICATED AND. C:IYLL LAND CONFORMS TO THE ZONIN@ LAWS EN4INEER SURVEYOR •RY' -- OF BARN$TAD E , MA8 7 l MAIN S T R E.ET CH.BYE .,. .. 4AT HYANRIS, MASS. SHEET.., .OF. RE4. LAND SURVEYOR Th e Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:_ ��s� 1 sCX� ► n JOB LOCATION: number street village "HOMEOWNER _ -56 8 w 6 - name home phone#A work phone# CURRENT MAILING ADDRESS: VV1 city/toe state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and [ other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often.results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN pFTHE►p�� The Town of Barnstable BAR E. MASS.ASS. a Department of Health Safety and Environmental Services 9Qp i639. A 00 O rE A D M Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW . - Ii -=-Owner: Map/Parcel t 1 Project Address: `�`�'' `� Va- Builder: L—i N ' The following items were noted on reviewing: L Reviewed by: Date: q:buil ding:forms:review T e(5 tS�' ► 1A our i 9 zo P-r -,Pgyl j(l `ry ruu��{ 3 3 X s le lit � god �, �'}to fleel, Parcel Detail J ' Page 1 of 3 f 5 ;;d a 42 3 Logged In As: Monday, Mar( Parcel Lookup Parcel Info ............... .. _._.. .. ......:m. Parcel ID 172-248 Developer Lot''LOT 14 ...._......._..—------. - ._._.._. _ ... ....._. ._............ ... __._._ ...._ _.__....... Location'22 CENTERBROOK LANE Pri Frontage; ................ __ ............ ..._.... _._... ......... __....._......__... _..._....._.._ _.._.._....... Sec Road Sec Frontage ...............................-.....___­__ ..._._........._...._ .__. _ Y_...... village'CENTERVILLE Fire District C-O-MM Sewer Acct Road Index, 1959 Owner Info .m.. ..... _. Owner YEE, SUSAN A Co-Owner Streetl '22 CENTERBROOK LN Street2 .......... _ ...._._.. _....._.. .� City!CENTERVILLE State MA Zip,.02632 Country _ Land Info ......... ... ................................................. Acres 10.53 use ;Slagle Fam MDL Zoning i Nghbd 0105 Topography;Below Street Road :Paved utilities:Public Water,Gas,Septic Location Construction Info Building _.. .._ Year 1985 Roof Gable/Hip AC rvNone Built Struct Type Effect" _ _.. Roof Bed 1491 Asph/F GIs/Cm 3 Bedrooms Area Cover Rooms style'Cape Cod wInt all Drywall __..,_.. ._ Bath Rooms Model Residential Total 7 Rooms y' Rooms In Grade Floor Style pq Stories 1 1/2 Stories Kitchen Style Ext ..._ _...... Heat _ Bath Wood Shingle Ceram Clay Wall ' Fuel Split Heat,—Hot Air Found- GBS ...._ _. _ ._...... . Type ation http://issgl/intranet/propdata/ParcelDetail.aspx?ID=11993 3/27/2006 parcel Detail Page 2 of 3 Permit History Issue Date Purpose Permit# Amount I sp Date Comn 7/2/2002 Wood Deck 62153 $2,000 10/23/2002 12:00:00 AM 2/1/1985 B27553 $0 4/15/1986 12:00:00 AM CE 1.! - Visit History Date Who Purpose 10/23/2002 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only 12/27/1999 12:00:00 AM Martin Flynn Meas/Listed 4/15/1986 12:00:00 AM FR Sales History Line Sale Date Owner Book/Page Sale P 1 2/12/1999 YEE, SUSAN A C151998 2 4/15/1993 YEE, PAUL D &SUSAN A C129953 3 3/15/1986 LAPORTE, VINCENT R& C105518 4 6/15/1985 CROWLEY, JEROME P & EILEEN C102245 5 11/15/1984 GREENBRIER CORP C98858 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Para 1 2006 $139,300 $2,700 $0 $162,000 2 2005 $131,700 $2,700 $0 $147,300 3 2004 $104,800 $2,700 $0 $110,400 4 2003 $92,300 $2,700 $0 $49,700 5 2002 $92,300 $2,700 $0 $49,700 6 2001 $92,300 $2,900 $0 $49,700 7 2000 $72,200 $2,800 $0 $34,600 8 1999 $72,200 $2,800 $0 $34,600 9 1998 $72,200 $2,800 $0 $34,600 10 1997 $74,200 $0 $0 $30,700 11 1996 $74,200 $0 $0 $30,700 12 1995 $74,200 $0 $0 $30,700 13 1994 $79,700 $0 $0 $38,000 14 1993 $79,700 $0 $0 $38,000 15 1992 $90,500 $0 $0 $42,300 16 1991 $82,300 $0 $0 $61,500 17 1990 $82,300 $0 $0 $61,500 18 1989 $82,300 $0 $0 $61,500 19 1988 $68,800 $0 $0 $23,400 20 1987 $68,800 $0 $0 $23,400 21 1986 $0 $0 $0 $19,900 http://issql/intranet/propdata/ParcelDetail.aspx?ID=11993 3/27/2006 -iParcel Detail Page 3 of 3 U - Photos l http://issql/Intranet/propdata/PareelDetail.aspx?ID=11993 3/27/2006 r "v'J" 1- ^co�LLL�eaI ?DI _ U! ' s ooa 1:33Vas Tro13a - ' `�A�� papnlou!•s14n Ile'P/m ILQ,�-�t L8L 58£805 ?B_Z i Ou eE au - ample c self but n HYANNIS Studio.Bath. dry ta en Kitchen.$660/mo.includes. Bk H ing, d 508.778-W?- 3 703 cY ma ena N lodging,B HYAll YARMOUTH, k ° • Wanted to t 705 ,:One 9 DENNIS J HARWICH AREAS: from:$745 CAREFREE LIVING 4 House SiNi 707 Two Bedroom n ge AT REASONABLE w RATES s�pe Room 710 from:$788$916 We offer locally owned :ww. roperties.com - All reins INCLUDE HEAT& clean, well maintained 1� B[ YARMOUTHP FIT:Prime Home a 12 HOT WATER bedroom units: 1 Norttisid building site. *24 Hour Maintenance _ • /? (� Level a 200'frontage. mis r�.715 *(Annual income guide *Senior Citizen Discount a v✓ //,� $qgg 1508)3621066 R00 ro v lines from $26,537 to *Small pets allowed BI Apartm �y, 720 $57,350 - vary based on in some units Houses Y u 725 unit&household size) = ° 1 508-394-8800 Ki54 or 152 BI 730 For rental Information: 1-800-822-3422 .BARNSTABLE HARBOR:2 wa Monday-Thursday 9-4:30 terfrod office sppaces avada Summer 732 1200 State Street ° ble: 900 sq. tt. waterview, Brewster,MA 02631 ® "$2250/mo includes utilities. Winter Rentals 733 (508)896-5073 U 2nd level 327 st, $785/mo off CapeRen 734 TOO1-800-238-0782 www.davenportreatty.com inc utilities. Equal Housing Opportunity C JIX� BOURNE: Commercial Land. Mon-do Rentals 735 EQUAL HOUSING HYANNIS/CENTERVILLEI i H'igh traffic,$499.000-1+ OPPORTUNITY ACRE: $1,450,000 - 5 li+- Vacation Pro 737 Units available on an open FALMOUTH:Spacious 1&2 HOUSE*. Acres. 740 occupancy basis bedroom apartments,$700- C a BOURNE. Auto repair, high Nursing Hom NO petmonth plus utilities. 100 * traffic,permitted,297'front 745 BUZZARDS BAY:2 BR,$975 No Pei•1st last&seCu16rr7ty age, 4 bays, 2 1'rfts. Turn _ Commercial required.Basic cable includ- _ fink on South includes heat & hot water. in Hyannis.Yr-round �t single Sol W. key••••••••••••:•••••••••�9.000• Space For Rent 750 508-212-7353 Call Mon-Fri.508-775-9316 t fore t ! � v W CHAT!iAM• 1820 sf retail pecodcanalapartments.com ijiews of mar-.h s ace in Rte 28 Iost o ce Rentals Wanted 755 _ {5 BRi3 BA Up NIn�mall.Ava$ 500/m oth Rental Services imm 7�; �ize-studlosr;short/ clean cozy, lbr,omustasee! lectric & heat. f DENNISPORT Cottage Con ?lo term:$6504-$75om Ideal for 1,quiet,private en- I ces&utilities. dos 10 units 9 cetta es+ �no�n smolung 508 fi41 834 trance,no doggs,prefer non - es round& gg smoking, utils. included . 900. Dir. Rye. 2 BR house..........$995,000 TMpM: .Sunny. 2 B $g35/mo.1st last security, age SOUTH-40_ t ( Commercial RE Co. FALMOUTH:Quiet,clean,pro- robin o 5/1 9 Year tease iyr lease.508 477-5899. tum rigght tb 1-866-362-2123 fessionai + cat needs 1 br $gg0�mo 5/1 978 897 1200 Ile �562 ton apt.or room to rent.Refer- ons jBARNSTABLE:Rrime Village ences avail.508-951-9275 Cbbeedr omAms1NNooWpp1�%Begn at ecutives Location.Four office units& - ?- $800.508-9.4i 356 ext 40 -8242 2 apts. Poiky leased. Good DENNIS:1 bdrm$685+. 2 income. Parking, Owner/ MM MOM- Broker 508-737-4663 bdrm $1000 to Yarmouth- BOURNE: Housemates want- port$825 Includes.*.Hyan- !( I DENNIS:Commercial Condos ed for beautiful&spacious nis 1 bdrm$725+0 Others lJ $75,000 2nd floor, freshly home close to beaches, BR Props(508)394-4446 ainted and new carpet,ren- $750 includes all. . 1 tpal properly or move your (321 723 5002 DENNIS W.:2 Br.,1 be.with � o business m highly visible ) deck,heat& hot water in- �& BOURNE: Sah waterfront, all area-1st floor unit with ten eluded. A%ail. immediately. amenities, privileegges, bene- ant in place $85,000 774- $600+.50811 -5813. $1125/per month.Call to_ 238-001.7 Mr.Mello@l-774-353 8313 SANDWICH: Large BR withDENNIS W:Center of village, private BA, Pnvrl es, $6 -.,. I wimunnrsr eg 2 BR, 2nd fir, large Irvin , ^ `, mo includes.508 888 6439 g g C T c��sr immaculate includes heat sire•+3zst $1000,all deposits.Ideal for ; 1 o2.Owner,508-737-1776 . DENNIS VILLAGE: 1300 Sq. DENNIS, W.: S Cape Apts. I Ft. Office Condo:2 Floors, BOURNE: Love room, great New construction. 1 Br. & Q1 Central a/c. Endless Possi- location, cable, amenities, studios, $750-$850 + elec- - aQ bilib,,in the heart of Dennis $125/wk.(508)759-0305. tric. No p�non-smoking. Y V11age...................$295 000 BOURNE:Year round,NOW Section 8 OK. 508.775- ICal!Patrick Today! SMOKING, no pets. $125/ 2367 or 781 696 0469. r j wk.Kitchen use.References DENNISPORT. 1 bedroom, &deposit, 508 759 9431. 1st floor.$850/mo.includes �* CoNWAY FORAN BREWSTER:2 large furnished heaUhat water. Call David 2, Realty,Inc. Br. shared be., ideal for 1, Hott........508-790-2303 x11 J (508)385-1355 $6b0/mo+ security depposit. DENNISPORT: iBr., clean & p�r pre' No pets.508 247 9040. cozy,•$690+/mo. 1st, last, TOLL F nwayF 87nRealty.com Get a free TOLL FREE 877 385 1455 BREWSTER:.Studio, in nice security. 508-208 9191. home,w/kitchenette.$575+ M: New building, 1 DENNIS,W:4300 sq ft Rt 28 a month(508)896 8081 BEAST heat with a/c, w/d. retail$550K.Possible owner CENTERVILLE: All amenities, $900+ utils, no pets non finance 508-771-8137 $40o+,no pets,non smok- smoking,(508)255-5v387 DENNIS, W.: Great invest- ingg,call Fernando 508 428 �: Stunning 1 Br., rent opportunity to run 1089 or 508 292 5110 E 11j Be w/d, deck, avail. yyour business from 1 unit CENTERVILLE:Clean &com- now, $900/mo. includes 850 sq ft,and!ire or collect fortable rooms.CRAIGVILLE heat. 508-240-3162. rent from 2BR/1BA apt Plus MOTEL. 508-362-3401. FALMOUTH: Center 1 Br., second unit.Prime location, CENTERVILLE:Extra large w/ sunny, convenient to all, i 3t tJ off street & front parking, walk-in close s fights,pn $g75+/mo. Non smoking, � ,r front&rear entrance,pnme sse�tt, k� stock listings display window.Nice ren- vate bath.508 360 4619 No pets,508-776-5217. y $35,000 of the ovated..... CENTERVILLE: Quiet,' nice FALMOUTH, FAST: Studio, ysis 50�3621993 room,$133 week kit pprnri- waterfront, fullNy applianced y coverage Coldwell Banker leges,female 508-364 6303 kitchen,cable N,furnished Joly McAbee&Weinert CENTERVILLE:Room w/bath or not 12 mo.lease,$loon µ coldwellbankercapecod.com in exchange for lawn, car mo.includes heat&hot wa , &ends sala ter.508-548-3400. gentry,odds 7 evAnd.com DENNISPORT: Contractors n�otia ad.(508)7751257 www.capevAnd.com Special.Former VFW.Poten ES tial club, 2 Family, home FALMOUTH,E.:$155/wk. FALMOUTH, ouch side, 2nd n, business or day care. Laundry, electric and heat, apt sunny south side Non,clean, PER. $379,000. 508-38 9155. furnished. 508 274 9522. i$8U0/oo pets. Ideal for 1. FORESTDALE: 2 rm. suite in Avail now. 508-563-3918. e, MoVed by movies? private home, separate en- =$100 gift card offer good Film critic Tim Miller tells you trance,full kitJbath,ideal for FORESTOALE: 1 BR. W/o. Rockland Trust mortgage.t what's a hit- 1, non-smoking, no pets, gas fireplace,$1200/mo!n to availability.Limited timi 33 and what's worth a miss. $225/wk.508-477-0268 j_ cludes.(508)539-0081 I pFtHEToq, Town of Barnstable Regulatory Services * sAxxsTAaLE, y MASS. g Thomas F.Geiler,Director �A 1639. rEDMA'�a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 May 2, 2006 Ms. Susan Yee 22 Centerbrook Lane Centerville, MA 02632 RE: 22 Centerbrook Lane Centerville, Ma 02632 Map 172—Parcel 248 Dear Ms Yee : This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-14 (A). You must contact this office by May 22, 2006 to arrange to bring the above address into compliance or be subject to fines of no more than$300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, inda Edson 'Amnesty Zoning Enforcement Officer Building Department Q:zoning5 cFTHE Tp�, Town of Barnstable wY� O Regulatory Services BARNSTABq MASS. Thomas F.Geiler,Director QpA i639. �0 rEo,,,prA Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 March 29, 2006 Ms. Susan Yee 22 Centerbrook Lane Centerville, MA 02632 Re: Illegal Apartment—22 Centerbrook Lane Centerville, MA 02632 Map 172 Parcel 248 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. incer da Edson Amnesty Program Zoning Officer Building Department J gf6rms:zoning3 IBarnstableAssessing Search Results Page 1 of 2 Home: Departments:Assessors Division: Property Assessment Search Results New Search 22 CENTERnKOOK LAINE Owner: Values: Assessed Values: YEE, SUSAN A Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 139,300 $ 139,300 172 /248/ Extra Features: $2,700 $2,700 Outbuildings: $0 $0 Mailing Address Land Value: $ 162,000 $ 162,000 YEE, SUSAN A Totals $304,000 $304,000 22 CENTERBROOK LN CENTERVILLE, MA. 02632 Tax Information: Tax information is currently not available for 2006 Construction Details Property Sketch Legend Building Building value $ 139,300 Interior Floors Carpet Style Cape Cod Interior Walls Drywall Model Residential Heat Fuel Gas ILK Grade Average Heat Type Hot Air ....... .._ . M Stories 1 1/2 Stories AC Type None Exterior Walls Wood Shingle Bedrooms 3 Bedrooms Roof Structure Gable/Hip Bathrooms 2 Full W ' �s Roof Cover Asph/F GIs/Cmp living area 1292 , Replacement Cost $154796 Year Built 1985 F` ONE Iftr , �8�i It � Depreciation 10 Total Rooms 7 Rooms Land Lot Size(Acres) 0.53 Map requires Plug in: http://www.town.bamstable.ma.us/assessing/assessO6/displayparce106.asp?mapparb ack=pa... 3/20/2006 Barnstable Assessing Search Results Page 2 of 2 Appraised Value $ 162,000 Interactive Property Map I have visited the maps before Assessed Value $ 162,000 Show Me The Map + April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: YEE, SUSAN A Feb 12 1999 12:OOAM C151998 $ 1 YEE, PAUL D&SUSAN A Apr 15 1993 12:OOAM C129953 $ 116,500 LAPORTE,VINCENT R& Mar 15 1986 12:OOAM C105518 $ 145,900 CROWLEY,JEROME P&EILEEN Jun 15 1985 12:OOAM C102245 $ 125,000 GREENBRIER CORP Nov 15 1984 12:OOAM C98858 $400,000 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,700 $2,700 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=pa... 3/20/2006 i TOWN OF'BARNSTAELE, Permit No. :.. .._:. ....... 27553 I ; Baclin`Inspector. ! . .r• � ht .' - ... .. .. ! Cash ' X " OCCUPANCY , PERMIT. Bond 7/ Issued to Greeribrier...CorA ":' Address Lot 14° -:22 �enterbrook Lane Centerville WiringJInspector :, �`f�� Inspection date Plumbing Inspector „ ^� i t Inspectien.date ' Gas Inspector n eta 1 Inspection date Engineering Department ^ ,/ Y ! , Inspection dateY! ,.1r.� f• /7l!1/Ji/r r Board of Health Inspection date r THIS PERMIT WILL+NOT f BE-VALID,' AND .THE BUILDING SHALL .NOT BE OCCUPIED-.UNTIL SIGNED BY THE BUILDING .INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENT$ AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. + V �'. Biiildina Inspector ' M t TOWN OF BARNSTABLE •��°°" BUILDING DEPARTMENT Z DAH37T : TOWN OFFICE BUILDING . - �g' HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department ' 4 DATE: June 7 ,11985 An Occupancy Permit has been issued for the building authorized by , I' Building Permit .27553......................... Greenbrier Corp. issued to ........._ ............................................................ _.. ..........»............................... �. Please release the performance bond. F .... / �dZ /d Q l= r- Assessor's map-and lot number ......°�.......... ................ — %?11E T i Sewage Permit number ...... ......�.� ....... 5 s Al i c ILA Z Z WITH TITLE 6 B "aLE. House number ........................:.......... ................................ 0 ENVIRONMENTAL CODE �o°,,�039. •� 0 MAI a� OF BAR T � ATI�`�'S TORN NS ABEE �i BUILDING INSPECTOR r APPLICATION FOR PERMIT TO ...... ��. .�5...��� �.�. ........ ... ....... .... .................................. TYPE OF CONSTRUCTION .......00.0.. ........�.:..r�� �'�1.` ............................................ ...................... TO THE INSPECTOR OF BUILDINGS: The undersigned her by. applies for a permit according to the following information: Location ..... � ..... .. i( ..... ��. Q. �. ....... -A........................ Proposed Use .........o.... . ��...f.. 1 l�9 .............................................. Zoning District ..... .... ....... ..................................................Fire District r-- Name of Owner ...... . .. .Address .....Y!k _J.0.(.....�...�.V...ce!,15� �.V(.`J..�� Nameof Builder .......... ..r��. �.. ..............................Address ............:....................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... .........................r............. ..............Foundation .....} ®C!�,�Q� ...... ncl� Exterior ........ /� �1.l.n ��. ... �LpRoofing ....... .... . . �. ....................... Floors �..4. . ....... ....4.. . .................Interior ........ P �..Lr.I�O�................................. J / ..... Heating ......�..... ............. ... .........15::?. ..................Plumbing [ bo.c„ . Fireplace ..................................................................................Approximate. Cost ........ .......J....., I Definitive Plan Approved by Planning Board ____________ ___�____19__�� Area ....... �..................... Diagram of Lot and Building with Dimensions Fee3i........................... .. a©91 � SUBJECT TO APPROVAL OF BOARD OF HEALTH � x � �C4.-�� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of BarnstabIl cling t e c bove construction. f (( Name ...................................................... ........... ....... Construction Supervisor's License ........0.10..."[..7 GREENB.-,,+ER CORP. 1- Story ??No ....275S� 3.. Permit for .................................... ......................... Location ............. Wt 1,4, 22- Centerbrook Lane ........ ................................... Centerville . ............................................................................... f. Greenbrier Corp. Owner .................................................................. Type of Construction ........Frame.................................. ................................................................................ Plot .................. ......... Lot ................................ February 26, 85 Permit Granted ........................................19 Date of I.rlspect*,4y01.... ................................19 Date Comple,ted ..... ell .......19"1,25— l G LOT Lc�T �4 � C_Zo, O 8.0 ry Lo 193 oW F 0 ��' rG p4 ' IV �y/ LOT 13 4_ \ LOT lis y i 1 Op o o c� � Lvr Z Oti/tD C IDC9 M/N.h iZ)TH .e , `\ H OF QAs�9�y CERTIFIED PLOT PLAN ROBERT o B. NEW CONSTRUCTION ONLY ELDREDGE LoT �'+ ,rr QR2cne a kV,444 qn N.o.,19367 TOP OF FOUNDATION-, IS NZ.2 FEE �"Fs '�F01STER��S�"��` IN ABOVE LOW POINT . OF ADJACENT. . s'OyaLLassoS�' ROAD. SCALE, i 4O' DATE t FE�3 2s�8s" i GEE ®I EE lNG CO. CLIEPIT !- 1 CERTIFY THAT THE Foc.in�D�-n�,,y E®ISTE D REGISTERED SHOWN 'ON THIS PLAN IS LOCATED JOB NO. �` �7� ON THE GROUND AS INDICATED ANC? CIVIL LAN® CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR. " OF BARNSTAB E , MA18 7 12- M A I N STREET CH.BY$ 2&t= H YA N R I S, MASS. SHEET OF DATE REG. LAND SURVEYOR U i1 r _Assessor's map,and lot number ...`�. r F TH E.T� Sewage Permit' number .....- .I.O ...:...�:....... Z BAUSTADLE, i House number ................................. ..'.:...........................:..... �p rasa 1639. 4 am pry TOWN OF BA;RNSTABLE BUILDING : INSPECTOR APPLICATION FOR PERMIT TO ..!.. ! .1 S t'(/ (.rf�r.... .... ........ .......... ................................ TYPE OF CONSTRUCTION M may, `+ ......................... ., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .. .n. ll,., )r t7, r , ,�...... ".f'! �"r! (,/ � ....................... Ili Proposed Use ...... f,.., �'�,1... ... ./..f....:. .............................................. .......................................................... I; f Zoning District / ..........................................Fire District .... A)........................................................ Name of Owner `✓. ' ....!...Xa...!r .� .` v'.�. ....Address lt, �,®X � '`1 �'r yr .......... .........,... ................................ ........................ Name of Builder �` ram•. ?G' ........Address�...................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......(........................................................Foundation ..... `U(.��'. ............`-On .. f Exterior ....... �C....� .1,�C./,...`... f Roofing ............................G..., Floors .... .. ..., .�' .................Intenor ....... ............................... Heating ...... /............. C3..........- ...,..................Plumbing .......f... .....! Fireplace ....Approximate. Cost 5 v (� Definitive Plan Approved by Planning Board ___________� ____19___T__� Area .......?.��..................... � � I Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH l x J C � �4� j L ti I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable,4regarding tie above construction. � P Name r N Construction Supervisor's License .........�.1.t „� ., i GREENBRIER CORP. A=172-1� - aq f No ...2753... Permit for 12 Sto? '................. Single Family Dwelling Location I,ot„14�....22„Centerbrook e Centerville .................................................................... .......... Owner Greenbrier Corp................ ............... Type of Construction .....Fr:alPe.......................... ................................................................................ Plot ............................ Lot ................a............... Permit Granted ...Februa..26,..........19 85 Date of Inspection ....................................19 Date Completed ...............................:......19