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2170 FALMOUTH ROAD/RTE 28
P77 .#/ 44,4 __ w I I I Ell, 1,,�t n, v lit X I wy� V"4 T V C QVI -Aj AM 1� Wl,16 111 -i,�", , AW"; i , *, Uvo�VS� Mon IQW—n- 'IFIC, V ij _4g OWN Al MAI MAP x� qbASO i�`v A,;;1;11fh I j-p; �w�I ," �e, , 41 mom wgfl�` Aii,1, wl 'I. V 'J'A , -1 - . "" swim # Imum"11 1 " , ` 'Y"nn lye MH 1-01- W 1711 W, fie"M F WNW ft"��Tggjf vgv I N NNOR ,�m P! , �A 0 011V 111 mg I iZh w1pongs Mom Rom FAA OHM qg RHA 11 .i wig MAI lit Up "1-0, k,'p N t'11641 i.,o it , w --to 1CM14 9 i�lliltl a NNA1,10i"AAA Vpx MAIN g , i 11w Swan IM rp for irk 'fig c I R I CAT Vo. low 01-411 NO AV1 jv,t-�w wavwxl j J� RE 'I Ift Illicit Jim IV �r �f ifq&4 IN, p %MID WINE sip FAIR RNP .DR 11 Nam, 5XV-1 IBM I I Z =1 lh.EFIAR 0 Vloli ,Aq PAP "I"N ;w,"Vl, VVA tt! FIV ',IT Pik"n fq�� 'IV,.1; �J,o, "A own is 111n k" ...... &Ig gig �k4 ;,,� g 4 , I �V- wzw I p-q- _--w— W." "il PON .5 OF 51 a Mum""," L4 I Town of Barnstable Permit � �� ` Regulatory Services Fee -- - -� NAM Ricbard V.Semi,Igterim Dweder Building Division Tom Perry,CBO,DOW&Commissioner 2W Mafia Street,Hyannis,MA 0260I 1�, www.town.barnstable.Mus Office: 508-862-4038 Fax:50&790-6230 EXPRESS PERMIT APPLICATION - RESIDEJUa ONLY Not VAU widroat ftd X 7rm bmrw MtplPsrcel Number I,U9 _—'- Property Address �,1`I C�,�h(1( Rd, Residential Value of work 8 '� © ' . ° WARimum fee of W&OO f K Work Tnder S600 LOO Owner's Planse dt A)QchijK hij K 't'✓ AA Telephone Number�O -Z Z l)cr �tc)S y Home Improvemem Contractor license#(if applicable) /73 24 Email: Construction Supevism's License#(if applicable) a I J /�- JaWo"'sCompensation InsuranceClieck one: � Ill�7i1� ❑ I am a sole proprietor I am the homeowner �; I bave worker's Compensation Insurance Insurance Company Named WN F BARNSTABLE Workwif s Comp.Policy# Cepp of Lrsaranee Cora Cwojcmte must we mpany each p�iL Permit Request(check box)❑ Re-roof(hurricane4 nailed)(stripping old shingles) All construction debris will be take►to ❑Re-roof(humeane=Red)(not stripping. Going over existing layers of roof; fide went W dooxslsliders U•Value . 3 y (> •35}#of:VO #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S wed inspeefiew repaired. Separate Beetrlcai 8c We Permits required. 'whore Ism of this permit does not exempt COMPIMM with od m team dWmbnW V*QkftM3.fie.Hi WdC,Consm� aw. ***Note: Property owner must sign Property Owaer Letter of Persumn. A of the Home Improvement Contractors License&Cons"Cdon Supervisors License is r SIGNATUREi Revised 061313 �I Renewaln=. ; y byAndersen. — i .REiNtWAL BY ANDERSEN MAii,kat?3c.s Cr ticcmw#LV.37335 " w�goos qE►UCEY[gr an.•a w 26 Albion Road • Lincoln,RI 02865. teat-Firm#IZ37 Phone 866.563.2235•Cax 401.633.6602 raSerd to,ID aa(;osrsr.'w . Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Bu gs)nhme f r1 _.�k t� 1 Borer(s)SWMAddmss.Gg State nd Lp Code t l!o_Bose. -��\Nil y�l '`O �'P NTTeaw r ��� f1il�SS_�az6�2 E MailAddmss:. ... HOMTKephcne Wmber. WOAeTalepffam Nuigber: . Bwrr(s;herein•jointlyand seW alh agrees to purchase the products and/orscnrices of Southern New England.�1indows,i I,C d/b%a Rcnc%%al by Andersen of Southern New,England("Contractor•'),in accordaftce with the terms and conditions described on the front-and the rewrse of this agreement and on the attached spccificatwn shici(s)(collectively;this"Agreement). p Historic ❑Condo O HOO Total Job Am_oune/3/ q `�0 Estimated Scaring t)aie` Method,of NymenC U C �yheck, t]Cash Fieanced Deposit Retely_ed�jlt►jlyAlj(�_ b r r� �)C Credit Cards are accepted for'depcsn only--inasamuin'I/3 of the Balance:ac3grt of Job:(3396): project cost(ileose stY GedB Ced Poyment fomtj By signing this, Estimates Completion Dace: merit acknowl Elatartce"on S � 3 edge that the 8alartce at Start of Job and the t �x ifaknee on Substantial•Compledoii of Job camwc be mado byt Complerlon of job{8ii6j: - ——f/� card and,ritust be made by personal check time cheek,or MIL Btiyer(s)agrees find understands.that this Agreement cons8tates the satire iatiderstandingbetween the parties,and that there are no verbal understandings;changing any of the terms of this.Agreement:Buyer(s)admowledges.that Buyers) (l)has read this Agreement,nnderstand$the terms"of this Agreement,and has received a tcompleted,.aligned,,and dated copy of this Agreement,including the two attached Notices of Cancellation;oaths date first.writtea above and(2},was orally . informed of Buyer'aright to cancel this Agreement:DO NOTSIGN THIS.CONTRACT IF:THERE ARE ANY BLANK SPACES: (RA*4Island Sales Only)Notice to Boyer.(1)`D0 not sign this Agreement if.any of the spaces l ateuded for the agreed terms to the extent of then available information are,left blank.(2)Yon areentitled to"n copy of this Agreement at the;time you sign it;(S)Yo6.may ninny time pay ofI the full unpaid balance due under this Agtceeaseitt,and in so doiug:yoamaybe'en4tled to receive a partial"rebate of the finance and insurance charges.'(4)the seller.has no right taunlawfuliy-enter' ur premises or commit a"breach of tine genes;co repossess goods ptrrchssed under this Agreement.(5)You may cancel this Agreement if it has tact been signed at the main office.or a branch officeof the seliey provided you notafy`t&e,sdler acbis:ocher main office or branch office shown m the Agreeffient by registered or certafieil mail,which shall be posted not later than midnight of the third calendar day aRer the day on which th'e buyer signs,the Agreement;excluding Sundayand"any holiday on which -regular trail deliveries acre not made.See the:accompanying notce of cancellation foray for as eirplanarionof Bayer's rights. Buyer(§)received the consutner education materials providcd by the Rhode island Contractors Regis[ration Board:• (Btrrei'c lsit nL) Renewal by Aaderse of SouthernlY England _:$uyei{s)' Buyers) Signu/re of; ucC A4anager Signat Signature Print Name XOU, THE . o.r .Tioduct ltarlger, : . Pnnrs\ me . - . . } BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME:PRIOR TO MIDNIGld'.OF THE THIRD BUSINESS_DAY AFTER THE DATE OF TF$S TRAAT3ACTION"SEE:.THE ATTACHED NOTICE:OF CANCELLATION FORMS . FOR AN EXPLANATION.OF THIS_RIGHT NOTICE OFX NOTICE,QF CANCELLATION Date of Transaction eft may'cancel I Date of Transaction You may cancel' this transaction,without al or obligation,,within this biftsaction,:without any penalty or obligation,within three business days front the It•a ove'date. 'you cancel th. i red.. siness,da any yysslrorn the above date."If you..cancel,any property traded in'any payments made by you under the ! property traded in,any payments made.by you under the Contract or Sale,:and any.negotiable Instrument,exewted i 'Contract:or Sale,and.any negotiable Instrument:exec uted tiy.you will be returned.within ten budit0is days:following, I by you will be returned within.ten business days fallowing.. receipt.by the Seller of your cancellation notice,and any I receipt by the.Seller of your cancellation notice,and any security interest arlshig out.of the-transaction will be security.interest arising out of .the transaction will be canceled:If you cancel,yoou must ntake.available to the Seller I. canceled.lf you-cancel;you mu mast ke available to.the Seller at our residence Insubstantial as i - y good condition when at your retidence in substantaall as y good condition as when received,any goods delivered to you under this Contract or I received,any:goods`ifeliv6red.io you under oils Contractor Sale;or you"may,if you Wish,Comply with the-lnstruetions of I Sale;or you may,if you wish;comply With the Instrvtctions of the Seller regarding die return shipment.of the goods at the die Seger regarding the return shipment of the goods at cite Seller's expense and risk.lf you do make goods available, Seller's':expens'e and risk If you do make the goods available to the Seller and the Seller does not pick them up,%!fi in to .e'Seller`and the'Seller does not picktTiem up.within twenty days of the'date of cancellation,�you`"may retain or' I twenty days 'f the date.of cancellation,you rtt. retain or_' dispose.of the goods witl>out any Fur her obligation.if you I'dispose:of the goods i4t iouL any further obligation.if you fail to Make the goads available to#lie Seller,or if you agree: ( fail to make the:goods available to the,Seller or if you agree to return the ds to.the Seller and fail to do so,then you 'to return the1todds to the'Seller'and fail to doso;tfien you remain liable for performance of all obligations under the remain liable`for performanos of:all.obligations under the ntract.To cancel this transaction;mail or delver a"signed I' CoMract.Tb cancel this'trarisair on,mail or deliver a signed dated sapy,of:this cantellatictra notie e,or psty other I' grid dated copy of this eartcellatlon notice or any other and dat wrttten'notice,or send-a telegraiin`lao been@wa@ And rsen of t' 'written no: ce;or send_a telegram to Renewal by"dersin of Southern New England at 26Albion Roa 86 I Southern New England at 26 Albion Road,Lincoln;R10286S;: NOT.LATER°TIAAN MIDNIGHT,OF. a 1. NOT LATER:THAN1 MIDNii HT OF (Date) r f (Date): i HEREBY t:ANCELTHISTRANSACT ION, I I HEREBY CANCELTHISTRANSACTION.� sail tune Prin_t Nano 6sryer Date � Buy�rR Slgeatusa.. lsrtsst Name _ .Date RhA C White r ._;.-op)r ,Buys Copy:Yellow Buyer'Copy:Pmk , Southern.New England �Windows . .u.. �. : . ._ . d.6.a Renewal by Andersen of SNE �M Massachusetts i}e:partment of Pubilc Safety �v Eoanl.of B.ufding i2egulations and:Standards Constriction Siiiieri IiOT; i License CS-095707 «-.-.••,a»�.;....,.n..,._...i.„..�.....��»c-...,«...:.�+.�•�.w::•;�wz....,,arr.,sy!.�-.�--r-=:<...»;. ,«•:_T.-.z.-...�•�,�:r-•,�s�:.-..,..m=..tt;.°"..,,.�••..=."�rL �r�S,nYy _ ,••-.� s.�..w^x is�«'«,.»•.�; -w.c••->n, _ .'r;a...1 v BRIAN D DENNISON.. v , 7 LAMBS POND EI<t'u Chariton MA 01587 Ezpifatton Commissioner 09/084014 ti ...,.awn"r .n.,.....:s:�,+i�.eeP✓�.•.++aaw.+.ew-. .vY..-.T-;•.y..,..4.:.-w:;tu•, r+�..:.ei-- k-..x.M'..x,u7Y!'.�.Fi.:Yk.•1Y .P.xx.{.:Mnw.� w.•!':W:e.�a ;rv'f vM.vev: .....:w.N.r^. .'.:W..W Y•�rtsY .rM.�'.a:wN+1 N?..u-'N'.t.,•R.W+S.:J•.w.r..swe. Office of Consumer Affaus Business; egu anon 10 Park Plaza=Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration ..-_. ..... .. _..:.:,.. :,;::, -,... ., ..: Registratim: 173245 ....,»,a.....-wq:r....-.:..-....::..........-.». ,,.......�.. .,,, _s...wr..:.. -ak. .i... .:.sti:y(,4 _ .. Dar 19r M4 Type: Supplam8nt Card SOUTHERN NEW ENGLAND WINDOWS LL fly DENNISON BRIAN 4 1137 PARK EAST DRIVE WOONSOCKET,R102895 Update Address end return card.Mark reason for change. k o aounsk ❑Address [jew Renal Emptoymeaf Lose Card SCA*�I'EWPZROVENENT rcoewr AFWn A iedaen P g hfioa Lkxaee or registration valid for Individul on only CONTRACTOR before the expiration due.If found retam m:OIBee ofCoawmer Affairs and 8otineas Repletion17324S " TyP: 10PrkPlana-Suitc3170iralicn:IV1WM14 Suppeeoent:;ard Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. - RENEWAL BYANDERSON DENNISON OWN - - 1137 PARK EAST DRIVE WOONSOCKET.R102M Undo—retary Not olid without stgeeture S a • The Commotrwealth ofMassachusetts Depart-nent of Industrial Accidents Office oflnvestfgadons 600 Washington Street Boston,M4 I12111 www:massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A6ylicant Information Please Print Legiblv Name(Busu,ess/OWnizafiow7ndividual): As jte, Address: (o p City/State/Zip: LI/l/CD1N 0- N. Phone#: !/D/ m? g' �Y&O Are you an employer?Check the appropriate boa: Type of project(required): . 1.[1I am a employer with A a 4. ❑I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction. 2.❑ I am a sole proprietor orpartner listed on the attached sheet. 7. [].Remodeling ship and have no employees These sub-contractors have S. QDemolition working for me in any capacity. employees and have workers' Building[No workers'comp.insurance comp.insurance.# 9. ❑ g addition required.] S. rl We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am ahomeowner doingall work officers have exercised their 11. Plumbing ❑ g repairs or additions myself.[No workers'comp. right of exemption.per-MGL" I26❑Roof repairs insurance required.)t c.152,§1(4),and we have no employees.[No workers' 13. Ot11er comp.insurance required.] 'Arty applic W ftW chedcs box#1 must also fill out the section below showing thew workers'comperasatio I policy information. t Homeowners who submit this affidavit indicating they are doing amok and then hire outside contractors must submit a new a$idevit indicating sueh. *Coittractots that ehaekthis box must attached an additional shwshowing the name of the sub-aonuaetors and atafe whedw or not tbose entities haver etnployees ff the sub4ontramn have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation ir&WWWe for my eitrployees Below is thepeftcy and job site infernradmL /Y Insurance Company Name: SU! 4 tuU Policy4 orSeli ins.Lit# /� d �� c�o 3 Expiration Date: 9 9 Zl�y Job Site Address:—�L TYAMOUthRd City/stateM M I "#- Attach a co of the workers'compensation policy declaration PY pe p cY page(showing the polity number and expiration date). Failure to seem 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$250.00 a day against the violator. Be advised that.a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby under the pains mid penalties of perjury that the information provided above is a and correct Signature: ate: 7 'hoxte#: �/d/- C2 a� offiew use only. Do not write in this Wa ea,to be completed by do or town offlcial City or Town: Permit/License# Issuing Authority(circle one): 1,Board of Health 2.Building Department 3.City/Town Clerk 4.Elects ical.l aspector-5.-Pismbing Inspector 6.Other Contact Person: - Phone#• Client#:30124 SOU NEW ACORM CERTIFICATE OF LIABILITY INSURANCE 8/06/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If ft oertft0e holder Is an ADDITIONAL INSURED,the polisy(fes)must be endoivee&If SUBROG "04 IS WAIVED,a::~.ged to the terms and conditions of the'Polk'y,certain jWlcles may require an endorsement.A statement on'this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: Anita Little Willis of New Jersey,Inc. PRONE �,:856 914.4660 1015 Briggs Road,PO Box 5005 E-MML No:856r914�1881 anks.lifthm@Wllls.com Box 5005 ita.little(r�w1111s.com Mount Laurel,NJ 0$ IM AFFORDM COVEMGE NMC s INSURER A.SelectIye Insurance Co of the S 39926 INSURED INSURER a:Argonaut Insurance Co. 1=11 Southern New England Windows LLC INSURER c:Beacon Mutual Ins.Co. 24017 DB/A Renewal by Andersen INSURER D: 26 Albion Road Lincoln,RI 02865 I SURER E: INSURER'F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUftEO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT wrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LLTTRR TYPE OF INSURANCE I UB Poucy NUMBER PO EFF EXP LIMITS A GENQRAL LIABILITY S202945900 01111=013 01111012014 EACH occuRRENcE $1 000 000 7f�77A,.,-MADE RCIAL GENERAL LIABILITY $100 000 Ir X]OCCUR I : MED EV(Any we v^raw) I$10 000 PERSONAL s ADV INJURY $1000 000 GENERAL AGGREGATE s3 000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPA)P AGG s3,000,000 POLICY PRO LOC $ A AUTONOBI E LIABILITY S2029MOO 0811012013 08110IM1 C°"NEDMe ,BINGLE Luau 1,000,000 X ANYAUTD BODILY INJURY(Per parson) s - ALL OWNED SCHEDULED 1 .. BODILY INJURY(Per aoddwrt) $ AUTOS AUTOS X HIRED AUTOS X p"OS� accident) a $ A X UMsRELLA"" OCCUR S202%5900 DSIIO12013 08110/2011 EACH OCCURRENCE s5,000,000 EKCEse uAB HCLAIMS-MADE AGGREGATE s5.000.000 DEO $ WORKERS CCIIPHaSATNNa a ST OTH C I AND EMPLOYERS'UABILlT.Y 1 00 58 RI N21=13 0S/211201 X WC ATU yIN 9 ANY PROPRIETORIPARTNERIEXECUTIVE AIC927818352394 8/21/2013'081211201 e.L.EACH ACCIDENT sl'000`000- OFFTCERIMEMBER EXCLUDED? N N/A Pylaea�a, y In NH) E.L.DISEASE-EA EMPLOYEE $1 00.000 DESCO- under n0N OF OPERATIONS below E.L.DISEASE-POUCY LIMIT $1 OOO 000 DESCRIPTION OF OPERATIONS.LOCATi"I VEHICLES(Aim ACORD 101,Addl"Nonal:ernarlus 8&4d,a:a,9 awf*sp—to ragaim) CERTIFICATE HOLDER` CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,Rl 02865 AUtRORIZEDttEPRESENTATiVE I a 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25 2010105) 1 f 1 The ACORD name and logo are registered marks of ACORD ( 0 9 9 8S2151091NI215088 AXL L Town of Barnstable oFt"Ef Regulatory Services ti t Thomas F. Geiler,Director. t * H MASS , Building Division 9 M . 4b �pTFn MPS a� Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: ���i if 4 Rec'd by: Eki(/, ^' CRL Complaint Name: M�ham"I LtC� Map/Parcel ( Location _ _ Address: � ���-- Q'ln'1 can Originator Name: LL rl°P— 1�U Ci d 6j e Ct pGLtrw Street: 6(n :2, S KG! AA L&t I`1d Ce�•1-1eA Ut,�& , c Village: State: MA Zip:. Telephone: 5-t Complaint Description: CR L A kJG �� LcJ`�'��l / i�- o r �s' Ch[H`s w)atichULLCDrme& (at 0-Y nj A44 r a�mA(2mkA:,,- im &uAd. I1e�xQPA tZ( .c:k f��� 41 ha 4 to Cam. au possi bey t h tt,; a-1 o-�- PiT- oc vu-- r FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ,��' Parcel 4 S� Permit# c Health Division - i IIh3�O-z Date Issued M o�✓ Conservation Divisio / Application Fee Tax Collector Permit Fee Treasurer ,Planning Dept. i Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Villagedr12 Owner Lftl-A t_l �01 cv f2%E Address 940L.)P1 Telephone . VT? — .S l"- z-®a- yo o_ 3!2!6 02 Permit Request s- m(3 13 zf/� , a O /F- 6kaA in POOL , QQ /l'1O Q U pu l Al e Square feet: 1 st floor: existing S- e) proposed 2nd floor: existing 00 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati Construction Type tk),On(� Lot Size )`7 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family d" Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes W< On.Old King's Highway: ❑Yes Basement Type: afull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Zak Basement Unfinished Area(sq.ft) 0 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: OGas ❑Oil ❑Electric Cl Other Central Air: ❑Yes B'No Fireplaces: Existing New Existing wood/coal stove: des ❑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 NameTelephone Number_ _0a Address 70 f License# t//Lk-5f � � Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ADATE s2�' l t t FOR OFFICIAL USE ONLY " t PERMIT NO. ' •DATE ISSUED MAP/PARCEL NO. _y { ADDRESS /'' F VILLAGE OWNER ' DATE OF INSPECTION: r FOUNDATION FRAME r INSULATION • f i. FIREPLACE r M ELECTRICAL: ROUGH FINAL',') PLUMBING: ROUGH FINAL i I GAS: ROUGH FINAL. FINAL BUILDING t r-' DATE CLOSED OUT 4 ASSOCIATION PLAN NO. r r The Commonwealth of Massachusetts O = '� Department of Industrial Accidents Office oflnsestigatians . ' 600 Washington Street s ' Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: S location cis phone# - �Oa•„ am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workii in ca achy ❑ I am an employer roviding workers' compensationfor.my employees working.on this job.::::::: xx a iresss :..... <<<: ;.:�. . ............................................................................................. ....... ❑ I.am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who the following workers'compensation polices:::::.::.._::.::::.:::.::::::.:::.:::::::::::::.::.:::::::.:::::::;:::.:::::::.:.:::::::::.:::.:::::::::::::::.:::.::::::::::::::;...:....::..::•,a;:..,.. tA111D311 11 ?;. t'• ': ` : :' 2 ': :'>%:: .r':`k? r �� ......'..... 5% 1 :y 5' ' •r,' ....'.s''?.' : ............. ?: ?:`:;: ''.':<? r '::'•.<5r ': Sf: r. $J+ti -,J}r.!T...•.....,..�..xz}}:i : :::i::iiii?� :ii'.:+: wa ?. 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MEW < :# ...........a :.... :.....:::.:..::.::::.:,...... .....r.: :;..:.:: ....:::...... ::�yr .......... r:::.:�:......:..:.::•w: ii::.�i}:•i:?•i:?4:•is::i:4ii:?v::?�i:�ii:?}•:'''��':ji�i:? :::•:::::::•::::::::::::::: :: ::F:iii:?•i:•:w::v..:r.::.::........::'rii.'?{.}}:}•{i;:!;+-i'4:ii}v::::::::::•:?.;:::::::::<:{.y:.:v..: ..... ;. ...., :::::::.:::.:r::::::::�.:..n..iv:-.vi'ii:ii:•:::x:i}x•:•ii:::•:«::iii:�'isi�iiii'r:}i:?'•i:?4:�iii::iiiiiiiiiii:ii:........ ..... :. r....::• _ ..t............. -r •::::::`iTi:<�ii:•iii#.:•::::::: — — .::\•::.ter.•::<:.`�:i:•i•iv:::•:... • •. :iiii:tii�:;4iii:•iiiiiiiii:C•:•i:•ii:?:::•:!i':�i::�ii:ii:•i:::<?•::i-:'ii:•i:??!-iiSi:?•::r.?:;�i:;:-ii`Y::<•::::-::::::�::�::::::^..?::•:::::.... ,1 15 Failure to secure coverage a,required ender Section 25A of MGL 2 canlead 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 o copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby e ` nderthe. -andpenalties- p 'ury-that-the-informationpr-ovided.abo-!eastcug-and_enueci Signs Date '' C' Print name i` Phone# official use only do not write in this area to be completed by city or town official dty or town: p •ermit)license# OBuflding Departnent ❑Licensing Board ❑checkif immediate response is required ❑5eleetnten's Office ❑Health Department contact person: phone#; _❑Other Owised 9/95 NA) 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 r 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. ;. //SODODD/�0����0�/��///���0�0���00��0�%/%/0��00�//O��i, Applicants Please fill in the workers' compensation affidavit completely,by checking,the box that applies to your situation anC 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".or if.you are require06 obtain.a workeis' compensation policy,please cZihe Department at the number listed below:.- City.or Towns - Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom orthe 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�n the.pernutlhcense number which willbe used as a reference number. The affidavits may lie'r ,t .. the Department,y.mail or FAX unless other arrangements have been made: The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. . please do not hesitate to give us a'call. The Department's address,telephone and fax number: The'Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigatlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4960 egt. 406, 409 or 375 Town of Barnstable Regulatory Services 9snxrvns1Xg Thomas F.Geiler,Director �'1Dre0 ;�A�O 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: s r�� i 1 CI Estimated Co �� J Address of Work: / �U /.�,Z/'> J%�/ (�eJ , �`�zD� [�/1�. AAA=, Owner's Name: Lz�/2/5 Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 EIDdi'laing 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. t SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: k Date Contractor.Name Registration No. t ` d OR Date Owner's Name QAmis:homeaffidav RESIDENTIAL• SHEDS - POOLS -DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >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—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00 $ + 00 (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMI NG POOL $25.00 $ . RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) Db PERMIT FEE $ Q:for ns:dkcost eff:082301 The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION G� d Please Print DATE: JOB LOCATION: ��70 �'�oC,�Yt.>ac,7'1-��Q number street village "HOMEOW /NER": I�K�S �/j/Il'D�-CI Aj K_ 0"�q�'920 'y�'�� -;4, tVC_—Z!_ name home phone# //77Yy work phone# CURRENT MAILING ADDRESS: �1 `?O 604,h'(m6 T 6 r1N) , o��'l� y%L$f- city/town state zip code The current exemption for"homeowners"was extended to include owner-occu-ied 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 re irements and that he/she will comply with said pro dures and req '4Mnents. r i ignature of Ho owner 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 v • SQ7-r /4 SO fV- Vjtrl/�-� PEP , I rE f DRIVER NO. Date 19 Driver Cab No. TOTAL MILTS. PAIO MILES UNITS RIPS relit IN UNITS OUT OUT Of TORN K. Wa.l.d DISMISSALS elf TOTAL TUIN[OIM flip "°. OUT TIME IN FROM TO AMOUNT ►o�� 1 2 3 4 3 6 7 a 9 10 11 12 - 13 14 13 16 17 1a 19 20 21 22 23 24 25 2 ri GASOLINE I li! 11 12 3 4 5 O 7 18 ` 9 10 I OIL 11 l 2 l 3 4 ( 5 e s , z f4o�L11z41dJ�.T/d�(s in 131 RT-I'&ok -71 r DRIVER NO. -- Date 19 Driver Cab No. TOTAL MILES. PAID MILES UNITS Titre TRIPS IN UNITS OUT OUT Of TO" K.wvld DISMISSALS Ott TOTAL TURMEDIM flip we. TIME FROM TO AMOUNT fea OUT IN I T 2 3 4 S + 6 7 e I Z• 9 t0 12 13 ' 14 13 16 17 16 19 20 21 22 23 i} 24 �. 23 21; GASOLINC I Ii� I '1 12 9 4 5 6 716 19 10 I OIL 1 I 2 ( 3 4 I 5 r DRIVER NO. Date 19 Driver 'Cab No. TOTAL MILES. PAID MILES UNITS TRIPS TIPS IN UNITS OUTWN Of TO out rr. we�.a DISMISSALS 011 TOTAL TURNED IN mr Na.: TIME ' FROM TO AMOUNT ►e..- OUT IN 1 2 3 -. 4 `•F S 6 7 EI - 9 a• t0 as 11 12 13 14 13 14 17 1e 19 20 21 22 23 2s 23 2 r+ GASOLINE l ti7 I'1 12 l 4 5 6 7 ( 9 ` 9 10 � OIL 11 12 13 4 � � tom:i.. • . . . . � t \� i ko TH if ey CA tr • 5.7 :f. I _ BARNSTABL HASK Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-87—Manchuk Variance to Section 3-1.1(2)(B)(b) To allow the stabling of a horse on a lot that is less than 21,780 sq.ft. Summary: Granted with Conditions Petitioner: Christopher Manchuk Property Address: 2170 Falmouth Rd,Centerville,MA Assessor's Map/Parcel: Map 169,Parcel 095 Zoning: Residential C&Resource Protection Overlay Districts Relief Requested& Background The applicant in this appeal is seeking to allow for the stabling of one horse on a lot that does not conform to the minimum area requirements as specified in the Zoning Ordinance for the keeping stabling and maintenance of horses. Section 3-1.1(2)(B) governs the keeping of horses as an accessory use permitted as-of-right provided the 9 provisions, a) through i), are met. In this instance, the applicant's lot is 17,460 sq.ft. when provision b) requires 21,780 sq.ft. That provision states: A minimum of twenty-one thousand, seven hundred eighty (21,780) sq.ft. of lot area is provided, except that an additional ten thousand, eight hundred ninety (10,890) sq.ft. of lot area for each horse in excess of two (2) shall be provided. Procedural& Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on June 10, 2002. An extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 10, 2002, continued to July 24, 2002, and to October 23, 2002, at which time the Board found to grant the variance with conditions. Board Members deciding this appeal were Ron S.Jansson, Richard L. Boy,Thomas A. DeRiemer, Ralph Copeland and Vice Chairman; Gail Nightingale . The applicant, Mr. Christopher Manchuk represented himself at the hearing. He stated that the horse has been on the property since February of 2000. It has only become an issue recently and generally most neighbors did not realize that the horse was being stabled on the property. Mr. Manchuk explained that he has tried to purchase the neighboring vacant lot but as of yet he has not been successful in that. He noted that he has always received a stabling permit from the Health Division for the boarding of the horse on the property. It has only just been brought up that the lot area is less than that required under zoning. It was also noted by the Health agent that the stable and pasture area is within 50 feet of the dwelling and that was not in compliance with health requirement. He noted that the Board of Health issued a variance to those health regulations. That variance was issued on October 22, 2002. A copy of it has been entered into the file. Mr. Manchuk's children spoke in favor of the appeal noting their care and enjoyment of the horse. Christopher Manchuk submitted letters in support of the appeal signed by three neighbors, Crystal Kadruhs,Joanne Beattz, and.Cynthia Baker. The Chairman noted letters in opposition from Attorney Albert Schulz,who represented an abutter Ms.Jo Ann Avallone. Another abutter, Mr. Richard Marten, spoke in opposition to the keeping of the horse on the property. He noted smells and other concerns if the horse should get loose so close to Route 28. , Findings of Fact: At the hearing of October 23, 2002, the Board made the following findings of fact: 1. Appeal 2002— 87 is that of Christopher Manchuk,who is a tenant on the property owned by Natalie M. Duarte. The ownership of the property is documented in a deed recorded at the Barnstable Registry of Deeds in Book 11593,page 002. Ms. Duarte is the applicant's Mother-in- Law. 2. The subject lot is shown as Lot No. 2 on a plan entitled"Plan of Land Centerville Mass. for JKS Trust" dated November 4, 1977,revised dated,November 8, 1977 and recorded at the Barnstable Registry of Deeds in Plan Book 318,page 15. That plan documents that the subject lot is 17,460 sq.ft. in area. The lot is located is shown on Assessor's Map 169, Parcel 095, commonly addressed 2170 Falmouth Rd, Centerville; MA,in a Residential C Zoning District. 3. The applicant is seeking a variance to the accessory use section of the Residential C Zoning District as it pertains to the keeping, stabling and maintenance of horses. Provision (b) of Section 3- 1.1(2)(B) allows the stabling of a horse on a lot that has a minimum lot area of 21,780 sq.ft. The property at issue is only 17,460 sq.ft. 4. The lot is short 3,320 sq.ft. iri area to permit keeping, stabling, and maintenance of two horses. The applicant has requested only the keeping of one horse. The shortage in area is `de minimis'in this instance. 5. This relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. 6. No findings have been made as per MGL Chapter 40A, Section 10. The vote was as follows: AYE: Ron S.Jansson, Richard L. Boy,Thomas A. DeRiemer, Gail Nightingale NAY: Ralph Copeland Decision: Based on the findings of fact, a motion was duly made and seconded to grant the appeal with the following conditions: .Z !a 1. The keeping, stabling and maintenance shall not exceed one horse. 2. All condition of the Board of Health Variance granted October 22, 2002, shall be adhered to. 3. The stables shall be regularly cleaned and all waste material disposed of properly so as to not cause a nuisance or hazard to the neighborhood. Waste from the animals shall be removed daily, or placed in appropriate containers so as to limit smells within the neighborhood. 4. The existing double fencing of the animal shall be maintained so as to prevent the horse from escaping 5. The applicant shall obtain a yearly stable license as required by the Board of Health. The vote was as follows: AYE: Ron S.Jansson, Richard L. Boy,Thomas A. DeRiemer, Gail Nightingale NAY: Ralph Copeland Mr. Copeland expanded his vote noting that the basin minimum standards have been set in the ordinance for the stabling of horses and that 3,320 sq. ft. was not de minims and no variance condition have been presented. Ordered: Variance 2002-087 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A, Section 17,within twenty (20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Gail Nightingale,Vice Chairman Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of . perjury. Linda Hutchenrider,Town Clerk 3 f ' r oFTME ro,,, Town of Barnstable Regulatory Services BARNSTABLE. y MASS. Thomas F. Geiler,Director �p 039. �0 rFc n,,A+A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 December 3, 2004 2170 Falmouth Road Centerville, MA 02632 Dear Chris Machuck, In looking through our records, we find a balance due of$180.00 for the building permit issued on 8/2/2002. Please make your payment in a timely manner to avoid further notices. Thank you, Sally Shea ,�°^` i � i I �pTNE Town of Barnstable Regulatory Services r r • r • BARNSrABLE, MASS. Thomas F. Geiler,Director v�A'FD 39. 0. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6230 December 14, 2004 Chris Machuck 2170 Falmouth Road Centerville, MA 02632 Dear Chris Machuck, It has come to our attention that we have not yet received payment for building permit # 62809 issued on 8/01/2002. Please remit your payment of$180.00 by December 26, 2004 to avoid fines. Call 508-862-4034 if you have any questions. Thank you, Sally Shea ALBEHT J. SCHULZ T 0�f Oz S AR?d S 1"A8LE 21248tperry.1tr ATTORNEY AT LAW ` WILLIAM CHARLES PLACE 2002 vUN 20 PH 4. 07 7 PARKER ROAD OSTERVILLE, MASSACHUSETTS 02655-2034 Ii, SIO TELEPHONE(508)428-0950 FACSIMILE(508)420-1536 June 20, 2002 Tom Perry, Acting Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: 2170 Falmouth Road, Centerville Dear Mr. Perry On behalf of Jo Ann Avallone, of 662 Skunknet Road, Centerville (Map 169, Parcel 16), I request that you enforce Section 3-1.3 (2) of the Town of Barnstable Zoning Ordinance as it relates to the real estate at 2170 Falmouth Road (Route 28) Centerville. This real estate, owned by Natalie M. Duarte, of 62 Seabrook Village, Mashpee, Massachusetts is shown as Parcel 95 on Assessors Map 169. The present occupants are the Manchucks. Section 3-1.3(2) and Section 3-1.1(2)(B) of the zoning ordinance require, inter alia, that the keeping, stabling and maintenance of horses in an RC zoning district are subject to the following: (a) . . . (b) a minimum of 21,780 square feet; (c) compliance with all local and state health regulations (d) adequate fencing to contain the horses; (e) fences containing the horses must conform to fifty percent(50%) of the setback requirements of the district in which located; M 21248tpe".1tr (g) the area is landscaped to harmonize with the character of the neighborhood; and (h) the land is maintained so as not to create a nuisance. The land at 2170 Falmouth Road, shown as Lot 2 on a plan of land recorded in Plan Book 318, Page 5, contains only 17,460 square feet, 4,320 square feet less than the minimum required under the zoning ordinance. Manure is presently being dumped off site adjacent to my client's residence. The parcel is not in compliance with current health regulations. The fencing is inadequate and fails to comply with the setback provisions of the ordinance. The area is not landscaped and creates a nuisance. I enclose the followingdocuments for our review: Y 1) plan of land recorded in Plan Book 318, Page 5; and 2) copy of deed from Steven R. Blonder, Trustee to Natalie M. Duarte, dated June 11, 1998, recorded in Book 11593, Page 002. If you have any questions concerning this matter, please call me. Sincerely, Albert J. Schulz AJS/mm enclosures cc: JoAnn Avallone i %� . BK 11593 P0002 55346 07-24-1998 43 = 1 "?' I,Steven R.Blonder.,Trustee of Captain Ed Real Estate Trust,u/dh dated January 6, 1998 and recorded Barnstable County Registry of Deeds,Book 11105,Page 025,grant to Natalie M. Duarte of 2170 Route•28 in said Centerville,44h 02L82 consideration $135,000.00; with quitclaim covenants the land with the buildings thereon situated in said Centerville shown as Lot 2 on.plan entitled"Plan of Land in Centerville,Mass.for JKS Trust,Scale 1" =60'Nov.4, 1977,Revised November 8, 1977,George Low&Co.,2 Turner Lane,South Yarmouth,Mass.Being a Subdivision of Lot 3 as shown in Plan Book 293,Page 18", which said plan is duly recorded in Barnstable County,Registry of Deeds in Plan Book 318,Page 15. The above-described premises are conveyed subject to building and sewage setback restrictions appearing on the aforementioned plan. ? See deed dated January 28, 1998 recorded with Barnstable Deeds in Book, Page h Executed as a sealed instrument this 114" day of 70-? - 1998. Steven I Blonder,Trustee of Captain Ed Real Estate Trust COMMONWEALTH OF MASSACHUSETTS `UGC ss. 6/t 1998 Then personally appeared the above-named Steven R.Blonder,Trustee of Captain Ed Real Estate Trust and acknowledged the foregoing to be his free act and deed,before me. COUNTY Notary lic: L. Y OF DEEDS My Commission Expires: COUNTY EXCISE.TAX 07/24/98 07/24/" aiiiiit TAX 307.E THOMAS NCH LA`'`F TUTAi. 307.8D Pub6e .. d dwaeps TAX 461.70 CHEOIC 307,80 10,20Di, ; „. CHCK 461.70Om 1751A040 14:14 EXCISE TAX 10i 0111i i4:i3 COUNTY EXCISE TAX BiC 1 1.SBA PB[1BS SS348 TRUSTEE'S CERTIFIC The undersigned,Steven R.Blonder,of Mg.4Acc. Massachusetts,as I am Trustee of Captain Ed Real Estate Trust,hereby certifies as follows: 1. I am the sole trustee of Captain Ed Real Estate Trust,established under a Declaration of Trust dated January 6,1998 and recorded in Barnstable County Registry of Deeds,Book_I 11 g S� ,Page 2 s 2. The Declaration of Trust has not been amended,altered,modified or terminated but remains in full force and effect. 3. I,as Trustee of Captain Ed Real Estate Trust,have not executed a written instrument reciting my resignation as Trustee of said Trust. 4. As Trustee of Captain Ed Real Estate Trust,I hereby certify that I have full and complete authority to execute a Quitclaim Deed and other documentation relative to a sale of certain premises located at 2170 Route 28 Centerville Massachusetts. 5. 1 hereby certify that all Beneficiaries of Captain Ed Real Estate Trust have, accordingly,authorized and instructed me to execute the same documentation as described within Paragraph 4 herein. Steven R.Blonder,Trustee Captain Ed Real Estate Trust COMMONWEALTH OF MASSACHUSETTS C�ClI/I SfLt hlP ,ss. 1998 Then appeared the above named'Steven R.Blonder,as Trustee of Captain Ed Real Estate Trust and acknowledged the foregoing instrument to be his free act and deed,before me. 4; otary Public: 4G; !_ My Commission Expires. - aluptruC.wpd - - - BARNSTABLE REGISTRY 4F DEEDSqa IN y .yr f,: fiwi ti y_ r' ,�c ♦ ! . ,.. s'• '�7 L m 3 s v '\� ram. .. � �� •.' 'l •/ _Y, r it q�/`•_.(/r a lary-.s.+ ;. �'{i�,.y,�" 1 'r�•, i ���,�%*,,�"d'° 4 jj'f if y+-'%� f .>r '� - tW '��X .. a �/' r i`� .�, > •t I ma's. ,,^M+eb1✓ /.!✓��,�. * K a �c r1 r �r "s. .1 */,; .y.,r aV. +•� Jr t 4'• �ngZ,,,. � 6v y,,.! r 1., �q.,�s .�. ' �} �.�;��. ♦ ,��^�'(�i�i,l��Z`�,•��, � I A ,/ � , ^r ti t r�,f .... J ��r i.cr tr r 'Y �^ �� .rqC rY s s +fFi,.;.- # t"yP�S p 9• �E }li-1�:� _,�' �" s':' a r :�.t. r ''� ...}�,�y+o f`*�,,,�,,,R ��st ' '� � ��y � .�L �.aM r • a t.�r'�' v.' 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C _� � �•�� r2 ;��� ,,,,,-.3• ;�f f �r� '�l' �jwa X.✓. _',.eq .t��' M1 ��'�• �1'. �+.'aT �f `1 sue. +`� i �f i a; 3 lze ,4ie -' i • ' I._ !� 13 o A. 06 y ' :, .• ' cry •�,*¢ fJ _ �,,,. ..- r��'i _� ...arm .. J ...�,� ' rs -� l _• ,t Y • T 1� ..:-. f ♦ �"�ISi- ' _ ! it _ ,:..j. iw .... 2 y `4S - K• '..-fi mow✓}q�lE� �'�C3�'�•-., +� �-_ �1 i Health Complaints 10-May-01 Time: 2:04:29 PM Date: 5/10/01 Complaint Number: 2850 Referred To: EDWARD BARRY Taken By: THOMAS MCKEAN Complaint Type: Horse Stable Article X Detail: Business Name: Number: 2170 Street: Falmouth Rd./Skunknet Road Village: CENTERVILLE Assessors Map-Parcel: Complainant's Name: Joanne Avalone Address: Skunknet Road Telephone Number: 508-428-6171 Complaint Description: There is a horse on the roperty, without a stable permit. Also, she questions ow a orse t7e- proved at such a small parcel of land. Actions Taken/Results: Investigation Date: Investigation Time: A-75 6P U Assessor's ma and lot number J..%... `% � '``' y P ,JC �p'I �� �_ �Q OF THE Sewage Permit number L-7c, Z EASHSTADLE, i House number ......................:......3 O / vo rasa p 1639 74) � 0 YNy a` TOWN OF BARNSTABLE BUILDING INSPECTOR ' APPLICATION FOR PERMIT-TO Con.struct. . ...Dve. ink....... ......... . ...... ..11. .. ... ..................................................................... TYPE OF CONSTRUCTION Mood Frame ............. ......................19...7R. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �k ? "outo ?P, Ccnterville Location ........................................................................................................................................................................... Proposed Use Ite^ident it 1 Z Rnnidential Centerville ZoningDistrict .......................................................................Fire District .............................................................................. .Tames K' Smith Barnstable Nameof Owner .....................................................................Address .................................................................................... Name of Builder ..Janes K. Smith..................................Address ..........Barnstable................................................... Nameof Architect Address.................................................................. .................................................................................... Number of Rooms 6 Poured Concrete .................................................................Foundation .............................................................................. Exterior Shingly Roofing ... Asphalt Shingle Floors 'r1I to 1!a11 and Yii�yl Drywrall ............................................................................Interior .................................................................................... 711�* Heating .... UY OiI ...........................Plumbing ....lea bathe ............................... Fireplace �"� ..............................Approximate Cost 3l,(1'On 00 Definitive Plan Approved by Planning Board ________________________________19________. Area - -.......................................... Diagram of Lot and Building with Dimensions Fee C;. /'-�`" ................ ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name - ...............:........ ...........�� .................................... 8m1tbv James K. xxxx30��� � A=l69-95 2027 � moe atmry No -----.. Penni� �or --r----- .......... single family ' ----'-------.--------,------ 217O Okoute 28 ' Location --- _.__-------- ' Ceo le ----~------,I-------------- . James K. 8m1db Owner frame Typo of Construction . ............... ........................ ^ ' � � — ............................ Lot .... PERMITIEFUSED � ` � . . ............ .. lV � ^ � '--''^..x^--- f --------'' -----~—^^--------' ^~'------'' K ___._.. ' .................................................. ---.— ----^—'—^~--^'----~—^--'----^^' Approved ................................................ lV ----~--'-------~^~~~--'—^'---' � ------------------------^^— f -C6MDlalnt Number: 1690 • ' Takcn'bv: n BUILDING SLRVICLS = w t "a .� Date: 3/14 2000 MaU/parcel: m U s . x Referred to: ..-, UJI.DNG µ - _ + SUBJECT OF COMPLAINT Business/Occupant Name: w 77 _ A Number, 2170 Street FALMOUTH RD s� Villa,e:. QENYERVJLLE - COMPLAINT INFORMATION. - Complainant's Name: NEIGHBOR :Address: , - Telephone'Number: Complaint Description: BUILDING STABLE-------NO PERMITS :. - 7 7 - ter_ Actions Taken/Results: REFER TO TOM P. y J��r2p�p g�o Gee. ��c�.�.v-e - 1 AM r 6�0� f e r a. Date Closed ` " r Town of Barnstable ,,oFt"E T°w Regulatory Services Thomas F.Geiler,Director BAMSTABIX, MASS.W. ` Building Division 9 �w � •1639. n Mph a` Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601. Office: 508-862-4038 Fax: 508-790-6230 COMPLAINT/INQUIRY REPORT Date: -71v4 Rec'd by::12 Complaint ap/Parcel Location Address: D Originator Name: Street: v Village State: Zip: Telephone: Complaint Description: —6 • N s FOR OFFICE USE ONLY 11 Inspector's Action/Comments Date: Inspector. V Art,p or\-"a.I a p -�. 'Additional Info.Attached Town of Barnstable t"E'°''y� Regulatory Services Thomas F.Geiler,Director MASS. g Building Division i6J9' ♦0 iOlFp Mph°' Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINT/INQUIRY REPORT Date: 4,17102 _ Rec'd by: Complaint Nam • - /TTa � Parcel Location Address:,/2 d Originator,,.� Names 1pel- � qVa&AAA - r(e J pill��� Street: c7 rO Fd eu Y-A S y Village: State: Zip: C;T Telephone: 4 �� Complaint Description: A4GC� /Z� � �Jrt �� Af rli000�/ �� z;- i s o cvAJgA - 12LW ,fie Baer. I:-)aa 177al2ezee si alnkk vc7— f7e?6-* . 4COeJQ5�- s7 f- FOR OFFICE USJ ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:forms:complaint Assessor map and lot number ......,1.k.. �,1 .... ..� ....... ypF 7N E Se e' Permit number ��.��.'. Q..�O.. SEPTIC SYSTEM MUST ar CJ INSTALLED IN COMPLIANCE Z 898B9TLDLE, i House number v.7e ���� 90� Mb 9• 0� .............. ............................................. ENVIRONMENTAL CODE AND �oNxiAr* TOWN- OF BAR"TABLE t ' BUILDING INSPECTOR APPLICATION FOR PERMIT TO .; .>!J/P.' ..... rl �... /.1.`JGJd S �,,,,// ✓ ... .... ............. TYPE OF CONSTRUCTION .............. .`?.�;l ................................................................................................ . at-.4.z1J. .......9.. TO THE INSPECTOR OF BUILDINGS: " The undersigned hereby applies for a permit accorddiing to the following information: Location ........17. G1 h.. f2 ..,,4 in.......e.�w: ll1e,A.-Irwg' ;.................................................. ProposedUse ........C/, :-Q..... 4.! .F.�L��(.... 'l. .v .........................................................................I......................... ZoningDistrict ....................................................Fire District ....................."...................................................... Name of Owner q0j,0...,�r..... r......Address ... .7.. J../k.Gll/1„<�.12�.�/.J.(/1.R..��J�.Y.If�I/I?'.!�/�e Name of Builder .rt?..a'Y...20.7/.....DhJ'I/,fy�. /:.I.R-.65.�.Q7����8 Nameof Architect .......................... .....................................Address .................................................................................... Numberof Rooms .......... ...........................Foundation .......... ............................................................... Exterior ( 'Af.JoweW,:....TC�1?�t..l>�o!!�/ .�/j/�N�..Roofing ......�I S IG? ................................................... Floors ,1 .. !/ (�GJ��� Interior ........ .R://......................................t,........ ... .�. ...... . ................................... Heating /llJ./....�l�F;?/.°! ....."� ..O�a.........................Plumbing ....� ./../1�1../Jal./.1........1.... 414 19fJ........ Fireplace ..................................................................................Approximate. Cost ....... .................. .. ................. Definitive Plan Approved by. Planning Board -----------_------_-----------19________. Area ......7.1..�...................... Diagram of Lot and Building with Dimensions Fee `� F ' SUBJECT TO APPR V A 0A DD OF HEALTH II OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...� j� ............. Construction Supervisor's License .1. ..� NOTEMYER, JOHN M. ADD 2nd FLOOR No .27 �.�..... Permit for .................................... Single .Fam1Y.Dwelling.................... Location ..... ... 678 Skunknet..Road .................... ...... ................. ......... .. Centerville - Owner John M. Notemyer '.T "!` Type of Construction ,.Frame ...............................................t....... ... .......... r Plot ............................ Lot .. .................. X ; " PermitaGranted ch,.20.... .... 85 ....� 1;9 Dote of Inspection .....................................19 t _ r Date Completed V(61:'„4=: .............. ? .119 t } Assess�orsmap and lot number .......,. Sewp a Permit number ....................2h...r:Tn Z BAUSTADLE, i House number ..........4.7 ................................................ 90 NAG& p 039. \0� TOWN OF BARNSTABLE BUILDING INSPECTOR y L APPLICATION FOR PERMIT TO !j�, t ....... �o�.. ,... ..�..................1 .. TYPEOF CONSTRUCTION ..............�K ..O ................................................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accor ding to the following information: Location ....... .7.! ..... �t..!l..h.... t? .t..f11 l......�<: !?1 ! .v/�/„2.,,.../..,'/ ............:..................................... ProposedUse ....... r ......`...�' ?.�.� .. , 1.t?c/S..-e......................................... ....................................................... ZoningDistrict ...............�,!.......................................................Fire District ....................:......................................................... Name of Owner .�/.O. 7,A.�1 .. ..... �C?► .4t!1. �/r......Address .. l8..... !1..(f✓aJ�.f'J rT',,, e� �'!/a./4, -? C I Name of Builder /.;./(.( "/.. ........ .... .....G.........Y.... Address . ........:/..��........ A?.f'L...,... .1....�✓`2.........( .... Name of Architect ....Address .................................................................................... Numberof Rooms ........... ..................................................Foundation .............................................................................. Exierior Cl1�y�7�1 11 1;s 7 f'�!?�.(...f..d.-0�i��'.5,44�-'A.5 Roofing ......,�5H7/��/ .. ............................................. /� ��� Floors .......b.�.......... . .:�..........����...............................Interior. ........��,�<�. �'�// Heating ..//- ,2.f.. 7�7i- �...... / !, ....�... �I/ /�7�� �' � j t ...... .......rr. ......... .... ............. ..Plumbing �.1../�:.......C...............,..,..... p ...................................................................Approximate. Cost ........?. .... ............................................... Fireplace .............. (1C� Definitive Plan Approved by Planning Board -------------------------------19________. Area ........ 7........................ Diagram of Lot and Building with Dimensions Fee ` " SUBJECT TO APPROVAL- OF—BOARD OF HEALTH L'�-j t � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nameh1.....— ... ...............I ............. / Construction Supervisor's License ..... ... .. NOIEMYER, JOHN M. A:--169-:27 27619 Add 2nd Floor No ...... ... Permit for .................................... 5ingle Family Dwelling ..... . ......................... Yl.,7 0-- -6-78-Skunknet, Road Location .............................................;.................. Centerville ............................................................................... Owner ...John M. Notemyer...................................... .... .... .......... .. Type of Construction ....Frame ........ ............... ........... .............................................................I.................. Plot ............................ Lot .................................. Permit Granted ....................March 20..,...............:..jq 85 Date of Inspection .................19 Date Completed ............................... ....19 TOWN OF BARNSTABLE J 20274 Permit No. ------------------------- Building Inspector ■..� Cash -------------- OCCUPANCY PERMIT Bond 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 Jamm K. Smith Address Route 132, Hyannis lot #2 2170 Route 28, Centervillp a Wiring Inspector Inspection'date � Plumbing Inspector 0 Inspection date Gas Inspector n Inspection date 'Engineering Department �+j t �. Inspection date /d 3 THIS PERMIT WILL NOT BE VALID AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ] A .......... . . ...........L............... . ......._.... Building Inspector »._...._._ ZO 41 s= S/LL.fLE✓_ ." �"F�T•AB41�E �0�1I,;1 0- L07 ^ /V rf L.00AT SCAL E ��_AI I.LCLLOAT PLAN 2 FEQEn/C4: ��s-. �y`' J NE�EBy C�QT/FY 7"NA:7- TNE. EXIT v " t G !. � , �` /NG F'OLIAIDATION L OCAT/ON /-�5 OWAM E f ; 43 .6WOWN AN17�� �:_Cl?NFOQi�-J I�01/3!.�/ . J� .'L��;,.• � ' " THE $U%LD/iVG SET�C.�,�f_QUi.C�ENI 'o y OF THE rOWAI OA13 QED•.LAN ''C/,i2 V, Yr✓ 4V1LLow or Y<112M0 wvIr Assi.Mors rip and lot number .......It" ........ ......5;. THE ropy l Sewlage., Permit number ........... .......... r7 BARNSTABLE. 0- Wumber ......................... -rEM MUST BE: NAM use 0 SEPTIC SYSTEM H ............. ............................... rj! INSTALLED IN 'C'WAPLIANC11, 1639- am Ar F TICLE 11 STAT E D TOWN RX" --TOWN OF BiftA�,,,W �VI:L- E REGULATIO BURD1.1-G Ilt"PECTOR Construct Dwelling APPLICATION FOR PERMIT`TO ........................................................................................ Wood Frame TYPEOF CONSTRUCTION .........................................................................................I.............................................. 78..............Jun.e...6......................19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a Permit according to the following information: Location Lot #2 Route 28, Centerville ................................................................................................................................................. ..................................... Residential ProposedUse .............................................................................................................................................................................. Residential Centerville ZoningDistrict ........................................................................Fire District .............................................................................. James K. Smith Barnstable Nameof Owner ......................................................................Address .................................................................................... James K. Smith Barnstable Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ..................................................................................... 6 Poured Concrete Numberof Rooms ..................................................................Foundation .............................................................................. Exterior Shingle ...Roofing Asphalt Shingle ......................................................................... .................................................................................... Floors ..........Wa.1.1...to-..... .Wal.l—......and...........Vinyl.1............................Interior ................Drya..1....1 .... ..... ......................................................... Heating ......FHW.by Oil 1-1-2 bathe ......................................................Plumbing .................................................................................. J Fireplace ......One 000.00 ............................................................................Approximate Cost ........ .......................................... . ..... Definitive Plan Approved by Planning Board ----------------------------19-------- Area .........9.%% Diagram of Lot and Building with Dimensions Fee .............cp/....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ..................................... Smith, James K. ` .720274 one story 41,46 4................ Permit for .................................... i single family dwelling ............................................................................. lk: 2170 Route 28 Location ................................................................ Centerville ................................................................................ James K. Smith Owner .................................................................. Type of Construction frame.......................................... ............................................................................... Plot ............................ Lot ........�2 ...................... June 7 78 Permit Granted ............I............. 19 a. Date of Inspection 19 . ..... ........... .... E, Date Completed ... .. .. ..............:..........19 /6 'PERMIT REFUSED ................................................................ 19 ............................................................................... > .............................I.................................................. ............................................................................ .. .......................................................................... Approved.................................................. 19 ........................................................................ ...... ................. ......... .................................................. Town of BarnstabXe¢ E ptHE ro Regulatory Services. o h s Thomas F. Geiler,Dire6f7dr FBI `,. P�� . N4 ir M F Building Division * BARNs-TABLE, - y MAss. Tom Perry, Building Commissioner tG3q• Ahoy a 200 Main Street, 'Hyannis MA:0.260 www.town.barnstable.ma:us Office: 508-862-4038 Fax 508-790-6230 Approved; Fee: raj? . r ar hermit#:. z 1 f��� HOME OCCUPATION REGISTRATION Date: aS f Nattie: 1,t.ty���r—��'1G—j/1 �1U Vim. Phone 9:_b8 An l-i �5 o� Address: 1 —L p. -�`�o� I Vwn oU � C�, Village: Name of 13usiuess:_—1,�__ --- --z'� — ----- --- ----- ---- ---- --- (hype of,Business: lJU I V C-Y"V4`1 Y-" Map/Lot: cl L' INTENT: It is the intent of,this section to allow the resi( - its of'the`1'olc-irof'Barnstable to bperat�a ltoiue occupatiotl mthin single Firmly dwellings, subject to the provisimis ofSectioil 4-IA of the Zoning ordinrince, provided that the activity Shall not be discernible from outside the clivelling: there:shall be no increase in noise or odor; uo viSuaf alteration to the premises Much Would Suggest Ulytllillg other thwi<i residential use;no increase in traffic above tiornial reSidential volunies; III([ no increase in air or grouridewater pollution. After registration with [lie Building Inspector, a custorna y]ionic occupation shall be permitted as of rightsuhject to tine following conditions: • The activity is carried on by(lie liernianent resident of a single Earthly residential&&'ding unit, tOcilted.il'itltiii that dwvelliug unit.. TM • Such use occupies no niore than 400 square feet ofspace, • There are no extern ld,dte.ratiolls to the chvelling whicli are not custoniany in is no outside evidence of such use. • No traffic will be generated in excess of nornial residential volunles. • The use does not-involve the production of ofleiisive noise, Inbratuul„Snullce, (lust or other pai-(icul,tr matter, odors,electrical disturbance, heat,glare, humidity or other objectionable effects. • There is no Storage or use of toxic or h 7,11-dOuS ivateri:ils,`or flaniniable or explosive niaterctls, in excess of nornial household quantities. • Any deed for parking ger erated by stich use shall be Viet on [lie sanic lot cotitatitul'g the Ctlstotilaiy Honie Occ•upatiou,and not mthin the required front yard. • There is no exterior storage or display of niaterials or equipment. • There are no commercial vehicles related to (lie Customary Hone Oceupa(iou, other than one van or one . picL-up truck not to exceed one ton capacity, and.oue trailer not to exceed 20,feet in len[,mli and not to exceed 4 tires,parked on the Same lot Coll taiuing.tlle Customary Honie Occ•it{rrtiou. • No sign( Shall be djsplayed,indicating the.Custoriiaty Houle Occupation: • If the Custoiii�uy,Honie-Occup;ltlotl ns listed.or advertised as,al business,the street address' shall rich be included, • No person shall be 6niployed in the CuStrnu;Ll-y Home Occupa(ioil 11-ho iS'not a pen laticlit resident iif ilie dispelling unit. f, (he Undersiped,have read atul agree iiith the above restrictions for My lustre occupation I air registcriiig. tlpplicail(:� Date: �x -. [r� o� 1 � G j—ot � ►-y�.o tJ`�ti �1C� Ac-Jo- _ - - � 0 i �..m �- �� YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS' NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required bylaw. Fill in please: Date: J c r\ APPLICANT'S NAME: ► ` (� 1 �'l i�c! i�, YOUR HOME ADDRESS: cn tc-i-V(I t�. G BUSINESS TELEPHONE # HOME TELELPHONE #: v`� 3 1 a q 5Tz.) A NAME OF CORPORATION: FID # S 3 LS D 3 t,-774 NAME OF NEW BUSINESS i-i , h-1 , V r-h� i C1 T1(PE OF.BUSINESS �' w� IS THIS A HOME OCCUPATION? ✓ YES NO ADDRESS-OF BUSINESS ut)-�. (',ch4-t--ryH 1e Ma 6��63;?_MAP/PARCEL NUMBER -dq (Assessing) When starting a new business there- are several things you must do to be in compliance with the rules and regulations of the Town' of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. 1. BUILDING COMMISSIONER'S OFFI E This individual has ee, informed'Of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: v r.�- A 2. BOARD OF HEALTH This individual has'b nformed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been inlorp.ed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Vi o No u 1 r BouL LOCUS. IVOTe 3 ..,•. 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A PPeD VA NOT;E?IW,1Z6D UA/DEE . .5018 D/t//s/0A/ CIOA17=1- LAW A S U6 ,DI t/rS lON of ,�A,eitl,SrAB�CE P A/w/tiG 604ZD LOT 3 AS SyowN iw PLAN BG�X Z 93 ` pAGE /8 o, OQ .tc Gt.•�•�..r TOTAL APEA 38454 f r . ' LOCUS NNOTE 3 ••' 6B0,v&J LINE 25 FMtl V Y a S a-M7ZEL.JNE TO rrF-. =,200�0' 125E0A5 ZOAD a/ SiDEUNE FOE �h f l/ D/NG AAID A GA n/ E• SNA LL I/l/C- ��/ : PL.A^/ .5004 3/0 ' PAGL 35 Op 154 A��135 ) 1 .40 / �, �� . t °35 r 54�30•�,j, �' 9.9 u, PLAN 8,e /9/ N 9 47 E ? / `�•ti^ Z �1 /�Q` 4 PA6E /53 3 7.75 / h I D ZS P F,eLt�vCES� cp, 17460 t 5 gb•S C. h 60po I``. 20 Go5e.T N r ^!p(1 � .moo� sTgTE y 28 s4 3Q �� 1'v!G Y rE��/V/S Fes. - �-�-- 8 ` FOUND USC�GS srA• M28 FC:7 3-S¢ 56 P4.A�V OF L AVD /iV ce ICERryy TIfA r ry/s AI-Aw IVAS Fcae OEw P,eE.PA•RED in/cavFaPEA1irr J 17;V TINE RtIZ .S AND P.66ULA T/ON5 SC,4L E /"= 60� /VD V. ¢ OF TXE 61ST�.5 Or-DrL64FT21E 2E V/SE.1� NOV.8, /977- .�:z" -If CO/►fM,►O�tIN/EAGTH OFNJA.SSAC�/1J5�775. °�� - �o✓�f, /977 p�c� .;: , DATA �.LAV 5URL1 O.� GEozc7z ,LoW4 Co. �. F . N/NG �C 15000 C•STE� -. ZO 2 T UZ A/&Z G ANE °su ��%'` /O'O • APD7// s O U714 YAZ M O UTN, A PFZD✓AL NOT WELD Url/DLP THE.5UB D/U/S/O/V COAll L LAW BE/NC7 A, :S Ufa DIV15 /O.'V OF 6A U5rAbZC PLAMWAC �ut.� 1-0 r 3 AS a RO!,U/n/ /A/ �.AN TONAL AZEA 38454 DA r