Loading...
HomeMy WebLinkAbout0148 INWOOD LANE z. e f 4 I e o 1.,t _ e �,s � _. _ ., _ . r �,,: -� .�.,. -- .., . -. �, oic�+..- ,� �. a r'-.{r�' .-_ .-.,�e�__-,_� �.�-...- •�,•- n .,� ._. m a� � «, x.a e o taa Y e 0 PLAN REFERENCE : INWOUL) BARNSTABLE COUNTY 95.00, REGISTRY OF DEEDS - WLAN'BOOK 436, PAGE 37. co - Porch&Stai Retaining Wall . w 0 O y•, i Existing o A "' Foundation } Hse. #148 15.00' LOT 7 �" 21,860f-/-S.F. 65.00' 0 0 0 Co o) rn of Co a } n h o , 0 I hereby certify that this dwelling is located on the ground _. as shown, and that it conformed to the Town of Barnstable Zoning By-Laws regarding minimum setback requirements at the time of construction, and that the dewlling is located in Flood Zone"C", as shown on F.I.R.M. 250001 0008 D, for the Town of Barnstable, revised to 07/02/92. :001\ 10/21/03 MAP: 245 SEC PAR.:007 LOT: 7 HSE.1148 'NORMAN G OSSMAN PLS DATE OF �a; q�. s 4cke• --FOUNDATION :LOCATION PLAN raoRMa� LOT 71 #148 INWOOD LANE � 1zn stAAN No.GRo , 776 BARNSTABLE, , MA. No. is.. SCALE : 1" = 40' Norman*Grossman, P.L.S. 10 Marsh View Road DATE : Jun. 4, 2003 East Falmouth, Ma. : w PLAN NO. : C - 800-R 508-548-1920 REV.10/21M;Relocate new fowl9.tdon waft at east side of garage rl I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # ` r/�� )100 Health Division Date Issued Conservation Division a Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �' /�� �►'�v�r/U� �� Village ��r ✓�rn�� S �' �r% �-4.-/LL Owner r t Arzl> V OG Address, /Y�' N wo Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation' —Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No AP Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ t°hgr Basement Finished Area (sq.ft.) BaserY�ent Unfinished Area (sq.ft) v�A Number of Baths: Full: existing new0G Hal existing new 110 Number of Bedrooms: existing —new 1�J6 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �-G� 4 C Telephone Number Address /Y U/OVID � � License # Home Improvement Contractor# Email �a C� � L car' Worker's Compensation # 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY -,APPLICATION # t DATE ISSUED MAP/PARCEL NO. r r' z ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I 17M Cojmmornreah*gjfMassadmsetts Deprart wait of lrrustyid Accid-odr r 600 Was hWon Street _ Boston,MA A2111 tVFP1nma-,mgFP/dia �. '"Iwi ers' CaffipensafianInsurance avid B.�ders/C� ntractursMectrirLmL%tTlumbers AppIkantInformatim Please Print �Na=(Budne ni ma& sRi 1` O C CityfSta&'r .. (T 1/^i-I/s Phone-tuk 9 fj Are you an employer?Checkthe appropriate gas; Type of project(ref aired): / L❑ I am a employer vdth. 4. ❑I am a general contractor and I 6. ❑New comsi ug employees(full andfor part-time),*. have hired the sub-contradors 2.❑ I am a sole proprietor or gartnir- fisted on,the attached sheet, 7_ ❑Remodeling ship and have no employees These sub-coxiftactors.have 8. []Demalitiou walinga forme in any employ and bare wodws' � # 9: ❑Suildmg adZlltioII. INp wodmrs' camp.insurance. comp-insurance'r required j 5. ❑ We are a corporafim avid its l{1❑Electrical r or moue 3_KII am a Queowner doing all work officers bate ememised their 1 L❑MmA ingrepairs or additions ' rim of exemption per MGL myself o workm C.M gl(4�andwe have L.❑Rflafrepairs inc . ur.as�re ��f 1�_Q otheremployees[No woBeers' camp_insurance requirecl_] a ;A-UY p BCMt&atcbedabosrlmastaMIMoutthesecdonbekwsbajffieirwodsas'camponatiaapaRcyiafnmsooa. EiameDwaets who submit dHisaf5daef. ate dam. - ` Q ��3' � sacli ZC'aat®ctas ff=rhwk this b=must attarhed�as addiliaasl sheet sbaxmg the asap of the sub-camtxmIam zad stide whether or not tlwse emitks have em990yees.I€thesub- amtoaaeshweeaiplTtw-s,Baepamstpmvidrtheif smokers'-2p.PGRgaumb- I am arj eurpr tliatispraufriurg nrorkets'cartrpertsafcirjr insrirafFcs for mar�rP�3`� Setoev is fJ�epa�Ficy alfd jeFj azte . inforffralinjt Insurance Company Name: Policy'or Self-in&Iic-"k F piratiaa I}ate: Job Re Addre= Cityl5tatel2.rp: r Attach a copy of the workers'compensationpolfcg declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL m 1572 can lead to the imposition of criminal pe ld s of a fine up to SURD OD andror one-year imprisonmeuk as we11 as civil penalties is fhe farm of a STOP WORK ORDER and a free" of up to$250-00 a day aQaiest the violator- Be advised drat a copy of this statement maybe forwarded to the Office of, Investigations ofdte DIA for ioslasnce coverage verifrcatim I dIo heraiiy udar fit and a °thatthe inforuuu ivn prm-vW aba�f is hang and carrect . I �� _t j a sue - ����� DFalz: _. 12 ^? 9,-- 7 a- Oj*ai use only. Do jolt write in this area,to be winpleted 5p city artoom ajOrcrat Cry or Tom u: Permi Mcense f Lwaing An6writy(circle one): L Board of$ealth ":.But Depwtment I CUP Town Clerk d.Electrical FnspectDr S.Plumbing Inspector 6.Other J Contact Person: f Phone laformation and Mstruction's, -. Massachnsefis General Laws ChVbZ 152 regoaes all en3PI0yers to provide workers'corapeusa ion for tbeg employees. PmsaaMt-to this sib,En=PIoy=is deed as_¢_.evmy person m.the smvice of another uader any contract oflfe, CMPress or implied,oral or wrhm3f An mTkyer is defined as"an mdbu aal,partnership,assoCIHiiim,corporation or other legal entity,or any two or more of the foregoing engaged in a Joint uprise,and inchudmg the legal representatives of a deceased employer,or the receiver or trustee of an indxvidnal,pa tleaship,association or other legal entity,employing eurpinyexs_ However the owner of a.dwcUioghouse having not more than three apartments and who resides therein,or the occ¢pant of the- dwelling house of another who employs persons to do maintenance,cone on or repair wo&on such dwelling house or on the grounds or building appurten=tthereto shallnotbecanse of such emplaymentbe deemedto be an employer." MGL chaptr-r 152,§25C 6)also stems that'every state or local£icens]mg agency shale withhold the issuance or renewal of a Ucease or permit to operate a business or to construct buf<dings in the commonwealth for any applicantwho has notproduced acceptable evidence of cur¢pRmcewn the insurance.coverage required-" Additionally,M(rL chapter 152,§25CM states fiieither the commmiweala n.or gay ofits political subdivisions shall enter min any contract for the perfvrsnance ofpubho woi3cuatil aeccptable evidence of compliaacewith the insu anm.. req=r.mmts of this chapira have been presented to the cmk cbng anthDaty Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sob-contractors)name(s), address(es)and phone nUmber(s) along with their ced ficate(s) of nonce. Lmmited Liability Compame-S 9-LC)or Limited LiabMty'ParSoeaships(LIP)withno employees other than the mmnbess or parincrs,are not regrm-ed to cany wm:kers' compensation iusmr-mce If an LLC or LLP does have employees,apolicyisrequirad. Beaciyisedthat this affidayitmaybesnbroitted to,the DepartmentofIndusixial Accidents for confhmati.on of fimzmce coverage Also he sure to sign and date the affidavit The affidavit should r be eb=Dd to the city or town that the application for the pe nit or license is being requested,not the Department of T„dn�� ;RT Acci dents Should you have any questions regarding the law or if you are requit ed to obtain a worl�rs' compensation policy,please caIl the DeparFmeof at the number listed below Self-insured companies should enter their s eIf-ins-mc-ance license amber on.the appropriate lice. City or Town Off dais f _ Please be sore that the affidavit is con3plete and printi-d legibly. The Depa lmr-at has provided a space at the bottom of the affidavit for you to fill out the event the Office oflnvestigations has to contact you regarding the applicant. P leas a be sure to fill in the pennit/Iicense m=ber which will be used as a reference number. Inaddition,an applicant thzt must smbnmit muliiple pe�itlTicense applications in any given year,need only submit one affidavit indicating cost policy information(if necessary)and under"Job Site la_ddr=s*tie applicant should write"aR Iocations n (city or town)-"A copy ofthe affidavit that has been officially�P ed or marked by the city or town maybe provided to the co applicant as proof that a valid affidavit is on fiIe for fatore permits or licenses_ Anew affidavit must be:fulled oirt each year.Where a home owner or citizen is obtaining a license or p=itnot related to any business or commercial v&3t= (ie_a dog license or permit to bum Ieavm etc.)said person is NOT required to complete this affidavit The Of of Investigation would like to thank you is advance for your cooperatian and should you.have any questions, phase do not hesitate to give us a call The Dep a tmenf's address,telephone and fax mm�ber_ Tlv-� I*of I�s�cl� tfs print cif][d is A oiddmtg. �Q4��Qn Stet Bwtmn MA 0�1II Tf,-L 4 617' -4 =t 4-06 car I-V7-MA SAFE Fax-9 617 727 7749 Ravised 4-24-07 goWdk Town of Barnstable Regulatory Services P�oF-ME roty� Richard V.Scali,Director Building Division i RnRw7crAR'fr+' « Tom Perry,.Budding Commissioner 200 Main Street, Hyannis,MA 02601 www town.barnstable.ma.us Office: 508-862-4038 Fax 508-790-6230 // HOMEOWNER LICENSE EXEA=ON 5 /�0'//G Please Print DATE: / JOB LOCATION -� / O �- l� (�D('JZ7 D� j / j�YV✓!! S r�i✓I yliPrd�✓�': umber sheet village -01vT_O INNER": name- e— home phone# work phonc# Ct7RRENT MAILING ADDRESS: city x)wn state rip 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. DEFTNMON 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) II The undersigned"homeowner"assumes responsibility for compliance with the State Building Code.and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"cmtif es that he/she understands the Town of Barnstable Building Department minimum inspection prose es �n 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 Constriction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall he exempt from the provisions of this section(Section 109.11-Licensing of construction Supervisors);provided that if the homeowner engages a persou(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 Iack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. Ia 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 Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a formfcertification for use in your community. QAWFIL1rSTORMMixilding permit fanns\EYPRESS.doa Revised 061313 � r �TFiETpy� Town of Barnstable Regulatory Services MAM $ Richard V.Scali,Director 1639• pry Building Division Tom Perry,Building Commissioner 260 Main Street;Hyannis,MA 02601 www.town.barnstabIe.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:0 WNERP ERMIS SIOIe00IS a l4 oe -77 - - _s 711 f o _ f F a I I i W vO !7 T�'lN LF vI - w►IftAi —i. �AI i it SiGt„� (L T o5£�2. — Lllw I/ tau f f f } r � 1 -T F Rt r�r r_ i i-rf- ,4 r�� r �� ���� �t� r r { TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Parcel 0 .' Application # " V ""'o� Health DivisionTi 2 vo 2-b'Zo Date Issued 4 Conservation D Application F' S� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 1411b Historic OKH _Preservation/Hyannis . Project Street Address Lai 7 �� 4-�l �nJ wria 9 r! &+✓ - Village Lc- Owner Address ��- � �a�� �-�, &Wtv-,-T A 6 tic; Telephone Permit Request Itis-7AL L S-Wi aj -*3aiz s lb Al[-t-� t,✓ ,gr�-tom Square feet: 1 st floor: existing -5i?P proposed 23w 2nd floor: existing 1AW proposed 1-57-v Total new - d Zoning District Flood Plain C- Groundwater Overlay Project Valuation <71D 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 YtZS Historic House: ❑Yes C�No On Old King's Highway: ❑Yes 1�1[,No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) /044 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new �_ 'Half: existing new 6 Number of Bedrooms: 4= existing O new Total Room Count (not including baths): existing new D First Floor Room Count S� Heat Type and Fuel: K.Gas ❑Oil ❑ Electric ❑ Other Central Air: AYes ❑ No Fireplaces: Existing all4ew 6) Existing wood/coal stove: ❑Yes 'No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing L.new size_ Attached garage:Xexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ; Commercial ❑Yes �Wo If yes, site plan review# ? Current Use ! i >c Proposed Use 7Giyur APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 1 Name CA-PC-,WIDE Telephone Number Address f L V. �C 763 License Home Improvement Contractor# 113 3 5-$ Worker's Compensation 4-3 V- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -t c.,4.. SIGNATURE DATE f'� 2 t ,. FOR OFFICIAL USE ONLY i APPLICATION# 1 DATE ISSUED MAP/PARCEL NO. ' ADDRESS ' VILLAGE OWNER t y DATE OF INSPECTION: ' i FOUNDATIONS FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ati 0 3)131IV s 1 DATE CLOSED.OUT T r ASSOC IATION'PLAN NO. i >: The 9- Mmaxweadth of Massachuseft Dep`�a►hrient�ojlNdastihoh`Accdents . -- 4 O ce o InvesNgadons A9 l f 600 Waakht i on Street Bostoir,i1�A 02111 www.ntassgov/dia Woricen''`Comp. a�atlo°n Io�urnnce al idOW--Builders/Contrstctors/>rlecMcians/Pintnbers ���nnUcsn _Iaformallos Please iPt�t Lesziblr 1 hNamC(8ttatrteai/OrganiisttotiNTndtvtthul)�.�P� "1 )( CUpSta Phone.#:_. .1re ya etployer?Cheek ttie a propreate bo><: 4 u0 I am a c general ontractor and I T "o[proJeet(required): 1 �I atn a employer wet6 6. New,coatrtruction �- emptpyea(l�Jl,aadlor part tune)a" havehtred the sub=contractors Z.❑ I am a sole proprietor or partner hsttrd on tbe'attuhed"sheet.- 7. 0 Remodeling shy uW have no employees The"ae'sub=contractors have x:.; _, ...:, ti._ 8 (]'Demolition working for me m say capacity.' employees and-have workers':: [No workers'comp. insurance coup. insurance.= 9 Q�l addition";`. -: cequired.J 3 ❑ We are.a corpo>atioa and its 10.0 Electrical repairs or additions 3 EjvJ ams.<homeowner dowg all work., otHcais tiave exercitied then umb„ a 1 l Q`PI iog repairs oridditions -myself.�[Noworkersf: comp:.. right of exemption per MGL - insurance retluired.J a . c 2,¢1(4),slid 15 we:have no 12 Q:Roof""repaua employees'[No workers' ' D Q*Other fMY?PPNcant sitar chxb boa Kt nwt also flq out the section below alwring their rwrlcen'.cort4aulicn policy mtan�dat. Homeowners who auhrnit„thira8ldivtt�ndicaun t _ a are loins,aq work and thau`hite wbidt contractors rte E submit rnew&Md@vWindkW— such. tContracoors that check thia'boa mart attached an additiaW sheet showing the nanr ottla'stitt<ontracetire and°tone whether or nouthoae%ntltietahsw eriybyep�ltrhe-subeonairctote hive= . umber enyk►yecs,dray.-rra+st�tnwide�:Me�-wortsers:cony pogry n r . l aiwfiaw=e�rrpbyer;•tAot°ls�provJ/lna3woksrt�coisrpenaeaow"Grrxrureola`�r e�yses:=asliw-Jt tbo potky�w/fo1�hit lnfonwade t• Insurtince Company,Name: orSefins � 1p 47Policy tiN ( �j Expiration Data: �/ ZEI�� lob Sttt:'Atldre:ia` l D /I m)(96- I f w - -6� CttyiState/Zip t.l,i✓- attach`a eo o[the wortteri'com"erusdoo' U deeliikaHon a t`showin ttie ry Pr P: Po �' P:g ( !.. puUc�►namtier aiiid a:plradordate). Failurexto secure coverage as required;under Section 25A ofMGL c;,IS2 can.lead to*74TOlitipq:ofcriminal naktei_ota fine up to S1,S00 00 artNor acre wear imprtaooment;as well„asf ctnl penaldes in'.the form,o TOP:WC RIDER aril a fine of up to S2S0.00 a day;gawst the violator. ;Be advised that a:c of,th>s=statement ma be forwarded to the Oltce o1. f °py Y Investiasitioes of"the.DIA,for,instuance coveraQe.verification l do heb''cerrl rrn0er'tbe ' ins°adI` eitalrtfes o e r ` fiber rArs=ln oiiiodin provldsl bow lsary�ur/eoriet ji w P oS 429 4-o Zip - Offlefal use on o not write In 1krr area;to conk efe c h ortowlr`ofylcloL City or Town: Pertnit/License b Issuing,authority(circle one): I. Board of Health 2. Building Department 3.CltYgown Clerk 4.Electrical Inspe 6.Other ctor S.Plumbing Inspector Contact Person: Phone R• f Town of Barnstable Regulatory Services s • BAMSTAB . ` Thomas F.Geiler,Director 639.'0tf1 e� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50.8-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder re'0- 9 ,as Owner of the subject property hereby authorize 0 E wi D F i C(L-19A f S 9 S to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Vate, i C. A"O' Iy go C P Print Name Q:FORMS:O W NERPERM IS S ION DATE(MM/DDIYYYY) ACORDM CERTIFICATE OF LIABILITY.INSURANCE 0411512009 PRODUCER ('800)782-0251 FAX (781)261-2099 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC - Commercial ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 77 Accord Park Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Unit B1 Norwell, MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Capewi.de Enterprises LLC INSURERA: Hanover Insurance Co. 22292 PO BOX 763 INSURER B: ACE USA Centerville, MA 02632 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MMIDDIYYI LIMITS GENERAL LIABILITY LBN5336555 0413012009 0413012010 EACH OCCURRENCE $ 1,000,006 T COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,001 CLAIMS MADE F_X�OCCUR MED EXP(Any one person) $ 10,00( A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,001 POLICYF_j PRO- JECT LOC AUTOMOBILE LIABILITY TBD AUTO 0412012009 0412012010 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,00 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ . X NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY UHNS336545 0412012009 0412012010 EACH OCCURRENCE $ 2,000,006 OCCUR CLAIMS MADE AGGREGATE $ A Y,000,000 $ 2,000,00 DEDUCTIBLE $ X RETENTION $ 10,00( $ WORKERS COMPENSATION AND C45761472 0411412009 0411412010 1 WC STATULIM - I OTH- EMPLOYERS'LIABILITY FIR E,L.EACH ACCIDENT $ SOO,OO B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,006 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,006 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of Barnstable 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Building Division BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 200 Main St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. �. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVElRona7d C7eaves/KCl ACORD 25(2001/08) ©ACORD CORPORATION 1988 { �'Ae lcommoncve Wa o�✓�aaoaclu�aelta Beoraof'Budding,lRtgulati, sandStandards I OME'llfAPROVEMENT COW ACTOR fi,433 3!58 8/2010 Tr# 2,72627 _ _ lability Corpor 000 ` 4?TFTs ��I�, �i,��'S Adtnynistr-ator i a _ �' Xr License or rstration valid for individual use only before the euatt :n date. If found return to: Beard o#BnC ,►.Itegulations and Standards One Ashburton Place Rm 130=1 Boston,Me.02M . ,� �Q�watltt3t��t i'gnafure \ - \ kamc uwc- D r mein J Public Safm . 2Board aB aR llmma&lq.iiG Casluct, mS R§2 License. ; . License: CS @£a «7 3 ��Ue��«2© • � 12WmfUAFW#D\ «OTmT \ Expiration: 1 2z72z $1 Con& »^ Tr#: mm ` � •w- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION q Map Parcel 9 07 Application# Health Division Permit# r ,, Tax Collector Date Issued' v C Treasurer rerp Application Fee ' Planning Dept. P i0o Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Z�� U6Z—) 13 Project Street Address `t TA)uJ nej le-2 Village &eQ Ad. Owner :92-A �(L , :I Address P.O. Sox 570 :Telephone ��pp Permit Request du s4ads� f..z„S 1J �4fEA0 eAJ A 00�� aXy Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new`D Y Zoning District JJ l Flood Plain Groundwater Overlay r ..,� pZXY WA$I% °dhl.(,�•r G. Project Valuation� Q- v • Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. ' a Dwelling Type: Single Family )l Two Family. ❑ Multi-Family(#,units) Age of Existing Structure s . Historic House: ❑Yes ;KNo On Old King's Highway: ❑Yes A No Basement Type: X Full ❑Crawl ❑Walkout ❑Other v i Basement Finished Area(sq.ft.� o r' Basement Unfinished Area(sq.ft) _5_4Q¢ Number of Baths: Full:existing new dqwE Half:existing ' / new -- Number of Bedrooms: existing_ new' Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: �Gas ❑ it ❑EIectric ❑Other �rOd<�' w�u �St. .�aesf��S �►.co-f SyS�►+� •, Central Air: $Yes ❑No Fireplaces: Existing , New Existing wood/coal stove: ❑Yes ;4 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 N Telephone Number ,S0�f_-,_->YZ `f'd'�/ Address License# 1 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO - SIGNATURE: � �) ��C� //� DATE lb �o 0 w N e/L i r � i FOR OFFICIAL USE ONLY ,, ^j • i PERMIT,NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 1 OWNER DATE OF INSPECTION: 'y t FOUNDATION ` FRAME — )2-T b? i INSULATION CC FIREPLACE t ELECTRICAL: ROUGH FINAL - E . PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. - - r M CMR Appendix J ' Table JLLIb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Ifeated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'(%) U-value' R-value' R-value' It-value° Wall Pts'iractor Egttipment Efficiency' Package R-value' R-value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A' N/A Normal U 13% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A NIA-; 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 032 38 13 25 N/A N/A. Normal Y 18% 0.42 38 1 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 1 -�, J�►U tar, �,,,� . C < 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): � ���N-+ w� - 13 aw w a.QQ la w►` Vol�y o�✓ «.Q�. NOTE: OTHER MORE INVOLVED METHODS OF DETERMININGv ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: a YES: NO: q-forms-f980303 a 780 CMR Appendix J 4 Footnotes to Table J$.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to I%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as.unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade-walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. , , 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes eleetric resistance heating use compliance approach 3.4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.la NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and'do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains,glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and uie the'opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0,35). c)If a ceiling,wall,floor,basement walI,slat-*edge,or crawl space wall c62`mponent includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r °�t► T�,, Town of Barnstable Regulatory Services HMASS STABLL Thomas F.Geiler,Director 0,A.ca Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-8624038 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:��utlnl ,41� �Ie..,,,w,. ;� BntQ,,,,,�- Estimated Cost;30 di) 0 Address of Work: r Owner's Name: Date of Application: X / �(�f� I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 OBuilding not owner-occupied AOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. - l� °R /=/Orin [Date �7 ;Owner's_Name-7 Q,forms:homeaffidav f Town of Barnstable P�OFTHE Tp��o • Regulatory Services S BARN9TABLE, ; Thomas F.Geiler,Director 9q, MASS.9 �� Building Division s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-79076230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 7 `'IliJU��7 f'�Gt�- P• / .� �' / �'�6/ number street/ �V' village -`HOMEOWNER": name home phone# work phone# CURRENT MAII.ING ADDRESS: P eo,< © 7 v city/town state zip code .The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units..or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such woik 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 requir�emfmts. Signa 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 fomn/certification for use in your community. Q:forms:homeexempt r � i/-- VVII•II-YI�IIVM+N- rrr A./Ywwl-�rr-�r• Department oflndustrial Accidents Office oflnvestigatiom 600 Washingion Street Boston, MA 02111 ' www.massgov/dia, Workers' Compensation Insurance Affidavit; Binders/Contractors/Electridans/Plwnbers Applicant Informattion IPlease Print Le�,bly Name (BusinesslorpnizationmLyiduan: r �'+ F/o yik -: Address: G1�U LGv� City/StateMp: • 0,195 If do Iw ' Phone#: �I U Are you an employer? Check the'appropriatebox; Type of project(required): 1,❑ I am a employer with 4. ❑I am a general contractor and I 6. ❑New construction employees (fan and/or part-time).* havel&ed the sub-contractors 7, Remodelin 2.❑ I am a sole proprietor or partner- listed on$te attached sheet t g ship and have no employees These sub-contractors have 8� ❑ Demolition working for mein any capacity. workers' camp,insurance. 9. ❑ Building addition [No workers' gmap.insurance 5. ❑We are a corporation and its I O.M Electrical airs or additions required.] officers have exercised their 3. 1 am a hornemmes doing all work. Tight of exemption per MGL I1.❑Phtmbmg repairs cxr additions myself[No workers' comp, c. 152,§1(4),and we have no 12. Ro airs insurance requfred:],t ; employees.(No woxkets' cam,inm=ce required.] 13' *Any applicaat that checks box#1 mnat also Tin out the section below ahowing thaw wcrkars'oompens4an policyjnforzaetiov t Aorueownets who submit this affidavit indicating they ere dam&aU work aad1hen hire outside cosh aetors mast submit anew affidavit indic:tiing suet. ;Contractosa that check this box meat attachad as additional cheat ahawing the uarne of the sub-coatractors and their wo&ae comp,policy iaformadcn, ram an employer that Is providing porkers'compensation insurance for.my employee& Below is the policy and job site Inf brmatton, Insurance CompanyhTame: •Pam;•or .Lid.� P 3�a#�: Job Site Address: city/g yip: Attach a copy of the work3wle compensation policy declaration page(showing the policy number and expiration date). Mwe to secure-coverage as required undet Section 25A of MGL c. 152 sari lead to-the imposition of arimmal penalties �f a fine up to$1,500.40 and/or one-year imprisonment,as well as ci-n penalties in the.fonn of a STOP WORK ORDER and a lime of up to$250-00 a day against the violator, Be advised that a copy of this statemen#may be forwarded to the Office of Im' ' lions of the DLk far insurance coverage verification. do hereby ee I er the paths and penalties of perjury that the Information provided above is true and correct Date: Phone#; MtT �d 7' i �iai tab eat. Do rid# M this aMa, a be� exi b, 'or �aei , . l . City or Town: Permiffi�icense# Lassuiq Authority(circle one): 1.Bo2rd of Fieal#h 2.Building Department 3.Chy/—i own Clerk a.Electrical inspector 5,plumbing Iuspe tor- 16. Other Contact Person: Phone#: I i Ynformation and Instructions Msssaghusetts General Laws chapter 152 requires-all s;aPloyer9 to provide ikrkeW compensMivnforAw employees. pursuant to this statute, as employee is defined as ...everyperson in the service of another under any contract of hire, express or implied,.vial or written." ; An employer is defined as."an individual,partnership,association, corporation dr other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceas ed employer,or the . receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However'the owner of dwelling house having not more than three apartinents and who resides therein, or the occupant of the dwol1bghouse of another who employs persons to do maintenance, cef=cdonw-repair work=such dwelling house Cyr on the grounds or building appurtenant thereto shall not b ecaus a of such employment b e deemed tob a an employer." MGL chapter 152, 125C(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 fhe performance of public ire work until acceptable evidence ce of co liance with he insuance requaemems of this chapter have been presented to the contracting amt=1ty!" Applicants Please fill out the workers'compensation affidavit completely,by chealrmg the boxes that apply to yams situation and, if necessary,supply sub-contaactor(s)name(s),address(es)and phone nunnber(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or-Lmlited 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•affidsr;h should be returned to the city or-town that the application for the permit or license is being requested,•ts.ot the Depmiment of Industrial Accidents. Should you have my questions regarding the law or if you are required to obtain a workers' compensatioupolicy,•please call the Department at the number listat below, Sclf-insured compares s?aTer fihc3r self-insurance license avnmber on the appropriate line. City or Town Off vials. Please be sure that the affidavit is complete and printed legibly; The Department has provided a space at the botto=. of*d far you to fill ou th the eyed the Office of Investigations has to contact you regarding due applicant. - Please be sure to Min&e permitltieense m=ber which wM be rsed as a reference=tuber. Tn addition;im applicant that must snbmit=Jdple permitllicense applications in any given year,necd.only submit am affidavit indicating content policy information(if necessary)and under"7oh Site Address"to applicant should write"all locations in__-* _(city or town),"A copy of the affidavit that has been officially stamped or markedby the city or town maybe provided to the , applicaatas proof that•a valid&%davit is on file for fntme permits or licenses. Anew affidavit ruustbe filled out each year.Where a dome owner or citizen is obtaining a license or permit notrelated to any business or commercial venimae (i.a a dog license or pemait to burn leaves etc.)said person is NOT required to complete this affidavit • and should u have an questions, The Office of Investigations would like to thank you in advance for your cooperation you . Y please do nothesit de to give us a oaIL The Department's sddress,telephone and fa$camber: The Commonweal& of Massachusefts Department of Industrial Accidents (y1fice of In 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 os 1 o77-MASSAFE ' Fay.#617-727-7749 Revised 5-26-05 WWwmm.gov/dia - _ JNIllIW?!3d a0d 432/l/1b32i 32fd S321!)11�NJfS H1Gc: : 31VO 1N3W1'ibd3O M11:1 31VO Id30 JNimin 1 s f i / (131M31AU SNO13312a 3NOWS YYM/Cob SN Z! ao 31 39 31 34 M 8 37 3s :19 40 41 49 4s 44 63 46 47 48 49 60 444 4 ell M Alr �Y ` 13 1e "i -. to seta .1 L4J , to 11 �... 21 " / to dosot oum"bathroom t z~ 1) t)attuoom•put washu dryer -�'-•1—• '�--�—f � CWA be as drawn or m In at an ahpte to allow a small lee �.1._'—' _ a Tlie Floor so ya ckfea!iMide the bathroom! ^-.— �--3- gip mum"we move the support pole towards the wall. se In order to e61910 the wad to umfm Mad arse)should open Into so 2) and set of doors( 30 the unfln!"Brea as 3) Door to the twatsr area should open Into that room(vs ..4 ..�_ ._ of the hallway ra.ta r' —'_ I ._i.. ..,.1_�_ I as 4) the doW should be normal depth(for"119 ooa%) _ _ — • 34 5) Wm read ma able TV outlets as s ,�Brit SMOKE DETECTORS R NE' tD ` A A E BUILDING DEPT. DATE FIRE DEPART ENT t,�!��.'.i�:�' DATE BOTH SIGNATURES ARE EQU r�q nK d.�R PERMITTING vIL� /i✓�'S/�� /�'ea` •' tnnns as !v 24 2e 29 30 31 32 33 34 3e 89 37 oa ai 40 41 42 13 M 4B 46 a: 06 60 50 ' t� ,� syslF�,. 2 d�. 0 �t ,�1 �...00•t. 4 S� 9 7 . to "� TV a SUM' .�w to !tot: '�' � ;'�:•,.:�� .� f�� �. .: �' L. Wr 14 i 21 clatel u1) Sethroom•put washy/dryer In dose!OL900 9athroOtn 1---f - 39 coutd be so drawn or fit In at an emote to allow a emNt The Floor ,_• -) - —� pa cioem iname Stu bathroom? lull!a9aum"we move to supw polo towards the welt \ j V I..1.. 28 In order 4s enlarge the wdkwey 20 2) 3rd let Of doors(to untdaMd or")should open Into _30 r i the unfWahed area -� -1--•_ .__. !... r 1.�1 31 3) floorto the haabr area ehouki open U11a tenet roots(w 22 the hallway .�.. i. as 4) The ctoaet shotild be normal depth(for harono Coats) _ _i.-_.i:• ;...,.1_.._E_..�..�� �_ 5) Wm nand two cable TV Outlets Sib 47 "Blftsf blot, a z-ZA Zooz--113 A�o F-=a3=sHEh L=vMAJ6 A-RF-A 54ALL Br PEDeM=-TF—b X,4 ,3MEmr-tj-r AREA LLL U-=7L-D v 6 47- I i °FINE I° Town of Barnstable Regulatory Services * * anxxsTABLE, y MASS. .g Thomas F.Geiler,Director qjA .9 s6; �0 tF a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 27, 2006 Beth Florin PO BOX 570 Southborough, MA 01772 RE: 148 Inwood Lane Map : 245 Parcel : 007 Dear Ms. Florin: This letter is in response to your application to construct a basement playroom with full bathroom at the above address. As you may recall, a special permit was issued by the Zoning Board of Appeals to construct a single family dwelling(2002-113). Condition number 8 in the decision states in part, "No finished living area shall be permitted in the basement...". It is the determination of this office that the work being proposed would be in direct conflict with this condition; therefore, your application is denied at this time. The Zoning Board of Appeals is available should you wish to further discuss your options. If this office can be of any further assistance please do not hesitate to call. Sincerely, WeL. auzon Local Inspector Q:zoning5 G�,P� -w �d�— I Town of Barnstable Zoning Board of Appeals Error in Script As related to the decision rendered for Appeal 2002-113 - Craigville Realty Trust/Barry Special Permit Findings under MGL Chapter 40A, Section 6 An error in script was identified in the decision for Appeal 2002-113, Craigville Realty Trust/Barry, filed with the Town Clerk on December 04, 2002. Condition Number 4 in that decisions reads: "The total gross area of the dwelling shall not exceed 4, 500 sq.ft. and shall not exceed 4- bedrooms." The use of"gross area" is incorrect and the condition should have cited "living area". Condition Number 4 is therefore changed to read as follows: T�1 living area of the di ellirig shall�iot.excee`d,4,`50O.sq fit'';':and-shall-not-exceed,4 :bedrooms:."'-""" ' Respectfully Submitted Arthur P. Traczyk,Principal Planner December 10,2002 Barnstable Assessing Search Results Page 1 of 2 pax. Home: Departments:Assessors Division: Property Assessment Search Results (� New Search 148 INWOOD LANE Owner: 3 d 2006 Assessed - Values: TSIHLIS JAMES TR i c3 Appraised Value Assessed Valu e ue Map/Parcel/Parcel Extert�o� Building Value: $665,300 $665,300 245 /007/ Extra Features: $ 13,800 $ 13,800 Outbuildings: $700 $700 Mailing Address Land Value: $648,800 $648,800 TSIHLIS,JAMES TR Totals $ 1,328,600 $ 1,328,600 20 W EMERSON ST MELROSE, MA.02176 2006 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $251.50 Fire District Rates Town Barnstable-Residential $1.90 $6.31 Barnstable-Commercial $2.51 Commi C.O.M.M. FD Tax(Residential) $ 1,408.32 C.O.M.M.-All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Person Town Tax(Residential) $8,383.47 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial $2.50 Other f W Barnstable-Residential $1.60 CommL W Barnstable-Commercial $2.46 .,� Total: $ 10,043.29 Construction Details Building Property Sketch Legend Building value $665,300 Interior Floors Hardwood Style Colonial Interior Walls Plastered Model Residential Heat Fuel Gas Grade Luxury Minus Heat Type Hot Air Stories 2 Stories AC Type Central Exterior Walls Wood Shingle Bedrooms 4 Bedrooms Roof Structure Gable/Hip Bathrooms 4 Full+ 1 H http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=ad... 4/14/2006 f ► Barnstable Assessing Search Results Page 2 of 2 Roof Cover Asph/F GIs/Cmp living area 4640 Replacement Cost $671973 Year Built 2003 - - ---.:; Depreciation 1 Total Rooms 9 Rooms A Land Lot Size(Acres) 0.3 7.FU Appraised Value $648,800 '�y X p, �h s x.. Assessed Value $648,800 Interactive Property Ma Ma requires Plugin: P Y p I have visited the maps before Show Me The Ma April 2001 photos available �z Sales History: Owner: Sale Date Book/Page: Sale Price: TSIHLIS,JAMES TR Jun 2 2004 12:OOAM 18670/038 $ 1 LIQUORI, ELIZABETH A May 26 2004 12:OOAM 18641/072 $ 1 TSIHLIS,JAMES TR Apr 24 2003 12:OOAM 16800/014 $2,074,333 BARRY, ROBERT T 1348/839 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed 84 $700 $700 FPL Fireplace 2 $5,900 $5,900 BGAR Bsmt Garage 2 $7,900 $7,900 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(Finished) UST Utility Area (Unfinished) 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=ad... 4/14/2006 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel d 0 Permit# 7/"o `T ( 2— Health Division �` — �2� / Date Issued y� �.��—o Conservation Division C5/ ® Application Fee Tax Collector Permit Fee f SEPTIC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGUL�LATIONS,q/ Historic-OKH Preservation/Hyannis Project Street Address J 4 .1 w 6J ex, 14 w c - Village Owner 4 :V. ,( � �;, Address Telephone 5-6k S� o Permit Request .', jvL iZ ;,r W 42�4 0-VQ f4 L1#tni I LOA/�o_P�Jg Square feet: 1st floor: existing S�'L� proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 D Construction Type , act esQ Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure_r i;� _..2f� Historic House: ❑Yes Wo On Old King's Highway: ❑Yes X No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric 0 Other /6,44 .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:El existing Cl new size Shed: existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes,site plan review# Current Use Ivy f1illc -� Proposed Use .3 s5 � BUILDER INFORMATION a� Name__ �/ �c (ter�/�s Telephone Number Address / D .� �.. �c�.�� License# 6 /W&" /h, Home Improvement Contractor# / °77 C3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOn S •�- ' i /7 SIGNATURE DATE S ' I r FOR OFFICIAL USE ONLY PERMIT NO,.. r DATE ISSUED {' ! MAP/PARCEL NO. { ADDRESS ! VILLAGE } OWNER f DATE OF,INSPECTION: FOUNDATION j FRAME ' r INSULATION f FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: RO" _ FINAL GAS: ROIr FINALM Lc FINAL BUILDING >_ O O: Utz --& t= -t, Ilern0 ..- Qm c 0� DATE CLOSED OUT S Q co ASSOCIATION PLAN Ian S _ s/v /o� o� -� N� s/� w �a � vn �m��aa� �FfaceL oa,6 � � 9�2��P r�r� � S� SAP � '� �e /ryne -� �a�- a.S 'Yennm U� ,,,„ �� C�9Pc� �� � �v �c u��-� Nc� ���E ����� . l 0045 �J o 148 KX- f I I I O Fe i 5 MAP 225 020 k # 90 MA 245 MAP 225 0 6 025 M 225 ;I ; # 149 145 _ 01 02 MAP/245 205,# i . � 1 , 03 125 MAP i %# 2,7 I f � I 3 MAP 225 27 - 00 #'210 �' MAP 225 / 026 ' / # 179 I, IIjlq 245 Jo , I w1,14 , MAP;245 / !6 1#Q4001 MA ' 14 MAPj� , c:\conservation.dgn 5/4/2004 3:15:13 PM i of . Town of Barnstable oF�HE you R al.atory Services ' ThomasF.Geiler,Director p8 s634 , Bujift .g Division . k Tom Perry,Building Commissioner • 200 Main Street, Hyann�,MA 02601 , pax. 508-790-6230 office, 508.862-4038 ' Permit no. Data • jMyROyFjyjZNT AFF7DAYIT _ cToR LAW �SUppLVMMNT TO ERMIT AFP CATION ' c.142A requues that the"reconstruction,alterations,renovation,repair,moderriizatiois, conversion, IvIGL re-existing owx►er-occupied improvement,removal,demolition,or construction of an addition to any p at least one but not more than foul dyYelling units or to structures which are adj scent to burg Co Or -pith other s un residence or building be done by registered contractors,with certain exceptions,along requirem�ts, �-� . ��®� Esti=ted Cost � Type of Work: 'v Address of Work: <L►U , Owner s Nye• Date of Application: I hereby certify that: B.egistration is not required for the following reason(s): , `[]Work excluded by law ' []76b Under S 1,000 , gBeding not owner-occupied []owner pulling own permit Notice is hereby given that: OgD-BALING WITH UNREGISTERED OyME'S PULLING T OWN PERMIT CTORS FOR APPLICAB,X.E 7i0N1E IMP GUARANTY F'�(3I3D DER MGL c 142A, .kCC '1 YTRATION PRO GRAM OR ACCESS TO TSE A1�B SIGNED UNflERPENALTIES OF PEPJURY of the ow4er: Thereby apply for apermit as the agent S Co actor Name Registrationl�Io. pate OR he,Cam�non vea th of Massachusetts . • ' Department of.Wusirlat,4ceidents' . 600 Washington Street - �� Boston;Mass..b2IX Cum ensation.bsurance Affidavit-General BusineslsesMINE � %� �• • / - ,..15 .t_l��gs�y,•°.•'i7A171`rs•SiS,r a•f'•` . ., . * ...• . •+• ' '., ' • ,..t.Y•- ' F / ate' .� . ss urantBaFl�ating) blish. ocatiozi fizil e, []Retail[]Retaa ntos etc. work site i etor and have no one 3�u ems' 'P p_e,k�state,A ato.a sole arc 4 El O�ict;[�Salti(including , x capacity. Oilier �vorldng in anf P "�n 'lo'ees(full& art tune ❑ an Mn, io er.With ' //%///J%%/.y/%%/�//%///%/%/%�//%�//�%///%� n�s•ob., , + ' I %l�%%%/%%////%///�/y/ ///// �sation for my �loyees wo loy�providing 'cbm rlaug°• 3'':' .. �'.��'_'• • ' .t 7�'',, yipz'kerS•1•, �t,+T't •.^a1 ,.5 : r •5• 's'.9.,,. �' ♦ ':�,Cj,l'';}:'•'.Si7+:}�;:(r�:''':•a r'••'t•:'C•'',''7 '••7 an.* . •. - " '.. 4' 0�' ri::' t rL,11.. �' i7'• MY,'F• d• \f:1 •7 '•1 .�'n ;•' '.+ ,., 11 7:5. .I•It I:•. +•. ti.y•., t t ;'. .,f•: ' +751•:' '' ti.f;l Ytl•i:1'.'i''i'•'ll't�r• ' tt 1.t- ..:i . .... .. 5, ,l�la.•t',.t,S•S.7;I'�.1,'•�•ti i:; : Y�}:. ►ttt��. ,7-': .. r. ��.• ':• (fL� IC•. ,�, t�'�• •.1 " - y �s., •nS,i,,,r"lita:•F}n:♦,•;�,'t•,�'• 'rt{�,i.� r. 'S"t'ft:7•'•1 +, 2',�' .S 'a]� t .1: { F' . .; t. :fS t ; a5i•`.tt,1;�e}•:>i"r•rs"",�'•:a i3••:r�i •CO1t1�eII •ar'iie!•-�... . :•rra�+ '7C•,'�: �I:'S ', {. .� 7 .(�'..is v y.•.r' •a y.;'•'•ir:(r•' b•• '!rt' t •• ..•�tt .,1,1 .t:4,1,�•.t; t .'I, �•, ti , 1 ' 1i1 ,,r •Y. ♦:r'";'r.i+,:�,.'J:7 ".. •;,I .. .a,.I,.. ••S' h, ,�, ' ,' ;1::' L;. ' •• '' 'S Cr+ 'r' r' �a r• - '•�1 :•i,+ ',,,,��••`;•s..,t'•r,if12 F-1; 1,'+ty•'y•1�',i,. 'a• .:;'. ! �'.+' Y•;r. l t"L''' w'.,•: ( '+ 1, ♦' '`.:t:4 :i• i".. + 7�:•.:'•�i:• 1 e� •''3 '�• ' , I, r.' ��Y .,li:.ilf•J.17' k 'i:{• • ►f+•, • •1:• .,`J r•1 .. . t�,;t ':;.,� , d$r'• ,,•„-6;A :'an A'— ♦ a .t , S 'r,;•, . tt.:�1 .�t :a•SI:.y' .t',^ . r''♦.s r „ .,r. ''M •. - a• ,•t.! y '• 1•� �'\,7 ' ,'•t�•: rl. f i�r {.••t 't • 'q. , n,, ,,, • , ,' .'j 't .�', 11 • t;t.t' •!v, �': ..f•�,, •;.v 1.'5�7,•4 . ,•. di,.i•i11,., i,• ., ,,, „ .�Lt S�,.a•�1.1 •, y� •� t (•Y.,:.....ih't•+r 1 • • . ,4 •:..,• •t , ���,.(•r -, tf.i:'i e,r'.iF�'t.:j•.,r.•37LJ 'ts'..•n.77 �� t t 't.{ t ...•'• 7; `•i 1•:.., _'r��, 'J.i.i���. Z.' ir:•If'Ia3�.•a :1•. MOW �' ',,7 + ' r•+�•..I:".-i+s•t�:1.y, :Y:: Workerst tIIS a�ce.cdt:N1•rt-.• oleavethefullowing ; e �the independent contractors listed b elow wh , X sole p opri.etor md'hav i y zo mpensation polices; ., •. ., 4 '• ,• • ,:• :F'r '.�'.1;7'1(;d�.1�•,fr:},•e.L\%�:��.�•."Y ��. ., + .+. Ir r n '�' :�v:'Jt\htt ti♦J.� :J n't!� '' fir'' 't��'' t!,''� 7:.:rr;•lt{1 ,f.r�r�1s�'i•''ti5S.Y'�i1�'17�4:: .. ' ' } •17: •',• t,yr'4:t''! ..•.. ^'L1•..!•a,. .I-,'I''.. '�•• '�..� 3 I Y'� :•: t is N•:'r! i+�;9.�•:' ', ':, '.L,'' t r • '• '�isance:�' .1. -.r ,1 ?.'"v:7'�iif• \s�'•";:1'•'' .'.. ,'r• %!� :'{�iLi•.15 ... .'. ',. bIII an •.t I.r•. 7•,F+.'... ,,,�7t ' a 4 1. 7 ,•. +,'• '�l�t•.v. .'{:.�y.: .. "' r';'r: '+ Y ' C ♦ ,k• .74yt:r'�/ /.r7,'r'•�l'' ,:i1•t••r ��� .�. ,,. 1 l••' •i7•., '�•r• 1 I.l :r,ti:,, •t' i.:,'�t'%ti•'4i{r'z•:�t• •`'i'♦+'.t••, •,1�, tr`''•: .;�„.u1?jf;, al,..i; * ''�. :I. L•t.'�I �:A ylt�:. "rt•• ;r. .t, r :. t. .,t•7. 7J:.,'Si.! i,:• .•: .• • •..:'' 1 ;'♦''• � .t ''t•'•.�ra••-. :It•p ,•,,p,. {; .t, irV tt •'I' fi' � r '7 :'G vt': +�t' •j;'r ,.I i •.. '• •` {� r'i 8ad1ie55:..t: 15.' ,.'4':'':,\ '♦•+H.'•� I:•-4'L �.;'. (8•:n,Y,.•i'�,{ n�i'••j' t, i, , i;�^ •'„•�' •t.,. � v , :.° '' t�'v7 :Y ; v7i;• : rr: :; 11'�+t'' ,''' :'° ' ' ,b'tyt1.::: tr fi3''?'•:tip°1.�t�dii` ,�Z?1�7F�,y" 7y� ;t • fit: 1"'�•.'.i:"' •. .Ii•:r.,. I 7 •.�.�' ;So�'r 1 y�;:: I: 4,4 r:`;I; •,r t•.s, t1 ��t. .;u t :y'.`}} ; '• '�'' CL•:.'. ,f,�,t����N�Yr•„+,r�i�;,•y► ,y .�'• 4 71..b'.l L t; 'Y. ': .�••�r•,♦(...Ol�C .Yf::,1 LZ'Y0. :T.�,�.:-♦ . ..Y•. . vt•l:''t• •'' 71 ,7:' .�' '',, 1•.••, �• t1 r` •,< a I'i.�bi3/rFbl�r;: 'l:Tt:.•' j Y�+,.. , i,,t r ;Tr�:'•u:: . H+ .,. a•... � .'J t 'r e=•d''• ,,:rr�r i•1, 'i•t'•��'`•': , lusu'anet:'Co. / ..._,(iti'r , a:' :r, :, 1.+':: aSt"51.�,: 'i�t'�3•jrii+�': / ... - ,• • ' `1 , : l:': h �•1t,.7'`�s��t'S ;i1, r�.,....tiV. �•.• • • , t ',q•y.,tr'r,5 I,,pi{.S.jiy f,;,Y• �, • •tl•u 'Jr, fi! t•th.:l+� •,, •. '\ 1 '•A. . }Jt ,f:' 1 i'. t : I•,i ti..1 �:: t;• 1Y.' .r;.•r,...t♦ •. t. , r ,(1, r' ! t' •j�'••(r''• •'r\ •7'''S�,i,7'/lri 7• �:•':`wf .'y.i•... •• < . . •eta , .. ' i„i: . .y= •• •'� ' '•i : t Olnj$b• Aaj HIE F.� Y. h ';i 7. ( � 7. 4.• 1 Iy;L 'r, '• ' •:,7 , ' t•1 fie a '1 s+• •,5-'!yu d''.•. ' , 83di•eSs: ,: .+ . ;"• : .• ..•y '•• .•.. •.•,. .♦J.:, .tw. 'i:.t,:a't,!.af.;i.:'..(,��:.�r' ;^q.,ar....'�ti'^•••=' •Ls •� ,,: •�•,rr r.'I., •,. 7,' '.If:} ,{,' ',, ..4 •�017E•Tf.- '-_ ,,,+,4.,t•'.2,1:.• ::1':; 7 t'' • • t• ''.• :,. � .,fit, ,§ 1 t f:+..•a!' 'I: •'{ +.' •�f. .�•7,t4,�i, ,•� th •P'i•''': 'S•• •a\ t :ttr. . 7:Y•.,I•,'rctit',y•,�•Y•:T h',.1.: '.'if. ,'ti:�::.',•,:' �I. y,.'' .'': • ' ,,, .,s.y,• r;.•• , G'�.ih3 .,1. ,s: .�• r,��+.''L t '• t,. .1.,'t1 17t' •ldd.51-M.If A. ,i� 1:,•••t ;ti 11 ♦,' t: :, t,t a<.:: t;ti��rr5' r.L'• GlLC1':fl aJill ',>r•r3}•,}4',,f „� �•-7•�Q"t f•l:7Sr, .Y1`d. .a,f, ':r :'.tli•.•: �t• 4''• }• ys to�1r500.00 sLn or iiisiiranG�br{ . ` ena7ties of a fin up ositioa of eriatfnallS a shut me. I understand that X Failure to secure coverage as required Linder Section MA.of MGL l52 can lead to the Imp. ent as well ehdipenaities the foYm of a STOP WORK O"BRInd a fine of�100100 a day g r one years'Imprison a fo {arded to the Office of Investigation'of the l)Ufor coverage verification. Copy o this statement { an r the pains an penalties bf perjury that the inform ad nprovided above is true and corr¢a I do hereby cart fy Date o .—�-- 5i�oature hone# print name , do not write in this area to be Completed by city or town aff ew ❑Building Department 7 o�C� °� � permitlliceme# ❑Licensing$oard ' city or town: ,' ❑SeIectmen's Office (]$eskhDepartmenl , D,checkif immediate response is required []Other phone#; contact porson: (:aviseascptam3) � _ ., r .. . .r ram•. .. :• . .. e , • . .. _ a: . v • • • In foxmi atian and Znst ructions' r al L'aws chapter.152 section 25 requires all en&yers to provi$c•workers' compeers tioit far their. Gei1es .. .,ti• . 1Viassachusett$ a f`IEW an employee is.defined as every person in the service of another under any contract �P1o3'ew; As quoted'fromth of hire;expres's or ur- ed;oral or written. An,ernptoy er is defined as an individual,partnership, association,corporation or other legal entity, or any two or rngre of the foregoes�g�ged•in a�]°int en�Eerprise,and including the legal zepresentatives of a deceased,employer, or the•receiver or or the there artaershi association or other legal entity, employing employees. 'However•the owner of a Of trustee ,an indivzd ,P • Px dwelling �ot'tnore than three apartments and resides in, .occup a&bf the;dwelhngliouse bf house having• . l spersbris to do maintepance, eonstrgetibn or repair work orr such�welImg houae or on the grounds or another who. t thereto shall not ecause pf such;employmentbe deemecltobe ail employer. ,•1 • . -building. Epp . • •.. •i: . cha ter i52 sectibn 25 also'states fhat'every state or Iacal licensing•agendy shall withhold the i.ssuanc�or renewal Mom' p t too operate a business or to construct buildings in the.corArnonwealth for any applicant who has Of a license or pe1'pp1•• P not produced acceptable•evfdence�of compliance wi enter into anthe y coiitracgfor the perfozmanc off'pyublictwork until of its oWcal subdivisions shallY cozxnvonwealth nor.any• P acceptable evidence of complia�ice with t�:e insurance requirements of thins chapter have been presented:to the contractiag.. authority. 00, Applicants • ..: Pleas fie, e_•s, enyatit affdavit completely,by checking the box that applies to your situation., Please su 1 company game, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted y rnent of industrial A68dents•for confixrnation of insurance coverage. Also be sure to sign and date the to the Dee affidavit• The davit should be returnedto the city or town that the application for the perrrnt or license is being not the pip j b nt 6� dustrial A.ecidert . Should you have any questions regardiri'the'"la.W'or if you ale requested, pq �y,please call theDepartinent at the nirmber listeA•-below. p.�7�iredto obtain a workersr.compmsation li City or Towns . . • , • •• . . P leasebe sure that the affidavit� COmPlete and.prmted legibly. The Depar6rient has provided a space at the bottom of the affidavit for you to fit oat in•the event the Office of Investigations has to contact you xegardis�g the applicant Please ant/licensenuu�berwhtchw l�euseclasarefer�ncenU#er. 'I`he•afGday;tsmaY•bexetuzuedtq• be,sure to fillip e F arrangements have been xna dg, • ` .: , '. • . the D ep artment b}�, or AX unless other ,•. , ' ••r • • •• •r•� •.• 1 ' ations would lie to thank y'ou inn•advance for you cooperation and sf�ould you have any questions, The Office of Investsg . . .. . •, . a earl. ' Please do nothesitate to give uS is address,telephone and fax number. The Depart . • - The Commonwealth Of Massachusetts Department.of Industrial Accidents mce of Iiieftations 600 Washington Street Boston,MR. 02111 fax#: (617)727-7749 t � � e� 4A ems r I , �. � �—�✓tie TDo-�rnzonaea�e a�./�aaai.`{a�Ge .. ' Board,of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Reglstra#ton�37746 Axp�rainr�i 4 2¢2005 . Turi l Ividual. JOHN F."GILLIS JOHN GILLIS • '!O LEDA RDSE-LN� ^ �-r ���p IV�EtRSTQ�VSMILS;:MA02648 Administrator •!ie �o�mn�uaea� a�✓�craoac�ucaella BOARD OF BUILDING RIEGULATIQNS !arise CONSTRUCTION NSTRUCTION SUPERVISOR f umbet`� 051497 4 947 I E�iF M ?k i 1.� 04 Tr.no: 4723 I JOHN"F GILLIS � x/ VOA L+EDA ROSE L-N'L�`��j�/ G.�•«�-�' .,, ;, i Aiimfnistrator TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map G Parcel 0O Permit# Health Division 0+' BAI INSTABLE. Date Issued f ' Conservation Division 2N3 JUIL 24 AH 9: 44 Application Fee Tax Collector Permit Fee E Treasurer TDIVISION Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address /� p Village Owner vc Address Telephone Permit Request G r f Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _Commercial`❑Yes- ❑No 'If yes,-site plan'revieW#= Current Use Proposed Use BUILDER INFORMATION Name co r Telephone Number Address ! U -s- License# Home Improvement Contractor# a6al,::P& Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �✓ l t FOR OFFICIAL USE ONLY t ti PERMIT NO. DATE ISSUED MAP/PARCEL NO. �• _ i i ADDRESS VILLAGE- OWNER r a s 1 r DATE OF INSPECTION: FOUNDATION T _ r FRAME ^ INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING _ DATE CLOSED OUT r ') ASSOCIATION PLAN NO. } Norio �.-.�.,r9 oF�,S,oN �®oa rr� � Me v.. 2v� Gov 2 ��,�.rIiT �d.€✓Joc,r o'.-/ /lam cc+ p+STir:v cT•oi✓ ' " "!" {. $ fir. t lrt.� f A . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map S�S� Parcel 00 '7 Permit# Health Division TUe, SAB�- Date Issued Conservation Division 0 3 S_EP I Al'1 9: r6 Application Fee Tax Collector v Permit Fee Treasurer _.----_ DIMS Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address / _ZwWeve Village �P.v/"Ps^ >Ilse- Owner o Owner (I-m "!J &-'i/lam �s� "t5 Address Telephone A CJ- 6 0 0 Permit Request e ew -e-AkA , ' 9 © r Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District_�_ Flood Plain Groundwater Overlay Project Valuation 3,ab0 Construction Type _u ooA, - Lot Size t% '&00 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0"^ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ;X No On Old King's Highway: ❑Yes V No Basement Type: )9 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) _ '400 -, Basement Unfinished Area(sq.ft) a S &o Number of Baths: Full: existing new Half:existing new f L" Number of Bedrooms: existing new Total Room Count(not including baths): existing —T`— new First Floor Room Count S^ Heat Type and Fuel: )d Gas ❑Oil ❑ Electric ❑Other Central Air: V Yes ❑No Fireplaces: Existing New ✓ Existing wood/coal stove: ❑Yes ki No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Anew sizedi)L3/ Shed: El existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# 6 B ® '- Recorded 81" r Commercial ❑Yes UWD If yes,site plan review# Current Use -- - ---- - _ -- Proposed Use-__-_ BUILDER INFORMATION Name- � Telephone Number Address__ o A Avl'e, License# IF 7 Home Improvement Contractor# 7 Worker's Compensation# t fr- 7ov t. bp-9aj-a Do i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE C -0 , 4 v FOR OFFICIAL USE ONLY c I 9 - PERMIT NO. DA'�E ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 1 •R.. DATE OF INSPECTION: =1 FOUNDATION t FRAME INSULATION — FIREPLACE ` ELECTRICAL: ROUGH FINAL w PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT _ r ;Lt ASSOCIATION PLAN NO. - I The Commonwealth of Massachusetts Department of Industrial Accidents t 600 Washington Street Boston,Mass. 02111 - WorkersIC om ensation Insurance Affidavit i u name: i �@� � locationti- city 0��v-1�a^v' I<<- - phone# tP %P©Y6 g ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one worku in ca achy ❑ I am an employer providing workers' compensation for my employees working on this job. ......................................:................:....:...::::.:.v.v:.:vxw::x.::•::v.v::::::::::^.::::::-:•^:v.v::::::::::::v:nv v.,,:,vnw.vv:r}%?4:'•Y•:•}-•?}Y?h:•TT}}}:JS:•}:•: vx:::::;;...,�.....:•.::......y:.v:nv:::::w:n•::::.v:.�:nv::::::w::....::::::.::::.v::::::.>:•::�w:::::.v:::nv^::�:::v:..:::::::.ti�}v::n}. ' ........:...n.............:..........:.... :...:.:.:^;{::•i:4i;•}:.: ::::::.:: v.v-.:...w:.v:.•.:•.:..:nv:Yv::•::x::::nv:::•::nw:::}}T}Y•}:J:�:•i:::nv::•::::::::v:::::n•::n:v:::::.... v-•• :..v}:•}:v:•. v:............................:.....;...,• v�:.v ::. ........... .... ... .........^..;...: ...:..:..•, .......:.:........v...........................v.rvv:nv.:..:.•.v�:.r:?w:}.•::v:•:::•.v:?-}'•}}:•}}:•:i•}}:•}••::•.v: .........n.:. ....................... ...... ......x .:. ..... ..................... .. ..v.............................., .... ......:... .... {:5:.}v:i•:tin{;:. panY name ..� �a�:i Y?tiv i>:i:}i:%'?:-iiiii::i'•}'1:i�:i.::iv;;:; ::L�ii::;{>i?:tt%:?�:%i'ri:C:?:::::i:;}isi�S'::ii:::;?�;:;::>:}'{•{:;+;:�:;:;Y:::::i?:^::v::...... :.....v.... :fi�:?::'i:::is}Jj:::;::i::::i:::i:;:;:;:i}'.i`$ixw:•:v::::?::::.v::.w:xv:::::::::::.v: }:SJ}:vi}?n•;}}::::::::::::::mvvTi?.• ..;ri;...v:nv::n•:::::..v:::::..:.............. :::n:w:::........::n:•.nw.:v.v...:..'.�..:{?:•.w::.v,w:::.............•,;:....... ::.v:r.v::??}};U.i••{{{::...} }:•}:n.::::.}::n•.....vw:r::J.{.v.}y;.�n;nv:.v.v.v.i:?:N.'C%:::ii ....v .............. r..... :.::::-v:•:v:::nw.v:::::.v:.v::nv::::•. ................:.:�.r.....v:•.... ,...................fr.�:•}'•:{:}::.'{•::f:.;..}:...:...:........:.. t•.'^'+:+•..{..., .... .................. .. .. .r............ .. n ... ....;•. :n..•. ... .... .....,............. :....n•.............. ...C.n •:;iJ:ti!%::r:•}?:?p}vt}i .. ... .....fn..:.. .............. .. .r .... .r .:: .v:v.:::n.:. ........:...............{.::::.: v.:::x:• ......................r........ .. :.......... .. .......... .. .. ... .....v}::::nv:T:nvh:.:::.........?:n}}::::^:::•;:�3}}{?::%;�i:•i}:%TiiJ:^:i•}:•:•:i•}:•ii}::•:?J::.}:•p'.}}•...........;........ :....:.... ....,..........:............................n..:.:::::: . ::T. . ....:...�. . ................n...n. ::::•:: .:.:•..::::::..... ,> ......... .........:::: ... :..::•::•.:v::. •?: ::••; •.:n•v..:n::•:::::::.v:.:v:.v::v.}'{'?v}}:?:?%}•i}:?{.}i:•}:}:? :.: +..ni:•`:;:{•:.:.......n..h........: 'pitons:#.:::.�.�. :.}::..... ::• %i�`? :k.........�.......,.r:}-:?::: ^..:..::..::.: ........ ...:.::.:.�:.:?:{.;?+?•}•}:-:}}::::::::::::.:.......,.. r.r.v:.:v::.v:::::::?.v::::n::•::: .....•::.v:;}:v•:.i•:•::?}.ii}v:•T}:{:•}:?:4}:.:-i:. ..:..............:... .......... .......... .. ::. •+ ••}::::}:::::-::• ... :.::•.�.�::::::::.gin:•::.:}:•}:.... ....... :':fl�:%�. ti,�•�";:• �tl�urance':cbz;::;: ..:�:.1;;'F'.�:.:.:<:<.:.::.}.: ••:..�:�".'.::.:::•:::..�:..:::�»�. .::::..�:..:::..�:::.::::...::.:� blifir�.# .... . .?F.�:I >:;??'.;;+�•::.}:?•........... . ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the followin workers' compensation polices; �tompanV'name'?•}:}:`}r.:a;�?}}}:•isi;•i?i?:?}.;:•}:;;?}:,.::;:?;};}:?i;•>r::::}•::.};:•:^}?}ii'•;-?•:.:i;::::.i}}•???•}:•}};}}}:?;•?}}::?.;?}}};;:<;•i?}�;?.i:a•}?}:,i?.}:;.,}}::�n:•.;o:•}:;.}}}}::.;:.}:.:'{::?.::};}:?:::?•}i::.;.f;n;??;?-:•?:;•{.;:%,.;};.}r.;.:.�:;z.,,i:;i%i^ ........... -?M.{{,.lei,•.;�.}nmT-r+n...,.t,..,...{,w..:..:.�:::•:::•::.::.�:n..:,:.:: :....:. . dress:;:?.}::.;.. ....................... .,..:.....:: .... .... ... ............ -•}:::.}:.,::;<;.;;.;:.:T+.,::.:::;:.}...}::{:�........:: ?yJirirv?T :::::.:.;i::•}i:%i:?^}}}?}�nv::::nvx::::v iiii::iij{:x:nv::.%•}:•?}:•v?i:}}:ti;}?}}?:::::•}}i}:::::::.:::::•}:?i:• :}':w:}i:}}:i:i::i:?:�}}'{.}v.}:L{{v:::�}:}nil:+:::::�.v��. .:Q •:•�.: ....... ..........:w::.r ::::::•:•........ ........r::::?::.�.±}}v-?:L?}}.v:.}?}T;v}�:?•ii:Ji?:•?}}?:;.i?:p}i:•::::�:•}}:J?}:•:{•}:i:vvii.<%:ii itvi. .. :f......:n.N.h..J.+:x...:rr'..ri: . :.v...T:..v.\?.`•.i%: .....:vwnvn:?•:.v:;•?:,,..w::r... ..n.....r,:.;..:{.rhw:::n:v.:w:.v::::.w:.v:.... .....................•:••:x.:v:w:.vw:;::,:v:...••-••••i^:v vi•w:}}:::n?-. -� ...v... ....:::n,...•....,..........n::::::i�?:'?i?:i?.}:-?}}:•:•}:i:ii:?.}?}T{':•.4+'•'J:•}::?v nv„{'}.f•...nay?:};yY.•}.�,v:::r:xh•.r...•r::::::.v:;:}::::Y:w::::::Y}xr.•?:::::....v.r....:v:•n:••:::n:•:.v::,v::r::::::::f.•:T:.v::?:n•-:w::::•.v:nvrw:•.:...•:w::::::::::::::::n..• ... ...... ... .. .. .v..}3•.........n...1k...... }.v. xvv.:.x.:.:.vL:::.i}:%}:�:::.v::..:..v ••,:ti4:•:tii�::::.;......;{f i?{??:;?:{•:r? 4:Y:: •............:n.......,.:...... ...:• x::,?.. :w•x:n.:.t:}}:?v:r.v:nw:r;:n{;{.}}in:•�:.;.::.}•. :•3 y.�........::v.v::.:.::.v.:w:::•.:v:}}}}:n;{•v.•}:i?:.......:}:•:ii::?{:.ti•T:•:ivY::vv:•r.{•::::{.}:•.v:}YvY:?.iw•:ti:?v::?,:}:v:4i}::.x::.}. -i- one.. 1}:?•:n•:^s{• :v} ft•}iii:•;r}?:i::o}:?•}Y::::.:v.}}:`:.':•:"'iti:}:%:}i:r.'.}::;::};:;•}'r y.:•}:•}'{+•}}:::::v}:::.... ......::x::?:v:•i:•}titi?'....••:}}".vn::v:n,}'+{•i::•}:.......... ?:??%:ti}::}:ii.'•iiiiii:>%i:^<::ii{i}:J}}:?;:jt;:?C^,:•T}:Ft•::ti•.i:•.'-i{?}}:4:L}'•}:•:�T:'??^}:J is?{i{?•}`iY::;}:{j; ...............................v.. .. ........{.^?.n.....:?w.v:::.vnw:::.v......:...;..;.••. T•nw;...{:•.v::::::.:::............. ..... a .........................:..... ,.....v................ ........v...........:... .. .n....v.:v.::i;{•.v:x......rn•.J.vw:: "v:•.iv:{?v}},..•.. ...r....................... .r..x.......r ................................. ................. ......:::•......................}.. {ha ''xr.... .xv............ v;}>,.}::i}v?:::"•iv4'%$}. .............:.:.:•::.,•.•..r.... ....,r...,...r...........:...:......::::.�........r..........:�.n......;...:..........:....,...{::•::?.•n•::�•::r:••:•:::?::•...;hJ.Jx:::r.•},{..:.v..};:;:.t;.,..;.:.......... ...:.,..:. :: ..}.a.....fan,???•:;}:{:{% •.{. ....^?•.v?}:.J.wv:::?:?w•.v:::nv.:::::nv:........•.:.,...v:::::::.v::::••.v v:'•:-:?v:.v•:^•v:}:.::.....v..:x::::.:f•. :::•: :nn,vw::::nv::x^..:::.nv..v:.:r:::.vn:v; •. ... .....n.:::::.+.v:::::.v::::f.:...... ..... .,.n.....r...... vv::::w::::::.:.:rv.........x..v. ...f:••:h:.. vv::.....,, :.::::::n:v:nv:.v.v.;.v}.:{•::::::v.v:x, nv.•.}:•:•. .... .............n....h{.rn.n. rv:...::+............r....:..................,.n.. ..i.:.......v::.,..b:?w:;:i:::::.:v ....:.:.. •. :..............r. ...........r....n::m:...,..........,,.............:......n....,.x......w:•:•..:::................... �%�:`?i:{?;:??•}::t•}:?{{?•Y{{?;•}:?;{;F:^:?•:;.}`•i:'.`'%::%:?•isvF::i:•.{.Y:•C?i%ii::J.}}}:{???{{{{P:•}}:?:}::J.i•:;}:: s�nrance.co:•::::;.:;:.;'<.�:{.;.<,{h.�.:.:.:s:{.}:;T..:?.}}:<.:n:.:,:..::,,.:::.:.:.,.}:::::.::::::..::.:.:.::,:.:::,..:,...:.:............. .. ... dui .....:......:..:.. .v::n:::.v:.vn•.v:.v...;:•?};{{•}:L f::>;}}:{;:i.;.}?:?Jy;i.}}:?'}::}}:�}:{?vnii}:•?:;:iii:;i.:?^}i:}}:....:....:.:::..,: ... ....................:::... ....... ...}:.vx.w:.v:::....., v.Y.}yv:?{ry?v'•}:•}:•.{•}:vv;, ::v:::•}ii%ii:t{•};{:{?.}::?•}.,,:.;...........v: ......... ':%;yip}:;•i}}}:?-} ?i:?'<i%:iiii:;:?;:Cy;%;:; :;{:;:}�;:}�::::;4;'+t%''�?n:!:iiiii$?'�:}:i;:}::i':::::`::i:%i:ii'i�ii Yji:�i?:i%S:%`iiiiTi};$: �:j:ih:{}:ji:}:4:%i'i}:i?L?::%ji%i0i%{.�%ii:%$:�r:Y%ij}:%i'%it4iii::yi,.::':?<:ry::i?.?:t;:;:i,}}}'.:;`•;:::::.C;iiiii%:%:':%:v}`,%:}}.:.. :::::::n,•::::.�::• ...... :..:.:.:::::::•.,, ...... ....... :T:iski}}:•}?}:.}x:•'<:-i::;.t{ii:R:;••,•:?.•;:v:i%>:t•'.i:;:•ij:?}i:'r:f ............n......n.........................:.w:v.nn•.::..•.x:.::::.:.:.v:??+T::n:v:•.p.,..•••• ...............h.........:.:..:.....�:.'.Y...........: v :.}:::::.x•.w::::i}:{++v:i'}%iii:S�'r:' :n$1QP'..Yi}:•i::,}:{:{.?y}:?4}:d.}:?.T}:???•y:•�{!!{•:?::�:i.;!:•:::::•.�::v::?::::::�..::::.::,.::>w::::::::n:•::.v:v:..... .....................: ....:::::.::.v.T::.v::.:..:.....?}::...:.:.:v:::::nw::v....n•.. c any ??• :.:::?.}}::.ii??: •%i::::::;;•;}:::.:::::::::::::::.i•Ji:.ii:-?;:;:�}};}:}:.};:.?};}}:•}}:•}:.}:?:.}:•}:}:;•:.}?;}}}}:;?}; >:::::::{:;:{:.}}..:.:::-.:::•::•:;:;:ii;.;..;:.i;:.....p ... .............. .... ................:.....v............. ..?...............:•,.•:•::::••.v::.:•............................r.n.na,....,.,..::•::::.•• ..::::n•::w:::::::•i}:??•ifiY:?,,.}:�%.....:......::.}'•?'%J:^•.%:::.v::............... r:::.v:......• .......... ........................ .:.:......:.::::.......:::•.vv::.v.v::::.v:::.::.:.v.v.v::n}„v.v:::::•:n•., :...... v.v:x::nv... ...........r..........:.......................n............................. :................................................ :..........................:.::.w;...., vv'4:v:-�}}:<iT>.iii:•ii:%%:}f.}•. �2� ........^........ :...v:::::wnw.....••vv:.:::.v::::::::::::.n,.;:.:.;,•:::.v:::p•.v:::.??i::T}:titiJ::,......:.:::::.:nv::::}..;.. % LLllL�Si:;:%::tv::�:::%:i%i>:�i::?bill'ri<:�i:�::ii::Y;:<?::�::%+:%:=:isi:::::':;:y::}i};::::%'.?}ii:.}:::�?:;::.:?{:{.}:.}'?::{•}i'p"?.;:•}$??}}}:•}:?.}::.;•.-. :.. .?„ n;: _... iiii'r{i::�+%'rii: :::x:r•:{::::.::•.}'::::n;:;^..}'?•}:?;:n::::. vnp:p:{:•..:....:....:v.•;......:.........{titi:::::.:.}::;}:•:'?:j p:})}%}}}yp. .....r. ....x:.::::::.:::n.:....::.....% .....................................;..: ..................... ..:v:{,•}:4.�}T:fi;p.i•:•::?•}:{:;::::.v.v::?i•}}:•}:•}}:{v,vw.;w:•}::•�Yp:}::.•:p}:;:: ,, •:ir i . ...........':; :;:� ?:>?::::;`::::tit%<if?:%i:�r.,t%i::•:r:::t:::^:�{`•:•?.:{:?%:`•:i;�:.?.: '?•:{-:i•}}:p}:i{?ip}}}:}:?p:•}:?:�:::::nv::::::v.v:n•:.vp'O}•::::.vny?.v: w. '+?•ti??i:;:i;:}L}:}i?%�}i:%isv'rijiii:}:Yr.:ry::;::;:{ii'%ii:?:ii: :;:}:••':ii:`•:^i$'i�?i:':tihi'ry::$$i$:?•':i:%ii:}{{%}t}::':fr'%iti!{ii:J:{Q:4:0:4;?i:%} :: ::::::::::n:w::;;:...nv::.:.::n:.......:::::::::::.}w:. .....w.,..., �{.:::.v+.v:::.vf••v.w:�•:�»:•ii'i'i%i i:;}:•}:ti n•:-::•::::::::::.:v•:w:::::::::.nv.:....w•:•••.v.v::::::x,v}:::.v:::;n.......::-rv:?:nv}.,":�::.vmv:::}?':T.:.........r.......,.v:.. ^tY........... v.......:n}:. - ........:.. .. .. .................................................v...:-•v:...v...,.................w::::::w.v::::::n,...........::::....}::::r.::•:r::.+.v?•i'?i•YT:}:•.v::::..:.}:4v.•.:..,d{{'•li •}Yi4}1-}i?n:•: f•:f•}:•v:n:x::w::::... ..h... ..h.kY.2...:. ....:........r.......w:::Tx::.,.:.v ...a•}^ra•.a•.v.:.:.v:nw;:: ................+•:•v•:••....::::::p:{?•}:•}::. w:.v. ...........................vw:.... .......... .................n........... .............v...................................:........ ... .................r.n...........v .. ..w:nw::::.v:::::•.w.:::........:...:•........Y:::nv.:;}:?•`v'�:p>T.r.......x......T:pY::?:%:;. :...x..,a......n..,........................f.:nv:::w:::nv:..............................................::......... �:-:.v.v::::::......v..........,.........nn;r.:.............,..t.::: .............•:••::::.:.. nrnrance:.Cb�•:::•;:•:i:;.}:•:;i:•:•>:.}:::{•>:;T;;i::i.;:::«•:•}>::::.:-:•:;;•}:::::•:}::::::h•:n•::•::.:�,:::::.�^.:::.::n:•:n•:^..}:};.�:.}:..:....,:.. Fafime to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crhdnal penalties of a One up to 51,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a Oat of 5100.00 a day against me: I understand that a copy of this statement may be forwarded to the Oice of Investigations of the DIA for coverage verification I do' hereby certify the pains d penalties of perjury that the information provided above is true and correct Signature Date �'" 9—®5 Print name _ r Phone oftldal use only do not write in this area to be completed by city or town official city or town: permt4icense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selee4nen's Office ❑Health Department contact person: phone#; _ ❑Other_ 4cmad M PJla Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An 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,neitherthe 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 t Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and su 1 • company names,'address and phone numbers along with a certificate of insurance as all affidavits maybe PP Ymg ` for confirmation of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Accidents �. ;- date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is ents. Should you have any questions regarding the"law"or if you being requested, not the Department of Industrial Accid are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returhRio the Department by mail or FAX unless other arrangements have been made. ,Me 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 Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 6 � °FINE rod Town of Barnstable Regulatory Services B"MABM ' Thomas F.Geiler,Director v Mass. $ Building Division eo r� 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: Estimated Cost 44 0'ev o �� Address of Work: Z,:��E a4,1—el +/—N^ AV- . Owner's Name: & c* Date of Application: I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: v�/��' ,(r d / /� Date Contractor Name Registration No. OR Date Owner's Name QIorms:homeaffidav INWOOD 'LANE 95.00, O ch Porch&Stairs Retaining Wall 10.5' td Existing Foundation N '6w)l 15.51 Hse. #148 CD Ln F�¢ 19 i i . i 4" v LOT 7 131800+/- S.F. I hereby certify that this o undation is located on the ground as sho , and that it con rmed to the Town of Barnstable Zoning y-Laws regardin inimum setback requirements at the time of construction, nd that the dewlling is located in Flood Zone"C", as show n F.I.R.M. 250001 0008 D,for the Town of Barnstable, revi to 07/02/92. 05/27/03 Sig LA.- MAP: 245 SEC.: PAR.: 7 1 LOT: 7 HSE.4148 NORMAN GR SSMAN PLS DATE of FOUNDATION LOCATION PLAN o� &P \ 1 LOT 79 #148 INWOOD LANE" BARNSTABLE, MA. GROSSMANOAAN v No. 12775 SCALE : 1" = 20' Norman Grossman, P.L.S. t'', EC�SiER Q DATE : May 27, 2003 10 Marsh View Road P East Falmouth, Ma. LAN NO. : C - 800 508-548-1920 ��� __ �s ;3�"�f! �^ _ .. , ' �; -fit �1 i' s .L', . � � _ M i .. _ - �� - � -� ` - ,.. i s ..1 s , ,. e � _. 3' .. .. � .� �4 ' ° - ��� -+ e �, � _ � _. {, � t . � t. _ � t �� � � ._ . .. _ _ .. � r �. III � y, t _ �• / � � +' P ! 1 . � .Y� ._.._ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ? _ Parcel 60 Permit# 4:4 (.Q -2 3Health Division 2�' 3 R Date Issued - 2 g•_ b Conservation Division ��. a3 d�— C v :fLij_ 4 Ali 9 4 4 Application Fee o� 00 Tax Collector Permit Fee Treasurer ,�, _ , - ---- SEPTIC SYSTEM MUST DE INSTALLED IN COMPLI Planning Dept. 2�• r`• 146, t,ss+a•�•��• V=TM E 5 Date 1.Definitive Plan 4roved by Planning Board 1✓A ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH NE Preservation/Hyannis Project Street Address Village & ,e N C- Owner U Address Telephone u Permit Request f}N _ �f 14/r.v P°r" Square feet: 1 st floor: existing proposetcg, 2nd floor:existing proposed e� To al new t I' Zoning District C Flood Plain Groundwater Overlay Project Valuation 7 00, 60 Construction Type w Lot Size 0 1.1800 $ Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family M/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Ao0't0&.-- Historic House: ❑Yes 3 No On Old King's Highway: ❑Yes JV No Basement Type: VFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 5 ,00 Number of Baths: Full: existing new Half:existing new / 22 Number of Bedrooms: existing new _ Total Room Count(not including baths): existing new First Floor Room Count -57 Heat Type and Fuel: UrGas ❑Oil ❑ Electric ❑Other Central Air: 6drYes ❑ No Fireplaces: Existing New &-e Existing wood/coal stove: ❑Yes C-No Detached garage:❑existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size Attached garage:❑existing MInew sized Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization. ❑ Appeal# ,A 00 c'� l" / Recorded®- Commercial ❑Yes GMo If yes, site plan review# Current Use Proposed Use ,Q��• ¢ �a � e BUILDER INFORMATION � � Name /�,;2 "i F- (°.%/i s Telephone Number 'h) 0-137-7 Address „L Ze4, c e ,(,,, . License#'- 6.5 f �jq 7 - JWA_,s,4, _, Home Improvement Contractor# -► 3 7 74 to Worker's Compensation# JW c o o to /a 90 ,a a a I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOe �a• SIGNATURE DATE FOR OFFICIAL USE ONLY i PERMIT NO. _ ! .. DATE ISSUED MAP/PARCEL NO. , • - • i ADDRESS VILLAGE ` OWNER i DATE OF INSPECTION: FOUNDATION `r r FRAME INSULATION FIREPLACE 1 'ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH. FINAL 1• GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.w %= � � • :� I rt ' fie-�om�miovwrea�i .�aaoac�uuel�a � ,+ ' BOARD Of BUILDING REGULATIONS ; Y ease: C{ NSTRUG-TION SUPERVISOR g 051497 — , 7, Tr.no: 4723 JOHN F GILLIS g , 10 L -ROSE L 'o ` MARSTONS SILLS, Adn,mistrad®r i ------- . II �olsals�u�!!nwP/dy� 8t!9Z0'dW S1 IJWSNOIS�?+1d/ ( SrIlIIJ NH00. t� r Sll'FIJ'�NHgP lenptn 500 ssr . - _N I013tld1N0D 1N3W3A0 OH s1��JBPaB3S Pae saopeln2ag 2ulP!nfi 3a P tsog V The Commonwealth of Massachusetts Department of Industrial Accidents Office Vallyestigatians. - 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name• ( 12 f�1 If r LGtr �l4[T� /�`�1/��" - -- location z, g IN ® �/✓ .. (00 phone# ❑ •I am a homeowner performing all work myself. . [] I am a sole ro n'etor and have no one worku in ca achy /% %///% I am an a loper_ roviding workers'.compensationfor my em loyees working on this job. , nn rero;•• ;r2;}, ,}k. ?:n ^i:S3i;fix2 " Y gr,{ ^.i^}}:4 f:}Y$2?,:4i?'v•r;:Y•{A;S+^•"z Y•',;: r?M:+ nvi?'v'^ v ❑ �. .F..,•. x :r.}:a••Y; ro:fi:aFFcN:- +:.E#. %-• .'�'+:^,?�.ta •r: :.�C.},ti:..ri:: .4:.,q.,.�•r.},:2'�.p ,t.• .•y:...�'•S•:':,.0.:••fi. ^.•"L`•'`•;T:,}•?#`.'S{•{;}:}x. r, SF.•F•cY...: ;,aYt.f3;?v:a: •�a:-:.ea;•,.;...{{a}:a.....� •ri2h•o-r:}^,: c•}tF :>..,..};,{,.-..t:{:S.v}•,. ...}'..Y,•3:{ya: �5?• ,`•;y,� c^\ .,.a:r{i{F:S: •:iax?v:i{.'•?•'.{: .ir✓. °r .',':,,:.; a..:: •:•F,:v<L .a •,.};:. :..�u'. ..�. �d:rr+ .•r2•:34v.::.3.. r.....,..4 .s.,r 4. s:?.S :2•f.•.. .�}+#{::Y:•'T. a. :,}:+i:+•.. :}•i�^+•::`.t•: ••.,n•.•} }y.. ,.,•f�2; �. �.r.}Ff: ''22,,��'}:`3.'r'3F';34•.,,,rA..r,�:t,., :1:..r r'••. :+'�':S''Y ..r.•. '}•r:" ..i. .i r.. .Y}• a�''ti?r: :•}.v ,f. r}.; .ii'. .^3^�A',. .i. ••.£. �3ti :FR �"'r}:' a.. +:a::a:: •75:a••}, t..a^ �r .:x -, ::SY;rr{;'.F'..,•.'F:'n :Y. .bC•.. :� r.:#F�i�Y•a•t{. '.:• .r.2'. .a✓..' rfiiy:'`` ..:N•r•;t.• ,•T}a:^a•,:.}:�:'•:#f#}:r?^.,i}:?;•:J,.,.L.Yiv:+;:r,^„!.;. yt.. .t a: T. ,,.,},l•S:'':�,i.. .r.F^•}?' >�Yi:,,•, :+.e,..t•2Fx�tF'}FR}}• ,.>:•. •..4:+.3.> ';ti`. •T4 a r}r. .•J�.t r{.a. : t.t r.+,>•.,. 1>x"•}%J,a.. .4•: ...`C.. .t•4Y.,{.}.}.}.,•:. }}:t.2R�:: ::7J•..,.�...lf':r. •?:3. :,a.�.. .£. ,.,J�.,. �,,.; Si'� r.•. :t?S'?.t :.}:.a}.<>.,. ..2..:.... h}}•. ..t. •5:.... •r,;r:::;r•..+••, ..4.F{Si2?o:.;t;.3..: a}.}or,:ie:r. .Y ::'t ...:}f•::.+ .':}.�...,a•a f•Y}••t {�}..}. ..r4;a.,:..,. .:ft..}6r.•:::.>.a::::::r.•#�}:� } •✓ir .:,:•: •:.p.,{..:... .a::,;, '^ "%'•..:..,,{y3;....•4r.}3•`.La:artr..^-t�t'r.AF:.%�F•},}}:§.;;...:•...�,}r,L,:35;•}}}Ff�?F'.^.}}.;t:r,+'`k,'i�..:,•:::::.�`6sr'}:,r.9r::a.�}::r....{Y::}:•xw......,..J.. 2t j.r,...,.a...,Y �'.� .i;,�'•v'�•.#•. iG :^ .. .,` .;: .}.:3.#•....:^'}:?{i:v.........r.. ..a:...:. an :tt •:yr::•.}::,•.}•:::.. x}}r:•%::• ,}•i;:•}}v:',••.,,}•FF•Y•��•�S�o>%�' :L'OIIt ,:a•: .Y•••Y•:Fl: ':ii{•+' '}:!}?:{'}:;;:4,}�,;+ „aJ.,• ..a:Qii}4{:S'' '�:}r:.`4.,. nx ..ay.;. ..{ ;>x: .};{:.} r;?S+`� :;{..r. :`$1.. ..}v'�iY;? ?.?}}' ,•\.tt� ..t.ri .:C• .x.} ••+i~'.4'•. Jr'itii '?t ��.. ?+r.+i '}iF{}Y \+a .'Q} v�.(• a Kt!'; ax' +Y'Yfi}fii'` 'F:'}. i4�: `:.Lr r:r�y{r:; \•: 4...:,\• ,i• :ax:•{::x•;?.;{{<�4� •1:Fri k, ,br•+ Y�}„ .X�C, ,•FS:i•+? Y:::.•::+' .T..r L.: i? 't;rr:#a++ +•.Y22fa,$'::, a 4FF :.ot?•}: S k?^•S}:•• :•)• 'hhr:•:? •,•SN. .;.:, K :}.4.+i.>.. ::is1%i•>:•,r•�5:.:.,,h�.::4i� ,.2'i2• ,.3..#�.. „•a•. .:•;�;;}`r{H'Fx.r .iir•>:.,t'••t�ir5 :?.`�•y}•:.: ••.'i:. F.:'.. i;;ra.,:F:•` ..o:. •:.� .+... :rw.•r.•.•}:2}aa:r # t ,.;�:.:�-^L�<a: :r+ ..}...a3,r ;ra,,, r:';+}: ..t.n. Sv^.ta yy�� .i{•Y•:+}',: ^$•}i •S.'t}•• .•v.. ..F..:�•.r• .}:•.,•tK••.++:4;::: r.} •:•:L•:{ fa,., C{h^+ x{:4'F�YY:• v}iCFY4: v+f.• vYa Tr. a:$}:4}: r..M .} ::•'•r•. ..Y :Y:•'•:.}I:}.:+Y•:}}: .,. .•k">`i:+Y.iY:•. rvih,:v,,•r r.•�f}:•>?{�..}}}7�} :{•�r:0'ki!Ol:bia'}.?F' Y.hk•r•;:+{,:••:.•::. •:M.••;LJ� .a..,:4i:}}'}}'f^':?Yi:#•''• ,vr: 4.:. ;.�.;'}•.w.•. s}�'} h. ,.,',1�?,.}., ..}.. 3"r J}(;++ ��r•:`':� .:x:$•. ,✓.. ;:.St•}}... .�rG.... tb�}{:. :i::xr;. t,•^'t}t• S.. yy!{��,, :cFr.•::�. :,4•:•ri••, a'4:, .Y.•,:2a. ..'k•'••:F' .irf>. :ret,.. ..%4�'.a•:{+. ++ffyy .. r. •p :?t,.r.+ ,, r :fi^,'r•.r .:$:vff.1�.�•A 2., ^:t{t? L..L:i#•:}... .}.. r,}k....,Yv. .ihF: ..}':•. -},i::.... ..A•r^. •::: :..:.•f.;,:+::th: •. a.}r+•}3:. .{• r ;. ': '�.2$}..:: ia• ,.F...,kv::.;+•:ux•:t;};}.'.'•�#ry5?^;'}:::::ti{•`.'•:Y..:. .J{.;:..:i•. .vf.+v• :: ..'.,..,�v, 'f,.}:•�.•}.�'•::•+.••+r.�..>v:..:::........... v.::.,.. } i{{i?{iv,:r:...:`i>:a:v.v.......... .t:,�S::,t:!{•:T•. ..:22+.i?..:.:. .. r. .. ... .. ....,.. ...::.� {} r:}gF•:,.•�• ... �}:i•:':..;}: ;d Qt1:k :rr.,..T •.•r.Si'F.;F:}:::"•:" r{ q.,. ::}3a:{•p., :.r•: :'F:x:+�+:... .rx+. :a}r.2:}},#' i:'G,:'•FFF); '?:: ..r '{' ::�::{`L•; :•.F£.2,• ,:,•. rrr.?;...;, .y. :+tt•:+, r..,,..:r: .2:2=?3}.F. .3:$:��":$': :>:r.•Y}fi)' t}�'++*.. +a: {..;:,;yrr .�.},.3, r..t. .Y.:•. t+Y....r:t2+r.2. t�:+>t:i.;}}:.>,i;'F.,.'';�ti<::••.a.�:<! :}.#; FT!."r)." •YSa: ::.., :+.•..{. :�i}!}.:. .}:}},•.:••:2.••lsxi: .;,y.,,.,:5., `L#}/.••,r�:2.. ;;•:; :•24r?{: .J"iY r".w.. .:S•. ..r. ir.r. .:'i .}•• i.:• � Ft�:,�` '•}!::}G}'"Y:!}. #'!'<' a..: TS a> :.a':. ± :ab,• `.:o:t% yY �•}� .�F:.•.fi ..rr.a.:r....4: ti � :•F :�:i'+ f�4;'J.f. rx•'.•:2::'•�!}`::2i�:' ..i}:..,.,., .;^,y? .;}:}Y•'i: y3J.F:{•:.. :.i .rt!v:+:�}y.'Y^.ry''Yxa'x:.l.a :{:$'�{•Y� y:,}.S "•?F::v.: O:rv. ,:•.i.. {..i }� •.•T^: .::F::a..: ..r. .{:t•;Fr. .af.Jfr.:..T.: r.. ,.xi:+} {}: .i}:Y33•}r++•:i;^'{•T.`LLL•}S}',r.t',t,: ,23x . ;3.a,«••F•22}•:5.. '�?tY:??.`•:`'' .�24.tR •T'>St'.F. }:3•i•..., .t:•:•f;,} ::tr .:3i�•}rtr :..a:,>i>: .>. ..i 9..T,r Y3'''•:•:a;3•::R,i,$.•., +i.,.: .J,^;.. .p.Y• �'::X{•. a::�",1,.',:`•: .,.r•.•:`.3?r•, :qx. %.}•. ::}.: ^ah..a.F..:. ^;.:. .:u..:.. .•£fi-. :Y:t is is ••:b•;• •r. r.:} }`rra.l•l+'` %}�9 Yi�r..3+:• ., .C•.. '.Yr.: rb J 6 k ti :;^ }:. .a...F....r. c..} '•'rw:3}:r:.rF' ;•Yrr.•::.;..::x.;:.:.;i,4,.,.;fiM••. ,;3}>�}.::•.. ,v.}.,.;:#}'{..,, ':�•:�•:'':•:�.•r,�� x.•::,;j}.,+r.;•3• ..:..} .?t2ta`.aa'�..e.�. }j?:i.{,..$. .;.:«•:t..i:•;{.}}}}:;;:t?.•}}F$. .:•:: r:: ..;.tr,#x:2..' ::#.?:r :?.:...............?:..:4.3..{,4r:•}>?,••,:.t... ..?:•..: �OE��Yt: �2' •r••:•:a}'•:a•}:ta:c•}'+a: ;F'ar.2}-:i;?.x•fi:r} ���•ir:•}.... 81 „a.;y4..•. .£:';:s4:;•}:t+• 4•:.. #'�`':;�'�:$r "{ea#2 '3:£t•}Fi;i'..: :{<a: 3.:r 2•::��;;i;:<S;:}::G•t• +,..a.,•,. •.{{tt{:i`.::rY .:t?: k'• k ^ .... ..... ...•:::•.v•v••:r:+..v:•:.v,v•:.v:hxrnxt?i:.;rx:.;;;: :w;.�^,, ... .n,•}'•i .a. ,t•:: .,{.r.::.r:. {x:.2i}:#•}••: 7>#:• ..,{.:.{:#x•:,••r.:� :•3:r3••Y.;J{}}.;{:.,�'••-rr.•.;s'rt:.,.,:}:{:q. ..wyi ?YL.x::.}x}{.;..3«•. :Y:d••,h::+ :.h..t:f• ^•+;ri t:}J+F•;:'+.i'a: :•r•} lii}. a ..9ai:..•axt r.a.. .vT•.�•. }:.}:i+•}'i;;':.';2't�F.}...:.•...,Z. ..r�•'r}Y,•:t,y}t>+ae:1F.FA:fi.{0..:i3:,...•S::}• {:: .: ^.5:.::.�•. r}.:. :?riL�£'•}�..i•.in.....{. .ir it.ca;�t:.:.{yx:..}:+,.::r.::+,.+rrr: ':=r.•:H`1:+•r .4:..,>::r.+?::.,;;:r..r•::„t•::•.... ::„. r...:. .t..r. ,�y. ;:.}} b q i:{;ty.;/ykya•' 3:,i}y:c�i�' F.r..... :tr,.:: ..l£. ..c.t:^`.,.. {..'Sc.,...?.:: ,^•,:?.>.{ttt+,•:.4.r.:.,:.;:.5,.;},?,�.; .2u;i;:;x;:tbta} Y: t:•''} i2' •f•"ax. .:.t•:{.f:.. xl,: .s.{,.? >.;~•!SSi3': :..2'},.: .F:ar: ..i•:•:+f :,5.+xfv};,�$:'.,y:;}.:F:^;{xt; ,f?� r::t;:'• :"•'+::•$Yti..::va. ..i :.i•a .}v'}.....•h.\F x:n,i�:`.;F:,i;ra:{ti•:;:ti;4'}i:'� w: '. ''-hr:�:' :'•::++'•.'r' � .:'.%•.'.'�2�t:. .... ...v .....,:. ...t... •::✓:.r.. .. :. rr:: •v ^.::i4}:.:v.:v{i#n.;/.;......:,?v};+3:�::,:i{ ' ....;. . .•.::.:. .;•;:.;•;<. • .r: ,.fr:r:•.:. �Cr t :.: .........:.,:•.:}.i•::..., tili;L:t?.�#'>�::'::.: }7; ' . #�'...;:•..:' 4'�.`..:,{:.}x::,. •�i1S�E1•t:�•nt0:•Ca:F::. .��,.:::t.� ❑ I am a sole praprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who _. have'jfi,}'{•.F YrA t,:,F+:r+;t+h{{.x..•e•a}•fo•!:ll}F.�,a%•.r'w};.+::.t,^•r,.i..?••n:,C•.pp}w,a.C.{:•Y+..rof'..c^flr..,S•.k,R.a''^.i T.h.}e:.;'rC•;r s+,•.•':S.::'•r'tri::F c 3#"}o'��.?.m.•.$.f.''+fa.:'',i.+;•rfi•••.7»qQun�<:•.srr.rJa r:.ar:y...33•ti o}:i:r}•$B:n:;?S.Y•F>..,..P+..a...Y.r,.or.Y••:'l.:.ia.c•:...:,.e:L•sv.}<:t.n.:h•...l.:;:.,.•)F.,.}.,....t.}}.,.:.}\•'.#•.:.,:•.:'J•Y•.?,•.%a+'`.}+..4.�•`c'a.F+.S{:•.;}:iiv}`x}:+,:i,•},}::}.::r•k?"{•.::Y•..:}r.t•^}n';•4^..':::}.4.}v.}r}{+:.::•.?•i•.Y••�..;<•+:.:•'.:::;3.ac:+i;}.•.:'}r..•?:,;:...v{}.:i i^-fi.w;r•:t:,^y}>:rY.i:::-?,r.n'.!::r,}-.r:..}-5�.;t'?}.•-:rr•.aY.F•2.••#:r.:{.�-0{}}}..%v 3•;S.••`.y...S;+::4tQ.w„G;Y r::?'-ls.:,:+.{`>..-'':?\i,;..>.,.C};•...v•i,v.2•..:r'{•.u.•,r;.,��a•#4}•'.:::vfa•..•...;:•:. ^a}:T•.}Y Y.r.-;..:}.i.}?. :^r••3p's•h'+S•kY;::F o-t,?##.+fi?:a+.'.r':;'>•'• ' x':E,.,>'!Y.a.:r.;:.;.•,'•��y34.r�,.:•.}rrt..S {•. };aH r :+ y fii fi•7.F.F a >}' 'i.;•fi....:Y;., <. 1. .YUr• #:.`.}".•:}:..� ••:h. :SR•!••. : v •$ ..2 :m.%; :.?t•'.. L.F:>).'•, \..moo �:F•r'., :•»• t f. :�FY'r' ..3:. :^,'`H.. G'F.}i ';iafi7} ';•}Tv�,^%?+'t{$'i «:'a.: •:.,:;?..�T4..:,:::}•:.,.:... .T.t.:•�.•;Y^}:'• :::, L:.•'.it..r}>•.}•}.}•.'vRt•x$<'{{<•T3+ Y:t3:4?y}F2•YxY2:,2:.: 2'•�}:`.<:. r.,}f, .r:•:ir.f.v^Y:X�:.,;r?:r.y,.:•.:}:, •.;{.....C:... .,•.Y..,:.:.,:::.,::•::...:,,.:.},::::^.i;: :•:!:. Y}}.r+••�a}r•s•:4• •Y.;•e+•.,r.;:;•'G5; }« •FF':F.•'': rr.+{F:::•:':••.: i253i'�"�'?Y.} ,r•F,+Y n}4 iF••;,?:.}:Yvi:;:,�.#i}:{y?ix'h :+�.d F.•ri},'7 ,.,,.+. ..a,:•^. :.•.t•}•.;{::,::>:r,..r. >$•r.,5?✓..•,.X?�?. '�>�.afc{ ..2.�y, }a Y,'....�.:;+.:•3:•}'#�''•# t. ..v,...,..^;{.,{. ..a•n85: `2 •}•Yip{•: r::3:!Rr•}'7 }2•}r3 .F.{ {: ,r.xt..34f. „S'.n`iS%:�%:#;f.. •�.>', 3r, .,•.a::. - #.y;}.}3}^:.:.{. ..f .Fr: .:`.•i't'•'i,.. .r.,».r{:.. .FrC r„r,c:�?�:,.., .•r+}}r. .,ay: r,Y:a:}.Y::}r•'�:ar .'Y•-.r.. .•2 :•?.;•:x•?2:. 3{•..,. �M.. .{.i. ,.i,r. .{;{-q:4's'r`• ,.tr.�•: a :•�� `:•}.i:::... vir3S::F:2.la•`+aF:•Y.:: .F. :.n•}4 J +.f.� .r.. .Ctr:•S•: rr{.:.{ .2,...•r?.4 h}..,,;+t{.•{y+;::},#�}. 7:.tY �iT..:,+ •.,L•4,•. :F�. :.t r ' a R ;,#� ;;:r....;>.{.{::.r}'?.:{KY,.:S.�Jr:�::•,#~}•:+^::x23Y+F:-+rr..,t.,��f •Y...t+'••:.i.,a:£,a,:•...x?: }.:<•.:t•.x...••.+: •};. {�:?+F::::T< ` err. r: 4 .r{•c ����.�i{�•;.�..a}...;. v,:•F'f/,•.{•f,.t-.}}i;:r.i:},•:N.? :Y}},,+Yi rN' F..v.•.Y},. r::•Y r.+.•.v i•: rf•::,v},•.v.. :3.: ..,1..;..}:.?•.•,.. 3r'J?4}... :,+,#.. k}: ,•�•S:•.,v :<'1. .7,.•.,.{ S'•:F:} v+C`'•? .3'/: '}•,i S.. r:.rr•::.•.. ;,•,`v,+..{ {,:: •:^: t. r,4,.:??..?: . .,.✓3:•,:r:... r h4}..,•r..,...,{>.:r}v}{,,L :.t:t{n:. }••:7'.. .,2.:•Y.v}.a•}<{.:!${ +7' .2:...,f c Y,.,:,>,{h,Y M ..n3..t•:... ,• .F.a:•.' s..:.},.a•r,,, .;•.,L,Y:C•'.L:• .::,.}... : •.a::r. �•.:: :}:to:.:::3:::�t:.+.n.{...�•{:�;:r.Ff.,.,, :?.'?Li<.}.$.F?�.S, o:.••} c.}'"•f3�; :•:}:+•.+•:.+:::.: r•,+F •:S• r t. •.i2?.,.:, .#:•. ..t..2.:...v ..>. 9. 1,:::3•:r}:ra}}}.rp>.:..:.•. .di$r:;:S::ra .}:.;t#.J.:•.}'i•^+.:..{.!5.::..,�,,,}.,{r:...t•.:.y::,.+,•Sc'. F:•:....,.,..vr,}.:,.,;rfi,.?.r+.;{;}'t.::}.,• :•:..::4•.,,},+•:.t.:}S!•}T3}}:.tac{#.. F:i:,,•:::.la,•,,•::x.•.J^t''•::2 .b. '�' •:r•}.• xcr•.Y}}.•: tit?r:• .:{3•:<r :e}' i}:F:dF•v .bi: a a:3 "•yam}S},..;F,: 5:5i :{.�;2r.,t•ilea... a:}r F$%•;w••;•>;• .:S;� :F / .t.#•::rF:' ..r.•Y•L..r.. {.L:''.•'�: YP%Y. :•y:ax^xttt,i ::'C. r:'Sf r:a... .Y:4:Xii+.ii.... '•: J:;<Y..t•.t•.22::.r`:.b•-4;t•:. .:r�I,l.?4i:•r•:aF: rr;s 3. +r: ..cr, .�x3-;i .'•::6+rJri F. r.L, .;;{�} a:{�'. rx•,+T ••i !+ •�+.k:•}}L•,'•' :.?2•: rrr r .4f'2°' ..,T'r >'.i.^ � a:t:i#.. art YJ:3: ,F'•} '<:$' F .Fri}:•:;^ .a••Yi?F:a.�fi} >�• ::t4, r•:a:?: .:a'• }':Yt• ..J .:R•:i+c.r .i#iR'.....tY•• f,:J��jj..r:+:•••}i•'.•hiir. ..;••••S,':• .S!cSvr.i.s.i�:SF'. .};b. �,. ,x?F;<•:S. :.•,..kk.. �:::., ?•FT.: +F:�'F.< a F• S'i x4^ .y,'•^.5,:;#}•rtt•., ,,.y,.:'+ :+r•., ..F....».:t,,. 3x:. ..; 2:' .Y•a":• .},.:+Y{�i:^" t.'w'•:a:�%•{ v.3F:. �•::�' :ni} .$"f,.•.• ..Y. }n• `�IL•}: :.#i^i ,v'i'?v.}}+.:::.7„ }} T•r �.:. .:3•#:tr}i.2+hr:?/r: •�:S n.r. :t•:;•:::;"::%,... }?....:T::}rx?:.Y ..S;t,:: ,r i'2. '.a:.y,:,^.r u<;S..w�•••Y:t •.;+ ��F;••r •:}iL• ..:.o.,.::2#�}-•:r;•.• '•x:::a'.�;;:.{ :.�iv; .><Y:•:i.•Y.. ;S•}I.�}..., dr,.•.:•:.: <:<t?^, .:, ..f.YH• .r;. ..4t3•%,:;':%:. r F,A.3:•i'%•:iSFf::^.t#y{•:,:..✓-:•`a:.. re^i:b:�r:a::i•':}x;?;i?�,c.'�. r..,;f,4+ti - ^.�.... •::f':•rr 'i#, : t. 3�:.}x4•: ., t• : }:.:+..r.. ra• •.,,c,•:r a},:..,,.:...r.... .+}r••.::.Fx ,.rF'�x•'+r i'.�.3?.,.•Jr}.rr r.Jr..:•.,•::...,;:.r.,?:4•t•':::.. ...�r�.` ..r.,. .pR.:l ..3,:�:{?:.M:�aA.+:`.•S:.R... .:a aG:Y ..:):?"723:.y>k::.+F�SEj.::•r^7:..i 4,.;. .,as t$..r,>::•ES {•:•. ....5 A•:r:•.a:,..r.,.:••7}:•rs:. ;:3:::.r:x•?i•: #.#.:;<;j7. 0111�r: .. 1:•}S{.:.,:•. :..... .q{,.FkR•}x:•: }} ar F ^4 t•M•� r•xr F:r•a J sC }...r } f { a•: I J : a r r 3 s•• SS }tilY7' t F F fi fs: y.} riL y( .Q ::t2. ) :f•:. •vf.:.. ,i x Y!; .h :.a.� r:4.•. o•r 4Y r. F ��}' ..a•:•: ,:t.. •ri. i, .tS 77�S .?} .l., a,,'.�.fi:.., F•?er. �y,. .•Y: d.,,4 ..•?a''�.':�:�ia::.rY...t'fi.,3'•:.4r�•w. r•, ....r.a,,::•}...„.r:•,.,x .;•,g,rr•::rt$ •TY}r:,:+•t:;:r•:a i•.t?•.:. .,.'¢<••. .^.3•x:;` %'%t,: ..c.. :i. •}:::>F.:.:.}::•}7}4i'r...Ln..a'?si<.....• ..}. F.rr..:.•.;::.. .}1.+.�....J..y..�..r.,}i .^;yaY>io`;5:3:.''{R},2`•3 G x1',riF',';7'^+2:£;#{:3••r al•R:rr.;>: :{{,,.;7},;.:�•: jf �1n�ll•L8'14CP,.•:`Q;•}:::t9C=.:: S:'a. •.:O 3?4'r: F:h}.r ��� •F�.. �//�/��� ::+{.:•r•YY•} ".ax^•a:•}}:{t'%?^•.'} i^•S'.v::Y^.;a:{•ra:•'•7:r{^+i?:Fri•}''+J++`r/ ';,''•.+•?"+�X-.-#2x •as:;:}}•r}{ •:,{.r.^/+'<St:�:wFSF`:tia:},a:•:+K;:}"'<::i?;:F:.;4}�5•}}:':>;:kak.rt�:}¢ ..}ri: y,. .r.i:Y'•:�f' ,:>• n}? i,?:rt.., . T ,::.�wv..., ...... :.,•,.:...... .;,.. .::r.•:::.•:::..rr•:•.}r r:,.;:,:,:r.•.:rr:f.}};:. ,::�.t } J;., :..•. {..:,;•::..:,r{:t,....:{..,.:.:.,•:.,... r.,'Zrr.r S,'w;;+Y.•.;}:•?a ,..L;:,Mr.,...F$:..'}K.,. .,{ }:aYi..(�� r'•Y... r!-'r,''ri...: +,'$:{!r'•$>i}: r.{,:•: "}{•Y v.: r+vl} .3ir:. •.:ar4::. {v4},.}4 T+v::•r.:..:•Y:4,. vn$:f•R:v•,?v..,2r,F.r?:tiw F...rr.r r;{4,:K ,,$•:;1"t`4;}2#i i+;r:r.:{::) rr'.rF+::}•:•'?3:}:;Fa.::.ta}::aJT:•i°lF•'�.:., ,.,?R:.r,5:., ..il£'$`;^rrla}35:�"?:}1o:.t:.:�x:r.�r• ;:•}.r:,.;.,:.a,}r'r:4{?: ../ ^T:, .?...., ?:v r ..ut:.. r.a.;:: n r .s,>:. i�,3:,.r :.,t... F�.^•^•., Pot^{ r,fo+x:.:.!'{RrKtL:r.r.2Y{w. it . S +cacti'• r .S:. :ta•• :•:�+},> .•f,.•., .i>+•!•r:•.ia:.v,:..}.:: :fia, .fi> .2 R4F:•: X,,,�}i2L.•,,#r:9�';'k{.; „>•:•.r i••:S•t.'r{.: :}.4:•r.r.•: a &• .,r.+ .J.a! :2h ;:Lnc•?Y:. RX:. .,•�•.F;:: :.Y',.. }}{ F f:•`"• �• ..LW.i.} ;•}. ..t•ar2. .r •fir{`:'•• •r.,+�••'• s,i:^f.?. .}:4 .,•F?%s•..:.-fi7:%# .•Y ,`.:ca F:i�ti :.rar r ,.'.''#'i': ���w: •r..t.. v.2.,•``•�'+`.• „a.'•'t•••" !•{;7si°e a �,. :.+,,ya'i" ?:�. 7;•'•,a ..{..••Y::: ;ia^: .r�4..2. r.t., ?{taT.y .',•'�;}.,, ..,�3:,Sk;?+•:b:..r •}:. S y�(,,��� :..:, :.:fi.2i•:. :. %•}.>::y:F;:�a••^ }}f:+• ,•w. .•:.: t„Yrxai:?i+.{. :.3fie.'S'^+�>:v,S•rS r: �fF, :r•..,Y:.{.{,'L��3.?J,':r:,fi{; ffh TvF .a c:,} r+••..>:A•:3•F?:.{:'>, ,.;.,,.F.,,.,,, , ,.,..:.4rr. w•r.•Sr.}ti}'• Y •• +•....,3: Yi}S;`•{.p} G 3} SR:!{.`'..`•:.`{^`•,#a7'•,}?a:;d3r ,ry;'.,} :F.iYt'F';S}7 •c an rnamp:}}s:a?'�'c•.3r:::Ti+.'�4::}!3$ar3::•Y:c�..f.}...::x�t}•?... ..r.. a>x^�+:?'FF�:} •'^ti••N•'i•}}?,•?2••�F::�•rtii}Y2:}S:;}:..• {,;�;•�x;$;:�•• }'.2?� :?:.»:a+:ol:+{•:•?l:t;Yi: ;•.y:,}:?:.•;;.'•,':Y}•::fi•,:'f,,..}.2. �:##}r: •.,fcS,.. S.. £a: :`:.' t,.• �•9.,: i s :r4•b::..,.`4?? •tY:S.:. {C nY'r}{•.,.:,R ,rr.:•ra•?.; •r,y}•++.::r•:a::;••..:?.k':S3:i;:}?}a,,;{e.,,t: x•.•:h•.a.:. �:3^��t•}..:r;• ;{.r:•::r..,!:{..,•?,F:�.v. {}.:.:..r:r fi.; {{+.,}a i2F'< } }> . arxca:•»•F.:} :::'r,.F'..,r.,7/. .`t;/'.,,;1, ..Y:: ...at Sr•1.{..::,:•:}•iF• }••;?�<nc .k .r•?r{.. 4.:•:•r. }+ 'Y,t.t•F��c•,.}t}�3�IY.»^."+6}tr.2;. .c,F}}'.yC:. rfi.•:°•)t^S}fi:::r';>.::rr4#+v..,k;'•Y, +.. :.a•b•. .•�:}x::f£}).Sfii�{{r: ,,H.i{ v.h..:r•:{•}f.{Y.x,ia. ..}..%kFi.. :2:k. :.�. .$ ,r.,• •:r•.; i•}:k•}r, {:?a:.. Ja ../.. ,>+.1:r2.�r}:::}?.. ..t.+..4�%,.: •:.�;•i t. �3:cc }fi F. S• k•:f:. •Jr•' :#c...ta. «}y�,,, :r.:. :T. }asi•. •.}:. c•• ••r a`. a:�,:''c•Y •r}a::a$.. ..t7i:•Yh4t•Y .}?i, ••:}..r :i:.;,• ,::>^s;r.. .aS,}};r• '•YF•;+J :: Y.t: .ra^ .<. :•a.+. .t. r s S•arCi.. .,o•.,-a. :FF.,�":L #'�F'3' 3;#:F:•F�}f+.3 :U•.. ^.}{.?.rF Y ::rt•:<:•, , ..4} :n+.w-{2'Y':2 •4:'t..r r'+f<F:t. ;';}�. r:..;:^; •:.i•r:.. .:. .... ...?.. .. {'••}:rrr.,:^a:.:i7:•r.....,..+.:....: ...:>: . .. ..F..:.. .�r.r�}•� :•}}?:Y3%�i`;��YF{+F.v ,.•h:. $...{ r.:. .7 ,.J'n.. ..•S F:i};h:Y;A}•r:{\!$:•:.a• ;?4 ,} r I•'v, vY.;•. .F::.r: .a3•:..^ .aJ^Y:}':�,^:.,,+ :Y.%•}}}...Y•.:v:.: ..::{.}}•r:}!,. . r:..:...'nry,x.u...:::v+.:Yv....., ..::n. :,.v::.:...::::::• na::•: :.t, , ..,...:. ..x. , .. ....r.r.31 r..•.::..t.: .... ::,+a:)•,.,•:•}�::?S•}.:..rr.•...,;:•,;Y;. {,. ...,,•t{.}x•::,•.i:v7••:v:::a:t•'•^ :!<•••: :.}.;. Lf..: ..r: k;.: Y•. r}r•:.:..... .,..>�.::•:::...:}:?;;:.,....rY.•}:::•:t•}t.,.....}.:v:.2.e,. .... }. :r:F. ...:..........:.:•}::•:..•?•}}'>#LS .<�� .:Rr........... ..... ........;..;..::::• :.ter•:::•:•.�•.��r:.:•.::::i:::.;r:•.:. r..�v.•..........,•.,•:•.��•..:•::<-x2v+, 3tlt�PiSS...... ...................::•:•::::�:•:�.. .... .,•:.:v;..:...,.,. }:.r..,.. ...... ::r';:«::<;::}}:};};:.y:•.v••r+i.;;;;?, ?.?L•iF :rh4<:2,{4nl••:�5�#t:. .{,...::.s•...:r.,•+....i.;....'r.••.w?:•:.•x:t•.�::•.a-:;::.;..r:•:.:::.,.: ...1:•F.v. {..;:•:..}.a,...}};.Yx.., � :,•:#$.:�• ..;+,.y'�;.:i•�%:S . ............. ........• ............:•. ..... ,. .. .;....:::•:::+>.• ... }..:.,•:f:•:•:•::,:+,,:.::.... ....+:.,xa:c^3•:4k.':'?::{•.. .:.:�r .•:}�}r•t %�'v:4:i r. :a/X+:};^:T2 ^? '}{F'• i l.. :.}.4. .r. .+4•r:�'v:.t.. :.{, .}5•'a7xax.F ..}.'•�'.h.?.. ...i+• .. :...•i{:i'.a.. rh3•: J.••;}:. vt..,{.r: ..A:•;.v. •:.?+• {•7}... ..i.. •4fi:•::raw::}+x.x:.;{.; ....:{.•,.r.:: .:•F•:a'•7:{v:;:4. „ ,.,ry:,...,va+'r.}.•{•}ri{,,: `':?:f:}t.+•i}'4it}}<�?: ... .... ...,,.....::::t:7..r......:.. . ......r�.....r..r....•.•r..:....... •^.. fi.•t?•::•.:...:,. .. ... •.F•3FF}:t.}>•.fi {?.•; ,::r•:rv:u•{F.:. : ...a•::.•: #i...,r.:.:.{�:.. r.is•+ �... :..;..r :.2`.a.. ..k•.:::^{••., ...3.: _:.J•F,..-,..... :.t:4+},::•:.•}•.: .:.c.,,•}:•.. .� �}.}?:•:.;.{r,.t4:'' r.: v:r:•irr. .c.:... :,.rr••:...:f..: •.3...r i`a.... a. {.t i,.,{•}fx•s:::.:r+.}:a:-,+}•i:•?.�.. .. •{r,J• .......J::. ...F.e..!:•??•:•r.•r{^ r}r :.r:,.r. .....,. , .;:.,•i;}�}:Yr% r ..4}:.. •::'w••:t• :�..:.F..:: 'n .'S:.rr r,{,;;x4... .r^; .s,).,• ati...1.,, .;2•r; •::f•?a::,^.•f.. FFR•:::.�:.r «}}':}•':, ..tt..r, :.Y}. •�n•:? •, r :.�•:::r.��.•. ,• .•a:.r •.r>•+r•7.•:,::::..r.:•,..:.,,.::,..4,,. .:••}:::. a:.. .. ,::. ;a}}:':••:.,{•:+.r ,;:�, ..:r''a;}.,• xx n,:....: ........ .F' .:.F.....r>: .:/. ......:.r Y,.::....4...v... ^•:.au.•:••.}.. ..;..,.......r.. r. .'r. ...{.3c•.r.. :.'}?x .v}.•i:r i...r r.L. ..4:.,Y fi.. f ..$F.i.r .�.:. rr ar }. ..inw••:::•:•,.. •:}�r:{:::•'.'•'•,... {a}f':�'i:2#'.•.v.....x;r::r ...•: '}2{ ..F.•,:::•.}{.... .r. •:,.t.n..• ,.,:,:r�f•r:3. .:•,v.i�. ..aarf...a.•r::r:!s. ,r•r....... t.::r , ..:. r r,.. ....... .. r.r,:,. ...c..}..�. r,:r-,L;,;.. .''> °?<�: Y{2}};•3}: ,:;rrr::7.•:. <{}::,+f,:< ;:}::y ...t... .:l.-,#:�;Y;;> .il•:ra:?:••'R}r}...}.�r2;a,{{.�aw,}S,4•'ira:/..�i}•:.;}j«•:?F':.,F r...:..,......:.,Y..}•}::Z•::r:l.;:}}:}??r`,.}}�}.ra:.{•r}.-:r,•::h•::•::>;?.,...r.r.Y.:+. hb$a:.�..::3:�8•#' ?'{.:}:}>:.. .<..:. .}r•::r•..•r r}..;.rrr.{a.,..rr# 3 i fa r.:. .. :,...,....., ........ •..b......... 7. ... .:,•:.4}:.,..:r.::.:::rr,.,....,r.:+,cr.;�.::.F+.•r^•::.:,.•7...:x•::...s:+•:•:..... r.::..:......�............ ..:..:•: ..:rA•,:•:::.• .L. .•: . .. 4i.4. v.•.a .J•:M{+ .x. •.r.}. .4 .S. i/.+.iaY}Y.:3 Nfi a'?^•#4:t4:•�i}:ati%{ti{7�i?,::kti'}:•:;:F�:}:.•••,r,_:Yeti^y2o:;;:q)"{cti�:o:;3�.>4;':�iY:. :u.};r.•:}r:7::...:.K 7rf.Y,,,3r..F.C....{5,..,...,{r,.••.f.t:' .r}:}.+,.Ra..:.t rr A..,••rC••.•�' .,<:• �...nY :r�E;..r w.i. 4+6}.i• ;}f:}:.r:•;a,:4• +•r f,•x:.,•;:.:r::.i:{a}rf•�•�f•'.•:'t�f:2..•.. :.:�,.te. :::>.•,.:•::4::..t:. ...a.x:.its:•:.?.... .,r.yr.::. ..?:., r.3h•::•:..v., ,, {t h: ,rt),,fi,:;.r.y`�: :.vac?{:}r?:ta•:t..„;S/'?Kr , ..Srr ..3. :•:�:,:..3 ...:4.:•:?t:, r.•?.2?'•'.•}.. ....#.?.r :+}:a{:•}:. , i•tS�'? .}?L is Y}}t^ ..tr'h. t+,;} ./..:.5..:..ri...a.. }:•• ..r'rr. ..$. f..:.v.• , ":K•0++•}{?^.. :.}y,+,F:f?4X{i+.ax}:rrr'{?•?{;.;{.::•:,v,:}t'^'L i.:r:':i+. .44,. -r:.:T^...,1..{..Y#..;,:i w.A1..'...r3i.4.ft'•$..;:,::.:IIw-...;..:}.G..c•.n}.:.:.}.•.:.,•..,:.:ui.r.':k.0,..rtr..::...,},:ra.v},6.r,�•Fa5.'}•,.rY.ir}.rFi..{.:.xSf:f::?..:r�..•.::..:r:r Y••.,n:.:;.:i•4..W,ar.:;.^},+�a?-;��ar,=xxj.,,....{:v.r..(r.,%aF.r...r,:.y ar?'r.{:r1...•.2Y3;:#,.,f'}>:;:.:•�:L.+•.:�4.:k•f:::?•..a.:3..#;:'a•�t.2,•{•.:;;}�::},'••r.'•5:v•3}.;.}.F.'i.+:,:.i:•,+r:r..:.r 3.+:r".:r.#.a.:..r:,•?.„r..h:.;r:.A.,,y.,.,•,.�F...,:.r'axt•J{h}�•:v:Fr:y.3::.,:.,.�.•},a+;:^f..v^i..,.43•1.F..?..1.;.{v..••^'^i:,•>:++:{.•r.}...,�..,f�a..•},,1{:'•?rt},}.i:.,}..:..ft,.},::::.+.o,:•�..}}ra<S�.;v;.,vfi{fi:v.aT:;3.{x,;:•,:t:c+.:+N•`:•{•:T•}:YiL?:.:�?y.+,:#:$:�.?•r,;r';i•G{'�.4.�•^I.'4.�}-y•�.:.J.n:h..r;..+i;.r ir:.•.::.:4..r,a::i:.F.�;^r,.?;}�},...t,:•.+}i,e•:il.•�.l�.i.+}Er>}:...#•:..}`:.yM......•::}4}:.R•ti ..:aY.,?:n}2.;:i�.g:;c+fu Sf'•YF:•i.x.c,::?^`+::.:••.:r•r,.�+••w�:•:a�.•,.,7.,h,:;.aY.:Y.:�.?'t?Y F:r:.�t:,;:,$v}4;�+...::k}':<}+ti.•}.:.,'k.;:{^.:#;r,.;or.,?.fi•:t>� '•`�Y•:n{•#...+rv;4 2;+{//tN?'x:a YF•C:}}.�},.}ad 3`.1.:,„1°^+.{'f..}!..}h,:l;:.'{,,}',{;T.+.a^•, .. .,!v$w .MEN' ,c}.:}F;}.:4:',:••, .,. wa r FaIIure to secure covera;e as requiredunder Section25A bf MGL 15Z cahlead to the imposition of criminal penalties ota 13nenp to 51,500.00 and/or one years'iznprisonment as weA as dvIl penalties in the form of a STOP wOItK ORDBR and a fine of 5100.00 a dap against ma I raiders{and fhiit a' copy of this statemeatauy be forwarded to tha Office of Investigadnns of the DIA far coverage verification i I do hereby�erti he�ains-and-penalties-of-perjury-tho�the-information-prosridedabns!e_islr��ri�corre� � _.. Date Priest nametlJ2.TtS � ► . :Phone# '•' ��� �C®t?�J off Cwwa only do not write in this area to be completed by city or town offidal dtp or town:- ' peridi Ucense# �B�dinp Department i ❑Licensing Board ❑ checkif immediate response is required ❑Selecttnea's Office t _i]HealthDepartment contiLaperson: ` phone#; ❑Other • �oFjHE,° Town of Barnstable Regulatory Services L BARNMEU. ' Thomas F.Geiler,Director MASS iB39 °� A Building din Division �PrED MAy Tom Perry,Building Commissioner r" 200 Main Street, Hyannis,MA 02601 Office:' 508462-4038 Fax: 508-790-6230 Permitno. 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,wi c��,rtain, ceptions, along with other requirements. �� ( / T e of Work +� IT Estimated Cost .01 Address of Work:' S9� —L � � �" �✓ `t Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied a ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVE>HNT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY q I hereby apply for ape , ' s th gent of the owner: s , -7 �=D e to Name Registration No. OR l Date Owner's Name PALMER&DoDGELLP 111 HUNTINGTON AVENUE AT PRUDENTIAL CENTER o BOSTON, MA 02199-7613 MARY S.TRACY 617.239.0441 mtracy@palmerdodge.com ':=July 25, 2003 Mr. Jack Fitzgerald Building Inspector Town of Barnstable Building Department 200 Main Street Hyannis, MA 02601 Re: 148 Inwood Lane, Hyannisport Dear Mr. Fitzgerald: I represent the Condrons who live at 145 Harborview Street in West Hyannisport. I understand that you have had conversations,with Mrs. Condron regardiq their concern with the construction taking place next store to them at 148 Inwood Lane. I thought You would be interested in the enclosed plan prepared by John Ellis of Baxter,Nye &Hollgrem showing the location of a dumpster and a portion of a trailer on the Condron property, as well as three (3) areas on the Condron property which were cleared of vegetation and landscaping. I understand that the dumpster and trailer were finally removed but the damaged areas have not been restored. You will also note on the plan that the house under construction is located 10.2/10.3 feet from the Condron's lot line,rather than the 11 feet referenced in the Zoning Board of Opinion and shown on the plan filed with the Building Department. With a house of this scale constructed on such a'small lot it would seem that better attention to the actual set backs should have been paid. Given the disregard for the set-backs,the Condrons are concerned about the installation of the septic system and leaching field which are also located extremely close to their lot. The Condrons are hoping that the Town will pay close attention to this installation. Finally, I am curious about how the builder received permits to build on a right-of-way. I understand that portions of Inwood Lane may be owned by Craigville Realty Trust,but I believe the way down to the water is subject to the rights of travel by foot or car by all whose property abuts Inwood. MAIN 617.239.0100 FAx 617.227.4420 www.palmerdodge.com Town of Barnstable July 25, 2003 Page 2 I would be interested in your thoughts on this matter. Sincerely, Mary S. Tracy MST/adr Enclosure cc: Daniel M. Creedon Chairman, Zoning Board of Appeals Thomas Perry Director, Building Commission Christopher Condron R y�r PALMER&DODGE LLP 111 HUNTINGTON AVENUE AT PRUDENTIAL CENTER BOSTON, MA 02199-7613 MARY S. TRACY 617.239.0381 mtracy@palmerdodge.com July 11, 2003 BY OVERNIGHT MAIL Mr. James Tsihlis 20 West Emerson Street Melrose, MA 02176 Re: 148 Inwood Lane,West-Ilya-nnlsport (�fi'h�✓ Dear Mr. Tsihlis: I have been retained by Christopher and Margaret Condron in connection with their property in West Hyannisport, Massachusetts. I am writing to you because the records at the Barnstable County Registry of Deeds indicate that you, as Trustee of the Craigville Realty Trust, are the owner of property at 148 Inwood Lane, abutting the Condrons. When the Condrons arrived at their home just before the 4`h of July, they were dismayed to see disturbance to their property,including removal of trees and destruction of vegetation. Over the past week, they have watched as contractors working on the new house at 148 Inwood Lane have trespassed on their property, driven construction equipment over sensitive vegetation and bumped into the fence which the Condrons constructed as a protection for their pool,not as a boundary demarcation. In addition,the contractors failed to put bales of hay along the property line or to take other protective measures to protect the Condrons' property from gravel, sediment and water runoff resulting from the construction. The Condrons have asked us to look into this purported trespass and damage to their property; to work with a surveyor to stake the precise boundary lines between the two properties, both to determine what damage to their property may have been caused by the construction workers and to determine if there is any encroachment by the new house on to their property, including those areas over which your property has the benefit of a limited easement; and to research the permitting process and your compliance with the terms of the permits which were granted. MAIN 617.239.0100 FAx 617.227.4420 www.paimerdodge.com v Mr. James Tsihlis July 11,2003 Page 2 In the meantime, please instruct the workmen to immediately cease and desist from any further work or driving of construction equipment on the Condrons' property, including the easement areas, and to take whatever action is necessary to protect the Condrons' property from further damage. Thank you. Sincerely yours, Mary S. Tracy MST:adr cc: Mr. and Mrs. Christopher Condron Mr. Daniel Creedon, Chairman of the Planning Board Mr. Thomas Perry, Building Commissioner Mr. Alan Liguori Town of Barnstable. P�oFz"E'°w,.o Regulatory Services Thomas F.Geiler,Director MASS.� Building Division 9 �. 0q • E1 39n. A� Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 lice: 508-862-4038 Fax: 508-790-6230 COMPLAINUINOUIRY"REPORT Date: -/ 1= D Rec'd by: -1 T� G2v-ct omplaint Name:1 4 9 -f" w o 4 Map/Parcel` ocation Address: iriginator Name: Nl\� C 1 v e Street• t'VCa1r� ��r- \� 1Q1�►� Village: State: Zip: Telephone: k1 �- - p omplaint Description: ,r II . Q 't-t oll1'1 c'v-1<) FOR OFFICE USE ONLY I spector's Action/Comments Date: Inspecton-I r J is CDC-Y I C� 4 vy . Ul e ova iditional Info.Attached f e PAUCR&DoDGELLP i 11 HUNTINGTON AVENUE AT PRUDENTIAL CENTER BOSTON, MA 02199-7613 MARY S. TRACY 617.239.0381 mtracy@palmerdodge.com July 2, 2004 AVL& Company, Inc. 746 Main Street Osterville,MA 02655 Re: 148 Inwood Lane,VMmiry"nisport,MA; 149 Inwood Lane,West Hyannisport, MA To Whom It May.Concern: I am writing regarding your listings for the above-captioned properties. I represent Christopher and Margaret Condron, owners of property on Harborview Street. The Condrons, as well as others, have rights to travel over Inwood Lane to access the rear of their property. Kindly be sure to notify all prospective purchasers of these rights. It has come to our attention that a gate has been installed by the owners of 148 and 149 Inwood Lane preventing those having rights to Inwood Lane from access. We will be contacting the owners regarding removal of this gate If you have any questions regarding this matter please do not hesitate to contact me. Sincerely yours, Mary S. Tracy MST:mjc cc: . Mr. and Mrs. Christopher Condron Jack Fitzgerald, Building Inspector MAIN 617.23 9.0 100 FAX 617.227.4420 WWW.palmerdodge.com �y .f PALMER&DODGELLP 111 HUNTINGTON AVENUE AT PRUDENTIAL CENTER BOSTON, MA 02199-7613 MARY S. TRACY 617.239.0381 mtracy@palmerdodge.com July 2, 2004 James Tsihlis, Trustee of Craigville Realty Trust 20 West Emerson Street Melrose, MA 02176 Dear Mr. Tsihlis: As you may recall, I represent Christopher and Margaret Condron, owners of property on Harborview Street in West Hyannisport. It has come to my attention that you have installed a gate on Inwood Lane blocking the Condrons legal right of access to the rear of their premises and the water. Kindly provide the Condrons with a gate key or remove it at your earliest convenience. This letter serves as notice to you that the Condrons have a legal right of access over Inwood Lane. Please be sure that all prospective purchasers of 148 Inwood Lane are notified that the property is subject to these rights. Sincerely yours, Mary S. Tracy MST:mjc cc: Jack Fitzgerald, Building Inspector James P. Mitchell MAIN 617.239.0100 FAx 617.227.4420 www.palmerdodge.com PALNIER&DoDGELLP 111 HUNTINGTON AVENUE AT PRUDENTIAL CENTER BOSTON, MA 02199-7613 MARY S. TRACY 617.239.0381 mtracy@palmerdodge.com July 2, 2004 Mr. &Mrs. Marcello Mallegni 6 Wolf Pen Lane Southborough,MA 01772 Dear Mr. &Mrs. Mallegni: It has come to my attention that you recently purchased property at 149 Inwood Lane, West Hyannisport,Massachusetts. It has also come to my attention that a gate has been constructed on Inwood Lane presumably with your consent and the consent of the owner of 148 Inwood Lane. As you may know, this gate blocks the legally protected rights of access of those entitled to use Inwood Lane for access. This letter serves as notice to you that my clients, Christopher and Margaret Condron, as well as others, have legal rights of access over Inwood Lane. It is my understanding that this property is now on the market. Please be sure to inform all prospective purchasers of the rights of access to use Inwood Lane as it extends to the beach. Please feel free to contact me if you have any questions. Sincerely yours, Mary S. Tracy MST:mjc cc: Jack Fitzgerald, Building Inspector Mr. James P. Mitchell MAIN 617.239.0100 FAX 617.227.4420 www.palmerdodge.com FROM FAX NO. : 1111111111 Jul. 28 2003 04:45PM P3 A.U. Company Inc® . A. Custom Homes and Additions (979) 45MS71 Chelmsford, MA (508) 420.5600 Ostervilie, MA July 28,2003 Mr. Jack Fitzgerald Building inspector Barnstable,ma Re: 148 Inwood Lane 14yannisport,Ma Dear Mr. Fitzgerald, It was a pleasant surprise to receive your phone call earlier this morning. I appreciate your taking the time to call and inquire of the square footage calculations for the above referenced project. I have researched the footage figures to reach a clear determination as to their origin. i have been able to determine that the square footage figure that was,submitted on the building applicatiou permit form was the footage contained on the original plans prior to the reduction of the building size. The plan was reduced in size to accoimnodate suine input at a nteefmg hold in the'Town. When the plan was.revised the square footage was not indicated on the new plan. In researching this with the people involved it has been determined that the original figure was pulled from memory without consideration for the plan reduction. It is urifortunate that this happened but,as a result of this misinformation we are performing a physical as built of all living space on the floors. I will be able to forward the field information to you by tomorrow morning.Thanks again. for bringing this to my attention.. 1 , I J. David Grlmns,PAR Copy: Al Ligouri,Jack Gillis. M� PALMER&DODGE LLP 111 HUNTINGTON AVENUE AT PRUDENTIAL CENTER BOSTON, MA 02199-7613 MARY S. rRACY 617.239.0441 mtracy@palmerdodge.com July 25, 2003 Mr. Jack Fitzgerald Building Inspector Town of Barnstable Building Department 200 Main Street Hyannis, MA 02601 !� Re: .148 Inwood Lane, H*aPA4spmi Dear Mr. Fitzgerald: I represent the Condrons who live at 145 Harborview Street in West Hyannisport. I understand that you have had conversations with Mrs. Condron regarding their concern with the construction taking place next store to them af'148 Inwood Lane. I thought you would be interested in the enclosed plan prepared by John Ellis of Baxter,Nye & Hollgrem showing the location,of a dumpster and a portion of a trailer on the Condron property, as well as three (3) areas on the Condron property which were cleared of vegetation and landscaping. I understand that the dumpster and trailer were finally removed but the damaged areas have not been restored. You will also note on the plan that the house under construction is located 10.2/10.3 feet from the Condron's lot line, rather than the 11 feet referenced in the Zoning Board of Opinion and shown on the plan filed with the Building Department. With a house of this scale constructed on such a small lot it would seem that better attention to the actual set backs should have been paid. Given the disregard for the set-backs, the Condrons are concerned about the installation of the septic system and leaching field which are also located extremely close to their lot. The Condrons are hoping that the Town will pay close attention to this installation. Finally, I am curious about how the builder received permits to build on a right-of-way. I understand that portions of Inwood Lane may be owned by Craigville Realty Trust, but I believe the way down to the water is subject to the rights of travel by foot or car by all whose property abuts Inwood. MAIN 617.239.0100 FAx 617.227.4420 www.palmerdodge.com Town of Barnstable July 25, 2003 Page 2 I would be interested in your thoughts on this matter. Sincerely, Mary S. Tracy MST/adr Enclosure cc: Daniel M. Creedon Chairman, Zoning Board of Appeals Thomas Perry Director, Building Commission Christopher Condron gA , a` r'� s�yfi �•a�.aN<f,� n-y r2Yi �; shy �� r . to r Rix � "r' • v i F � 1 w 5'ayrr i ate- y' ntif' fh C _ Z 3 ri i. 14 Y y�L,�+;N, ZX u{� KIMr i' �;� r � , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mi p Parcel 007 1L7 Permit# 7 �S Health Division 11-01-O� � ' _ 6 ass au'rCr �9?r '/BAI",N'STABLE Date Issued i3 0 3 Conservation Division -20R3 MAR j ' PM 2: 58 Application Fee Tax Collector Permit Feey/S6 q-• Treasurer _ ._....__ .` I hif,510Pt Ae D z 7 y6/ 7-S o O Planning Dept. e p' 3 a,�.,.i..ED j',J Date Definitive Plan Approved by Planning Board kJ_m1'fo-rp. 1Gr Historic-OKH Preservation/Hyannis 01�. 2N I o , � y f e �,�t t0 h ` tilt G Project Street Address A46 .ZV p o ok o4ke. > Village s C Owner 39 4,1 r �r fie:cu r,�r.. m.a �'- Address _V4,,v S j Telephone ode•- `fob O 3 6 Permit Request < <� -�s.�� � '� �.� �� •�.�� . /e - ahn. �t P m y our �-�ri��► �'n� j v . A ►►► r I f.d ,� rS �+a P Square feet: 1 st floor: existing proposed,2 2nd floor: existing proposed 16g 2, Total new Zoning District Flood Plain Groundwater Overlay Project Valuation q6o.,o.4a, Construction Type hinal Lot Size F��� Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Hl;"' Two Family O Multi-Family(#units) Age of Existing Structure 4,2 Historic House: 0 Yes CA-No On Old King's Highway: ❑Yes O10 Basement Type: O"Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �2 V- Number of Baths: Full: existing new Half: existing new fix Number of Bedrooms: existing new hi Total Room Count(not including baths): existing new First Floor Room Count 25�' Heat Type and Fuel: d'Gas ❑Oil ❑Electric ❑Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes El No Detached garage:0 existing ❑new size Pool: 0 existing ❑new size Barn:O existing O new size Attached garage:0 existing enew sizeP� Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ©'No If yes, site plan review# Current Use Proposed Use ; BUILDER INFORMATION Name-AP.- Telephone Numbers-09 Address 37 O iAmm,�­ S — 2,ox Y License# 05/Y1 •-- p J!1 7�7 lop w el I} Jffl 4L, a ORS) Home Improvement Contractor# f/0-277 ` ' >� /�kl� - tr?'//S orker's Compensation# 6�wCd�iCa�CO/ cam l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P OJECT WILL BETAKEN TO SIGNATURE DATE s FOR OFFICIAL USE ONLY fi PERMIT NO. r r + DATE ISSUED 1 MAP/PARCEL:-NO. -f• Y J f C r e 1 ADDRESS v ,VILLAGE_.. ' OWNER DATE OF INSPECTION: FOUNDATION 'r r FRAME (� t INSULATION FIREPLACE r,. ELECTRICAL: ROUGH FINAL- PLUMBING: ROUGH FINAL GAS: ROUGH . 'FINALL - FINAL BUILDING f �ii"\) oK, --DATE CLOSED OUT. T' ASSOCIATION PLAN NO. r ' i r t a TOWN OF BARNSTABLE r- - CERTIFICATE OF OCCUPANCY PARCEL ID 245 007 GEOBASE ID 14793 ADDRESS 148 INWOOD LANE PHONE CENTERVILLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 76633 DESCRIPTION SIN FAM #67458, #71696 PERMIT TYPE BCOO TITLE CERTIFICATE OF° OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services : TOTAL FEES: BOND $.00 tNE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE 0 * sARNSUBLE, Masa 1639. 1 BU NG-D �SION 1 BY DATE ISSUED 05/13/2004 EXPIRATION DATE r - � „� 4 ,.s.' Yi Rom"' .,�3es t''h »+� t+�_`,7�� 7't {�'�7p� � F .1Qr:QF+ 8311V rd s _"yuyi�•r^{,+�3v k'r"+" +�';fr2S. J t " I1'lh�i�Ejp{7.5r _ll _ sY f t e a � MallSBt•a r:•t "n � s '3Fa�d"o-e rt fs<v` yx a�u Olt, �e . 53 a s Y >F e t+?s of a r h f v" '� t� E4 a 147, ti np,n �?s �� a y icr xT Eck '�hffry� ¢s yFS ty S,IS h¢+ ;-r"ch•r°+,h :a- "'`PS21tlE `i't +.e`5ti.'':Y v�"! .' `• tia�fa'� - � L;'. r..,. .. .. :rt '" .. s 11, w� �4a•`"ki�" >z v7ttr,". t NTH �OPME $' 3T CO iS.}q-t w( F.vx K'RfA.3rx+ . r • A� rp '6�� f DECRIPTIa�1' "SIt3 YANI.,#£�7�5. ' 7�159' rP NCO TIfiI� �' - IC pip.U - G W� �!,QDepar�tmentqi�L - �r'�-. • ,._ r RRegulato=ry 1�� M V It .l t+w, / yt - _'� iyC' r .����,F��a., �,a7�f §�r.,v5�.w�i $.'cx ;4N�r-"�`5$�s��� ,r?,�_�r�.•"�a r .; �,. �,i.p�,i4.�-�*c�, a.�": a `k�'/- .�)�a t �� ;� Mier ® C;QDE33 EL ERE 1 w PR HATE , •t:`s4 roTts'�r �`�` X{ �" s - Y •� � ��' � r �- i kx q e c^y'��s���c T?c.� iF � fi,;.` �°- � � �' BARN3J�AB • y }'�y:�k .}E.c•�'Yy'kes'�'��^4 a�r?'# .r k", .�w r�i"'F +I'-1'.�. r s :.''r i+ �'Yn -,"5. s5 ,+.' As.,..��f••s"e� ��-�s. � 3 r_ Y'' s 4 *.^w.�4'`��t°tti •��tPF� .�y21�„£px�'M�7�`°�%�' ,�' �fi�R ,� .+� �`.'^. � r $5 t x°"�r �. t a.. �,.:.�.a i'y�' .,.��.� - J,. �i+ x ��+�,"' r•�j-���P�,�"'�yg. #x ��.y � �g � fat r� �,� P r'.,� .+ S r m�1�'i s��.^�d � '' ' a+ ,�I4`�+�� i• �� •t`t r �n !""�` ° z ,rrr• �`t�k _� rt.✓D a€'c. ..��.��s«+^s .3.; r"i'.'s-s'`rw•"i�S'�����d�'srf�+`�� z„c,. �.h,m '� �-y"""°';1�x„� x`� `e� � .+ate� a k.�� �D� �e r;v. �'-s�y x� .:. k -?': ,� 1 G�+�r,',�„� � tS�Yrvw � �' A{ + ., � '�' ,' *"'�"a'� "�iyg'•Skh+; 7' 's :,' tk+�L�� st a'$s7 7,y sw :t��y.�p�tl�-i:a jrM"'a :.. {. cu^+, -a 3...E x.-.+ ^t•r.... .+..� '.'�" GT#s�•4"yS .- .. _ - - 'Y1G3�,. _ ..._ _. 'a" -- + .. ve^.4ad!aa a+.,tl.)_.:s��; .n-�s... - THIS PERMIT CONVEYS.NO"RIGHT TO OCCUPY ANY-STREET`ALLEY OR SIDEWALK OR'ANY PART THEREOF,-EITHER TEMPORARILY OR PERMANENTLY.EN.,__` f.ROAE61tYAENTSOtaRUB61E PROPERTI�NE27 SPE VF+GA PEfikIITTEfl UPl©ER THE BUfL©I 4G CODE,:MUST BE APPROV€&w FY+E JtJR1SDICTION STREET OR ALLEY GRADES AS WELL AS DEPTH:AND LOCATION OF PUBLIC.SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROMTHE-CONDITIONS OF--ANY APPLICABLE SUBDIVISIONRESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR.ALL CONSTRUCTION WORK: APPROVED PLANS MUST-BE RETAINED:-ON JOB_AND..- WHERE APPLICABLE,'SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD-KEPT POSTED.UNTIL FINAL INSPECTION = -2.PRIOR TO COVERING STRUCTURAL MEMBERS-_ HAS.BEEN MADE.INHERE A-CERTIFICATE OF OCCU PERMITS ARE. FtEOUIRED FOR. (READY TO LATH). -FANCY IS REQUIRED,SUCWBUILDING-SHALL-;NOT BE -- --ELECTRICAL PLUMBING AND.•MECH- 3.INSULATION. - OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS 4:FINAL INSPECTION BEFORE-OCCUPANCY:-=� '' --- -- ->- -- -- - - - - BUILDING INSPECTION APPROVALS; PLUMBING.INSPECTION APPROVALS--—. - ELECTRICAL INSPECTION APPROVALS: - � ,B�i�ltif OK �� � 63..-.�F1T• _: /D /4x'.e.� : �dJolO` - � 1 l!J_./j)� �,3 ° /�� - r 1. - r 2 M a/ 43."TFF-T 2 " . _ . Yf ..�_ TINGZNSPECTION-APPROVALS.. .--- 'ENGINEERING DEPARTMENT as. )o - L 2 - • .. ,.._BOARD OF H EA LT 1011b4_0 OTHER: . SITE PLAN REVIEW APPR AL l WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOI IF CON ° INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX:.. r CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC, MONTHS OF DATE THE PERMIT IS ISSUED AS" TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. ____ TION. C..c�• `7 C:�.1a�3..3s TOWN OF sBARNSTABLE BUILDING PERMIT PARCLVL ID 245 007 GEOBASE ID 14793 ADDRESS* 1.48 INWOOD LANE PHONE CENTERV I LLE ZIP — LOT BLOCK LOT .SIZE� DBA DEVELOPMENT y DISTRICT CO ,. . PERMIT ,* , , 71696 .DESCRIPTION REDUCE FLOOR PLAN AND, FOUNDATION PERMIT TYPE BMISC TITLE MISCELANEOUS PERMIT 1'— CONTRACTORS: GILLIS, ,J'ACK ARCHITECTS: Department of - - Regulatory Services TOTAL FEES: $25.00 BOND _00 tHE CONSTRUCTION COSTS $3,000.00 f ©T'= CODED—ELSEWHERE—.1 * BARNSTABLE, * - MASS. 1639. 1� C7 BUILDING'II SIGN BY, ("" ' 1 Jll DATE ISSUED 09/22/2003 EXPIRATION DATE �( THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY'STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SE MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS •PERMIT-DQESNOT RELEASE,THE APPLICANT.FROM-THE CONDITIONS OF_ANY AP_P_IIbABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE; SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL'FINAL INSPECTION PERMITS-ARE' REQUIRED' H QU D FOR AS BEEN MADE.WHERE A CERTIFICATE F - + 2. PRIOR TO COVERING STRUCTURAL MEMBERS O OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 14-03 h 3 1 HEATING INSPECTION APPFJOVAJLa ENGINEERING DEPARTMENT s P'T0 4 2: BOARD OF H AL H 03 ScJ OTHER• SITE PLAN REVIEW'APPROVAL EWORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS NSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX. CARD CAN BE ARRANGED FOR BY OUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- . NOTED ABOVE. TION. 5- - . . B. wILDING `ems. -: r.=y+,a.....-a•.`-a.3��'"',:,.�.L P—, ,ft�� vi e _ - ,._ +.r-araw .r.�;.. -�_�..-�-.x�-F... .�.,._ :.. -. '--'•^ -...-�-.-r - Y r-+.*z. - mac-`. __..s... ,� No.2 D G C®MMONWEALT14 Of MASSAC14U.SETTS +FEE Board of Health, $k�iyST��L.��, ��� , MA. $ CERTIFICATE OF COMPLIANCE ` Description of Work: ❑Individual Component(s) lyl Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) b by . � W Sf I41S - has.been installed in accordance with the provisions of 316 CMR 1 .00 (Title 5) and the approved design plans/as-built plans relating to xpplication No. 24)O2-5'20 , dated *E"° «l-02. Approved i n Flow (gpd) Installer Designer: Inspector: ` Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. FEE t�(IMMOINYNW kL g -OP-4te�SSt1C1 USA a�S CIS r'i Board of(real h, APPLICATION FOR DISPOSAL SYS12"I CONSTPI CTION PJJI1111 Ap,IIcatioa for a Permit to Ccnstruct�Repalr( } up/grade( ) �hndoat ) 'XCOmpleu Slat-m ]IneiiF{dtul Components 1],ptation1 Owner s Name —_ Addre-5 D Niapr'Parcel# Telephone# L irrtaller�Name : Address —..—...— Telep'ttonetti — 'I'ekpho•"-"-)r i l at Siu. sy.fc , Type of S alding ----- j--� Garbage grinder( } T)welling•++n.cf Sedra,tns. Other-Type ofBissldirtg Ara of persons Shivers( ),t afeteria( ) Other'FW=es - Design Flow(,nit,required) gpd Calculated daega flow.: 7 n now pro�:ded_y7��.�--KI'd Number of shcem Z— - Revision Bate Plan: Trx GuT 7 illy /�.� 'It/eucraa efi, Descrlrtion cf Soil(s) ����r,.s. fi'1�7fQ __ r — � G \-x_ne of S•ni Pvltsatcr s. '9^itaw o.Evaluation Sail Evaluator Fora No. —'+�T DF,%CRnwr_j0N OF IttPAW MI.TERITIONS The undersigned agrees to install dw above descibed Lrdividual Sewage Dispa ul Systeml in accordance with the provisions of-ITME 5 and flu that agrees to not to place tb,i$ystem in operation until a Certificate of Conipiimce has been issued by the Board of�Ieahh Signed Date No. tz � CON ONWP:r4l.TII Of MASSACH SETTS Board of mm :, $AR3JsZlhF,l M+ ,MA. CERTIFKAT: OF C0N1PLLANCL Deetxipeon of Work: 01ad1vidua1 Co,nponeot(s) Crm p'lxce 6ysrem The widersignt d hereby certify that the Set agc Disp 216vstaln; Constructed( ).6tepaired( ).Gpjp eded( ).Abandoned t ; by: -- at a been insclled in aordw-,ce witb the prov rio*,s of 310 CyR1 1-.00(Title 5)and the 2pproved desigo yatts/as ivuilt plans reladttg to s tc application No.—�.�-, cited Ap?roved Design Flow (b'pd) Installer -- Designer: Inspector. Daw: the isowmes of this penuh shall not be cozzw=ued as a goaratttee that the system will function as designed tvo.�Q�� C0ML 1ONWEAU-TI OF KASSACITUSCTTS Bom:3QfHeaZ* Crjrtr'NS NA- DISPOSAL SSYSTTM'CO\STI:UCTION P0MIT Permission ishcreby granted to;Got=tict(") Repair( ) Upgrade( ) Ab=don( )unindivi:icalsr.r�edisposalriste,n I as described in the apjZcarion fur at �R ` DiSDOsal System Construction Pet-EIANO? dated Provided: Construction shall he completed within three years of the date of this permit. ?li?yo�cal conditions matt be met. datef `01-O Bon-dofHealtl] - �� I✓�`/*lP .� �— r<rm123?.G 5.^1 n.At.re.Fil1A.BY.�N!:. - l t \ TOWN OF BA.RNSTABLE BUILDING PERMIT PARCEL -I-D 245 007 GEOBASE ID 14793 ADDRESS 148 INWOOD LANE PHONE CENTERVILLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO I i PERMIT 67458 DESCRIPTION SIN FAM. 4/BED 4/BATH GARAGE 24X31 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: GILLIS, JACK Department of ARCHITECTS: Regulatory Services TOTAL FEES: $1,618.26 BOND $.00 p1F CONSTRUCTION COSTS $449,440.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE: * xxsi LE, ass. i639. -- ..BUILDIN -DIVI I BY DATE ISSUED 03/13/2003 EXPIRATION DATE `� Y e TOWN OF BARNS.TA.BLE BUILDING PERMIT PARC12L -D ' 4,5. 007 GEOBASE 'ID": ,14733 ADDRESS,-`--.- �I'48 INWOOD .LANE PHONE; ..t ENTERVILLE GIP LOT BLOCK LOT SIZE DBA _ ' DEVELOPMENT DISTRICT. CO � PERMIT 67458 .DESCRIPTION SIN FAM; 4/BED 4/SATH :GARAGE 24X31 PERMIT 'TYPE BUILD TITLE NEW. RESIDENTIAL. BLDG IPMT I CONTRACTORS: GILLIS,. JACK Department of ARCHITECTS: Regulatory Services TOTAL FEES': $1,618.28 BOND , $.00 , CONSTRUCTION COSTS $449,440.00 ' 101 SINGLE FAM HOME DETACHED 1 PRIMATE Mass. i 1639. BUILDIN DIVISION BY DATE ISSUED 03/13/2003 EXP:IRATIflN-'DATE ' THIS PERMIT CONVEYS.NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION.STREET.OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE.ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM.THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL;PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. gga BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2. BOARD OFHEALTH' OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF.CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION; NOTED ABOVE. TION. R� A F� i;LL�cj�4r�ap�. �':.::-J02 M-4:26FIN P3 15--10 FAX 9763728870 FRET) C CUTRu K PIKIDUCEA ... 9 0...... EnfFMATE$6 I$SUED AS toATM OF 11ipogMA710N x.Z =hFag aa ;WiiFT UPON T"p CERTIPICATE If OnG Merrirneck Plaza HOLDER. TH!A CIMTWICATE DOL3 -�OT AMEND, EXTEM og ALTEA TrE 00'VERAGI! AffDRDW •:^-Y THE POUC11% SMOW. 66.5 Lowell, MA 011383-1865 - --- COMPANIES AFF WRAGJ VL Au CLsinpajilf,jecc. COUPANY 225 5teadman St,aviu -1 Lowell MA C111851 c cImp"y 7 TO CERTIFY T�IAT THE POLICIN OF INJU 77F PANCE Ur-to OLOW HAVE 521"SURD TO THE INSURED kAMW ABOVE FOR?M!POLICY PEWD nOICATM,NoTwrimummING ANY RMIMAWT,-rERM op MDM9H OF ANY'CONTRACT 911071 HER DOCUMSINIT WrTH F66K-CT TO WHICH HMV CER11RCATS MAY 99 ISSM OR MAY PglrJWW.THE INSURAW11 AMPOED BY T tXCt).9ONS ANP M. NOM MR POLK=DFSCHM KNON IS SUBJECT TO ALL THE UAW, ow OF SUCH F0LK=.LIums SHOWN MAY HAVF ASIFN Rr!DkJCM RY PAID"AMS. 00 9-8 4m"A~Gs POLICY m**rm POLICT EKIIIIIIA11111M cm — I Pricy mumom nano mvvfm MTV mNmW"$ A Qte UAAM DIN9477079 11105102 [WNWAi-Ad0R=ATS 4 2N0000 1-112MMERMAL SBOIAL UAmu"If I PR GIAIM MAN LXj 0,.p.A M _j -- 1000060 1- PgqGW"L& LOVINIJURY • PRODUCTS-etm/np AIX 10colp05 Mew oft"Eict LD0060 tAUAGE("K 301100 MW EV("one t 11506 A167900W WNpjry AWAVTQ =W82SIM TIMMS UNIT 3 A"9WN0 krrOS 57G!1y(N.Amy HIM AUTOS I NOWOWNED AUTI)t j i '! ( .edeER7'r dueAGE 1 — 4"Am UAftft AIJM09LY.6kA=J0W 0 Ame EACH A.CeDW I& EAMILLAR"" I E%Cm atmumirdu 0. AGGREGO471 I_"q�NIEA TRAM VA". 1!,F-JV m compm;A70111 Am MMI UANLMY nif FRPFRp F S,,EACH A=Iomjff is r OW CL paAffe-FOLIOT LIV IT I PAITrMM)00W'�mk'e -7 qLA,j2!ANL __ cXG6 RaM39-FAaLPLCYM AWMILD JWV 0; THE ASMI IIMMM pCUCIM ii g"G&= I&M THE Town Of Mashpas &VqIRA770N 0416 THUMM TM 1GV4M &MMWV IVU ImMu*0 TO MAIL !jO wn vmm-m Numn ru TAE GENTIRMIT'-=DO WMED Ira INE LEST, bUlt FALLAI TO K"miCH SCIrV:mk&L."pCg&No GWj40Lr0=op L1*8VTv Bp,Aw-lamb umw 04 AEMSWATIVU. Mir ro f FPL1M Autograph FAX NO. +782568858 Nov. 11 2002 32:50FM P1 ,C CERTIFICATE OF LIABILITY I1 SURANCE A sa ni;s CFETWr-ATe 4ISS CU"A 1AATTEK OF DPOPAATM OUL.YAND CONSM FAO MOM UPON TA C0T9i=lW tss9mriau a iftlarum nuol tonr'o HOLUM Tf85 CORTWICATS 003 Wff AKEK3,VITIND OR Los Qze" Attvfalt ALTwt1w A"AADlD BYyHt MOWE5 PELOW. wagmstor Im Ol os "Amst 50e-706-5729 tazt500-708-356'3 1lLT;tlIIMA"OPDMfdAXW UN OwLeAk Lmgpiatod Zad"tari" of XLsA off m bra sel 04�"�a bg1l c T4iE hOUCa:Q QF AduRAlkc Uffm hmcw NAYS'b"?j J &jm TOTHEMW=WAeD ANY�c_MTR E KUCY f"=b0vCATM PROTATMYN01A �WYR6r�.ifE!lEKT.TL�dO�OdF uvrooKrsv�.-s atio»�eoax+u�xrwn►t RECrm 1kiCNT7i1C C^(2tF�oASE LlAv� o OR Mist PPRYJIb6 TKn a Mt'9R9FD 6Y�pUtJCE9 OEIdAAEp F�FW s�GT 1L�FGLTFE TFRpA6,D�IJ.lsa9lt9�GQltXT10liS aFAaADt POLE=ADdlIE&ft IW(M QQWN WAY MVE BMN FEM=P PAM uA9L4 W-V "mw ie mo#m iVtx9 afxas ' Um SafMt4d1Y1v II miaow ! e 0719oUx�'awaWBi.Tf 1 .aca�sxaM•.�..« _ ! Ri��aE �accwe uR'enW�,�a�-d � ��waewMllt_ t ®rt.al+lwEurrawue�iec 1w0aucTs•aMY1gCNs Y 10gC9' �' TaC aTMwma�uU� ! hiT'+IRo - - (lslrieffirb nAQaadoauro! �Y t lmmAa'T/wm rrWoxscoa SSasrwAeir - TY7bp7YGWf� v�rri Sn•1�NgitR' - 2MA d"1.;•pAOrJ�Mr ! #"KIM .. QTfK.St�adc tdn� 9 aq:at%n IOC �. aciaTimafsr wx : aaouc �a.aui wW J80Po�tTE i ` ai9�ML9Y ! ! pWKidriou00Hr@tY0 SLIF" a "" a 70Qa1G59 a41 01109/01 MUM aVMar�cSe+* .t0aa0Q s_100000 r�ane.ee.roeeww+ l i sooaao 6aiw�+nb+cme ,w�aior�.�+. - AiElPC}FAG/.TL�k66�t 3t'KKYIgk1B.Te�wRrs� �T'IORf i ._ &*"J *V?WA 9 1 -1 'MUM KUMelAW aPM%dJlllMf�yy 11tM71B A�tdARtlYlYlb1Y®R4p , wn wwm �i®� MRdaTV YT�Y slR.fxYAl.wreTo ao W esatrt ld OW WgC@AA16bMTM+pss iM�111tYrdi.IN�YM'69E Neva Avr i l TOTAL P.Oi - _ ' alb f ---------------- I �-�e�curoa�cl j BOArRD OF BUILDING REGULATIONS ` License OCONSTRUCTION STIR; E Num. RVISORbet�: t 019379 i �'rt�tcl�fe31059�56 cc�� 04 Tr.no: 18512 i Rest CURTISA FRUZ 28 FERN DALE RD'` f` HYANNIS, MA 0260�i Adinimstrator l I- r FROM Autograph FAX NO. 978256335E Nar. 11 2003 10:31RM P5 ,£-23-204�3 03 ::51 PM jomFs E iMURPHY INI: �0t377b171 7 I". F77. APii-16*0't !G'2EAY IlEOf�lav oftir;t Ti;-R6a-Ii'c� T•6t0 P 0021CID f-411 ate�asd�+�«. PuRcHASE AN aAGA MW ilk ; W&ULO& ' *yet Vim{ PARTIES trtNLfr'tG UWn _' ' AS IMFOod Lane, W48t IYartal>Uptrrt i VA hsttsirrow abed Vp SUM sroreatt m Ilf"wad q► IA Y >r Z Sz& Tzwzsa of Ormi;vA.Lu Realty TrVat or hit f QM1,nQQ, of 20 4teet RplSCzan gtra4t, $01=88, 1Q, 02176 ihemkWwr aW to BUYER R or PURC , >fraeat 10 OVY, uvon ttse Wens ttstdnafbf set for h, ct+e . wBCFtiPTION l+rwaisee at Id$ tumad Lass. hest grann"part, ?umeboi its DIBrl (v in wd kwhmt ftr ritle so* load rsao9rded at Urwtabl.e l IZAtry of D4848 is ewemtiti m*J Soaig lire, FaSa ff3!. I 8tllLotww' key in"M"If so a part of sold pro a taws are trre wwroa,tbuetum,andrRucram vsrns�s craw t}r9raan Q Do btu w beb*q to tlts aEA.ER and OW la�>ltrWwairh w ,tf any,aQ waW.tr1, Na" jWpRoVagwm, pkp"O.Wft node,sty paarape door epos ,w"abn ice, Otw SNda&sue,ecrw FIXT rRM datom om wafto am d ws.ewnvwk stftm,iwtrrws,rootlets,trowaisi4 e4 amoVltth rww ee, oN Wd to WOWS OW ftMlsrtte ftt 1W9k r hot Vyttar I'.Mom t*xtreltn�ttraarrt ttrWrres. 01* w o In fa In Qarbtpa dsp�trlsetrio and ttsar bt+lftq ttldwft rrrentatt,t: *IVWM ,teutcaatl,► w8, VIM Mom td, ONLY IF d,T IN, moveratxs, ell' aant9dotrtrw� rrt, t�lataas, ttlatrwaltarei wa~Aatt dtye %W4 but,smldlfl� ' TrTLEIDPEO said prsrleatr wo ea be kv a omw end srfAadt m ratAMAM dead rti the BUYER,or w the rtamin"d"W"d by on by wrom haft in vw 8t✓ upt at Isar aevsn aavii Mrs 0iAoaft bMM @ta doW Is Is Iw dWftnd as t'rettlu proYtQetd and add dttad,atWl cwrov a paod and dear rvrrard uasa *W nt 0- and tnstloelr6ls a t WON*"le wry �J two OW abbeftm In pk*wrdla wwch are net ttla ud�f a of*fxen 3pwrwttt s 1w klaka f at?(a), t'N �am tar ttw tdm euMm your as we not due am Ott 1r� a�of tho dt►EltnsaY of rrllfttftssa,arrd (eJ Rasw>'+erft of mwd.If tut so fore as lh#aertts do rwt prah)W or 0�iJOrl to pf4W �1l a wo at said prBtt}kw; *Buyer,* 3�to-nded In �af m wk,-Wo . PUM tt said dad%ism IV a alon recess""be re6aXW4 uvnpwm the SPA.LgR stroll detivar twoh PIMA Witt+ ,�±�����{ Ifsts drdln tarn aequsttr for lwcoyrd�ktp a-_i're�pftiOR Wn.y wI L ••y�,� f6Yila r 6i/ c to�l4 ft ig,*tx saint to SW xr*88 ii,maick e,at am shm be In lort lamb rme, Y*oflstk ete 0Jw so a Cast nks of 7w of safe pmmmleee,-,V4 rho Spa*d cWvar vrllh 4*d deed so frttstua 0ts,I sew,naeassay to WAW IN QuyER b bat3kr evelt rwdat*a n!Tlge. i RUACW38 MCR TM agreed punahm Rio for said perttiresh aof � ,�tlt No � dollars.at tRAi1C1t 45.000 hm beset paid a a dspcWt U*tray ad 5400 W" PLij with aslfor a l r49C,Q00 ante �xuo u the tints of doMwy clf ttte flora m cash,or oy eanliln G, . e�ttte�btss#sun,r's or tYftk tht::k�j. i �Qn.00Q art, to be Pau by preosstuaory ;%Ot'.t'Seruriad by : ZPWWW..WVW -' i�. d oeu=d erisrr.64g&_ use Adde"iL m °YRddhef tD 1ers. l dtl4,t9d6.1s4�,s�.1�1 � 1ct Ava..Q..�'na an•a;,,as a„cao.��+..�e�AMtPa s3tQ%A1;tlt ttCVWW two PTAM 5"M �- ve.e a.o reR r,ry.wN.r vrva�wr, *Am.a �, rR e'er M,D�hs reMl R f6(sirt d M W�YIn+fq� � 1 1fa•pWi � r FROM Autograph FqX NO. : 9792569353 Mar. 11 2003 10:33AM P6 PM JAI'IEG E MORPH',' 1 NC �ae���l �tr v. el rswttrrrtvwnw � ., r>'M-1taDY 1071�iA""""I :r A }t �o� " 7ii�B62'4/�1 14600 P.00SA10 ;-CIS V, =Wm=Qw Tw bubwoK i"p,8 h ift>f =no*",Its 1m be Wl1 ftw as 9 ma"mmulsat oitrlbriet, is to OR AMEDAW take W!silt A NOW A"Wwg, Ob fitath the wars eort[tVA beWsn ft piftl9tti.Is bin ft Upon and WWW b OW tfe"V of#0 Pa+" hearth"bmir rwomWw he;,s,derieml exHtlats, a&rMMt;Wrs. esK� erect ors. and 401y ba dsnwAK fiodl d or wo—W- ed orgy ter a wrltlan Nl "msnt Satlyd 6V both the SFII fe'R and tM BtlYER.If bro or more panont am naoed term an 1BUYEft their ObliraAbns heear ttf air6!bi got sPvwc T1w aapW=and mufgl W"a are two only ev a mator of ooareaiettre mid are not b be sgetrWwo a pen of ris agnemom or to Qa uWd in 90M,A ne fho ht atocf so psrtN to I Yb LW PAW LAW Tt*pw'ltsa matte riefte Mrsl,vow Massactigaft tBW,1AQ1tOMW a tl#fW ar n tinder the VOWS 0( so maifts in om%elisnw"Umaw i,WNOIt my pa tt.pkaw or cowl alibis mgkww rnrialm 6"W"tsti&of Issa. f?ts mvw of said pt!rntlas matt ratr%M w wver slid p*k p*810t or atner ttt®taffd sg s>s b meks H,i s to aRkdw Olaf the pm of ape. nrt f,~okwrr t1 ir"Tfl�f'T1tts tilii! m1"i7 chaff to fts ftf tiv daww a aw dwirir t rstttffrafa m 1 dof"Im�nt,�{ 44w w �w•r »• "WAJ.wW ►0voomm*V&6"INA,}A6,lp,�y !,!L&W ffitr " wu itpftyillAt9 Athflfts i'll4tf'�'$!tt ri1►Mbrt!'dbf ttAllf f9�11t!!!!MRlAYIr au. the fr O&W riders.if or*,sbadm mew am kwmparated by nA0tv►1Ge. i i i FAR iiPSTt EKTIAL PROPERTY IiroTW PFdOR 7U Jq?2.jVQ'Yf'R hUST ALSO mI'VE SION D f fio+4f,PAINT"OPVM TRAfdl O?IMF'EAMON CXM nCA*rOfW �t'�'1'tCE: °rfrts fa a legal door�rdtttal;tsra�atas bind's o3tlf�,sticrn<. f(ttat undertta+4.Qd»��atbmey. , owlr rp�rl s 'a, srlisysamlti Secu r Na Tstt>gsayersc/Eodd&N:U*I Cr a leacth Tmst I tsuralt s a e, xxuet:ea agar=BMW awu*Nm Tw4myef O&x:w sear*No. ,t a FROM Autograph FAX NO. : 97825SB858 Mar. 11 2033 10:30AM P4 r.li.l!V..IA CUM CERTIFICATE OF LIABILITY INSURANCE � �03/05/o'er .■eevasA � TfIPS C!'R'�VI�I{;IIT!!I$t�iWD.L'!Al4 A A&ATTBR OF auFGrotl1►4�t9 ORLY AND 0ONCERB 40 ROWS UK*Tm ORRYIP10A'IT bS �m� 8i z0ari4n ZrAwauce 404=k THIS 06ATFIC'ATE XMI NOT AMMO,WMM OR 106 o stmet ALTER THi COVERAGE A"V00 BV THE Ike'm�i-Oil4r. mardeste r SBA 01605 ! Ihmma 358-759-5?25 yan:500-739-3563 t} 9M3UflRIgA�F01�DB1Gt�bBIPA4� uue�m ppy�App llN/OOSASaB YtkaLnlAbriee of Ka►Rs hgms 1. 05_. . SPd, 6Cam, aie�wHee kudgescalking Lowell us 01451 o aAan> COYERAGN Tn F'CtJGER W INSWWIW LaMOMOW 14AYS BGBN ISWW TO TM W*WWWAWABOVE FORTMr PatCY P4'R00 WiCAW*NdrN!'mAi1 ,eNYar�+ �actuorrl�N owur oo�rrre�c��►e noan+>s"Mraovetx�es>gr�rro wren„is c�arV�+rs a�sY��uwoR NAYG&RTAEN.TpF7N8tMNGEAFFORDEDSY711PMCFS0F3GRbWM2fkm-NM!&AJ9:TTbAU.TMTWRU%V=MMMANDOG4SDM0W QFSUCH r"=21 r9L7FRZK7e UNTM WjMVN WAY MVE i8MN P6M=D P RAD GL OWD. AL 7YP90Fapt T p6 1,i,9, PwiM mlraaa" seNQawu�.nv manaccummw� i ax�cuur�a�wu�netav eaeww�eAwv»/� 1 mAumss�u eaeuA la7fa0(Myaspn / --•_i OiAiVLA09RfM� t Sr71'LAOORFOA7i ldN Yq.�71A�,P, d00.iC1;•COI6R09 A®tl 1 ptlLiEf 6W A4y1�11tm4NA�VY .. OM�OsuWu�wr L ANYA ffa lei Rg4s I waY1kN+AY = HmAum ooaarNAAa• 1 rer�rseaUles I�atlew ier n 9M�lltlailAWJP4 MR�Or4hi��i4oillf 1 •flYdyl,'9 v�Trw - aAAW 6 Aunvarar. a00 � a�►wsrm' rAaeacw►eean a aa�ae ®evaiarwot � AO(f�7ATE y Gi➢ffiASlAD.G I 6 asaaraa s It MWR�168tl�M em w+e we ATw vn► � "` `mUQPIJ'" Tomm nee Taos:o>iosanns oGoa�to$ OgJO'9I08 c�wwwcaa,r o gQ040A 6L�-�► �iooaao LLOWA -f*WYUa s 3ocaft amp saekaxeai mre+tw•►a,l.,woA„s»a�tonoeAaa�aroixa�rsmcPae�ave CBRTTPi T—W K.LW1@ ix I+b17K�ilALARaisiRaNA71iR17R1 CANCELLAnDN ® saiouiawlvar�A�oraosbaom�assQAlc��o.c®wv�l � IK+nx�Ofw�nwdvewa.oscrArm�one�twsrysrtilrlaawrhanolA}sep1 1p� i of namstab2e IRwaMoo�wwaraaelaNlrnveN VIA Gc FV pc II1FYY66y�J. Af►A�hAtFR� tJ!"(I F� - AYfXQ1AiY1�RR114 70TgL P.01 E s I .Affidavit of Substantial Financial Interest Of on oath depose and state as follows: 1. 1 am an applicant for a building permit for the property located at Map , Parcel o- The address of the property is 14`6 /Y'Qc300 2. 1 have % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: 3. Within i_n the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is. , I have had. a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: MapIParcel Address. N��!✓N�.S �G-a 5. Within this calendar year, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 6.. Within the last ten days, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted building permit applications for property in. which I have a 1% legal or equitable interest. 8. Within this month, I have received building permits-for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury, this _ day of , 200_. 2001-oo50/affin OILOTTERYIAFFIDAVIT f ✓LcF. {�aninear�uea`l� �f��!�a�ida,:�u�w.l�t i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 077652 Birthdate: 02/22/1945 Expires: 02/22/2004 Tr.no: 77652 Restricted To: 00 JOHN D ORLEANS _ 26 VALLEY VIEW DRIVE er� MERRIMACK, NH 03054 Administrator s ' I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 2 I I I I I Checked by/Date I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-25-2002 COMPLIANCE: PASSES Required UA = 966 Your Home = 683 Area or . Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA -------------------------------------------------------------------------------- CEILINGS 3858 30.0 0.0 135 WALLS: Wood Frame, 16" O.C. 4068 19.0 0.0 244 GLAZING: Windows or Doors 382 0.340 130 GLAZING: Windows or Doors 51 0.330 17 GLAZING: Windows or Doors 20 0.330 7 GLAZING: Windows or Doors 149 0.330 49 GLAZING: Windows or Doors 3 0.300 1 GLAZING: Windows or Doors 12 0.330 4 DOORS 21 0.086 2 FLOORS: Over Unconditioned Space 2850 30.0 0.0 94 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CHR 1310 and J4.4. Builder/Designer Date 4. Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 DATE: 7-25-2002 Bldg- 1 Dept. l Use I I CEILINGS: [ l I 1. R-30 I Comments/Location I MALLS: [ ] I 1. Wood Frame, 16" O.C. , R-19 Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.34 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] I 2. U-value: 0.33 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] I 3. U-value: 0.33 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] I 4. U-value: 0.33 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] I 5. U-value: 0.3 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] I 6. U-value: 0.33 I For windows without labeled U-values, describe features: i # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location i DOORS: [ ] I 1. U-value: 0.086 I Comments/Location I FLOORS: [ ] I 1. Over Unconditioned Space, R-30 I Comments/Location I HVAC EQUIPMENT: [ ] I 1. Furnace, 90.0 AFUE or higher I Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the 1 inside of the recessed fixture and ceiling cavity and sealed or J gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no J more than 2.0 cfm (0.944 L/s) air movement from the the i conditioned space to the ceiling cavity. The lighting fixture i shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed J ceilings, walls, and floors. i I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be J provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans J or specifications. I DUCT INSULATION: [ ] J Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return J ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a .means for balancing J air and water systems. TEMPERATURE CONTROLS: [ ] ( Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] ( Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CHR 1310 and J4.4. 1 I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and J require a cover unless over 20-S of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ ] J HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : i PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" J Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: i Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 CI k I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS 6 RUNOUTS I HEATED WATER TEMP M : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 ( 1.0 1.5 2.0 I 140-160 0.5 ( 0.5 1.0 1.5 J 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- Y ly RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LI -ETG SPACE I IV Y /I/ square feet x$96/sq.foot= I ,,? x.0031= I a i S`3 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) 7 / 3 square feet x$32/sq. ft._ a �� G x.0031= 7 0 • 7 - ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch / x$30.00= 36. 00 (number) Deck / x$30.00= lad d (number) Fireplace/Chimney l x$25.00= a S• d (number) Inground Swimming Pool $60.00 - Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee / .�(o �• �. 0rIn p projcost �P i 6 t/ 3 c2 6 The Commonwealth of Massachusetts Department of Industrial Accidents - - Office OUNYOsti9,81f 1717S . = - 600 Washington Street t . Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit Cl N 260 If-IVlocation: . ANAJ i S iPOrz.—r ❑ 'I am a homeowner performing all work.myself. ❑ I am a sole proprietor and have no one workin in ca aci�y }........r.......................:...:.......}.....,..}5.:..n............r...:.•r...................r................ :...,-.r....,...........+: :.:...}::...:.::n:$•�.:.:.k•.:.:...,v,:.,v:.:.r..rv:$:{.:h4...•:::4r:}:.v4.::.::1.:.^y vnn,•,.d11Q workers' m m ensationfor: Yi..i..::• .••:Iaman l rRIQV1 : r:?.Y4:.4•.:.:.5•.,oY.:r.Ui.yx:.n:,;.y:ve+�n..•,rS.::4{%:;:$a.,.:.'tv2.{v•v5:5:.:{•r..v:•3t......{;.:.:`4...:•5,%tk,;:;:{.:r.,»•{•.�:::$:F.;::`},•:.�v`::<.'>y.`,v$..$:,..4r..$.`rn•i:r•..,{:}-.,.:4}{.•4.}}}):,•{.•.?.•..4.:n.Q::}.{v.},..+5.::•.:.:,:.::.•:n}.,.+ >:}.n•}:.::ti.a.:.{:}..:S,.ir'...r•'`:•:�$;!>:$}:{i.:i,•i•:x�.,:4tk'`i::�^...�:•}}i.:.:{:.. a•k F;t .:',c��R vi.5�:v•`'}':k:''�"s`:i='::$:}';3t} �::<•'$> r:••:.... ...,•:).:r.x.n........... ,::......r..:....nr•........v.- ,r}... .:}......t. :;S•}'•} ik�>r:�?:..t..:4.. :•;:nv:xtx:{::�{: •:x•....r.K..................:v, ... .p! .:? ...�... :: .:v::.........:•:•. , 'fi${{,3. '$%V'ti:}:L;k:•:;;:$;}kSkkS: n,•w;nw.......;.. �::•.:. Fr :::: .v,.. .v+:, ±.,.•;{ .,.....::.vnv.•::.., 4...... { ::k•:.... :...,..... ............. ..,,.:.,.:.r......::...............:k::.::..... r.:.h• + 4:x..., Y:{:.5'{.r,}•. sa .n ............ .:........v.:..........,...::::::n..... t..:.}..,...r....:::.:...,...�•Y$:>::•}}y:•:.Y:.;:r :.. ..} c . .. .>_... ..r.: ... 5/ :.:•:•:},,...,.:}.,•5......}:.............::.:v...Y.r..::•::•...., r}::: :ter. r.... .....{ J.:. ...,.....:... ....:::.,..Y:..:...... ..:tr....2$5`.;.y>:;;;;•:4{.y:•5:^•:;;%?<S n•:i;k•::}•:•:2}r•::::':k.;;L.i::.;.:$..y.}•:.r ......::•:::...:::::::.....:}..r•:•x....;.;{.:•::::r-...::}.$:.v::;:•:.}::•::5:... ... ..•r. .... �:•5:,::.:...:r.::.v:::.t•:..• ..rn•:vr},.v•rr:{'•}:•>:•}::::J.•...... t:.:.:,.,....:•:;.::.• n ..r............ ..... ..... ......:. ...:.... ....:..,. ....:. ......:-::: ,••:•:::•J. ....Y.r.. ..... .•};:'t::;•r:k..-:•.,4.:.;::.+::>F:::}'•}:•:::}::k:Y:.., ... .... ... .v.. , ..... {..rn .......v:•::::...........J.n....w, r.. .n...... J. r}:v:}t4.v:{;t•:4':;{.4.;4:nw:::r .. ... .... ... .. .. .. .x.n.. .::::n: .a..:}:•:....+v:::.vnv.}v.••••,..,... '•}:{:??b:::v::::::::{•}}:±}:•}3;:�}::'Y,i :..r.::..n.,.v.........•:... .: n..f... .. .: ....:}..... .. ..:vY:h.. ..n•::...J.......w::.0 x:.v::.,.•v::}:v:•:.v:::v.v ... ,.. ..,... ................. }'•:{n•}}):t•k}:;'F,.vrk:i$}}Yr:i't?'S}ir.',:ti{+:"�v?+i4;}{:Y� �•h•;:$.•n;. 4r;.,.v-::n'v}::+.r•:}r.•.v::Y.}.::+:'}.7}:k,;{:'i±•f,.•.v):i;iSiti���'::Yv:{:?{{v,;.. ... ........ �i- ...........:w:v...:......::.5.::.vv:•.::.:v::{4}i}}:v}.{v.::i�$:+:ii>:{l:i;h,.:.vy$!$$'ti�$Y'.ti•..n.:•.::::... .:. ...{..... ..}...::.: .,}•\.vn:•:v.., .88 .v::».n•. .:. ...n.. ...........:vv::'::•,;••::x•::•.:...:.v}•:•::.`:.... :..............5:::......:.....v•.,v.{ ,..:.;l.-. ..i.;>.•;{v}:4:{vv>+.v:::.4.;:•:rrn}.,.:Y:::{:4::: • .`5�,......... ...............:.v:.:.....•::•.+•:.:...n•:•.,;.....-:x:::...n..x;.�{.;r.;:.,:0:+}5:;•}:•,i.w::::• ?C:k':t,v{'::{:}y acdr ::::•...........:::.........::::....r...:.,.....:..:...........:.r::rx....:.. .r.. ::.. .. .J...... ....... ...... ..... . .. ........v.. . . ..r........ .......... .t..t..n..:.r...:.... :.. a ,. ..,.: .,. �}. ?....:...........J... .........::... ............:..:.,n n..,rv.,.....r....:v.,......:}}:{:.:??!:•i.i:}}•:..:.. v.3.}}}::••..;....v.:.v::::.;5 ..k.: .......... :.......... ........ nv n....• :n.,. h.... :5':in;,.:•}r}::.'Fr:•}:f;Y,.;:•i'}}+':•::}%..;f};C�:?:n�rk:$i;}G::4i;:. •...;•v:::;;..:.v:•:n•.v4v:vx•r }:::r4•.v: ........n:..i•;}:.{v;?.:v:•:;;..}:, :w:+ ..... .......v.:......,....v..t-...::+.•:::v,vr.•:rr•w. •;••:• rv, +:•{:.; :3:.v}. .::n::v::+.v..v::.::.x:••F.0:4 ...::.,n::{^:+;.....r.:•::�•:: ..}::•.. .:..Jr.:, 'n {$::,::v:}:.::::::: :..........:::.......::::.......::: ...? .:..:.::..... ..,t. ..; .......:.. .. .::.....n...::::...,...,..r....,....,.:.:r:.... vliet?• . : ..�.:?`?�Y?%:5..;. .:�.t'.:,{;r::•it�$��: . ..�.'.:'�<:?...,.,.....:.:::?.; .:$ } �� Now" ❑ L am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who _ have ::: ._ . ._ ..- ... . ' - rkers' com ensation oltces: ? 0 }:•Y:,Y}:??•; $:: ..t}:•..::v:$• .{.,,•, `. th Y........ .... ..rn ...n....vv.}}}r v.... v.:;.::±..4::5.Y.{•}Yr.•:•:47:•}:•::{t. •.};•r•}{rv. ....::.,:rJ:+4'•:C ......... :........r nr.J7.....n}................. r......T.vn....... .......... ..J.......,....n ........,•::r::?r ..,:,:$.:•':Si•....,;•:....::::::::.v:.•,'ti`i''r :......... ....r..... .....:...J .. ........J .,r.....r ...r......n .....:.....T:4• ::•,•:+•:..... r......,...r..n.::$...:.,.....r.,:::n:•:.�•:. .$•.f:?4}>`•.ti: +.i;$$y!4";{ •}}:;>}} •=$iv •nS•r. Y'•y:•:• Y..;;.y.:n•:,...•::::::::.;t;•:; .+?:•}.r•;:sq.Yk•y:,}:'•$r$!iyi:t}.:} .::.v:•::;:;•:::x:•:.}' ....r?..;,•...; {;:.,}. ........ :....... .......... ....:.:.. r .....,.... ....{.... .......... :.r..r.. ...... .:::::.r. ^Y............ ....: Y.......n.,•:.,•.::. ....:.,.;y.!4.:?:.:.:.:.:.r5:;%�.^•.�'�?.'-S?S:t#{::$:;;.:tr::$v?•`•:;....:s},..., ...r...:::::.......r:::......:::::JJ..r.::.::.•y::�•.....r..n{:•:{•......,.::::..r ..:.,•,.:•r.. ..::$,:.v.:..,:{:?:.....x.::5::�......,.,....,•x.:•:......:..{.v:::::.........:n•:::::3.........::•::.:J.:.. - ;{4: ±.......5.•.{....,::!.......::::::...... .:4:., x.....v:n.n..••w.:...J n.,.::.r.•...n.r.:.::..+.n::v. ... : .. n.... ....r. ....... .......r .r:::•n.....• ........ ....r..... ........ ..r..}.n.v.::.,w:::.v^r{!w:x:;vxw:;:.:....... ...... .J.. .. .. .. ..:.r.................... ...... ... ...,..,..1..... ...........:.......n-:•., ......... .. ... ..v...•.:.••.v•:.v:•t':•}Y:}}'4iY':f•yi}}:v,}4•S}}�?:;::}}i'r.:•.}}};. r.},}h$ Y+YC' tyv4}.t,•.;:ir.;?• •:::::.....:r:.:. , .. ...:•::}:.:rrr..:..,:Ye}.v••.,.....:.:.,:•...:>:•:::.:.. .. ... .............:.:.:.r:..�:':...:.}:4:•5•:.:•:::.•:,.n..v:•:r........:4.{•::•:.:v,•.::•;..:.{...v,. yk•'r;:•.: .. .. .::.,..:::::•::::::.:....,:?.!.x:.:•......:. .......,•::::::J. ....:::::}::.r.:.ir+:::r}::•:....:r,•.:+:•::rt•..rk ..r,•..•.,:....... ! .. 3tl.:.rlana ........... .:::..,.....:.r::.....::•:..:.,.,r.v45.. ...t.,:......:. .r.:.,,.r::.,....:.,,?{n;...:±�:•::•':.:Fr•..�.:t4>+•,`•..5.,,...:,•.•,:::..: .s•... } 4 fi7 u$,.�{x,{:.$4;..$;•;: ......... .... ....... ...r.n..... ......... .:....., :..r...... .......... ,.....w...,.,.:... nr•• ,.{,.,..:.vv}:r•Y:}Y•.i•:'•:vks??;?}};••�.•k•F•v},4:Y I?.1.'ri'{yTis^':•�vy�.�:,i!i}3:,{`:%J5.4Y n;,........:::....rr.4.,,........v........: ..J..:•....r....:....:.........J.n.:.........•:.. ....n•:+:::.vv.. •:.....n.,...v::.n4.v,:.{•::•:•:••n:n::::.•......v+::v�. r. ..{:•...:... : .{ :nk n y r..;F :vY. .vt•:•... ..,v4±} ,:$:y S4'}•}' ..3.:::'ti4:':.r7,•\•r.4.ti,.),:S.:x.r..4::::::.:••:::;:.u!•....nw•::::,.n;v•:.4:...n`;•:::rv•:::...::.v:•;:v.•w:::}...::,n.:?}:.:::,..v..,.v,.. ,...)nvr..... ...........................n....•,•./.:F..:l.........,r..........,.:..r. ....J..n.. ...r.. ......,n.....rr{;n:•.v:......,...•.i4}'•;4'4ty:4v.+::.. .}.. ... .......... ........ ........r .r.... ....... ....... .. Sn....v.}../.•?:?•:}i:}{}:•.'ri}4.iv:;v::{•:.::'fit}••.}:n::::::�::}5?., .....v...n.......•...r..:.:{•.........., r.......:....:. ....:....,•::...:.{...},•..,......n:n•r.v5}.,•:J...:.•::••..:•.,.r:..J.v.v•:::...r.{..:. ,,....... :,..:...,....:...v.:::.k}.{r}:•?.,•:t{:.$•.':�}:•:::::.:•?n...St......r...... ::?•.........:::..r....:::•:.......:•r::•}ri.: .:{-:•$:::..kt...{•:•........:, .......:.f... .rn.3. .......;{.;:•r ..,::•,:..•:•::;::.:a.•n•r.;.}.'•::}:•:.�,..::.�...... ..r.... .....r. ......: .....}.'.: ...........: ......... ...::.... ......,::....:r......... .:... .. . ... .. ..: - -... Vey:{;•::�;:•k:in$:i$'••'i?:?:�.:: •`•�=��'t:: ,. ......... .r....... .....r... t :......,.... ......... .5..........:............ ...:.::,::r,:::.v.f...;:k:}}:.}:•?:•r:rY•i<•;:;::'••}}:?:?i::'-3:kkk�$?$. ..:. .... ...... ..:.... ....... . ..:...:.....::....,• ::}:v:-+:•}:•5:.}:•}:•:v.•:.....t..:...;r,,.}}:•.t•x•::.k:r:.,?+. ..,4:;:.:{•:'{};.G.::,;{:.<,,}?;:�, .......:k Y${;5;: r<... }`rF�`••y='*}Y ' • .....v::n+••v.:;v;:n,...,,,,,..:..... ........:..�.:.:.::...::J,rw::r:::.v:vn••.v;.xavf.;•. .:v:::n;r.}.{•,v,.••.....v;.;,•$;:F Y•:r,. ..:J.......... .. .:::.:::...,:•::.:J.......r::•::::�..,..:.... .. ....;{{{45>:+..,.......>n•:.,... :i, l...y,.i••?}3:•Y>:i{q;;.;::.•:i:.xr}•> .,,.y{},$.,''Jr${:»'� h;,• :3.5�•,+'3 �..:::.......:::•::::J:.:.:}:a•}}}y:•i:4Yryi Y•i.y:• ......v:. ••ah :4..e:•:±:{+{{:}$iy'Sw4.:. .;•. kttn:?.;+:-$}'t {" ....: ...n.. .r........n..... .n...A .... .x...... .......r. ( .nu-- ..r.n.. ..:::....... :.,.\ .r..... n...i}^:is ti•:??i"'� .:i'i'.:$:. .....r. ......:. r...,. .t...... : ......... ...,r.... .......r, .,:........:.t.:�r. •. .. ...... ................ ....r: ane��::.::•:•::::::.... ..............r. ..........;)....,.. ...},rn•:.....}...::..v......:............::.....::....::::.....:..J.:•:t....r...:•.v:.::•:-::.....,..... ....,,.:%.:t•:{•}>x••r•r•}••}••:5'$:.::i•�r{)•;,. •:.Y:: ... .. ........,...........J.{......,:v.,,...,...•.:.:.:.......:..::........... ..:..v. ..:..n?...{•..:......r.}...x.•..... :1..}..:i}:fv: n{Y vn:kv:±{:': h.{v4:t4..., .....:•x•.....•:v:r.n....t v:.:f....,....Oxw:...,, .. ..... .:.:4}'•y::•:.vr.•.J...x...r....:}., r....n..•::r .n ..... ..... ..... ..............:.....r.•:x}:;•::4;•:.}:}y.•::':. r+.v...r:.,....:..v...::•::v:••:.:}^;4:i:.y'{•:n•.i.•.4:i:•$ii'4},::•.••}.�.: c:•':?$ivvA 4, r.,j .::......,:............ .............:,•........::•.:......y.::?....:}r:r-:ff ...:...:;:•:::.,�•::::.:t?.:...r.. ...:.}:........J...r•!r -.r.....:..:..:. .;;�.,.;3:•$:•.2:4'., .:,`y;y'k•., .,•i+n:v}:r ''$k:4k:`:� .�............. .................:::.:.v v,......v:y:..:...:::••}:.....n..nvr;....,.•:v::...rokv:r:::.{..r....;J?.•.••........r:.i.{v4n:.n :4::,v::..r.r..:?•.,:}::. .. k4:tJ•'•5,:....v:•.v$:nK r k1c�3 pp•??C.: .............:.:...v-..v.•:nw::::•....;�y{•.v::.....:.t.•r•:....4w::::•.v..v.:v::::}::.$...;.:r:.v.. ..v v::•iv:..v:.}f.•:v:•:.t.....;...;;.,{.f. y,.;;:E.,!•:1.,.,:.:::{•+.:h,....;?:r,•:.4:.:•..:...::•+''ti.4:•}. .?.Fv,T ....................:.:.:r.r.::.-:.,: ......t t•.C•:....,.......:::.n•..r.r..,r ....:.....:...............,•:..,:.,..r.•... ..k..:.::•.....,..n.:,.:.,r:..n..:..:? ...t:v :: t...•?..,.. .r .................. ...i.... ,:ii:..r...,,.... ...... ....,. ..n.,•r.. ....... ... :.... .:::... +•.•..x.. .,:• .rJ::•:+::ki,:{::.$••:{}.:. .... .... ....... J..r.. .rr..r.: .,}.... ...r. ..... r $. i ..1 ..v. :...:.: ..ter....,r.:.:i.;•.v::r:::t%::i4;•Y:x-,,.:,...!':::t•.;:+...}..,�, •+rysryy}.s�4S,,',r..;q}{?:::•::� ....................:........:..:.....,.{ ............ ..r...X...,.... ....t...,.t. ,......v$........ r :.y. .?... .a+.:v*.:yf•.•>y:�5. {::};>,:.:..t%•:.. rnq-::.�'.;;.}:?�Sr.•:?{:;: •::.: .::?:.v:::...•::::;:...•:Jn:•+.v,r...}:.•::.,k•.vr..:.::r:::::•:}...:.x.rr.•.:r....:.F:•:•...:r..v,'F•:.R•..•...v..,. .{.: ::$,.}••}f•::.. :...;•: . :::.........:::::......::::.....J.;...+. ..::.,.r.:.......,::r.••.:..:..:•::::.....:.,..,:.:,..::,:::#+....r,.t+:•r..t+:�:::}:•:v:T.+.}r{;.};.;r. r.!..::::::•J.•...:•::::.v/...:::.:.:::..tt{;..,?}b•A!.:.r•::•r.••::ir...;r..v •..:...:.::: ::?•:}:.....:{:,:•.•r.�.....•::::::•:::......;�.v... 0�� •$}FSS:t:k �l •}•:k•}:r..... ;.,.;{.?•.:4v$.:$•:�`•k;:�?c:!$,ky.:{$.;.•wrys,.$:,;.;l;:�<i$::;?:'�:r.xl::.,a 4:•ti'4l?.t;{.`,'j::i$:}�:^t.n .:i4??'v 4!{Sank:::::5:+.:.n... •t•:6::},F:v:t45;:?J ..............w.•::::•:.;::{n•i•}}:{t4'%ry,�t!<....n,.v:.......,....-::+}Yt!{::.};•:::{.$:.r f+.....,..:}:::'^'•. .............v::n............;.......::.:.:...: ....,++.t ::......:.....:.....v:n.r..,,.r.}..•F.•}::•:.:v:y.±:{•:�}:x :::...'n•'{2.::{.:.r••:'$,}n4h:{•:Sh}:$?±5$}$:;{:i:•:•>r:?v�:+};k:v..•..J}•:.•::}..,}{{•$::: ...a.}.. r .;?.:w::.:. .:d:.w.....,.•}±?' •:y+r.•.. :t>.•r:n... ;h •;;;N..:n.::.:, ...........r:•,::•:•::.v:::::::.v; ::::.;::...:....Y•:::::•r:..::v:•.... r.,•:.::v.....t..}:::.v:�.:;t•:::::::}:{.x.::t•}:::.vr•. .. ::::•. ,. k::::::v:}.. ........ ...:..r ..r..r:F .....,...r. .....::. r...r... .r.....:. ,...t.:. ......::vx•:.�?•.,•:::,.. ::::::..:. ,:. ..... .:•^::f:t:•... .r ...-:.S. 4v,r.:: .. .:.. :... ,}..r .:.. .rJ. .:..... ....... ..... .... : ..^.r.. ......::...:.. ....,:r... v,:tv.+- ...,:.:...,::,:?':..y:•:•Yva:.?.}:..4..r, :}..:;Cyr;}.I..- .................v....n.....r. ..... n.........•.........r.................. 4.,-.t J..:..:. .rn '•4;6ti`�:.$:,+::..:':.::. ....n.• r n..• r...... .v..... ....n...: .. ........ .:v:::.:•....t.v}:::•:. rr:w,....-••:?v;:•.. r..r,... , r ....... ...:.... .r..n ......,.r:. n.......• :l..2..... ..n...... ..n,...• J......... r;Y.;:2.i::::.}:{•y}:?±iv4,r..:..\„:{{Jv:}�k� r.:}';ki:?i;:t•}::•.i?�.v.!:.:::::.?.�:... •:•:..,.,.•;{v......-:r•r.•r...�.:}:.......,..}r vn, ..:•J.{4:. .v::.v.:r:.:±P?�•:r....n:{•:::.::•:.e.n?;•-;2Srv., .:.\ .w?i:v�:$%.i?:•�. .n.,...ri•. ......::..r...:...F.........:Y.,.....n:.i:n......J:•••}:{•}}.`-:v::•.:v:4:+?:5:•::{{•}:.....f... ....:.v....r.,..?.}:ti::...r..Y.}{:.?:?••}}',...r:.i'{:::.}v:.{{2•::}::,.±... .•r:r::.r.}.:•:v.. .•::::•...•a..-.•.,r...;.:n,.::::•.v...:::.;;i.•.....-,v.v:..r......:........;;.}yiv.v}}::• ....::.}r::4:... ...r.....r::r....v....n. ...... :.. ...... ............v..:....v.;,:.....Y...:::y,k..n.vn........,:...:.:.......v.:.•.....r:n v,•:::...v:•.•..:.....k. .5..,,,..;r.... .....:. ,...:«.::.,.............. r.... ........r..r. .......rr...C...n,T....r...vvn......n. .......n::n......... .... ....:.....,...:•v.iC'•:v,•r.,.,..vw v.:.vC+:C;i4'^rn?'+:Y{ii r:4:v�::!;'?3'{�!?$i}'l' xn•{;J.;•5:.}•{t{:i•yr:••2r{n.rv........,:2.}Tv::n.;4::........r..:v.r.......n.. ......... ...:::... Jr.N}:n Y.. v.>.,...Sr: ..4vi.... .?.}:v....vv..:4'{•5:::::. ..:Ji:n.. x..:•.n....,::v•.+....n..v::... .......... ............ v:::.,... v.,{.;:}F::4}+y}:4?.:!:r•.n•I•y: .� :}%v........, ... :.,{:•$:.:.rr.:{..x••r....,........... ... .... .... ::}nf;}:? C•{?v 2?<:5:+4•;•::wy.; as.. .......,..:. .... ....::.. r.::.:y}r.•:,:..:.v,r.,}}:•:.}:•:}:i$:{•::..... ............... }.:..t...{....: ::y%:•;S:i$;$}{: ?.y. ,}{4 i•,t{rr...'•{;•;v<i•:t;:y,:i. :�.azae: .............:•:::::.�•::.r,{•:{{.::::.::::k.::..:.;r,.a,J::•3::.•r.•..;; .....n}::... ....... .. },.r...... .. ..........:•........ n... .............vv.v'v..- ....r:....:••..{.....:v:{i•:•.$rr............:.... ...... .... ......4 ...n.. .......f ...... ..... ..... ... :Y.n r.... n;.}.;.y{.}•Y,:r:kN4:iv.}vr. ... ....: .. ..... ........r. ...... ..r....r..,,........n• .r:n: {•:n...n.•v::•.... r...ri?.:v.•r. +'++rti it�v ..n...• .........:...... .:r..r... .....:.....r ........ ..:....... ....... ........... ,...:•w:v..: ...... .:.)..J. .... r...S:+SS{4?•::ir..•i{?•Y}.{:(:S;$}:{i�i??:•.{.,/ .... ....... .....r.. ........ ....;.$.... ......... ....r........:.r.::•::....:........ .. .. ......... .r...,t4 y.:.}::.ttrF.}:::.;.;{.,}}:...v.:.t.:....y ........:n+•......w::.,n•w::n..n.n.h:v'.•r....... :r:::.....::n.,..., ..,::4}:{{.}5:4'..• ....... '::vr'..•{::•:::.•nv}; •w:::n•?•+::.v:::r.•;.}::{w;�':?:v.v:v:.:i:?:?vr.v;:y::::{v;r:::::.vnnv::r.v;x;.}.r..:.vn•r:::{;•::::v:::.... ..:::::x..::::..:...... .... .............. ... ... ....JF ........ ............. .............:... r.v:.v:;;:w4:•}Y}:::.v::4:y:{!;.;•.v::v•:;:?,$int•.v:nv::{4::..............t:n.. ... .....:......:........n....... ............:........... .......i............}r...:.n.•, w::::i'}^5:4}:;'.•�;•,;:4h4 yC'4y:;}. .........::::•..........•• .............:.....r....:vr....,.......v.....v,....v.:.:.......•:•::.:,......r::{rt•}r:.v.v::::•:::•n .,..:::v.::i::$v:±�:3:;?:::•:Yh:;4):•}}::.vr.v.:...:.•.r.:.r. . s..:::r:......... ..............::...........::..,.......vr.......... :..........:•.:............:v •..:.::f;•X:':?O;v:.v::..... >:,•:::n:.....}vv,;n•;{•.v::•;v:fi .,r..1.:....J..... .,......:...r........ ,.:..E.......r n.,:....:.rry........:.:...v....:. .:.:... ......... ...... ......... ............ ........ ........ .r...r... 5... L yt',,,,�i}ii•vrn...4,C.5::•:v:::::::........................ ..... ......... ....... ..t<... ......... ....:..J.v .......... ......f ....:.............. ... ... . .. :o•.v•::::• .. ...,..:.•}:•:.}'�±ik: x:v'}:.{3„3::Y::.v;.5,. . ................r...r:......:....r... ...x.r.r..............................r....r....... .. ......... .. .,•:r :4. `++k;}.:;}•?::.k?4 ?•r,.Y%X;: ct�;:r}wgx { ...... ... .?... ....... ...... ..:..:., .....:.....:..r.:•::•::::n•y.v:::;ia.rr>••;;:::y.......• ,•... ••r:r.:;:::•}?4:..:;.,i: ..... :.:.....:.::........r.....................: ..................... .k:........r..{.. .,...::•:4::::+•:::.:.:.... ..... .,::..... •.};r.:�:4:i:r•,$?;ki4•>•.}{•.a•}:.,•..}:....!�:`.•:{!:_+•�.•.•::.r. .. ..:,.::;}:.....:;::................ .....:....::.:•::}::::::•r r::•::•....v,.,.n••::r.. .....v+.v+:.•:::•.r..:.?..::..:...... ,F..}..:::•:.4k•:}::::}.:...... .......... ...;•.;.{}; ±:.. >.: iv.v... .'.:........... ......:........:::::........:.;.:•:........::r.•r...t.,,:?•::.,...:...;;}}":::......r...:T:.v::•.r ...:•n•.:•}::•:,:.}:t•J•x•r::::: •• r. `;}:}:4 k•.}>••:, # :�;5. .3rr .... nv. ..F ... ... .... ......r. , : .. ....n. :.n,....::............•.{.}:it?•:•?w;::•:: 'rT � ........n.....n.........r. ...r..J..v..... ... ..v......... ....r. n.........r...?...... ...� ...rr.r• ... ?:•:}.. ...... r:tY:' {S:{?•$$?:?.;{P:nL.:1:::•.:kk.;Yi`v?i:kyii}S::rti�:<r ..r....{.........:.:......::}•.:........:.r..ram}...r!.,•........:.:... .n....:u,...•:+:+.....n...•:. T..:•:.....w:::+.v..nk'r:::R..n•:?::" J: . 4:•5:- ..kv:::.... ...............J.. n.......n,..:..........v......f-r.. n..u.....v r........ .+.ro.v....r..{..... y ::.. ....r..: Yf-..,.:•:• .n...!{;...,.... ::.:.::{}:j$:},C•Y.},C,.:/.vT:•;n4:•}.i:v•..$}:... ,tv:+:}$�::$$}':{.:{?4;{.�::>:.w v:fv.v:•5Y•)+:'•.x:•::i.4:•}+:;Cnk.^:}}:$�:C$±$$$:k+ki?;:.." %�� ' Failure to secure coverate as required under Secdon25A of MGL 152 Cahlead to the imposition of Crindnalpenalties of a Sue np to$1,500.00 and/or one yew'bnprlsanment as weA as dv�1a a�e s in t of Inveof a STOP WO of the DU fIkK or cO nge and a�ei�IIcation of 00 a dap against ma I mtdersi9asd t2iat a' copy of thfs statementrnay be forward — I du hereby�erti hepains-and-pexcrltz es-of-perjury that-the_informadan-provided abna!e_is�u aisd cauect Date -_ R Signature - �tJ''IR—T1 S •�• ���'�� • ' .. -• .:Phone# ' print name . omclal we only do not write in this area to be completed by city or town offidal • per5nitllicense# OBuflding Deparbnent dty or town: ❑Licensing Board ❑Selectmen!9 Office ❑ checkif immediate response is required _(31jealthDepartment phone#; ❑other contactperson: f—,A-..A 9/95 PTA) 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 coIItract of hire,'express or implied, oral or written. An employer is defined as as 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 sociation or other legal entity, employing employees. However the owner.of a trustee of an individual,partnership, as 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 maintenance, construction or repair work on such dwelling house or on the grouada or ' thereto'shall not m because of such employment be deemed to be an employer: a • *. building appurtenant - MOL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance 5r 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 sur authority. Applicants Please fain the workers' compensation affidavit completely,by checking the box that applies to your situationand pply�g 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"•o .if yQu are required,to obtain.a workers' cAmpensatioix polioy,Please ca11'tlie Departirierit atthe number listed below.: / ME a City or Towns . ' . .,... . .. - Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of•�he affidavit for you to fill _ _Investigations has to contact you regarding the applicant. Please•. out in the event the Office of Investrg Y g, PP _ emzrrTlicense number wlucliwill.be used as a refeieace num' �Tfie�affi�'avits may��ie'r '-`". _;�t,�?•,. be sate to fill irithe.P ._ - �:.the Depariaieiitibp mail OFAX unless other arrangements have been iriade. �. .s,,.. 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 - amce of investigatfous 600 Washington Street Boston,Ma. 02111 fax ff: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 _ °FWE 1 Town of Barnstable Regulatory Services 9sn MAC '$ Thomas F.Geiler,Director c . a�. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder I, C�ANUILLC- (Z U S'f ,as YOwner of the subject property hereb authorize i �- y w�-�� `� 'L�zzG�I A V L- to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) �J V\�)00-0 t\J RVRNVr1-. P6-r--1 Sig na a`of 6er Date S Print Name FROM FAX NO. Feb. 13 2003 05:23PM P1 v , 1 i g 20 1 18 22 SA.i - S.TANk 3 IV }i 161 22 0 ` 18 d2 Existing Cesspools to b° 6 'b4ED pumped-out end filled-h n Existing Ceoapool#3 to be - N DWELLING pumped-out pedut and fllled,in- C� _ 6s 74"--� /f I OUSE #148 fl \ \ 7 11.00' Existing®welling. r • `:. to be raked 23.1 29,�\ L @ 100'+1-Buffer to N 13 Q®�-�— . r00 of Coastal Sank fo1 �, / I aaserva 2z J 21�17, 1 65.00 �,� 2L5 j f NORMAN GROSSMAN Registered Professional Engineer Registered Professional Land Surveyor 10 Marsh View Road East Falmouth, MA 02536 508-548-1920 July 29, 2003 148 Inwood Road Mr. Jack Fitzgerald Town of Barnstable Building Department Based upon as-built, field measurements taken Monday, July 28, 2003, the combined gross livable floor area of the first and second floors at 148 Inwood Lane is 3,953 +/- S.F. Additionally, the proposed amendments.to the second floor layout, based upon revised drawings, "'ad df,""' approximately 475 S.F. The combined, post-construction,,.grA livable floor area of the first and second floors would then total 4,447 S.F., again, based upon actual field measurements, and the revised second floor plans. Sincerely, Norman Grossman, PLS h a tax f INWOODi PLAN REFERENCE : IJF BARNSTABLE COUNTY 95.00' REGISTRY OF DEEDS PLAN BOOK 436, PAGE 37. Approx.—Loc. I Exist.S.A.S. Porch 8 Stai G 7 Retaining Wall First Floor Area........#429686 S.F. Second Floor Area.......1 749 S.F. ,,�$ Existing 31 s . o r g Foundation N Total Living Area........4,435 S.F. �'• Hse.#148 15.5' p A 16 N � 6.0',i 23.0' 15.00' LOT 7 .0, 21,860+/-S.F. D 65.00' LOT COVERAGE 0 Foundation......... 2,815.6 s.E = 12.9% Porch & stairs.... 304.6 sI = 1.4% °° Total................... 3,120.2 s-f. = 14.3% 0 a I hereby certify that this dwelling is located on the ground as shown, and that it conformed to the Town of Barnstable Zoning By-Laws regarding minimum setback requirements at the time of construction, and that the dewlling is located in Flood Zone"C", as shown on F.I.R.M. 250001 0008 D, for the Town of Barnstable, revised to 07/02/92. REV.07/18/06; Add lot coverage REV 08/09/04; Add Approx.L don of Soil Absorptio System REV.10,21/03,`Relocate new f undadon wall at east s e of garage L;;4 07/18/06 MAP: 245 SEC-..'* PAR.:007 LOT: 7 HSE.1148 NORMAN GROSSMAN PLS DATE � tH of s a 4cke. --rQUNDATION LOCATION PLAN f LOT 7 #148 INWOOD LANE "MA1277 'BARNSTABLE MA. �OSgAAAW No. 12775 0 9E tcla�°off SCALE : 1" = 40' Norman Grossman, P.L.S. L Laa�s� DATE : Jun. 4, 2003 10 Marsh View Road � � East Falmouth, Ma. PLAN NO. : C - 800-R 508-548-1920 RFV 0 12.11Qd- Arid fn»nriatinn riimpncinnc and find/carnnrl flnnr livinn araac FROM FqX NO. : Feb. 13 2003 C3:08FM P1 Li 78f1 19p 20 18 9� 16, t 1 95.00' ' Vent with `..� / Chorcpal Fih`er 22 1j SAS. 39.25' &TANK r- ' 263 _ 5° P-Out 10 Y262 `\ tam - �• � �98.6 1 133\ + Existing Ce65poo6s to be 24.ffi -2W f pumped-out and flNsd-in t� D , Existing Cesapwl#3 to be __ y 2� N purnped p aand filled in`'- r `t 2,10 , s�.y�_ FL = 26.I 'N OWE 1 46 23 ' 11.0®" ci 238 tG b9 Mad L T 7 ,> 100'4-0-Buffer to tp of Coastal Bank i Reserve 22 17 2-V 21,5 (,3 J T�� << cc INWOOD IN . LANE 95.00, 6 r) Porch B Stairs Retaining Wall 10.5' 0 0 Existing N 15.5' Foundation 0 Hse. #148 0 0 LOT 7 13,800+/- S.F. 65.00' I hereby certify that this foundation is located on the ground as shown,and that it conformed to the Town of Barnstable Zoning By-Laws regarding minimum setback requirements at the time of construction,and that the dewlling is located in Flood Zone"C",as shown on F.I.R.M.250001 0008 D,for the Town of Barnstable,revised to 07/02/92. _ 05/27/03 MAP: 245 1 SEC.: PAR.:007 LOT: 7 HSE.4148 I NORMAN GROSSMAN PLS DATE `�,k,f w. FOUNDATION LOCATION PLAN J � LOT 71 #148 INWOOD LANE j ROSM A BARNSTABLE, MA. GgpSM L No. 12775 F Rfl iS1ER��J � SCALE: 1"=20' Norman Grossman, P.L.S. � b•4a1 NANO% DATE: May 27,2003 10 Marsh View Road East Falmouth, Ma. PLAN NO. : C-800 508-548-1920 INWOOD 41�7 LANE 95.00' 0 fh Porch&Stairs Retaining Wall 10.5' o 0 Existing N 15.5' Foundation o Hse. #148 0 0 LO LOT 7 131800+/- S.F. 65.00' I hereby certify that this foundation is located on the ground as shown, and that it conformed to the Town of Barnstable Zoning,By-Laws regarding minimum setback requirements at the time of construction, and t6af the dewlli-ng'is located in Flood Zone"C",as shown on F.I.R.M. 250001 0008 D, for the Town of Barnstable, revised to 07/02/92. :�aA 05/27/03 MAP: 245 SEC.: PAR.: 007 1 LOT: 7 1 HSE.:#148 NORMAN GRO SMAN PLS DATE IN Of FOUNDATION LOCATION PLAN LOT 71 #148 INWOOD LANE a�S N BARNSTABLE, MA. SCALE : 1" = 20' Norman Grossman, P.L.S. L DATE : May 27, 2003 10 Marsh View Road East Falmouth, Ma. PLAN NO. : C - 800 508-548-1920 r PLAN REFERENCE:BARNSTABLE COUNTY REGISTRY OF DEEDS PLAN BOOK 34,PAGE 91. (L,t00) oFFra0037--aal -- _---- 0 Electricn c3d Z,I Fy 15 5 Xk 80.00, Water I Ve�aY (L�31z) (mr302) Easement p.10 �. 8 Stairs et8i—g Wall � � Ecisring o ' FoutMatlon - $ (La303) Y Parcell )1.1 C Lm 3/I) 15001 $ ILn 310) LOT 7 (L,t304) l22,862+/-S.F. 2 -- __-- -- 15 0' 50.00' - (L.,305) ` m k N m m (tat306) 7s h . O I Ln 16) I hereby certify that this dwelling is located on the ground a as shown,and that the dwelling is located in Flood Zone"C", as shown on F.I.R.M.250001 0008 D,for the Town of Parcel l Barnstable. d (Lola) 12/20/05 NORMAN GROSSMAN, PLS DATE HOUSE NO:..... 148 DWELLING LOCATION PLAN ASSESS.MAP: 245PARCEL �•• ZONING 007 raS'0&hOr LOT 79#148 INWOOD LANE RD-FLOOD ZONE:. C WEST HYANNISPORT MA. ELEVATION:.... --- OWNER: SCALE: 1"=40' Norman Grossman,P.L.S. James Tsihlis,Tr. 93 Falmouth Heights Road,#4 20 West Emerson Street DATE: DEC.20,2005 Falmouth,Ma.02540 Melrose,MA 02176 PLAN NO.: C-800R3 508-548-1920 WWI File Edit. View Favorites: Tools He ip FM r Back f e Favorites W Address iMhttp:11199,232.150,242/ALIS/WW400R.PGM [®McAfee virys ca n: linage Plugin 1.97 Download Complete! M B!k 16300; PwI4 0 4 9 0 8 0 Select the next action you 4— S16 ant to perform. When done viewing, click on the <Previous button below. eKi Pg 14 ViewIPrintlAdd to Cart a � � X 01RC Pg 15 ViewIPrintlAdd to Cart ox 'z' 'X 4.j Zia Pg 16 View Printl Add to Cart Pg 17 ViewiPrintlAdd to Cart U 1,ROBERT T.BARRY of West 11yannisport,Massachusetts, For consideration paid of TWO MILLION SEVENTY-FOUR,moUSAND THREE HUNDRED THIRTY-THREE($2,074,333.00)--------—---——-----------—-DOLLARS, Grant to JAMES TSIHLIS,TRUSTEE OF CRAIGNILLE REALTY TRUST under a Declaration of Trust datod 71101 2 4,P 1000 and recorded in Barnstable-County Registry of Dccds in,Book I Page 17-V (maiting address- 20 West Emerson Strect,Melrose,MA 02176) WITH QUITCLAIM COVENANTS The land with thebuildiop and other improvements-thereon in BanL-Aable (West HyanWsport),Bamtablc County,Massachusetts,more particularly described in 0-4 Exhibit"A"annexed hereto. IN _ng th , 11} OB e T 01 ntr IWRbbinson el ux n Click to activate and use this co Z�Wl Done I 10 Internet Jim- In t* a - File E& View Favorites: tools Hell p n�t Z Back 5,a,,h Favorites COE 11i 4� T'X Links, McAfee Virus5can Address�$Mhttp:11199.232,150,2421ALI5/WW400R.PGM Go �Ncmua .7 Downloa d Complete! 0 a kic ire m wim Hirer wimnrp aue uiner irnpowmCnIs ITII,7wn lit13M=RDj'e (West Hyannisport),Bamtablc CoUnly,Massachusetts more parficulm1y described in Exhibit"A annexed hereto. W -will EEMMIR. Select the next action you want to perform. N r P rerni ;&Re�Ue &ed h)WeipanyRobiason ux When done viewing, click on date?Oitoer�t7h,1,966 and recorded in Barnstable County Regisilry of CD in Book i the <Previous button below. 1348,Page 939 to which reference is made for0rantor's title. Pg 14 View I Printl Add to Cart Pg 15 ViewIPrintlAdd to Cart Pg 16 ViewjPrint Executed as a scaled instrument t1 Add to Cart lis day of AiO 2003. Pg 17 ViewjPrintIAdd to Cart .0 Robertr,Barry ■ COMMONWEALTH OF MASSACHUSETTS Barnstable,ss y 2003 Then personally appeared the above-named.ROBERT T.BARRY ■ ackno,odedged tho foregoing inamment to be s e act and deed be NYXI!9 AND COLS P— ATTORNEVS AT JAW 0 4;w WL#TH STREET W W J y David Ic 4V lot PCOT orw�=WX 13so 0 tip HYANNS.MA QftVe 0 My commission cxpim Marc 2,2 7 (n W I ----------- ----------- -------Done ------------- i Ihternet m , "lap • g n File Edit View Favorites: Tools Help dr A 04 [j Bac Favorites s jd k _ earc Fa on c It (At .......... i Address OM http://199.232-150.2421ALISIWW400R.PGM M ®t McAfee scan, 77. 17 Download Complete! . J- --------------------------------------------------------------------------------------------------------------------------- in *M Select the next action you 6k 16800 P015 049080 want to perform. When done viewing, click on the <Previous button below. Pg 14 ViewjPrIntjAdd to cart Pg 15 View I Printl Add to Cart EXIBU"A" Pg 16 ViewIPrintlAdd to Cart P9 17 ViewIPrintlAdd to Cart PROPERITY MONRUTION The land with the buildings and other improvements thereon in Barnstable (West Hyannisport),Bamtable County,Massachusetts,more parU,'cuhwly described as rollows: SI�Par �l BEG NNINat the SOUtheUtr comer of Llot.No,306,as shmn on a plan entitled"Section No. I.Plan of Seashore.L40ts b6longing to the N Hyanms Beach Association on Vineyard Sound,Barnstable,IMass."Mile by!Gatbett and Wood,Surveyors,January 22, 1889,filed with Barnstable Counly Deeds,April 4, 1889(see Plan Book 34,Page ,said point also being the sou(h.west C.0 C M rof irviDg Street as shown on said plan and being in(fie nGMeasterly line of Beach 1,01 No. 116,as Show"on a Plan entit'cd"Plan of Beads Lots in.Barnstable,Nfass.Soak I inch=30 ft.July 3,1-9-40,Made by Bearsc 8c Kellogg,�Cjyjj Eng,rs,Centerville, Mass."-recorded with said Deeds in Plan BKk 64,Pare 23,mid running thence SOIU14 22 47' 1 W'WUST along other land formerly of Tho Windrift Trust,forty and 57/1100(4O.L57)feet;then" i 42 25'_4(r WEST along said last lamed land about one hundred and forty 0 40)feet to low Water of Nantucket Som,id;thence KNEW 67 HD [q Z Gpor forA�ly of hTr n et"4&1 (0 'AST,i a EAS aMR Y along said low water about fort 40 feet i I arriet A. r �t NO 2 r t th and (401 J& -W- ROL"ift o ................ --------------------Don --------­- internet . ,e .... .............. File Edit View Favorites Tools Help tit.? Favorites 6 AVhk Back I Search Address http:11199.232.150.2421ALIS/WW400R.PGM Go ;,Links McAf Virus8can Ik" p -a All WN Mt FITIMAM=M 0 • Y7 Download Complete! N)I a=*t,wny and 5711 00(40.57)-feet;thence SOU 142 25'�40"WEST along said last named land about one hundred and forty(140)feet to 10W W atur of Nantucket Sot d; m thence Out�f EASTERIX along Said 101A,Water A rf 4 � feet t, I Y Barriet A, YOU rn ly of hX, ic NO '& dzHEF or for-& 0 al 2T Select the next action want to perform. IN _n a When done viewing, click an _�W,-afong 1441h and"(4Q) S from lhesWhAo 6 the <Previous button below. saidlast natned land,about one hundred and-ten(I 10)feet to a point which is in the center fine of said Irving Stmet d ext nde southed (said-center line having a C ourse e y Pg 14 VJewjPrintjAdd to Cart Pg 15 ViewIPrintlAdd to Cart of SOUTH 17 07'45"WEST);thence NORTH 17 07'45' AAff in said,cent-Cr.fine Pg 16 View PrintlAdd to Cart of Irving Street extended Southerly,and a6i said last named land,SCVenty-one(71) Pg 17 1PriintjAdd to Cart feet to the northeasterly boundary of Beach Lot No. 17,as shown on said Plan of ksi Beach Lots,and thence NOILTHY-ESTERLY Won&said last name-boundary and the norteasterly bo=dary of said Beach Lot No. 16,sixteen and 561100(16.56).fect to the place of beginning. BEAN t the sogtheasterly'Portion.of said&ach Lo -No. 16 land the northwgtgly portion of said Beach t No. 17. also the second parcel in deed from Margamt A Fowler to Homans Robinson,dated September 12, 1953, recorded with said Deeds in Book 853,Page 229,and the third parcel.in deed from. Marjorie A Rockwell and Louise 1,Doylcto H'Qirnans Robinson,dated December,9, 19S3,recorded with said Deeds in Book 863,Page 349, aVAJECT to restrictions contained in an agreement betweenlMadelaine D. Patchand others,dated LoCtober 1, 1940jeconled Mrith Said Deeds in Book 575, • PA,&1e 198,and _PETHER with tile benefits of said agreement., ■ bo C L11 ard%4 of 24-clipID he :Item collected. gas" File Edit View Favorites Tools Hejp W' IL Back L Search Favorites 0 a .Address f http://199.232.150,2421ALI5/WW400R.PGM :G6 i Lin ee Virus can" MU�M=.197 Download Complete! ------------- 'IF I -14 Book - Page 16800 Select the next action you 1 Blk 16800 P016 041POSO want to perform. When done viewing, click on the <Previous button below. Pg 14 ViewjPrintjAdd to cart Pg 15 ViewiPrintlAdd to Cart Second PawdBEGINNING at a point in,the easterly line of'hiry ing Street at Pg 16 View I Printl Add to Cart the southwest comer of L of No.3 10 as shove m on said Plan of Seashore Lots,and Pg 7 ViewIPrintlAdd to Cart M runnin,g thence LFASTERLY along the southerly tine of S;M.'d Lot No.310 fifty(50) 'N feet to a point;thence NQR�Tjl 52907*45"EAST along land conveyed by,HDMM Rdbinson to M,arjorie D,Rockwell and Louise I.Doyle by deed dated December 5, 1953,folly two and 431100(42,43)feet to a point in the easterly line of said Lot No. 310;tlictico NORTHERLY along lalld formerly of HAMgt A.Helton and:now or formerly of Don&Greer one hundred and twenty(120)feet to other land formerly of,said Marrict A.Helton and now or fonnerly Of'Don&Greer;thence 36 �.STE�Rj�,Y along said last named land eighty•(80)feet 10(110 easterly line of h-Ving Street;and thence UF—,RLY along the easterly line of'Irving Street one hundred and fifty (150)feet to the placcofbe tan C. NG Lots Nos.312, and a_portion of Lot Nzo.310 as shown on said Plan of Seashore Uns,and BMCs a portion ofthe first - pared in said deed from MarSaret'M.Fowler to Homans Robinson,dated September 12, 1953. Third Parcel, BeundW EASTERLY by the Second Parcel above described one hundred and daft (150)feet,$9_L_9_HERLy by the southerly line ne of Lot No.310 as shown on.said Plan of Soushore Lots Wended westerly fifteen 0 5)fee MiSTERLY by the middlei line of Irving Street one hundred and fijfty(150)feet; ;� C NCy and N. -OWTHERL f-f Y by the northerly line of Lot NO. 312 as e yow 0 .0 1Ply %(l5)fT- RUEJ bv" J, L j ID Internet JimOt,20 AM CP File Edit View, Favorites Tools Helper .... ....... 0 Back 5earch FaVI rites fa, Qp Address: Chttp://l99.232,150,242/ALISIWW400R.PGM 3:. .'Go M c A fe e'Vi rd.s 5,ca.n :--r. i"Image Plugin 11.87 Download Complete! �N"v kA]Lk,1%2-IL U3?Urc WoUtU1C31Y nUr X31 kxt 1,40.3 IV ,as shown on said Plan of Seashore Lots extmL ded weaterly fifteen(115)feet; W E STERLY by the,middle I ine Of Truing Street one hundred and filly(150)feet; and NO HE by the.nordied line of Lot No. 312 as ts how o aidvlgrt s 0 Select the neat action you want to perform. eNd(DTIY fiftA(15) When done viewing, click on "T R T "r E C the <Previous button below. Ee-uAb-?_ameJ. Bounded EASTFRLY by'the center line of Irving Street as shown on said Ilan of Seashore L.Ats one hundred 60ty-nine and 99/100(189.99) Pg 14 ViewlPriintlAdd to Cart Pg 15 ViewIPrintlAdd to cart feet;N-. _QRTHERLY by the northerly line of Lot No.304 as shown on said.plan Pg 16 ViewiPrintlAdd to Cart oxtendIed easterly flifteen(15)feet;MrFSTER Pg 17 ViiewlPrintlAdd to Cart �LY by the westerly line of:Irving Street and the easterly lines o Mots Nos. 3 04,305 and 306 as shown on said plan about one hundredeighty-"vo and 98/100(182.98)feet;and SO LUJ fERLY by the northerly limes of Beach Lots 16 and 17 a-.shown on said Plan of Beach:Dots sixteen anti 5611,00(16,56)feet. EQQE_THER with a right of way and all other eights usually appertaining to a private way over that portion of Irving Street lying between Wianno Avenue, otlictwise known as Craigville Beach Road,and the northerly line of Lot 312 extended wII as shown on said.Plan of Seashore Lots,such rights to be enjoyed in common with others, 3 TOGETI-M,ER with an easement for the maintenance mid repair of a water main servicing Lots 310,3 11,and 312 as shown,on said Plan of Seashore Leis, morded in Plan Book 34,Page 91,said water main being located in Irving Streit and extending to a point in the easterly portion otLot.302 on said plan and extending easterly therefrom to the building located onsaid Lots 310,311 and 312. 2 U!, IM! 1111 f ------------------------------- 6 of 24-Clipboard L 7 Done, A Item collected. , •'a:d 4r .i yy. ,r., ..., ,•1 .., y,r ,., " i ,,F.µ;` w F 1 1 6 1 File Edit View Favorites Tools Help x Back ` : ;1" Search Favorites )' - ( " Address a' http'11199 232.150 242/ALIS/WW400R.PGM Go in '' ®McAfee VirusScan * i BrowntechImagePlugin 1.17 Download Coinplet•--------------------------------------------- j�. ■ ■■ ;1 ��� r a �•` S 7;p 0 t Select the next action you fir' Dk 16800 Pe 17 01,490�80 want to perform. jr, fr When alone viewing, click on the <Previous button below. �J Pg 14 YiewlPrintlAdd to Cart Pg 15 YiewlPrintlAdd to Cart .. < Pg 16 View IPrintI Add to Cart easterly�; TOGETHER with an easerrasett:in the eastcrl onions of][.v'ts 340 and 301 Pg 17 YiewlPrintlAdd to Cart as shown on said flan of Seashore Lots,and in prviru ,Street i45 Shown 011 said plan, as far as the southerly line of said Lot 302 extended easterly,for the installation, rnaintenance and ropair of electric and telephone wires or cables laced under P .a, ground,.to prO vide electric and telephone service from a pole on said Lot 300 to said "A �49■� Lots 310,311 and 312 and any builitint s thereon. s..�.r� C to the restriction Against boildiaug an a portion of the Fourth Parcel p abave dew.ri bed contained in agreement between 110manS Robinson,'llr Dula'�i. ■ t Robinson and Harriet A.Holton,dated July 1,1965 and recorded with. said Deeds in 4 Liootic 130 ,Page 427,and TQC?GET1�F ►��t1a the easements conveyed by and the rr :m p � benetats of said:t�-eement. , Z k ■ 2 ?CGLLIiwF all rights ofwa t. y a®d other rights in the westerly half of Irving - StToct Vi,4 between the northerly line of L.ot IVo..302.and the southerly title of Lot No.303(as Shown ion said flan:of Seashore Lots)extended easterly. ly. 9 1 2 rY' b..� a NOT R UTE COPY ' - - -- 1L ] - -- -- " Internet . .• - O 18+1 O 19�3 Z=6 +104 20 19 18 16� 19+3 / 95.00' 1 Vent with N Charcoal Filter 4 - - — — 2- - - - - �-15 22 _ 1 I — —S.A.S. — — 2' 150 AL� l l S. TAN 39.25' y S 5' Strip-out 10, 18. 1 - -�— - - - - - 1132 170 \ I 16 16+6/ \ 18 4 2 2� \ \ / I 17.5 Existing Cesspools to be 24.5 J� CL,__D _ pumped-out and filled-in r�(�� o 12 t --� D OM Mf LLING `16�4 0 Existing Cesspool#3 to be N pumped-out and filled-i j —<< FL = 26.7*1-� o tOUS\E #148 o k. LO / _1 1 \ Existing Dwelling, l to be razed 23 24.5 \\ � ` 23.1 18 21. LbT -T 100'+l-Buffer to. ® NI 13, 00+/— S. Top of Coastal Bank #1 \ \ Reserve221(� /* . _ I I i 7 21+0 65.00' 2ao 21.j5 b, A 8 SITE & SEWAGE A� Of® DISPOSAL PLAN � M 2705 LOT 7 #148 INWOOD LANE 4EGISTE BARNSTABLE , MA., LOCUS E APPLICANT: ENGINEER: No RMAN AVL & Co., Inc. Norman Grossman, PE, RLS GUOSSMAN y No. 12775 Main Street 10 Marsh View Road , LOCUS MAP Osterville, MA East Falmouth, MA. 02536 EG/STT(t�T4 SCALE : 1"= 2000' 508-548-1920 MAP SEC PAR LOT FLOOD ZONE ELEV. MAP SCALE DATE SHEET NO.I PLAN NO. 245 007 7 C -- 250001 0008 D V=20' JUL. 18, 2002 1 OF 2 H-716-1-R REV.:08109102; ADD NOTE RE:CONC.SLAB R .:10125102; ADD CESSPOOL#3 LOCATION,ADD STRIP-OUT NOTE AT S.A.S. REV.:08126102; MOVE HOUSE LOCATION 6'SOUTH c f IN LJUI)i PLAN REFERENCE BARNSTABLE COUNTY 95.00 REGISTRY OF DEEDS PLAN BOOK 436, PAGE 37. o M Pcrch & Sta p etalning Wall C; �. Existing 31,6 0 �3 Dwelling o pHse, #148 Cr 15.5' 3 , o 0 22,6' Stake t Ui c' 11,1' a 1'0' o 9 6'0'cu" 23,0' Ci a Deck T A 15.00' �'' I a L❑T 7 , Conc. BourK 21,860+/— S.F. Down 12' 65.00' Stake set 0 0 I 6 o rn rn Lot line stakes t Iron pipe f and Stake set Conc, Bound Down 12'. ^ Stake set 0 i i i i I i Conc, Bound / Stake set f I hereby certify that this dwelling is located on the ground j as shown, and that it conformed to the Town f Barnstable Zoning By—Laws regarding minimum setback re uirements at the time of construction, and that the dewlli g is located In Flood Zone "C", as shown on F.I.R.M. 250001 0008 D, for Stake the Town of Barnstable, revised to 07/02/92. I �h i i j 09 24 9 MAP: 2451 SEC.• PAR.:007A LOT: 7 HSE.# AN GROSSMAN PLS DATE s u�k WELLING LOCATION PLAN ° �aP LFlT 7 , # 148 INWOOD LANE BARNSTABLE ) MA . SCALE 1 " = 40' Norman Grossman, P.L.S. DATE Sep. 24, 2009 P.O. Box 97 East Falmouth, Ma. I PLAN NO.C: — 800—R2 508-548-1920 i i 6 l e Y O.Q om orn -71 I .......... �E Lim jlrrf� ................ H�ffi lii •I ,, , I • Q rQ O w co . PV � - rTl '1 Y I �rn ! r i I : � I .` I III�� I Ili: ,� .: •' �► �I L; II r o.Q t� I� r � _ ON Zrn. TTI "Miff Sam 121 EPH ------------- -LL QD �E . I I II - i h L' NT m Y L-� Q • ��- ON _ - : II : - �1 ►; j; j tyk 11 I i I � i NL all ioo 4 1B lih EE c:m 4. M u m - - --. m CP %-L OL- . F 5 r 1, . -� `� - N N N co. --__._._---------------- ..-------- --- N `w( 7-I - { w , - - Pg 11.E/..f,- `'8Q."� 13.O.I.1 . �).czo (�_ W ?I ..d2'.'G�. 12' o,.G. f11 _� , . _ _ �o .�a _ 1 s� �� .,a ./�_c' . . . r . .. "11- 3 .. . �' T . — �' n d . Q _ ^ - - . - Z ,-4 '4 .. .. .. Z Qo. / � � . v`).A . -` -o Jr.� :0. . dC � . , . . .� o'G . . G ®--- . inr cn �z�x L 11 i z'M-r j . - 1`n: m- �i 3y� I. ,� zN \ (Tr'O E �\ n \ .1=-� `. \\\ % . \ — '—Z31— . . yy 31, e' . __ I . .--- ,` li -- - - 11 -- - — . . . I - �� arxz; --- . D , . - tf�r0) `�y4� . - _ -. _...._ .. _- _,_ _ �Q �� �, z . � h . - m �_ . - . m v .. .. 1. ; �� . - -A . (o i G � ` . Tn ,�� ;. - b -o Im IN. . C -- --- 1. . r: .I - — L1. rn r tn:a . �— . (/`� % ?.� . . . .. ... . I- I . .... . . . � I . I � v +,­r �.p A .. .. - - 1 :. — _ �,N :: _ _ . - 1. . �\ . r C A � `� ` ' 11 —J _ .. .- ;(& - �. .1, . � '. � '' , .�i, Tl1 1 a x Y{ : & - ... N ' (�i �\ V, I. j f l �'%. ,..��..._,-,:,�..,, � . , . , . . � . : : ,� . Z, '-fir j4.7" -- �.. . I . ., ­I I �t . .,­ ��:J�� 11. J L >L_mt� r I \ / 4 I ' ' � _ j � .-,� ��;-. , �,.,,��,,,.�� . & , � .� Y � . W .,,.-:�X��,��_-�'�,.-.:�,� - ��*_��:",:.:'+��+.,,��'i.';�:i,�-,.��!""..�-*�,�,�-",-.'���'.. , l- �� . , I �� h �R 5 ::d - S v h # aft im;.­�,,, — ti 1 � f - .. ...': � .. .. I..., . � . � � - . . , - �...,. ,I" .., '**"*,- ,-,, " , "I- �. . - - �, ,-.---.--�-,�_�-� �� ':*1 . - ; . . 11. � . .. . -, - , '­ 1— . : .. �- � 11 0 0-��--`�:11'�*11-"ll��,�i,� ;- � I . - . � *''-"-- ,. � . I 0-111181�5-1`1-1--- �� I -� , , M. 1-11 - - . . I �;l I � � . . I - -.1-1 - . .:. , � I.* � . .. , .-�—�2,-`;� , . ,. - �. z : lml",-�...",,�. ; '. ". . :. I ... . . . Gi aR txg t )v— . � �: , — �l . a C. T �s j - , , It p < u� , I F Y �1-� 9i a . ,LY \ .raga T £v}. - - £ \b .{ ,.z-� ) ,,,I���'--- T y 4 t ry - \ T -F, k , 8. f - h h vim- _ b .� 1 - 6 tm�'' _ .. . . - I `. 3 Y _ - .- yf - - - . �` [ C/ -11" -.y�J ri x ��j z 1! , Y . "u.Y c _ : ]t . V �� 1 s N:.. .� II T`Y \ )I.I _ . . .. 11 ,.- \: % - 3 r 23 O• t P•: t.O' .FE f s --- — - -�--.-,. I., e c a'-L_ r _ - ' Pof -N Y .. �—IY41 , �-i .. - % > a } x .:. .r•a C I. �� P 2 . . _ .:. I I ti Y" H - ._ O ` ,.:... J �T',q C I - 52 �4 . 1 . , u m c s �' r 21 0 .1. a• y7. rE A l z r e o �,-4 D OD _ CAI - .' .,_'O \ .07F— Y 3 3 . . I`{ 4 £Y ., . t @�Ay ( --I f 'a' .. .:. .. i syn Diifi A D �.Ki 'c 17 �' p O () N �-- ry -pi I = D"!n" .� D a - 'v ��rt "� y '�Zimz ':N 70 - f1 ! L.. - 11 x [lr Y -N I az 1 s ? �. 1 - �I i TizP. O y�k z oti -m 0- ' , A J I .mOEmx 3 I nnIC p=.m p'O -. . CTo m lu k�:. r _ FL•G!]OLII-, 2952.^ I - m� N jpcN N R;" D D D m = 9z'D �", �` S O� .„ _ Tell t O rO(DP '6Al 'i.v / s mm .S.S 7 1'-3 3/i _. 1 1/2 2E52 1e _BS" _- ee dtagf `Td .t i. m= I. r-d - _ _.\1'�2"'--' O +� I 's D. _ f - I li H Lx ern d , til\s k r 70 .�E ' \ `\ �a. . to O d a \ i.5" . I 11 a ; 1t I 3'. v2 X'7f1 ti ..� /i ,•L ,41\O \., O 4 . h 8 \' 17 1.I/.1 S'2 1/2 \ 0 \ - 2 I o t t. \\-,-; f � Z.. m 9 / \ L Aj � u BEAT ' �A� ' - TI-.( \ II �'-/ u. �-U 7E z `SBENCH ]95 \1 . D'3\ 8: yy J YTJ�'N iay'td lC 1.., } "..i �- X . T 1'•9--;, \ I I _} - } # t 4 .r-s`va'—� 1 3• In ., v, t I 1 _ - .,D \ \� / %- J m @. r F x13`1 e 0, �.. 4 , . - nf :. N r - d -f 4 :. . i. - . . _ a sp8N:1 W j} p2 - - Ip—_.. _ 3�cO -T gI'*-� D D _ OTT - - .D zc ?' �44�qq T({,o bn pm . . 4 ;Tt �S�A^'15 SD �'aD - .�fjD @" .., ,C A p. -DEN. _ �< d .s..m...m - y k F - .. : - .�F - .. ..i T K DY'{ D m -Im - .. m mm 6D Y OBE O y O tag T Sp 1Yiti,z7 - - ::. ;'OiIS,PLAN INVANO UNLESS _ _ ' <. a¢n.=ACRDSs - p[10 - ... .... ..ta!xtl8t Y� ' `::-�cCOMPMlleD BY a:.- •„� ,.o'^"c. :;' Y ontte vAmnatc swr', COP1RiGNT DATIr . .REVISIONS . F.I"R5T FLOOR PLAi�\ µ^ D i7(�T - I ! 'COMPLETF<SET OF.%GONSTrtuC'110N: •" :E?4 �Yr _- ... •owc YAtOnu�,cim'na�mnrv,.. 1��11E71'�� ... NN XSIDE:TiEREBY£%PRESET S,O NOR7 - q AI-r9,[019f<CTIN!T.!G26,pUCMN Y - OONMENTS. -� 'o;, :aRER\uro!1:.tyc;'nalnlsx,xsai: � Y - RESER4ES iT5' CONMON.LAW. '. .r3• - ;064BER OF-ORA511NG51N SET. . - amrwta rp nESVul9®Tttw u!mun TT����)) S{,lI #y' COPd'RIC,7T.THESES'PLAITS ARE 1r lU R EI D N G:E FOR:, _ roY u;P.Ln¢s ay w an. E NOj TO.EE.REPf30D CE0 5 a SH T.{f0 D... .:.. .. o fl - =-wNs�al:smYcrvk. autRw 1 -: CHANGED:OR'_LOPIED IN ANY �r Iv' 1 . e .1N.. iNa+rKsorDEvaISAOYgs.:. ASSOCIA,TE� 'F,ORIAWMANNER;WHATSOEVER,. aic. '."5 '' 7�31/,02. I�.: r '�s TS \ _MAi evnnt,caasxaxc.mrsir cnq+ - _ av>: ,�Z " !+Ise w.Ns:erTaxEN.TVM LOCAL DAi1NEi1VE'RESIDCNTIAL k CONM�ERCIAL DESIGN.,: -- �' '=a �. a;.' ` ..';:-1 �iVWOOD L,A�INE .' I.TIUiIDR{C mFANTMWL'ANp/,{F'Y6PEcroR ,.t�+MAIN STREET... E1fFRE5$:FWRIT.i£NB=PERN5510N : : - fiOP pENEY;TNO MHUVK RCWRYNG.AN RT,.MA 0287 .: pND CONSENT OF NORDME NYANNISPORT` MA asarcn0o6w%Nu wK' (3oe).�ee zzto TM�(saej naz naoz DESGN '.. - - . c „__ _.� __ _: ` YARMOU NOW r'lt �r k c I'"�+'`Y'�.X7�'•Y Sir .. .. � r ��T �J � -}'LLJ�DYLK�11131j O• . � .A D ',�TII � NA �.�. _ w T�.y uI G p Y y-'C''iFk .F•'{'�D`�4aaY< D rgm.i OOJ• A °p.:?tn -10-0_-OI-DEED -i•'60pj -. _ .. 5•t'v r+0 )A) m-E 2 AO OCI•�.tiNy -no,O any eEP �00 P-iD: P .G�.iPD mD'..m y -17Ff.D""AW.2 .A o,>`r XOAi d a'fl0 n e 1y:.<n Dom.. :gXQn,.ap0 DO (n.: �^ �^ 2T++Cy °A:.nO ~,O_:DINm�. •<� A> 3' Vo f � �jP nm rmp'� D .:qA i° O"p4(LEA dp0 v .yy s I �j7 t 1r'.Y_` "a.41{,r`4 x30�000y 3Zm >9 S_D V q2. O PP JE yE\ F g1i 'AAZ 4r'. _ FcEl,,,-ko�aAp.+anq Em Om yO��Hrye z1 zc3 -'�/jm 00 .A • - ' -`'•ft'F�;'T-Y mYw?r�mop 1P> 3'P- ,I T., .f50. S.a�i P. A ;yP •-P .y A;.�D am ® 0 D om oD F °mo Z •�� r�" G '�'Y elm°_yz R3m'.A j.,aa >O y.DmP2 � '�ppfi.l O m_ Y>✓? K k7R .aS`ZP m 3 t _mm 1 '�EPm IA z0 a yo.za $o D n3 ° F mho m V'V �"4�' AnDtq'iy yO7! 'ZID y t D 00 .n0 gpQ Y-Ek M •. � /� �-,..� eD �") e.-� ° .o.am zo.D..� nm mpmxm ETA O2.T Q '4p APO O j. givi p A D t' b° VAA' m 'cT D Nn -0'.:E�mX X,°y y ,p fai O° •pA MOO:'D y O >•' P OAq - //'n/V� > F W � m_4 .R2m• m :E O O A_ �° Y- X >"� y -T SP ' E�Y - Ct Don' pq n� p P a m '..O x$ yP0 - .. y H z-fLE m 0-10< m An -L, UkE me L '. O Dmma .b.Zk{.3 F -AZy,NA.- °E D� °RA WAgo Am E ym'2 X Tr - I ��pply T L " 24-O_ _10_0, TlE7 f I I ----- ----- --— ���Ii I - I .. � ^ a � I � ,•j .I r to YN -lA I C ^ F'3-'E, • m Wi ItRn_D" DP.IlI. -•-.. - I I y_�' DP" I I n I Ar A 1 �x�� � '. I -D -m : j D•, �'.�'ZAA rm�Z I mD<D i i- I '.�ny,:� yl'L aFT_:.3 i 3. O 70 O m� -40= Im ,iEloO y f4y t z 1E °ern, a.yz" i Ipu� I IN 1 I �pmD ------------ -------------------- y F 1 2 <A 1 I : ---� rr : � I r , : a I k , : ! ff : 2 ------------ TIE 0 : : O: Z Am30gy "44'` Y .. .: I' •OEOme,P q O �,O : I I I ___.__-.• - Tn O9 A\KA S,I"9� 3n rOOPm'.'Ei0 yA nm0 n n 3 zNE'oElO I 3_ .31 I °Oiz unE atTim-a O y..< OI Az P < y0-iOD 'lax. yyy AEO -I t Xp Em -D EmAm nPXp NO I mA I'P =ASP S,' .ice :'II _2D_A �Aa:WDAO'lA O TTm A> A IAA i°.m Z OTO ZIPII Z y OD `� h 1 �ZnOi1I�N2Lr °- m - On = � m iDT:u D I pA�r ZD is].x >tiF .•,�``"'}�xr• .•A -: �L✓":m'3 p I �nOmA'OO_Ayyaop'OFO AZE E:_<OmODAA � 3C'IDr amai0OmmNA O 'O D op A<�m p0iIN3 0aO0 0p m i 0p i- < Oy A 0 u �+ P !�Dlr P •A� A A P�mmm PE�r I ;c I .➢. .PCB I DXAA•Z�32 Nr PEm Y' N3 III�L,!\ P I ; Ay W.ai P1r Xwd'Z u,y�PD DP y m i C.E.N `�:� ...z zDyDZ AA'^ n Py \ .. l�FT�t14qq'F I Omz-y� TA I/2 - EON 01, y A I DAEc lit!M '� F- ` I� 1 --.�, E wn • • r u : ro MD 1 Dom. D 1�?•��'KK --3•-.s.- _ 4 ; Eb N I ; ,° o �t x - -- - °y - Il � � 2«a --. . — _ i ITj , II 1010 GARAGE DOOR qp Or 9010 GA AGE DOOR t CA 4. to h mAz 1 AnD I O 1 onED r{�I zn loon; D : EZA Y DD I MITI }r[ iOkv A I I• I i :. A 1 � W 9-O _..}�• '. 9'-O" _ I 3_II 1/2- ]'-2,tw ' 1 ! OPENING TO BE 9'-61 _OPENING TO BE • 1 1 _ ' OA mA .0 D nDI�m T E - no ono - F 0A mEO Jt 4. t m f - STATE AIM U—ltkl G=S VM - /j THIS PLAN INVALID UNLESS THIS n AERLES' E Cou m buE ro Too Ues ANo Nlr om[R ApleBEs.wcx COPYRIGI: DATE REVISIONS g ACCOMPAEUEDBYA eEKE A� FOUNiDATION PLAN "YE,NER S�AEaP�Nxm, NORTHSIDE COMPLETE SET DG CONSTRUCTION 'w+c TEA•,i5 mE ulv uuna NORTHSIDE HEREBY EXPRESLY B y 9 r< M-SlE.S c 1aI(A CIX6mNC11PV l DOCUMENTS. T wrERMvov, E1C, NdiMmOEDEmlN 'J 'DESIGN RESERVES ITS COMMON LAW I'I FE�..1T / D A5511 ES RO RESPW99Ntt M YAglltt COPYRIGHT.THESES PLANS ARE k NUMBER OF DRANWGS IN SET. N.EW R.ESIDE.NCE FO-R: lw ANr'-oS¢s'a+DANAfdS NOImKD E�r ;'SHE£T NO. GATE: - 'ouE tO OmoRS'on owssons-N.ra NOT W&R^-'PROWLED \ jj RAMS Q STRUCTWIL PFTK6N(YS'W ASSOCIATES CHANGED OR COPIED IN ANY / niC pESCT NMM9TK OCJOIAONSES'. .. FORM OR MANNER WHATSOEVER �'} y .THAT 86'wE.[waENOHc CaSIquCPOx, WITHOUT FIRST OBTAINING THE _^q O:, 7/31%02 IL �Is�" I� rase cwls:ee:rJacN ao'rwnsx:u DISTINCTIVE RESIDENTIAL&COMMERCIAL DESIGN 1 EXPRESS WRITTEN PERMISSION •r1 �i INWOOD..L.4 N:E' '„' ° TMTMTM o �, ;��,r 1 MNN STREET.1ARMOUTHPORT MA 01615 qN0 CONSENT Of NORTHSIDE y s , H Y A.N 1�.f S P O:R T' f1 A •ossmc oswErE—ws mX w a 5oe)']ai-22,0 SOB)MZ=GE02 DESIGN. .......... (� 1 DMT76]l�;I 785s I I ]B>] i1'dI1 jI'} . I . • q i D 117 i - a - a r- mm m y � - -.....� -- -.-=.. TAD � -/ '•\\ O' D e j ( ( ! I \13 I 2117 II lss III ]ss� 1 ' m� ?S Om I-pt x mU) �m J', I T �a �um 70 �S 0 •O , IV, 93t � I DyA m Z D 't- -, 7�7t(B LI`5• L•BL I y T t t �I -+i a .(. co �O. D_T. 0,0 01 n /44/)) 1� J O• Dm o D - D T m OD _F �y MD D 3.02 M. mD�pfl (1 •;Y .may DA3 Ai ii O� Orw 3 �• EO ymN DA OA (1Z !,m OE ...i _ Y�aaD LID NA.NU. O BID�A NA N mA aNZAro E Om(llf AD =r i0 1=aN_y_Or Ar OE AP Aw �T' - N.g mM mn O O iNom OD j A DD N OE �I O i E A 'STAB;—LOCK BMIOWC COCES—1 - SCALE 1/s'�1'-C usAnr.omss n¢caNmr. nx To �^ THIS PLAN INVALID UNLESS Bus A1A M.Nr oTNw vuafaFs soul COPYRIGHT DATE REVISIONS '7 = COND FLOOR PLAN NORTHSIDE NORI.E HERE.,IVRESLY ACCOMPANIED.BY A <6Ri,F s on1G Y lEfitlAS n!F-0—Un a0.- T O--1 .2 B COMPLETE SET OF CONSTRUCTION a-s1s w�Lrna m munalrna DESIGN RESERVES ITS .COMMON LAW DOCUMENTS. ' T SUP01 SSL [Tc, NORBLSOE O[90. '1 f AsvAss xo rssPplsreun m ur n COPYRIGHT.THESES PLANS ARE NUMBER OF DRA'MNGS IN SET: i N F W RESIDENCE FOR; Iox u!Y(roY6 W0. � ryry>> NOT TO BE REPRODUCED SHEET N0. DATE: ov / OUL OERRMS OA WS4°NSA NC ASSOCIATES CHANGED OR COPIED IN ANY H'M15'OBSBIUC.%p[IKh IN p /� ^ I/� A3� A V i� m[xsq.._Ns"p[sw"ADNSFs FORM.OR MANNER WHATSOEVER A 'I ]�31�DZ I G � TMA W��LN�'��ctm. 'MTNOUT FIRST OBTAINING THE '-^t^ I I N luQ D LANE "'Lg°�A"s ec aA,w fo ruu+.Loc.i DISTINCTIVE RESIDENTIAL k-CONMERGAL DESIGN E%PRESS WRIiiEN PERMISSION BtLLBR 1 �O''k� C µr 141 MAIN STREET YWM-P.ORT MA 02675 AND CONSENT OF PERTH9DE H Y A N N I S P O R T MA Atl5 FC3NOE6 r e p t—)sax-zx,° (soe)sax-Beox DESIGN. .- ... .. v �o T 2 - :. I('.. :I .. O I .D Z -I�ECmObC .� ..D ADE m � .p OHO 1 DE'. I�sm A c n D PJ op OAA.p � v •�EA-➢(NZU .¢onXO'AD =0�m0'' 0 A O A m' 0mD1<7'Dpn%mm-00 3� !O� O ]a ➢ mZOAa - 'Poll Oc !lC . [��TT ...� I�w - 11:I Kl mA �' '.fin' m �O. m' - 2 m m2 YA 0 A N - JV ['i , _ 2° A° N I ° m oN •N I mm j •� I ' I I IN �: N \ , ry cl - Z Do: P. P. a, r (inul `vp oP m X 3 A D9 7Ofl .m OE O z310 o -c mw o ° A 0 m _ iTr..eecowo'[opiwx I T1T4TR8t�IOORa�eT[M. - •:�eTlgw uut � TO.,1'RST I i I � a I i N o L \'\ m c A n s m z o - m0 m m D ° m m W ' zrm D �m m 20oz D to70 �a o _ , O 01 — - Ln T- IT!3 m z >�u \ m Emm D Dn >��' } -nm Dmn m ° �pDD ?I l 2D D z a D 1 N\ �_D � 1 , m O O 4 ^ m z E C ; ^ I O y u A N m 2 p A _ A % < % IT Q 0 AR % lO % AAm -` n In 2 m A (Y y 3 .,, m m D u D TDO m !A A y D my Ir E A - _ A 9 D D O N m A� y In lA ` T A.m [, (T r m IA D iZE m ram- ti A 0 y 51 1['Nlp L°CK mIA°N4®ES VN1Y - 90ALE-1♦��1�-0• m1FARY ACACSS THE—.1.. W[111 THIS PLAN PLAN INV/WD UNLESS lwi uYJ LUNY—I v�ln�&ES'Sua COPYRIGHT DATE REVISIONS ACCOMPANIED BY A W°2 UILDING SECTIONS 6�W—� r.� NORTHSIDE NORTHSIDE HEREBY EXPRESLY O 1 2 I g COMPLETE SET OF CONSTRUCTION ER2T�. w-n -"�H�R lm,m� DESIGN RESERVES ITS COMMON LAN' .. DOCUMENTS. .259 s� - sim[RWsm+ [lc; Nd1p5OE oEsm+ ASSUI4S K.R[Snp146WiT-m.uravn' COPYRIGHT.THESES PLANS ARE NUMBER OF DRAWINGS IN SET: m o {=UJ RESIDENCE FOR: - 'EDP'ANY LQs Sap",oNucES 10I xV NOT TO BE REPRODUCED - SHEET N0. DATE: _ PIE.T°E:5 UC Im[�w„ S . � ASSOCIATES --c'0 OR COPIED IN ANY ,I .PUNS 011 mUC. CEROs li,I iX O x^ /\ \ I I - MFTOC9W Np1MS()[OE9a AOW35 FORM OR MANNER WHATSOEVER ` Aq� 'Ll1 Y AID TM• 6Esa+E cm[xanc c°rsmunia. WITHOUT FIRST OBTAINING THE f/-•\'` 7/31/02 12 =—6[r..u,T°rum�ocK DISTWCTIVE.RESIDENiIAL k COMMERCIAL DESIGN 11 INWOOD LANE 6URIIN°DFPN I4[7,N®°n.Iw5oEC1°R el MAIN STREET.'YARMWTHDC RT MA c26J9 EXPRESS WRITTEN PERMISSION Edi:12x[w uio':wmovK[Ec.Aowc ANr' ' AND CONSENT OF NORTHSIDE HYAN'NISF'ORT MA voss�E usorcr[NL¢S;.0 smut unK (0°➢)JB2-221° 5°61°6Y-6602 DESIGN:. e a ® s 'e �11111l�Il�ilitl!I ��� �II tiil��� HER e®®® ; ®e�-o■ ®w .®�� oil ��!► , ® w j =sall 1.1111111moull HIM ue IN II ® III® - ®® BM, - ®� owl RE ME; so °�v , �■ ®®• ®lam: Ei® mini] I m-lot BM I (i r ®@� NEW ®® r ®® � .° liil® p®�:; I, I►Q eI,, it .i Hsi 11, e• e ,e . ,. - . . . _ -: . . . _ �� . . ")m Ir _ Iz 1.I I4. . 7D I '.a . m. I IA: , I . I . . I I, . D D . D I 'm"' I - . :,) . . .. 1. , ... I -`r . .�. { a, 1. .. I.,. .��. !� �: . .. .. . I , . �. . ') I . I . "I I , 'i . p O: _4 . , . m . n'` -i I , % . O .. n . .Z N` m I ei m,. " P " . . I m a,. P I of: - O:: .c :`. D' to: A I of om p .I �? W W �� 3 n : .. --. . O, I. ��' O` 1. I ; " -, j.. ..;.. I o-2 lid " .I . ' . . . , -_ - _ . - - 1. . . ., I I. . . . - ":.. . . - } y. 41: . „ . . m - � '.-,,.,�.-Z- ,, 1_�� . - . .. I . I I . I . I I'. - . I [ 1.� Ate . 1 , rm I':: . I . I . I. ., i .i _ - m �: r102 0 m< o n -- ' .A - I. . z o:: , _ . :Z I. . 9) I . . : 7-D - I m m m ;n, , J? - y; I _m -i v.. AI op ,,r 0 I Ri . O P. . 3 I Q . I . . . : ,. I c):.. I Z I . 1. . _ . �" W I , ` i ;Q N a I z - . .3 of:. m ' x10- . . . 3:. z a--9 . N .a] .' -A - - . ..va O O rn . 3 , . ; ' . - me. @ - - - O o. m z a� O m .. - I : . .. :.Z oE. 70 () . a :O '@ . I _ o ( oo ' I. . - m a . e ',i, -y. ro . Q . A - . . il',,.%2'. T �mOT liXH P Aie.NT s 4' ` . . . :11 fJROi GCR HN.. :TYt EECORD-iLOOR Nll I - ,- .-': . . .- .. ,' . ... .. .... .. .. . - I" . .. : I' . .. i k 11 7. A.". I m ':. % _ I I `I ' o � ' 0 ri., w I I m I . l O j A a a x . ID: n ~ O.a E .o m < D A 7N .m O A. O - O y n k 70 i @ O- 7� x 9A L� --:C m m..- .n- {@O A = k n X x n m my I @ ,n.y "y. DO m p a S m - Ia E U > �'6 IO m :E: A =,-':` _7'p ID « :`N a x < D 2 n ..<. D D y 3 y:': N O < >:m E 2 O .O N mm-1..p m...T ` - .:'m - m m.: F -i® N'.'9 A m D n �^® m yyE p R -1'A Ll W 2'. - , a .1 .� �. .1:. .,. .. . . . . , .� �:, .... - . ..- - _,'INIS PLAN,IM/ALID UNLESS. - :. .. >::'".:: ..„:.:. .A000MPANIED'BYA nAoo .: j ) A1TDEn� wa 1. SION o I.s. :. e fAl1PlETE SET OP:CONSTRUCT ON. " 1.°.� u>i�o►►vG s ,c.�►o5 NORTHSIDE CflR�IyT -. . _ - . -.DOCUMENTS.. :. g fs`. _. '.�ypulKpa K.Nwn 'OE9o�.. .RESERVES;•IISR�ONNON.IAWY. Y -. .. -U::, - - .. - - ... . ,,_jW=;.tw RES'gr99n1tt:OR,u+euTT 'COPYRIGHT THESES PLANS ARE :NUMBER OF-_DRANINGS IN'SET: E NEW'R•E'SIDENCE FOR.: _. SIGN ' ._:iae.wr IassTS�b+;oAVA¢S pnAxn". ..NOT-TO'BE;REPRODUCED ._, _. .7,.N - - Stl.. fla7E .: >:.:_,. -WE:Tp[m+ws:on wssas W:mc:.r;,. / S .:nw+s a+mNctunN.uEs>akaEs m:. ASSOCI. .1 I _OLQED�:OR COPIED.IN:ANY - \/L::. -n¢OEsi41+.'HatRlvoE ttsa':Aos FWtN.OR,.NANNER.Yfe1AT50E'YER L/.' 7 31'q2 - Yi°ii¢",'se e�aAe,'s;eru.'EnO1 ommioeu DISTWGIt4F RESIDEN11P1.h C(AAMERCIAL DESIGN !'^ / / I�' 11 IAOOD, I-,^E,IE - .. .. )11THOUT;FIRST OBTAINING 71IE . I'� r11V zl=pIATIHIiT ANO/OP N�ECIOi £%PRESS::WRITTEN PERI.11590N :'.FoSsmEvisalErcNaESY� ia� E"M;Mn STREET YARMWTIp. I:': A 026T] AND CONSENT OE NOR7119DE - .: l' j.1 22 0 (SUB)362➢94 ... N7.ARfN'ISi'.OR:T' .MA DEscw. RED CEDAR HER SHINGLESJ. ` CEDAR BREATHER - // to IX4 TRIM W/ BEAD.PTO. O \� IXIO TRIM W/ BEAD.PTO. /. „�.•• 0 IX4 W/ BEAD-----� I� 1� I( r ` - IXIO TRIM W/ BEAD.PTO. / J /�\ ��• /• IXB CEDAR RIDGE BDS. BED MOULDING IXIO W/ BEAD :/ - (., .. ROLL VENT BLOCKING �X. RIDGE BOARD TABLE /IXG (STRUCTURAL SIZES BEAD - SHINGLESBROSC OG IXL W/ 1 MAY VARY) o ^J RED CEDAR ROOFO 80 --�> l CEDAR BREATHER J .... .� \x` � 159 FELT PAPERS �� - /8' COX PLYWOOD �z C /l 5 D --\, ! � °X ado zg� _ : I ... RAFTER VENT -- \`�. _._//:- - 3vS �._.-. 3' BED nOULDING -s'e- .. _. ... TYP.WALL NOTES ALL -RIM TO BE PAINTEDR-30 y t] '-m lY� RED CEDAR. TYPICAL 0Ii NO3—M HI-BATTY-!'I-" (/ ��' IXIO FRIEZE W/ BEAD _ - a y INSUL ' \ - U iat4 i '£wao,1 -J 2.10 RAFTERS--� - - vi W cn o o' TYP ,RAKE DETAIL RIDGE VENT DETAIL O TYPICAL SAVE' . O SCALE 1 v] -rto- - R4) SCALE -1/2--r-o- SCALE 1-1/2'-r.0• Q w�n. a 2 Gl� F _ - L F 2.4 ^ 14' O.C. (2X4 IF SUPPORTING MORE :I 3r^L THAN 2 FLOORS) � -- "' - 5/8' DAM.GALV. _ 1 �x Z Y8 ANCHOR BOLTS s TYPICAL WALL NOTES S 2.4 P.T. SILL TOP L/3 OF SCA F T 1 .B . -i ' STOP GWB SHORT s �bE - - - _ LOAD'BEARING _ ABOVE SLAB - _ , „-r�E�� y4z SOLID CMU BLOCKING- SIDING ISEE ELVSJ , ��w a .,. e8� ,.: , 4' CQMPACTED'•FILL �: � .' .. EC��� " ' - � .• TYVEK HOUSEWRAP �I - '..:. ...' _ I/7 COX PLYWOOD $ {{{$$]]] 2Xi IL O C TJ RIM JOIST e tr R-19 FIBERGLASS INSUL. " 2.& P.T. SILtr Mn,, _ L MIL. POLY VA BARRIERIr4 REBARS ]-O .W.B. SILL SEALERPOR �I IIRNif flll fill I' > 'IIII - IIII—I:Ii—II. I BOLT - 4'-O .C.V. N - .....� Ilil�III IIII—IIII _ I � —I� r- FILL I o A T — ... � ... .. � •— — — --� FILL I TAMP•5' OUT FOR CHOR z _ . IIII .--IIII ill IIII I I�.III II'll—°IIIIIfll-1'lll—II i-.- I --IIII`II'I 'II. 1'/FT. SLOPE Illhtlll IIII=I II_IIII^Illt IIII=Ilfi-lkll-lllL=Illl! = _ — --„ ! I {I—I II I t 95 REBARS.CONT. _ — ""—' " G AROUND ALL OPENING$ _.__ � OC DAMPROO I t :,.. ....., ... _.. ..._....._ _ FNG II i` 0 4 4' ,� LL WZ.: r.e.v.�nammo�.x 9m°'O� F.00'TFNG DETAIL CURB O TYPICAL STUD WALL O TYPICAL SILL DETAIL Q W_jao r 1 o - scALE.1-va r-o• SCALE r1m-r-o• p Alb 11/ - W N _N Lu Z 1 �' OQR(SPENIIyG COOK?'DIn..W/. 'BI'T. JT. FILLER, MAIN FOUNDATION WALLS TO BE 10'POURED CONC.W/1x95 TOP Z -LUCATION 1 00TTOM,BARB.REST POUNDA TION ON:10•X70'9TR1P FOOTING. ALL STRUCTURAL STEEL COLUMNS-TO BE 4'X4'%5/It-60UARE STEEL TUBE z Q 1, TOP"OFP W/,FL.EXIBLE. COLUMNS TO EXTEND TO FOOTING BELOW.PROVIDE t'XG'%5/B'GAP 1 GARAGE DOOR. JOINT SEL AN T, PRO VIDE 3!?fi'HORIZ.BARS CONTINUOUSIN STRIP FOOTING W/ PLATE 1 ITXI]•X3/1'SASE PLATE W/413/4'OIAM.BOLTS-WELD ALL CONNECTIONS KEYWAY.P.RO VIDE 95 VERT DOWELS'F.I;1'O.C.HORI Z.EXTENDED POOTINGS TO BE 1YX4]^XIS•SQUARE CONCRETE W/3xo5 BARS EACH WAY. r� ,` t ) :'• 3'-G'MIN.ABOVE TOP_OP'FOOTING.'PROVIDE 5/e'%I]'ANCHOR I 1 I/2 XI,�I/2 XI/4-• BOLTS•1'-O'O.G.MA%. .t.A CNr ANCHORS 4`3' .R4 7 _L - /LOPSLAB DO NOT BACKFILL WALL YP. TS COLUMN WF LXL L ..C.�MA'X. � WG' COMPACTED..PILL UNTIL CONCRETE HA$ ,il BT. T. IL T t r of T.PICAL'WA'-L NOTES "• I I. �� ATTAINED l DAY STRENGTH 11 - FILLER. JOINT SEALANT -_ ` 3.- .: 1 GXL'L/G.:WWF. .. - 6/8' DIAM 12^:G.4LV.ANCHOR AND BOTH TOP I BOTTOM a TOP BITUMINOUS W/J FLEXIBLE OINT _ : PROPERLYJ I T ELAN TOP OFSLLFiB -BOOT a 4'-O' O:C. OP.WALL ARE 11 CONCRETE FOOTING ":: • I 1 : 1 C SERCUREO. _ _ -11 GXLNG/4EWWF. TOPAZ/3 CONC. SLAB — U L SILL SEALER -IIII IIII " OGXL L/L. TOP I/3 OF SLAB BASE PLATE r�� OF SLAB 07J0' 2Na5 REBARS..,CONT. '' I' _ __ .-ill II -:n' - R REBARS.CONT. _ I 1' CONC. SLAB TOPS! BOTTOM 1 z FINISH GRADE: FILL I TAMP. _ 11 O = _ ---r--.---,----- --_---'+-----• II II ' FOR'I/F.T..SLOPE:;S''ARQUNR F P. ATION 1 t -_�-_ -- CARRY D -IIII I1111 I! 1I G' COMPAC FED �1 . 4 _: OFING = -_gyp 1 - _ 1 ' FOOOVETING TOP. I ! .III Oli _ ---_--_----- OUND - kl 'I- MPRO E vI L::u5 REBARS:CONT 1. .: .. /: =m m OF �" y I- u TOP'.l BOT S3P:WAL4- LI _:� / :/�\\ff II-III .III ._ 111 - " 3 BOTH WAYS REBARS. L IIII 2X4 KEYWAY � 2-2 i/�\i 7^RS REBARS.CONT. - = =.I. _ - / // //,�/ _ _ G -a iL=ul,_Lin.:_ - ---------- ---------------- =�L I— <W w ����`/ y\��\ .�� � \`� ✓\� ' �I:_IIII '..:.: ✓/�i///,!r�/'//�✓/.\//.^.!//�i,Jf\�,r :::. 2X4 KRYWAY. Oil :GS COMP .FILL._:. _ .. /• .: _ - - •I - 'I I - - - — I- - _- __I __ 1- k z bj rI � -I IIII ! �I I 1 I � it ,,..r .. ,.. - �. ll_—«Ili Illhiill-IIII_ ,_.I!�I k�lv _ - __ � I-- u:-_i I -I _�'�- . .IP.. I�I, _) I ;I_II-._� ;.= IlnIli.=1,1__II,--_II,�— -�rll' I i L _... _ HIP --I u=llll- -HIP n ,. II I I i IIII ..;il .BO:T.OP...FOOTING _III 11== Imo.-- " ; . ;. fh1111, II I._II� ,I_ ...... I—IIII_�I11-_=TIT— I—111�_I;!:=III, .. .1::BELOW..GRAOE: - ! - �.I -_ 11 `--.'I'__•111- .: :rr'.. .. '. ...MIN L_..II II -'I II _-1L I— -!Ill-cln! )MUM..... :. - - ::•.II ._ _:III. _!i! ._I I�, .o .. — — _ — I._. g _,L LL.- III .=L11_- 1._.I I-11U___III uu-snl, -[Inl-=-.„_]I 1Lr_.1 I` m,:,w,- ' .� Nd .� L4 b �4:. F.�� mVa m�rw..c s, >.. ... ,., , .<_ ..Ca •::. .�:,.. , ..... D..-. -AIL ... .. ,:: , .:..._,_._r-,,,..•,; < y :..,,. - GARAGE S(L •+nnn m.e f9a v'La..r.ru5' I{ r SCALE �SC SCALE LUMN o Q ' L r 7 _ art rF. 3°fi'4 D O�rP:0 ,, 2 I_ r. mo ro E ,{ M km A � II I c q `p I -OiNON yX o ,E gg I Y . y .iw e D' Aae Oti, ° . ry F D: F �..'' mym (�zm05 Y m 8 8 _ ao @ r z.. im. O�m0000�m DA. .I rL On 1. Z 1w1 nlnOn D=Dm0 pm I i I 11 i fmKA=Em�TI SOD j f I I om OA33 A c' O,eyA D 'I I�� r0 n`� AA oz - ®a z IG=�I1 oA� I an o+m0000-m 03 ny I m- 0. Go lk it A I' mm mbEti-tom A ' rD, w-OOm�iOD .D OAO°fly 1 q 1/6'TA PR0260•IL'O:C. — I _ cl OR h I y T ' nl/R•TJI PR0260•R•O.C. - \ n R T/B'TA PR0250•LL'O.C. �- id JO. ......... ...... ....1 L: 1 1 \/ I O R l/Ia'Tx PR O -c I L .5 II--`-- •II T/6' JI •It' �• '\� x I• D2 m3 A -n in a- AND'UX.fitRLNG CODES—1 . SCKE'1I���1`-0' 7N15 PLAN INVALID UNLESS fAEATLY ACROSS THE CO- WE TO CONE) FLOOR FRAMING WS NA RunoNER'vNn.fi¢s'wa TT1 COPYRIGHT DATE REVISIONS ACCOMPANIED BY A .�Ot'ADD REaD¢R ARDSm.C'p10°OR;gg_ `NOR L 11SIDE O.1 4 { p COMPLETE SET OF CONSTRUCTION EAq- W 9L1[wIDF�CDb M�'CorAmu[npI NORTHSIDE HEREBY EXPRESLY _ DOCUMENTS. z �0 fm wPEn`nsw. nc. NwmS°c°mo-, RESERVES ITS COMMON LAW - EW RESIDENCE FO'R: A9J NO RfSONNelllntl W85tiY DESIGN COPYRLGNT'THESES PLANS ARE NUMBER OF DRAWINGS M SET: FM u 10=5 W oARALES Wa KD NOT TO BE REPRODUCED - SHEET N0. -DATE: 5 -_ _ WET°mR�s w.l`XMM w>~E ASSOCIATES �!GED OR COPIED IN ANY PLAVS CR STAiICNRk DEfIpEtWES M - �3�C'`n ixE oC9Dl Npi E GE9f ADSL4S FORM OR MANNER WHATSOEVER IA fivers ca.RExoRc wrtslRurnat -- W7TNWT FIRST OBTAINING THE 7/31/02 12 puxs.eF-T.+aR To wtR Locu DISTINCTIVE RESIDENTIAL&COMMERCIAL DESIGN - f,: _I EXPRESS WRITTEN PERMISSION ll INWOOD LANE DERUN aR mum W�dENLLAN „ Tal MAIN STREET.YARMOItTHPORT•Ma O26T5 AND CONSENT,OF NOR7HSID, I..REviW.ARD'A - H Y A N N I S P O R T MA PDSSALE'NSovcNCE6 M S R GN 4 (506)]6D-]2t0 g�l J62-•fiD2 DES GN, o _ I I I I N r F m 3 � p Z. 0 4 v Z 1 �, t III • n �� ]XIO .K"-O:C ��7X10 K�O.C � t .. Z P 7,. _ .. .: 777. ... .. - _ - axlo•:I a:c:... a :u:o.c..:. 7F a n 77 r t .. i T T ym zA� I. x0 O I n .'Ty /:�• ' � ,' � ,fib \ . _... ,. I z 7 xs t [ o `p 0_ a x \\ .' "- ":,•'I` . .i'�- .� . _ ' I I Jam.' .,i!_ 1 - • � ym D� Opp n .•gym yE IUA_.�. _ OApA m n0 MO, ED - ,SyO'o w^y pn A o p %bCA(Ei 1 T1 D' .. _ -' Yocx: iwcoms:\' _ ,pLAN wvAilo uracss ;! ;e y�.r(�r.o, .Ywnia[s wa COPYRIGHT DATE F(EWS(ONS /�C ::ACCOMPANIED BY A ., opeao O I P�.L A N W/. F.R ABM i N G -, .��,�„ :.rw=a�x�l„�Ix,�,- -. ♦ B. GOAIPLETE SET OF.`,CDNSTRUC110N:- +;.� {Ry: cs iaxcy RRIAt&'1HE:Me1✓Ssplury.a' _ NORT}(SIDE;HG�EBT.E%PRESIY :: DOCUMENTS rz '�.m 9awFPM9aL fca:,''M�a s i�om�oi: :RESERVES-ITS,. 0"ON'LAW a .. ., .i F7 �� NORTHSIDE _NU,MDER:OF DRAWINGS iN$Ei;-` < :•Tat.ANY:Lossis,.ae:�n'�'uAq:UiY DE COPYRIGHT.1HESE5•FLANS AflE EW RE.SIDENC'E FOR: nw Ac waxnm NOT TO BE REPRGDUCED bATE:. Wamnscas':a arias w ae ... .. - _ c .o.stugxt ;q:: EN�ANGEDOR C�(ED Ud'ANY .Ri¢Oc9at Fx90[. Ao sstis- M. R;MANNER,WtfA750EkER • SIGN' , , 12`:: .' . �a� tea, ASSOCIATES W TNOUT;ORST:gB ING THE 7/37'02 ., .�I� - xws:a::Fwex ro raux.ixu:. DISTIMME1(ESIDEy11.AL 8 DOMldFRC1M DE9GN ExPkE§S:'ARITTEN PER'MI590N" ll INWO.QD LANE °DYk O°�TM°F^R"iOB" eio� a1;MAW S7REET:.FMMOUT POP_T,:+it MA_6205: - 'F oism(xx ws"trRuulaRcixr s(soB>xs oeoz D ._ OF NORTHSIDE-. _ IYAN"N[5'POR i:.MA <aoe>Paz �z,o oesGNcoNseNT jo.= a y IO y oZ. IA IO A Ito c. n D Ac. I I i I I I I I I I i I i I I I I I I I Al A A�� J I I •�:/ � I Oy ZZ., 'O i�. I. -':FLL i i I i \ � ODD O: p0 AAO.. I I DAB, T 1 •_ I I I I I I TAD' < FW 31<1 I l i I )es) �..-S111 Z. I I'i I I I I Z � I A7 j I i. I I' I �WL O I � ,I I �C.� 1 1 i •. I i c I� It II II __ III i I� ii i 1. 'I l I I III IjI� ! I 'I + III�111 I Ij'II i- I I t I - :_ ��. I� 1 l;ll jlli'I r 1 I l AP ��!Ijl l�jlj II.i11�1 I 1 � jlll i; I ''I' 'Illlllll,i �� I i � ��i I �'IIII i i� l IIIII II'I I I}` j ggg I i ii1; i .I Ii1� 1 I�ii I I - � f 1 �-]il u I�ILI \ IIIII I III I,� II III I .li i�. I!II II �•: � �O. i II -_— Fw :oe I I, I III+LI�� .rii ly�1 f'y 11T O j) 9 4-V A A O s TO py0 ~O ] ': D Z O A C O O 01✓LY k X 3 D A T ATt •Ir.dTnr>t ImT NI N3 nE A-C • Xp O 00 O O R p f z gO2OEn -Ei cp = 0 E ] nm lu pc Z A mNA OnOn n ] WA" IOADi 30 1=11� _ An 1,AI nr DO S x v ANT - ATpO ' x3m DO F O ] ] C. DO n A. 10 T. �A N DD -. A . STAR NN LaAL RV¢DND ND[S VART - . 9G11C THIS PLAN.INVALID UNLESS OtEARY'A0105'.iR:DCUMiRY. OU(TO ADJ 1H¢AA1 YANY'OiHFR uDa ,,i sar COPYRIGHT DATE REVISIONS _ ACCOMPANIED BY A �D^ E L E V A T 10 N S �_ A' '�°5011 Dc m—.-wLL- :NORTHSIDE D 1 2 B COMPLETE SET OF CONSTRUCTION `ER'Y YAR9M5.ra woos atlas s NORTH DE HEREBY EXPRESLY DOCUMENTS. p0�C sirocrtisNa. ETc. NCRms�DDes'I RESERVE$ITS COMMON LAW NUMBER OF DRAWINGS IN SET: o s;?1. E W RESIDENCE FOR: —WIS'No IC9�DI151®UM1 di:fA01UTv 'DESIGN NOTMTO BE REPRODUCED PLANS ARE fCP T L655E5 OR D GCS.MPFFFD n SHEET N0. DATE: ..ASSOCIATES CHANGED OR COPIED IN ANY fl A �/L �ARS _�a a KYNDLS H 'I A ,j .YnE DESIw DnM51DE DL9 ,ioNAs. 1-/ FORM OR MANNER WHATSOEVER AA 7�51�02 ➢4T ecrDRr cou cRoxc co smana, WITHOUT FIRST OBTAINING THE "s nlLs'c m TMLLR W Taw:aa DISTINCTIVE RESIDENTIAL&'COMMERCIAL DESIGN 11 I N W OO D L A N E eN m D DrnW TMrn,N D1oT D�[c oR 41 MAIN S AEET•YARMOUTHPORT•MA 046)5 E%PRESS YRITTEN PERMISSION ICI 'IOT R[bEw NA IwmoV.L REGMDWG'AxY AND CONSENT OF NORTHSIDE H Y A N N I S FO R T I I A Po SIR E kS A[PFNGLS W,STUC Unu 5�>]es-niD so9)xz-uaD2 DES GN. � r Ane- 71 1 i zEH [LJ i hK P.�V15ED . E.LV la 9rCONb 5T�FLY .ADD �7 4 I I Lj 4 - � ,�--rl;' �' Ili��---��I I I L� I . . . . . . . . , min: . 'nX nX E n x 4.:. A .n A 10 y . ilg'.' ( m �o mo . 3. to o. m 1. A ylw. 10 - :O m ,n H a o o n OD Dp 'N' :0.. '10 m F, n N 0 . m _ _ �p �.0 E A .]. p O _ .. \ m c - m m . z} i :1 . I I 1 'I. I i I'. i. I; I I I 1 _q x '' 'n'.j 1 A Q 1 D x . M. : I: y.m E D N m� 1-p p m I - I DI�.� y m..D.. f�, I z ,. n. = n r 1 0: ro{alz o v.`m p' I m z m a I A 6, i I j.:n v i - i j.D � {:.,. p. •E I - T. a -..n .I - .. I ".. :0 I I t I I:. I j 1 .,_m'. 1 I L I . .. I % , .1 L : 1 1 . D � ��:. - . .. , , . . L. I" I on . 1 I 1. . .. ( I oaol ffl I _ m:. ill . . L. t . a N I:: �. 1. (P t. I I I Fpo, - ZOA; i. . j , I I l .. o :tit ^�} �'1 .. _ Doi: I 1 mAA. �.� Y f �` . .a to a .8. i.:: L. one; .D - I` _'.1 _ - `�� TT '�FlRIT ODRNH ivP 66MMO 40p yK;. I A€2 I. le 0 ., . P.1",. �j I9 p .1�._m j'.. 00pp :� -I .I TYP:H-TfLam1"cl NT AEE . .. I � I I . 0 A - - g Z I Q: ... .� -, : &:'." - , .0 , . .;2-FF �, ,,;�, I , , IN I 'I�;�� .. :. — n O1[ M - :: I II �' Vj N : I ' a � - :. - i I . 1. I D { z{ �. I I % I . I :. �o I . . � .. . ,. . . t I i �y 5FI , v `(^ i� m i 3 3 oo Zr $ ;P� I i -',.1 i j Z' I 11-11 I "'��) 'I I I�' I1ljl �. Amc IS'a .::D m I, I LI 1 wo I aoo I j'E2 I I i 1 I I �. II ..-,�,� -. I. .%I i,i . -I � . . : i. p . � I I i I I .. �.. I Tlnpy N.: I, -_ i s yA,. .; I ,Dop I - I I . � j I ( 1 I 1. P ' 1 .' 1 . I r.. I � I 1 , �. .1 i� � 11H , - . I 11 �.. I I' � . :.4 `. j �J:l , I 1�: , . p D 3 I1 \ . p .J m o A o LI I I ��:i I I Fl iAx m "^ D 9 x i A 1 I m. I I I' it, X z ro N y..n y x :, o 0 1 aso A n m..s m , I I 1 I I i _oT D . . !. �T. ,� " m ro & m I ',. L _ p m 1 p..z .I m,'D yyE maxi A'n:<#' y I IIII I zoo - x I A. D t m : aoA' I I I m .nn n .m D D _ I I. .. . i �.- y0 rD- VF, 3 , { m- w :Ozy t 1.j ..I. I i i_i 1 I' I ,2 'D D n j M IDE ._ n mE yE ^ I m 'i mix ) �ii' I — i I.I.j __ A 4mFj� y n �oD 1 I I i . t - 1 I .. . I . I I I i 1. I., I I I. I I�< 1 . i I I I 1 I { I ' I1. I { ! I I I j .I . I i I I I I1. 1 I . I I' j 1 � j I . 1 . I: 1 1 .I. I IC I I - I I i 1. .I I I .. I I . I I ,'j:. DI. j i D:' I o ml . . 1". Ij y:.: i i �I:.... :- I ;o Don' I j I A, I o Do''.. 1N . D b :.I p D mD A '{ aEO p n •In a: ly - D m I$'1. - r cjm .. I - - I - clm" =n la d Incn..: .:tom - z � ' 1 0 0 " mE ,. ..D ynD. .a.. I . AIm A_:'. - I Aim::. ANC IA SSW A :. :& - - .. - - {- 1. .. ::. .. .: .. I. % . . . ':• ' :. - _ - % BGATL 1'4,, C : .:..'. " _ r.%h, .eAT.nC YMi - _.THIS RCM'.W 6 IINLE55. _ n[. ,PW a - . . ACCOMPANIED Br�A.`. `a "'.:: - UTIIEF OamnaN4 BU T,� } ` COPYRIGHT `DATE - REVISIONS . ''.'COMPL£TE'SET4K.`.e0N57RUCJION�.._.. -�-: s TIO:N' 't BUlL'.DING'��SECT�;.ON :..mA u�Tpeui-SaU1T:-oE._, d0aTN90E MEAEBY.E%PRESLY ..'..,.; O T - ! ` 0...:. ::;m+-m[�cem 4 "c Nsrmlrna�. % . ` •" - 'DOCUMENTS .. 1.o m .'.. ::swER ,nc_"':umow;oE RE6E.R,\'ES,ITS'CGMMGN LAW NORTHSIDE '.IJUMBEa CF ORAYANGS A"'SET:. o ,,, n :. `ASLLIE6 Iq-usPONv®utt a wa . COPYRIGHT THESES-�RLANS.ARE EW R'EBIDENCE FOR DESIGN.. SHEfT NO. . DATE wE ro on°ass a,T�V9a"� T -:E REPaoouo r .o r" %% :P1AN5 oN.sm�onln.LL 6ErwEHaLs'.w;t b1ANGEDCOPIED;IN'ANY . / - ...m[tt.---- 1"A aC96N amssE6 fORN'OR':.NANNER WHATSOEVER - ': - .:;. _ ^3-O'% - . - '.'maT evVac=.ccMuwcwc casrpilawN: iNNrtIG 7HE - .V ASSOCIATES .. .,-,i- 7/,3%02:,.:" 'L, ,.: 'r ':. - ';sAIE6E m:w6'-Bb Tm ro raw:Eo, DISTWCTIYE RESIDENTIAL&CDM6IERGAL DES: . �,I - . . t` 11 {NW.00 D.,...L'ANE 1.1,.MMN.STREET':•-YNtMOOTHPp T-•i-'Oyi,]5:_ D CIONSEN'ON NORIHSIDEI ,: .�� _ 8PD34BlEEp5O1FPEHME W/SIRUC1Wi1 (608):364 R2:0 'I..f9oB).16T980Z.... : YAN'NISPORT f1A :{ ,?s N _. ,. , a v. i h 77 ROAM 0o I +y 10 Ap la S ) li C, < pTTO :� c k - o KK om pm TB> _mpIE •gyp m�0(1.:4� ¢IP; A� W fir: m. b if Rr G yT D �A.i�3i ' nTi RIAn1A� py go m I - �_ 0 1 o p i 0 ;rn o _ I ER I in ,I 1m a•-p• I i I ` I : I - : 'mom :u - .-� . .07 96 mn m D In Q) g A _� :m m DE O z D + TO 3 Lo 01E7� o TTP..atCOMO'Loom...N.I , -0. - ' T1T,RroT rtaae.FLAYa NT. . *, TTFpA�bouNnATI�RALI.>' _.. „: .... .. .. - TF.IiR1T FLOOR.4H�. i I I • i \ / \ O m C, � . Ins m < ~TO _ A I O TO a� TO z I ` m of r A ___ me m o m o r i m ;o D ,g A - TO O KT 3 W vo 3 A \/ m 3 z z03 70 „ 0T em I A1c Am D E mo ��>A m AT °>an 1 7C p MIT p=pD n Dz i D LDS 0 8 I o Im A O < < TT A m p 0 TO.. '3 D D p W' `N m = A W m I AO% TO0 w W 0 •. Z W IT2 r m C = % Irl % IO % AA:A -f (rY ti D C . A Tpi m T 3 TO p W p T y Z m ID D 4 0 < A A C, i p A 'O U' mlz<il� u TO T = i TO T A.m C /In r. -f A n N y THIS PLAN INVALID UNLESS T,Osw BYWY OTIRR YNBNAF5?_a COPYRIGHT DATE RENSIONS ACCOMPANIED BY A �opnoo U I L DING SECTIONS v 'NORTHSIDE NORTH..HEREBY E*KSLY y I' B COMPLETE SET OF CONSTRUCTION ERI�9 yr w s¢MS EL W mrsmUtnw C RESERVES ITS COMMON LAW •. DOCUMENTS. 91—V— LG.:NaM50EDE50I DESIGN ASARgS No BEvamavtt a+.uAevtt COPYRIGHT.THE PLANS ARE NUMBER OF DRAWINGS IN SET: o EW RESIDENCE FOR: roA pNY LOzgS w:°AvABEa wgwam NOT TO BE REPRODUCED SHEET N0. DATE: B4E TO ERRp S.OR:Anse wa Rnu ASSOCIATES CHANGED OR COPIED IN ANY iA )) P1N15 fA 51110CMBN.OFROFNO[5 p b' moo' / Mf asa xDIMsmE oERa wYlas - FORM'6R MANNER WHATSOEVER ,L L3 y MAT BL——tpoK cwsrqutnua WITHOUT FIRST OBTAINING THE 7/31/02 12 MCSF rtANs eE .Auno TOR Lori DISTPlCTIYE':RE9DENTIAL&COMMERCIAL DESIGN ExpRESS WRITTEN PERMISSION lI INWOOD LANE BOBANB B[PAB YQI NA%OB.q SFECIOR T4T MAIN STREET•'YARMOUTNPORT.aA 0167,5 FWI;BEYBw_AxB+FeRovua[e.Amlc wr' AND CONSENT OF NORTHSIDE N Y.ANNiSPORT MA FO69&L'{KOP(NtlFS:MSRUGMB4 t5..T a:-]T,B aOBTDBI-aaoa .. Deslfal. i i . ,����. I i i i 't v s v c ice! lull M:��� AN EM NOR , UNION ®a�® 6 I m °I go a mom �� RIIIiI�NI� , IAR®6tl®tiAA A9®A!flfa ��� � �.m .Main®� ®p Ilse Eliltltllit� Ill-ill's JIMMIE _ _�� �® - a�llll! ON ,� IIltl�ll�fll I II �eM lion ��i� ;ev 810 DOE main �Illi IIIIII 1. Ill,� Ali��f lfiif;3��t�fla®� e TimberStfand LSL RIM BOARD - A:b U7 p f rm dtlOn on tercl - S I O prs refer to - - enC'7imber5trond -LSL W �T ilr me re ere ti,re - .F � 1 3/4 M( rollgm LVL may Oleo :f{.. •,a� �Nwo .be uo d 69 rim12 7 ' TYPICAL DETAIL®",EXTERIOR"WALLS ',\ u ', �oalLi d oy o i` In,ua�o mow p Bock block' Install tight to'top Nonge (tight : • • 0 r\ tb.b 'ttom nanf�e with foC aunt h g.rs). Attach M; ,.N. - O- \ \ rr v'{V LriO y���_ 0i;; with 10-10d (3).boat n II clinched hel,'possible. �� \ a o� z�uzSg�w'�o - . I. \ zAH cn 6 'F 11 r.blo k No!' th-wi 10-10G .. b it clinched l, n' 5nO Nl olaftreo.mV h10-18d aide with TJI Po L;__ _ 1 __ ' _ _ \�\ C/� a With't P /I 9. h ge..i. D. key 'b1ocN a..retl.only-when IooG..exceeds 250 pounde \ . 777 . . .. UTYPICAL DETAIL.O INTERSECTION of -_ `; - \ uoouBLE MEeERs _ ♦ i/ t \ q 8. o y� -MI r'allam. LVI:.P'a ra(IaR1 PSL Timb Strand'•LSL _ •r, ` i /" - �M€ g • � 1 � e ����q6 �s� � all a - BEARI ' - `. \Yeti,:9ti f.fen ecs - • - a .quired .. U 'IL'Lhe`aidoy of the,hahgec do. ...:- .. :0J ---- ,lat rol(y ,ppo t theTit, - •. .. - ' joist t p f/q g ,and P urrent O '' __� True Jol.t.MacMillan Iftera lure .p .0 : _ g '^ �_ _ �. - H A'T A.6' -- Z -' . UTYPICAL DETAILE L OF FLUSN:''FRAME' UAT'NICROLLAM LLI F LL U1 t L oa b-ot9.g ne H.aeidye Z F -: C wdu below)::. ,.Pc-e.te k a•,ar � Blocking Peael L' LUL.AM 50 TINru/.NAILING ' .. G WALL O TYPIEAL VL/G O_ :. 7%1 BEARIN,. .. . Ld MULTI.I$L.4,'6EAM5;. .. - .. 1 3z. (� - ' r•. Il l/.::T PR0260 W — . \ 1. .. .. 1.. W b tiffen -eguiretl I PO to :. ----yy.�•• b r{, e16e-Gt BTW N 10730 .. t, TYPICAL:-DETAIL 9-LOAD BEARING.WALLS -------- ------ a, ]ROWa of 1/]•pl BOLT. C'�0.0. rri ROB.O! T p e 110CT..p'O.G .. j Ina M1 11 1/.'TJI PR0760•4'O.C. 9 l/B'TJI RROtJ60 ` STRUCTURAL NOTES. ' ALL E%TE RIOR WINOOW:HE4DERS:TO BE 'MULTI 3 1/1.' BEAMS'' ,' '�' -• .. 3]XIO W/,'3•Il7 Co.FLITCH PLATES. '— --- -- UNLESS::OTHERWISENOT In t't HO;" ALL WINDOW NULLION8.7.0 BE 50{,JO i• Lm UNLF,,S@-OTHERWSI NOTED " r '...STEEL.BBArI.ENO6ARE'.3.1/].'GONG 0 . PILLBD;:S`IA' :LALLY..COLUNNS UNLESS OTHERW16E fieCn?- q-:r }'ROW.:OP lid W,A BOUT♦ •' NOTED.ACL'OT11HR PO@T9 TO.BE:' 1•+ 90LIs eXSERiOR'WALLB.-AND.. •rr oc ..._; 9041D'1X4.�oTeOW IM7e0g21,WALL NU S'UE85 .. � t oTHeRuxgE:-N - - r l A: _.. . .. z: y � : yr Is J. 13 Is-„ .. ., .: ., a ., -:. ... .. .. ... .... . ....:. .. .. .y- .... _ . .f .., - .. Now,s c o-, r.,,...t,z.,.:z..-a.,. ...,. �,. ..'-� .r aril.,.. .. ..�... .,. ,... . .,« ..- ,. :x, .. ..,:,, -. .. ,a-:-�,,.,..1»:.-:-'. .ir �a n•,;. r; . , ✓. __L,S_.,�"a� ., -.._. � , :. ,y 3 �'. ..x. „c.,.rif�•.. ..,. ::,. -,,. it ..... .... ...,. nt- .., .. ... ..... k � )ARAMOUNI Ir ENTERPRISES INC. LANDSCAPING A INWOOD LANE M 5 STAIF S TO NMI T _ E3UST NG G E D PROPO STA RCAS WITH 9 D STAIRS MEET KOCH RESIDENCE B .\ EMS GRADE 148 INWOOD 22' EXISTING WEST HYANNISPORT,MA c 5 20' DWELLING PR OSED RAISED I TERRACE PRQPOSED RAISED SEATING WALL ❑ 5 STAIRS TO MEET 9` EXISTING DRAFTED BY: GRADE MICHAEL CURADOSSI LAST MODIFIED:12/18/09 \ O0 SCALE:1"=16-0" VV v A L6.0 PERMIT PLAN p fo- ENTERPRISES INC. LANDSCAPING 40-T 32' 9" ........... .... . ..:..... _..®.® PL � . .�.�,.� .yam. . L .... E: ; BACK TERRACE KOCH RESIDENCE,. A SCALE 1 = 8-O 148 INWOOD WEST HYANNISPORT,MA HOUSE +TW 106 OUTDOOR DRAFTED BY: KITCHEN ivrELtmsroNEPwvERs +1035 MICHAELCURADOSSI . .� - T 1 a.o .Qa. •.°^•p p.. Qy. .apa.o a?a.o •°^6&ea• °; ;.Pa•o°.; - aPs•;.°e�o<Po �•;e Aa•: LAST MODIFTED:12/18/09 r°d'g?•Q :do- .de .r°dam :dp; r°a, .d, td, s°do.•.:a•,'° .d, :de* :dp*o.. :. ..:... ...... .1 -,t�.F-.. .._�; ..�-x�._ t.. :_:_:� ..i _1 ;:... ,.. ;...,.�;�_ .....,_�. .1 "'= `._:. =i,...;a-";1• 1 r•rfficwcssffi.vcsioNe WALL CAP SCALE VARIES SEE PLAN. r P.LP MNCRE7B STEM WALL - .: �•:I.. - Wna#4 BARS ._ ...: •�:. W MATNE PElLDSMNE - TO WALL WrM r4 EARS 16'P.I.P CONCREI8S1Pbf 12'PiP CONCRE78 POOlII40 AGGREGATE BASE . BACK TERRACE SOUTH L5.0 C-C SCALE 1"= 4'-0 " SECTIONS PARAMOUNT ENTERPRISES INC. LANDSCAPING a-T r.:�t �... _. _ 122 PL x y , In .®s .... BACK TERRACE -A SCALE 1' 4'-O" KOCH RESIDENCE 148 INWOOD -''-� u•rre. 103 lvrmlmroNEPAVERS WEST HYANNISPORT,MA 4.00NQILIESLAB AGGREGATE RASE k CM.0 FOUNDATION _ r +Iltl GRGLr=lw%W17H •4BAIIS --f ^J 17 P.LP CONCRETE FOOTING Q 5 :.� „_�e;•A.;r°b ,,• rse.� b,4..,. woGREGATEBASE DRAFTED BY. �$ - MICHAEL CURADOSSI SIDWGTOMAT®P.10STWG ON HOUSE ......_.............,__._... BACK TERRACE EMMISIWGPORa� LAST MODIFIE D.12/3/09 B-B SCALE 1'=T-O"' _..._........:......:..._ +19D .....:......:.....:......:..._:.....:.._,.... 3l4 MAHocvPCDECmmSGTDMATT>g SCALE VARIES SEE PLAN EX7SITNG _._J.......i .............. _ . PROPOSED AND 7000DE STAIRCASE .................. . ... - STAIRSMBE=WM HOUSE ERISMOSIRUCIURE +94.7 X +IM5 ' # n_ 21'-11• `. .soNonm 4ODNCRETE PL Will r ._AGGREGATE BASE � L5.0 BACK TERRACE BACK TERRACE DETAILS C-C SCALE 1'=4'-0" TID SCALE 1'=2'-0" � 3 ' i I — s } } ---Ak n MA�?'��. �F���� Su l S r Fr - • -- — • t 9 �AH '. ► 1'' ! �' t I A - 1 LjeAMIN �, r 10 rir i \ r w✓ 4}1 +77 i 1 { -- i RthR -------� _ � i 1 L._ 17.lt.. Wl 1 i 1, i ' � I t r f , , � f : 1 J f i / r i e 7 77 � 3 t i w ! 1 i I } 1 1t � i ��^`_='-�...,_:_...,._,.�:xs=-:�.:.�:�c- �._.s�-rssc�.r-g:-'�"'-�-•.�--^---'="x^-.._"-"--xr.-..�-.�e_-'_::.•-.z:._.s'�:a�cc.:.:���e ti tI i f i i a i s , Y • lb c� t t? A G: C1�. XX f Y5 F M IN:5It? .. � ...� .... .� ...... •. f... 1. : A 1.1 I I�� T � � 7 2$-�003 10 _ �pS 00 vn n 3� 4 ; x 3 - _ I I I 1 i I I � j F 3u _ I 40.00, 1 PARCEL AREA PLAN BOOK 187 PACE 19 / 108,610 SQuare Feet 2.49 Acre to Mean Htgh Water / CLEARED AREA 739 SF / I 0uMAsAf *` CLEARED AREA h o 152 SF CO JyS 'y u�R 103. r , aN 1 Al p j ,a 2, su CHAIN LINK FENCE CLEARED} AREA �....� 269 SF 1 I � � I STAKE SET 07-16-- 003 CEMENT BOUND FOUND w � � �IH _ t7t1 tt l COSTANC E J L1 N 17 7 45 j h i r T R AVER S E DRAWING ENCROACHMENTS ADDED 07--17-2003 C 0 N D R 0 N DRAWN DATE 2003--051ws.dwg jre 7-9--3 03--051.cr5 0 card APPROVED DATE 145 Harbor View St nb 7--15--3 W. Hyannisport SCALE SHEET PROJECT NO. 1 to 30' 1 of 1 2003 051