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' ' . , , , ;�!` �1!1 , , ­ I I'll ..- "I -,, ,�� -.',:�,-,-,!�:t,!�, .11, � 1;�At ,�t,�t'��-, �� ti",,, �,.".2"�I, , 1 �'.; ,w�i,�w,,,�:!,;'141��i ­�, �� 1:,'�` �11'�: I .,I � 11 I � , , a 2 ,f,,, --�: " � - - _ ,,..� � 0-, 009Y �j,1 4,qqs%_�,�,.,;.'�;;,��:,`,,��!:-,_�i ,.;,,': �, , i 1, , . ,�,�'. � �", ,7 ;��:,�!,;,�,,,;, �,-,,, �_,-�,��t,,:,,�: �� �...........�;���-.,',��,..It,:��,?''�:''��t, " , !�,i !!!!!!! ���...� "�I`,',� t, , " � - 1 ago, I'll KAKAU,if 1 "",Zz�,;�,,��,,'-,�,.�,�����,��; vt'��",��,�� �,,� f , _�I,,����."", ,��: list �1. - Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services. Fee. MASS. d . Richard V.Scali,.Director 163q. prEDMp�lb dk JJI2s1iN Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis;MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230. EXPRESS PERAUT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Jg z Z l 3 Properly Address= �d r 0�. Minimum fee of$35.00 for work under$6000.00 Residential. VaiueTof Work-$•.; . = �Ow er" Nam&Ad&Fss / �i L, . ✓✓ . l�/l�lr� Contractor's Name Telephone Number Home Improvement Contractor License#(if,applicable) Email: Construction Supervisor's License#.(if applicable) _ ❑Workman's Compensation Insurance Check one: ❑ I am.a sole proprietor ��)I am.the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp:Policy# Copy of-Insurance Compliance.Certificate must accompany each permit. Permit Request(check box) . . Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to %��✓!il f' r r,; Re-roof(hurricane nailed).(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. :Separate.Electrical&Fire Permits:required. ' *Where required: Issudhce'of.this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. . .__...-. A copy of the Home Improvement Contractors License.&Construction Supervisors,License is ... - require 5' �SfiGNAT QAW"PFILESTOR Wbuilding permit forms\EXPRESS.doc Revised 061313 r The_Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavits Builders/Contractors/Electricians/Plumbers Please Print Legibly Applicant Information. Q Name(Business/Organization/Individual)• Aar S �� City/Sta e Zip :>b` 3 Phone`#: c i, Are you an employer?Check the appropriate box '. Type of project(required) 1.�. I am a employer with 4 ❑ I.am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction-. 2.❑ I am'a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling ship.and have no employees, These sub-contractors have v . 8. [].Demolition_ option .PC� working,for me in any.capacity., employees and have workers' [No workers' comp.,insurance comp.ins,rrance# 9; Building addition re wired 5 [] We are a.corporation and its 10.F E q �. lectrical repairs or additions 3.K I am a homeowner doing all work officers have exercised their 11.F�Plumbing repairs.or additions. myself o workers'.com right of exemption per MGL y p. 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no , 13.� employees. [No,workers' Other comp:insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'.compensation policy information t Homeowners who submit this affidavit indicating they are,doing all work and then hire outside contractors.must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide thew workers'comp.policy number. I am an enTloyer that is providing workers'compensation insurancefor my enwloyees. Below is the policy andIob site information. Insurance.Company Name. Policy#or Self ins.Lic # Expiration Date " Job Site Address: City/State/Zip Attach a copy of the.workers'.compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage.m required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties.of a fine up to$1,500.00.and/or one-year imprisonment,;as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00.a day against the violator.,Be.advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 16 hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Sim = lV"0,/�� ��6 � 2-1 Date• hone*: Official use only. Do not write in this area,to be completed by city or town official City or Tw...... n. .. ..... _:.. -.... .... ...... _._._. Permit/License# Issuing Authority(circle one): 1.Board of Health'2..Building Department I City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:. Phone#: . . .Information and. Instructions W . Massachusetts General Laws chapter 152 requires all employers to provide workers compensation for their employees. M Pursuant to this statute, an employee is defined as"...every person.in the service of anotherfunder any contract"of hire, express or. plied,oral.or.written." ' association,corporation or oth legal..entity,or any two.or more An employer.�s defined as an individual,partnership,ass rp of the foregoing gaged in a joint enterprise,and including the:legal representative of a deceased employer,or the receiver or trustee of an individual,partnership;association or other legal entity,e PI oying employees. However the owner of a dwelling'house having not more than three apartments and who resi s therein,or.the occupant of the dwelling house of other who employs persons to do maintenance,constiuc n'or repair work:on such dwelling house•. �y'" or on the grounds or b�'ding appurtenant thereto shall not because of such ployment be deemed to bean employer:" MGL chapter 152; §25C( also states that"every state or local:licens' agency shall withhold the issuance or renewal:of.a license or pe 'it to operate.a business or to construct uildings in the commonwealth for any applicant who has not prod ced acceptable evidence_of complian' with the_insurance coverage required." Additionally;MGL chapter 15 ,'§25C(7)states"Neither the comet wealth nor any of its political subdivisions shall enter into any contract for the p ormance of public work until ac eptable evidence of compliance with the insurance requirements of this chapter.ha4e een presented to the contra g authority:" Applicants ' Please fill out the workers' compensatio affidavit comple ly,by checking the boxes that apply to your situation.and,if necessary,supply sub contra name(s ,address(es) d phone number(s)along with theircertificate(s)of insurance..Limited Liability Companies(LL F Limit d Liability Partnerships(LLP).with no employees:other than the members or partners,are not required to carry wo ers' compensation insurance. If an LLC or LLP does have "employees,a policy is required. Be advised that this davit maybe submitted to the Department of Ind ustrial coverage. e e sure to sign and date the affidavit. The affidavit should Accidents for confirmation of insurance ov g � 1� be returned to the city or town that the.application f r thep it or license is being requested;not.the Department of Industrial Accidents. Should you have any questio re gar the law or if you are required to obtain a workers' compensation policy,please call the Department t the number 'sted below. Self-insured.companies should enter then"" self-insurance license number on the appropriat line. . City or Town Officials Please be sure that the affidavit is,complete d printed legibly. Th e artment has provided a space at the bottom of the affidavit for.you to fill out in the event the Office of Investigations to contact regarding the applicant. Please be sure to fill in.the permit/license n1'imber which will be used asr erence number. In addition,an applicant that must submit multiple permit/license pplications in-any given year,need ,mx submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant <uTdwrite"all locations'in (city or town)."A copy of the affidavit that has?been officially stamped or marked by the�ity qr town may be provided b the applicant as proof that valid affidav4hs on file for future permits or licenses. A n w affidavit must be filled out each year.Where a home owner or citizen is obtaining,a license or permit not:related to an business or commercial venture (i.e.a dog license or permitto burn leaves etc.)said person is NOT required to complet `this affidavit.- The Office of Investigations would like,to thank.you m advance for your cooperation and sh d 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 f 600 Washington Street Boston,NIA 02111 Tel,#617-727-4900 ext 406 or -877-MASSAFE Fax#617-727-7749 Revised 4-24-07 g wwwMasS. ovldia Town of Barnstable Regulatory Services �oF TOtyy Richard V.Scali,Director Building Division sartivsTnsre. Tom Perry,Building Commissioner �9. `�$ 200 Main Street, Hyannis,MA 02601 ArED ors www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �r JOB LOCATION: Q!Y. O L/� ���(� gU Chi•- ! dn UI GG number Gsheet village, �q 50 2— name home phone# y work phone# CURRENT MAILING ADDRESS: �T city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of sic units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes_responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ r The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedure-przd requirem is and that he/she will comply with said procedures and requirements. Sign re of K,_o/rneo�er 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 &ReguIations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor: On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 THE r Town of Barnstable Regulatory Services MANSTy BM M ss. Richard V.Scali,Director o;9. 1% BuiZABuilder is'on Tom Perry ssioner 200 Main S ,MA 02601 www. ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Propeer Must Complete a This Section If Uuilder S S as Owner of the subject property hereby authorize to act on my behalf, e� in all matters relative to work autho\ d by this building permit application for: (Ad ss of ob) Pool fences and alarms ar the resp nsibihty of the applicant. Pools are not to be filled or u ' d before &pce is installed and all final inspections are perfonn and accepted. Signature of Owner Signature AApplicant i Print Name Print Name 1 Date (� 1 Q TORMS:O WNERPERMIS SIONPOOLS f Bk 28508 Ps233 0-52819 11-14-2014 a1 02=07P MASSACHUSETTS STATE EXCISE TAX Return to: BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 11-14-2014 a 02:07am Topouzis&Associates, P.C. Fee' $564.30 Cons!ll: 1062 3165vOOO.10 595 Jefferson Blvd Warwick, Rl 02886 File No. 2013101379E BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY. REGISTRY OF DEEDS Date: 11-14-2014 a 02:07am Ctl:: 1062 Doc': 52819 Fee: $445.50 Cons: $165,000.00 QUITCLAIM DEED CP-SRMOF 112012-A TRUST, BY U.S. BANK TRUST NATIONAL ASSOCIATION, NOT IN ITS INDIVIDUAL CAPACITY BUT SOLELY AS TRUSTEE, ("Grantor")with an address of 9990 Richmond Avenue South, #400, Houston,TX 77042, in consideration of ONE HUNDRED SIXTY FIVE THOUSAND AND 00/100 DOLLARS ($165,000.00), grants to ADILSON RUBIO, as SOLE OWNER("Grantee")with an address of 888 Old Stage Road, Centerville, MA 02632, with QUITCLAIM COVENANTS, The land and buildings located at: 888 Old Stage Road, Centerville, MA 02632 and being more particularly described premises: See Exhibit A attached hereto and made a part hereof Subject to real estate taxes for the current fiscal year, which are not yet due and payable. The Grantor herein certifies that the premises do not constitute all or substantially all of its i assets situated in the Commonwealth of Massachusetts and that the transfer is being made in the ordinary course of the grantor's business. For Grantor's title see deed recorded with the Barnstable County Registry of Deeds in Book 27923, Page 596. For signatory authority see Power of Attorney recorded in Worcester County Registry of Deeds in Book 52576, Page 184, 4A4 (a 8-aPA,i-4611la Dee4 Xook a$166, P4 e 236. M Old stage Road,cenWfl%MA 02032 3 Bk 28508 Pg234 #52819 , Witness the execution this day of �U V I . CP-SRMOF II 2012-A Trust, by U.S, Bank Trust National Association, not in its individual capacity but solely as Trustee, by Selene Finance LP as Attorpey in Fact BY: 01 Dan Sh mmin its Settiar ViCe president i i I I STATE OF: Tons COUNTY OF: "gels On this day of 201 before me, personally appeared Dan Shimmin of Selene Finance LP as attorney in fact for CP-SRMOFII 2012-A TRUST, BY U.S. BANK TRUST NATIONAL ASSOCIATION, NOT IN ITS INDIVIDUAL CAPACITY BUT SOLELY AS TRUSTEE,to me known, or proved to me through satisfactory evidence of identification, which were Senlor Vice President to be the person who executed the foregoing instrument on behalf of CP-SRMOF II L 2012-A TRUST, BY U.S. BANK TRUST NATIONAL ASSOCIATION, NOT IN ITS INDIVIDUAL CAPACITY BUT SOLELY AS TRUSTEE and acknowledged that he/she executed the same as the free act and deed of said CP-SRMOF Ii 2012-A TRUST, BY U.S. BANK TRUST NATIONAL ASSOCIATION, NOT IN ITS INDIVIDUAL CAPACITY! BU*ryP Y AS TRUSTEE. �nrYw�c oblic CQNSTANCE R ]Explres I Ply Commission December 7, S9�C OF�O� BBB OBI St pe(Lead,CBMeMfle,MA OM Bk 28508 Pg235 #52819 EXHIBIT A The land together with the buildings situated thereon in Centerville, Barnstable County, Massachusetts, bounded and described as follows: Lot 2 Old Stage Road, as shown on a plan of land entitled, "Plan of Land in Barnstable, Centerville, Mass.,for Franco Real Estate Development Company, Inc., Scale: I" =50',August 16, 1978" which plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 327, Page 26. Property Address: 888 Old Stage Road,Centerville,MA 02632 A BARNSTABLE REGISTRY OF DEEDS Jahn F. Meade, Register Bk 2 r'9?'8 Po 3 0546 01-07-201 4 & 02 % 45P DEED IN LIEU OF FORECLOSURE KNOW ALL MEN BY THESE PRESENTS, that 1, ALICIA M TAYLOR, A SINGLE WOMAN of P.O. Box 42, West Barnstable, MA 02668 for consideration of forgiveness of debt in the amount of No Dollars and No Cents ($0.00) Dollars, does hereby GRANT to CP-SRMOF li 2012-A TRUST, U.S. BANK TRUST NATIONAL ASSOCIATION, NOT IN ITS INDIVIDUAL CAPACITY BUT SOLELY AS TRUSTEE, of 9990 Richmond Ave., Ste 400S, Houston, TX 77042, with QUITCLAIM COVENANTS the following described property: See Exhibit A attached hereto and made a part hereof This deed and conveyance is given in lieu of foreclosure of the mortgage given by ALICIA M TAYLOR, A SINGLE WOMAN to Bank of America and its successors and assigns dated 02/1612007, and recorded at Barnstable Registry of Deeds in Book 21797, Page 17, of which mortgage the Lender is the current holder by assignment as shown in the public records. The grantor/s hereby state/s and acknowledge/s that he/she/it/they voluntarily entered into this transaction with the express intention of vesting absolute title in the said Grantee. The consideration of the deed is the cancellation of the above described mortgage and any and all the indebtedness secured thereby (present balance $270,303.01), given by ALICIA M TAYLOR, A SINGLE WOMAN to Bank of America and its successors and assigns heretofore existing on and covering the above described premises., For prior title reference see deed recorded at Book 14101, Page 84. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Data_: 01-07-2014 & 02:45am CtU: 896 Doc': 596 Fee_: $925.11 Cons: $270t3O3.01 NARNSTABLE. COUNTY EXCISE TAX FARNSTABLE COUNTY REGISTRY OF DEEDS Date, 01-07-2014 a 02-'0pm Cti�: 896 Doc:': 596 Fee.' $730,35 Cons. $27OF343.01 2013101379 _ Property Address: 888 Old Stage Road,Centerville,MA 02632 ` t Bk,.•2 7 92 3 Pg4 #5 9-6 IN WITNESS WHEREOF, the said ALICIA M TAYLOR, A SINGLE WOMAN has cau ed this to be signed, acknowledged and delivered in his/her/their name/s and behalf this W-18 2013. Alicia M Taylor STATE OFt�S%:Ss COUNTY OFGyUrY_�a1�..Q�R 01 01 , 2013 On this •--� before me, the undersigned notary public, personally appeared ALICIA M TAYL R, proved to me through satisfactory evidence of identification, which was N&1U' it�S Ls,f , to be the person/s whose name/s is/are signed on the preceding or attached document, and acknowledged to me that he/shert/they signed it voluntarily for its stated purpose. CA, ��••, Seal tary Public = ;'4 46 '`1H o���,,•�. ' My commission expires: 'w �A1i0���'• •aJ USA M.OEfOflA hY. 01 P -+NN...N•N••• OW Co n.issNf»Ex�bu,Feb 10•E017., 09-051553/rCO2 Property Address: 888 Old Stage Road, Centerville,MA 02632 Y Bk 27923 -Pg5 #596 EXHIBIT "A" File No. 2013101379 The land together with buildings situated thereon in Centerville,Barnstable County,Massachusetts,bounded and described as follows: Lot 2 Old Stage Road,as shown on a plan of land entitled,"Plan of Land in Barnstable,Centerville,Mass.,for Franco Real Estate Development Company,Inc., Scale: 1"-50',August 16,1978"which plan is duly filed with, the Barnstable County Registry of Deeds in Plan Book 327 at Page 26. Property Address: 888 Old Stage Road Centerville_, MA 02632 192/213 Bk 27.923 Pg6 #596 .. STOPPEL AFFIDAVIT OF GRANTOR GIVING DEED IN LIEU OF FORECLOSURE 0,7w s , ss 'a3 , 2013 I, ALICIA M TAYLOR, A SINGLE WOMAN of P.O. Box 42, West Barnstable, MA 02668, being duly sworn, deposels and say: That I/We am/are the same person/s who made, executed and delivered a certain deed to CP-SRMOF II 2012-A TRUST, U.S. BANK TRUST NATIONAL ASSOCIATION, NOT IN ITS INDIVIDUAL CAPAC TY BUT SOLELY AS TRUSTEE, which deed is dated conveying the following described property, to wit: See Exhibit A attached hereto and made a part hereof That the aforesaid deed was an absolute conveyance of the title to said,premises to the grantee names therein in effect as well as form, and was not and is not now intended as a mortgage, legal or equitable, trust conveyance, or security of any kind, and that possession of said premises will be surrendered to said grantee free of all occupants; that all debris and personal property will be removed and that the premises will be broom clean; that the consideration for the aforesaid deed is the full cancellation of a certain mortgage heretofore existing on the property above described given and executed by ALICIA M TAYLOR, A SINGLE WOMAN to Bank of America, "Lender"; and its successors and assigns dated 02/22/2007 and recorded with the Barnstable County (Barnstable District) Registry of Deeds, in Book 21797, Page 17, and the cancellation of record by said grantee of said mortgage and any and all indebtedness secured thereby (present balance $270,303.01), and the delivery to the affiant of the Note duly cancelled, receipt of which said cancelled Note is hereby acknowledged. That the aforesaid Deed was intended to be and was an ABSOLUTE CONVEYANCE of the title to said premises to the Grantee named therein, and was not and is not now intended as a mortgage, trust, conveyance or security of any kind; that it was the intention of the said Grantor in said deed and by said deed said Grantor did convey to the grantee therein all of his/her right, title and interest absolutely in and to said premises; that possession.of said premises has been surrendered to the grantee. That the aforesaid deed and conveyance was made by the deponents as the result of his/her/their request that the grantee accept such deed and was his/her/their free and voluntary act; that at the time of making said deed the deponents felt and still feel that the mortgage indebtedness on said property represented more than the fair value of the property so deeded and that said deed was not given as a preference against any other creditors of the deponent; that at the time it was given there was no other person or persons firms or corporations, other than the grantee herein named interested either directly or indirectly in said premises, that the deponents is/are solvent and has/have no other creditors whose rights would be prejudiced by such conveyance, and that the Property Address: 888 Old Stage Road,Centerville,MA 02632 2013101379 ` Bk 27923 Pg7 #596 deponents in offering to execute the aforesaid deed to the grantee therein, and in- executing same, wastwere not acting under any duress, undue influence, misapprehension or misrepresentation by the grantee in said deed, or the agent or attorney or any other representative of the grantee in said deed, and that it was the intention of the deponent/s as grantor in said deed to convey to the grantee therein all his/her/their right, title, and interest absolutely in and to the premises described in said deed. The affidavit is made for the protection and benefit of the aforesaid grantee in said deed, its successors and assigns, and all other parties hereinafter dealing with or who may acquire an interest in the property described herein, and shall bind the respective heirs, executors, administrators and assigns of the undersigned. That affiant has executed this affidavit each individually. Alicia MTaylor —� STATE OF COUNTY OF 3, 2013 On this 201.3, before me, the undersigned notary public, personally appeared ALICIA M TAYL R, A SINGLE W MAN, proved to me through satisfactory evidence of identification, which was. �5�JLLLS I 1 C- , to be the person/s whose names is/are signed on the preceding or attached document, and acknowledged to me that he/she/they signed it voluntarily for its s ed purpose. Seal tary Public My commission expires: p AISA Y.DETORA 00 1. ... ` E1n.r�•01 201.7. �., ''�1.N . ':�`,\g Property Address: 888 Old Stage Road,Centerville,MA 02632 2013101379 t i a Bk 27923 Pg8 #596 EXHIBIT "A" Fife No. 2013101379 The land together with buildings situated thereon in Centerville,Barnstable County,Massachusetts,bounded and described as follows: Lot 2 Old Stage Road,as shown on a plan of land entitled,"Plan of Land in Barnstable,Centerville,Mass.,for Franco Real Estate Development Company,Inc., Scale: 1"-50',August 16, 1978"which plan is duly filed with the Barnstable County Registry ofDeeds in Plan Book 327 at Page 26, Property Address: 888 Old Stage Road Centerville, MA 02632 192/213 BMSTABLE REGISTRY OF DEEDS r, Town of Barnstable *Permit#c266 X-PRESS PERMIT Expires 6 months from issue date ]regulatory Services Fee' A aS.®0 5 JUL 22006 Thomas F. Geiler,Director OF BARNSTABLE Building Division TOWN Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid witho ut Red JC Press Imprint Map/parcel Number \C\ A Property Address S-?��_ �� ��� C residential Value of WorhAl_\ �(! Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addresses c yam\ Contractor's Name Telephone Number " CL&-7)-14-4-61- P-4gI Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) (� . ❑Workman's Compensation Insurance Check one:. ❑ I am a sole proprietor W I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name CC 11lc Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) gKe-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNAT€.TRE: Q:Forms:expmtrg Revise071405 .........----------------..__.- . . 1 ne t,ommonwealrn of lnussucnuseic� Department of Industrial Accidents Offce of Investigations 600;Washington Street Boston, MA 02111 ,.•�y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluffibers Applicant Information 1 Please Print I_,egibly Name (Business/organization/Individual): r - Address h © (� Sf City/State/Zip:e-n e r 1 2 Phone#: r Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑New construction employees (fall and/or part-time).* have hired the sub-contractors ;� Remodeling 2. 1 am a sole proprietor or aT+iIIer- listed on the attached sheet t ® g ❑ P P P - ship and have no employees These sub-contractors have/ S. ❑ Demolition working for me in any capacity. workers' comp.insurance:' g. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions r d.] officers have exercised their 3. I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no l2.U4t6bf repairs insurance required.] t employees. [No workers' 13 ❑ Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.' .t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contactors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,pob site information. w Insurance Company Name: i Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. t I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. �\ \ � Si �-signature: � �— Date.: C Phone#:k — iAj L Official use only. Do not write in this area,to be completed by city or town official. 1 City or Town: Permit/License Issuing Authority(circle one): 1_Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 41 6. Other Contact Person: - Phone#: Information and I structi®ns Massachusetts General Laws chapter 152 requires all employers to ov'de workers' compensation for their employees, Pursuant to this statute, an employee is defined as"...every perso the service of another under any contract of hire, express or implied, oral or written." mployer is defined as "an individual,partnership, associa n, corporation or other legal.entity, or any two or more of the\an ing engaged in a joint enterprise, and including a legal representatives of a deceased e�loyer, or the receivtee of an individual,partnership, association r other legal entity,employing employees. However the owner lling hous a having not more than three ap ents and who resides therein, or the occupant of the dwellise another who employs persons to do m ' tenance, construction or repair work on such dwelling house or on tunds building appurtenant thereto shall because of such employment be deemed to be an employer." MGL r 152,§2 (6)also states that"every stat or local licensing agency shall withhold the issuance or . renew license or ermit to operate a business r to construct buildings in the commonwealth for any applicho has not p duced acceptable eviden a of compliance with the insurance coverage required." Additi ,MGL chapter 2, §25C(7)states"Nei er the commonwealth nor any of its political subdivisions shall enter iy contract for the ormance ofpubli ork until acceptable evidence of compliance with the insurance regt� of this chapter have en presented to a contracting authority." Applicants Please fill out the workers' compensation a davi completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),a s(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)o imited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry wok ' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that , is a davit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverag . Also we to sign and date the affidavit. The affidavit should be returned to the city or town that the applicati for the p 't or license is being requested, not the Department of Industrial Accidents. Should you have any qa ions regarding a law or if you are required to obtain a workers' compensation policy,please can the Departure at the number li below. Self-insured companies should enter their self-insurance license number on the appropria line. City or Town Officials . Please be sure that the affidavit is complete � printed legibly. The Department as provided a space at the bottom. of the affidavit for you to fill out in the event e Office of Investigations has to con ct you regarding the applicant Please be sure to fill in the permit(license n er which will be used as a reference n ber. In addition,an applicant that must submit multiple permitgicense app . ations in any given year,need only submit ne affidavit indicating current policy information(if necessary)and under" b Site Address"the applicant should write" locations in (city or town)."A copy of the affidavit that has been ffcially stamped or marked by the city or town y be provided to the applicant as proof that a valid affidavit is on a for future permits or licenses. A new affidavit ust be filled out each year.Where a home owner or citizen is obta',. g a license or permit not related to any business or mmercial venture (i.e. a dog license or permit to burn leaves et )said person is NOT required to complete this affida The Office of Investigations would like to th you in advance for your cooperation and should you h e any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston; MA 02111 Tel. 617- 27-4900 ext 406 or 1-877-MA SSAFE Fax r 617-727-7749 Revised 5-26-05. vrw-w.mzss.zov/m-a Town of Barnstable v°fTHc Fps, . Regulatory Services s asu►B Thomas F.Geiler,Director ' v as,►ss, $ Building Division. Tom Perry, Building Commissioner 200 Main Street Hyannis,MA`02601 www.town.b arnstabl e.ma.us )ffice: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and $ign This Section. •If Using A Builder as.Owner of the subject property k hereby authori 11 � to act on my behalf, 1n all matters relative to work authorized by this bunding permit application for. (Address of Job) lgnature of Owner Date Pant Name Q-.F03LMs:0WN FTEP- 1Ms10N Town of Barnstable *Permit# Expires 6 months from issue date X.-PRESS Regulatory Services Fee PERMIT Thomas F.Geller,Director JUL 2 5 2006 Building Division, Tom Perry,CBO;" Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - -RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0/3 Property Address ©� o Residential Value of Work Minim/um fee of$25.00 for work under$6000.00 Owner's Name&Address e` C 17g 0 . M/fYz' °T — G O Contractor's Name e O Telephone Number Home Improvement Contractor License#(if applicable) Construction pervisor's License#(if applicable) orkman's Compensation Insurance <,. Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Cfollvg,�,'c,� �?f� Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(ch x) p-� Re-roof(stripping old shingles) All construction debris will be taken to �Pyi l t r'A ST D 9 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this pemit does not exempt compliance with other town-department regulations,.i.e.Historic,Conservation;etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Fomis:expmtrg Revise071405 Tk �omnr�uuea a�. aaaaac�u BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR k NumbF;,G.S 050641 i BIr �k4x8/1941 . Bx I 44X I812007 Tr, no: 22142 R sty k, WILLIAfvi M ARM��( � 17 LINDEN ST HYANNIS, MA 02fp Commissioner � I I '1 1 ne i,ommonweatrn of lnussuvnuseew� Department of Industrial Accidents 93 k.Off ce of Investigations ' 0 600 Washington Street Boston, MA 02111 www.mass.gov/dia y Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluffibers Applicant Information . Please Print Legibly r Name (Business/organization/Individual): , 112o Address:_ / : ',41Z),evV S/ City/State/Zip: - /e. �✓�<` D � Phone#: Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I e eesfull and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 05• ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.7 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.2 oof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13 ❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site - information. - Insurance Company Name: Policy#or Self-iris.Lic. #: Expiration Date:_'/3 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 15.2 can lead to the imposition of criminal penalties of a fine up to$1,500•.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day-against the violator. Be advised that a copy of this statement may be forwarded to the Office; of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperju`hit the information provided above is true and correct Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by c y or town official. City or Town: Peru i'it/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk e.Electrical inspector 5.Plumbina lnspertor 6. Other Contact Person: Phone#: ` Information and Instructions ,. Massachusetts General Laws chapter 152 requires all employers to vide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person' the service of another under any contract of hire, express or implied,oral or written." An employe 10 efined as "an individual,partnership, asso ' tion, corporation or other legal.entity, or any two or more of the foregoing aged in a joint enterprise, and includin the legal representatives of a deceased employer, or the receiver or trustee o individual,partnership, associatio or other legal entity, employing employees. However the owner of a dwelling h us a having not more than three a ents and who resides therein, or the occupant of the dwelling house of anoth who employs persons to do aintenance, construction or repair work on such dwelling house or on the grounds or bull g appurtenant thereto shall t because of such employment be deemed to bean employer." MGL chapter 152;§ZSC(6) o states that"every st a or local licensing agency shall withhold the issuance or . renewal of a license or peruu to operate a busin s or to construct buildings in the commonwealth for any applicant who has not produce acceptable evid ce of compliance with the insurance coverage required." Additionally,MGL chapter 152, § C(7)states"N 'ther the commonwealth nor any of its political subdivisions shall enter into any contract for the perfo ce of pub work until acceptable evidence of compliance with the insurance requirements of this chapter have be resented , the contracting authority." Applicants Please fill out the workers' compensation a a 't completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),ad ess(es)and phone number(s)along with their certificates) of insurance. Limited Liability Companies(LLC) invited Li6ility Partnerships(LLP)with no employees other than the members or partners, are not required to carry rk ' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised tha this a, davit may be submitted to the Department of Industrial Accidents for confirmation of insurance covera e. Also a sure to sign and date the affidavit. The affidavit should be returned to the city or town that the applica n for the 't or license is being requested, not the Department of Industrial Accidents. Should you have any qu ions re gar the law or if you are required to obtain a workers' compensation policy,please call the Departure t at the number below. Self-insured companies should enter their self-insurance license number on the appropri a line. City or Town Officials . Please be sure that the affidavit is complete printed legibly. The Dep ent has provided a space at the bottom of the affidavit for you to fill out in the event a Office of Investigations has contact you regarding the applicant Please be sure to fill in the petmit/license n er which will be used as a referee number. In addition,an applicant that must submit multiple permitgicense app ations in any given year,need only mit one affidavit indicating current policy information(if necessary)and under ' ob Site Address"the applicant should a"all locations in (city or town)."A copy of the affidavit that has been fficially stamped or marked by the city or t may be provided to the applicant as proof that a valid affidavit is on ile for future permits or licenses. A new a a ' must be filled out each year.Where a homeowner or citizen is ob ' g a license or permit not related to any busines r commercial venture (i.e. a dog license or permit to burn leaves a .)said person is NOT required to complete this affid The Office of Investigations would hike to the you in advance for your cooperation and should you ha e any questions, please do not hesitate to give us a call. The Department's address, telephone and fax umber: The C onwealth of Massachusetts Dep ent of Industrial Accidents face of Investigations 6 0 Washington Street stop, MA 02111 Tel. T 617-727-4900 ext 406 ai 1-877-MASSAFE Fax+; 617-727-7749 Revised 5-26-05 ww v r.mass.4oy/dia 6241 CUSTOMER'S ORDER NO, DEPARTMENT DATE NAM s AD E �� CITY STATCE,ZIP r SOLD BY C SH. C.O:D. CHARGE ON ACCT. MDSE REl D PAID OUT QUANTITY- ... DESCRIPTION PRICE:, AMOUNT 1 2 3 W� �� HIr 4 , o 5 o ® Co 7 cye 8 Al i 9 d � 10 13 14 15 a i 16 17 l 18 � 19 RECEIVED 8 I %OROC 05 KEEP THIS SLIP FOR REFERENCE ORIGINAL i Ci Greenbrier Development Corp. P.O. Box 510 Centerville, Massachusetts 02632 617 771 3616 April 1, 1987 Board of Selectman Town Of Barnstable Hyannis, Mass. 02601 Dear Board Of Selectman, Pursuant-to-a-l-e-t.ter da-ted-,o-f-March 3OTl987 from the Building Inspector, regarding_888 Old Stage Road, Centerville,-r-elative to it being used as a cons tructior.-office, pleasee a bdvsed-that we are presently building a new office building in front of H & K Bakery on Rt. 28 Centerville. Upon its completion, hopefully in July, we will be moving tc that location permanently. We would like to remain at 888 Old Stage Rd. on a temporary basis until our new office is completed. In the meantime we will make every effort to keep the cars and trucks to a minimum as one would expect in a residential area. We thank you for your anticipated cooperation and appreciate your feelings and rest assured that if we can move any sooner we surely will do so. Since i rely, William E. Dace III Y President cc:Building Inspector SENDER.Complete items 1 and 2 when additional services are desired,and complete items 3 and 4. I Put your address in the"RETURN TO"space on the reverse side.Failure to do this will prevent this card from being returned to you.The return receipt fee will provide you the name of the person delivered to and the date of delivery.For additional fees the following services are available.Consult postmaster for fees and check box es)for additional service(s)requested. 1. ❑ Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery. i 3.Article Addressed to: 4.Article Number P 620 564 002 Mr. William Covell Tyoeaaf Service: j Greenbrier Corp. ❑ Registered ❑ Insured . P.O. Box 510 ❑ Certified ❑ COD ❑ Express Mail Centerville MA 02632 $ ' Always obtain signature of addressee or agent and DATE DELIVERED. 5. 'gna re—Add r ss 8.Addressee's Address(ONLY if requested and fee paid) 6.Signature-A t X 7.Date of Delivery PS Form 3811,Feb.1986 DOMESTIC RETURN RECEIPT + I I UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address,and ZIP Code in the space below. •Complete items 1,2,3,and 4 on the reverse. U® •Attach to front of article if space C permits,otherwise affix to back of article. PENALTY FOR PRIVATE •Endorse article"Return Receipt USE, $300 Requested"adjacent to number. RETURN Print Sender's name,address,and ZIP Code in the space below. TO Mr. Joseph DaLuz, Building Commissioner I Town of Barnstable ` 367 Main Street I U I Hyannis, MA 02601 - - I t JOSEPH D. DALuz TELEPHONE: 775-1120 Building CommissionerEXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 March 30, 1987 Mr. William Zovia.j Greenbrier Corporation P.. O. Box 510 Centerville, MA 02632 Re: 888 Old Stage Road, Centerville Dear Mr. Covell: . This letter is to confirm the conversation we had in .my office on Friday, March 27, 1987 relative to the operation of a construction office at the above address. I am sure you clearly understood the issues of zoning and the ramifi- cations should you disregard the conclusions. As agreed upon, you have thirty (30) days beginning Friday, March 27th to remove all references of. a business at this location. May I also inform you that businesses are not permitted in any resi- dential area. I trust that legal action will not be necessary. But, should you fail to abide by our agreement of March 27th this office will certainly be accomodating. Peace, i J 'seph D. DaLuz uilding Commissioner JDD/gr . cc: Board of Selectmen Certified- mail P. 620 564 002 R.R.R. o�•TM E ro '"�.Y � c ����T/r/rl.Gl�G��e,�(�i i HAH119TIHLE, i rAds. 36 7 Kin Street, Jd unnie, V m. 02601 y �. TO: Joseph DaLuz, Building Commissioner FROM: The Board of Selectmen SUBJECT: Zoning - Old Stage Road Correspgnde.nce from Robert R. Whelan DATE: March 23, 1937 The Board would appreciate your comments regarding the attached correspondence. a 1 .10 s � A 69 Robert R. Whelan 1310 Old Stage Road crev West Barnsta$e Massachusetts 02668 Jf S.,a�trcn's Cifice AA A��4 t Z, {-4 k i i R 91 j tt4k MV� fl,t s AMtc A Q h4, 6wo.'t lvu�b� ItAll OL � � 1 Ccot XAA- , J,4 tu Q (low� u?+� �i� �.[ Ldluk db45 V f- KVA AAA- MAk JV J JAZ- J1dun r u. &'A c- !�G►,�2 S Svcs, ��cic s lT�-� �� � ! cw Flo . 4 k j r ' f L44 Uiouk �D ate IMF. Rwcu.K � 7, 4o h,(- d-3 wdu� vork Ao /� I`�����•,t/Mg�i6�le Farm"Crape Cod,Mass ehuset/®.Ul (M'^J, (617) 428-6047 \•VI{�1�W '►(lA• �c � E� U s (`O ✓ b4 1 � aA4A el C�t - 6AUt &4AI ��...�..� ' 'VUOJA)S . eu nA t 3� . f4 eT �w A.4 aw 2 Hobert R . Whelan 1310 Old Stage Rd . West Barnstable, Massachusetts 02668 February 16, 1987 Dear Mr . Bartell , It is 3 months since I wrote to you regarding the premises of 888 Old Stage Rd . , Centerville . I have not had the favor of a p reply nor has any appropriate action been taken . d The apparant illegal and unlawful use of this residential building , located in the center of a residential zone, continues without abatement . Cars, pick--ups , vans and trucks' flow in and_ out throughout the week: days - on both sides of the road . Constituents in the area are now telling me that the house is I being used as a general office or headquarters by large I builder(s) developer(s) , possibly connected with the Daceys . If N so, they have enough money to get an office in a proper zone. We cannot let commercialism intrude into a residential zone . ' I don't care how powerful the owners are , more so that they should obey the law. I I trust this time I shall not be ignored . Very truly yours, I Robert R. Whelan , Esq . I ' N N ' N - I N r N { i Assessor's office (1st floor): SEPTIC SYSTEM MUST EE p - �� STALLED IN comp IA Q f THE tp�♦ Assessor's ma and lot number . ......�. ...�...... .... ! Board of Health (3rd floor): WITH TITLE 5 Sewage Permit number .:........ IVIRONMENTAL CODE $BSTAIME, MA8 a a. ! REGULA � 639Engineering Department (3rd floor):House number ................................. 0 . eye MAI APPLICATIONS PROCESSED 8:30-.9:30 'A.M. and 1:00-2:00 'P.M. only r` TOWN . OF BARNSTABLE BUILDING INSPECTOR y . � ' 11r. APPLICATION FOR PERMIT TO t...:. C��r, ............ TYPE OF CONSTRUCTION .......... ��(j. �/�r� .1..................................................................... w :��.. �. . 9........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit/aac ording tot f Ilowing information: Location ........... U ..... ... ........S ....�y. ... . ... :.......4....0 `•C_••w/. .tr..................................... n . Proposed Use ..................................��. ... ... ....`'�-:..............�f....�z : Zoning District ...........................:........................... Fire District ........ ..... . .....Address ...... .... e........ Name of Owner .....� ���� � .1. .G ...CC?.Ce ! ..,. ., ... �� Nameof Builder ...... � .'................:......................Address ..........................................................'.......................... Name of Architect ............. (. ....... '!�%!/'.....................Address ......... ....... Gv....).5........,.. Number of Rooms ........................... .............. .................... ..Foundation .....P ......... .. . Exterior ...... .. ..(. ... f .. .� .... >^. . oofing ....... /:. ...... ��. ...... ?. .. .................. -.... Floors �.C�.SrS, .P... ....... ......interior ............................ ............................... jHeating ..........................Plumbing ............................ -------------- .......U\ . .......................................... .........................Approximate Cost ....... O 690 Definitive Plan Approved by Planning Board --------------------------------19'__------ . Area .............................................................._...... Diagram of Lot and Building with Dimensions Fee�ff .......... ......................... SUBJECT TO APPROVAL OF,BOARD OF'HEALTH I X i2 13�7& I ou f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............q, ........ ... Construction Supervisor's License ...Qlt... ... GREENBRIER CORP. ITION No ....296.8.8-i Permit f6r-..AD�D' ..........o.............. . ,,Breezeway„&+ Garage /�-i.n.gle F.a i 1 y Dw. Location .....8.8.8...0.1.d...St��Zi�..R -d n --g Fa i y Du 0 d . ............ ......... . ...................Centerville .. ......... ...............................4 ................... Owner .... Greenbrier..Cor . .. .............. Type of Construction ....Frame...................................... ............................................................................... ................. Lot ................................Plot ....... July 22., 86 Permit Granted ..... ......... .......................... 19 Date of Inspection ....................................19, Date Completed ..................... ..........7...1 T zv;P✓� Te G d " Y /OD �LvTrrrlTTt! �p� J r IF Ti!3 AC .a Nu.r A 5SU/0 <' z i'T 2'! �z Oe lI \ \ 4. 3b7 LEGE'"D EXISTING SPOT ELEI,,�TION OxO CERTIFIED PLOT ���N 9XIDTING Ca 1T'OUR O .. .�.r IN FINISHED SPOT ELEVATION FI�9tSI EF) CONTOUR 0 ------ 888 o�D �T��=� NOTE: The location of any existing underground sewerage, - wells, or other uti.l -ties shown on t; is plan zs approx- imate only as de-'erm1ned from records and/or verbal 0 a �+�, ♦e� ir.:formation. The . ontractor is responsible for the 31 �� 1 8� verification of the existinglocations in the field. �_ IZets�� �/ z�� $CALE� / —30 DATE a 4/z.��s I LEVY & -)REDOE P,1-SOCIATES, INC. CLIENT 1 CERTIFY THAT THE PROPOSED J013 NO. B�� s9 BUILDING SHOWN ON THIS PLAN ENGINFERs_�.AN5Xo A?EAPCHITECTs CONFORMS TO THE ZONING -t.AWS �s.�2�sN ns �at�e suave roAs DR.®Y� �•A.. ��. _ T E , 712_MAIN STREET mays 0 �ARIVS MASS _r I.4 Y A N Il! I IlA A$S. - SHEET_L OF DATE REG. LAND SuR OR 3 4ss&sWr's map and lot.nu �.- 9Q ` !�� •SEPTIC SYSTEM °���ET°� . o Sewage Permit number ....... ............................................... STEM MUST INSTALLED IN COMPL WITH ARTICLE II STA BARNSTSDLE, House number ............ ..........1� asa ........................................... SANITARY CODE AN D 1639. \0� REGULATIONS. D MpY a' TOWN OF BARN.-STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ' lJ��7 .'�.V.�:. .....0 �4� S l� TYPE OF CONSTRUCTION .........:........ Galt; ....�.�w�ta:��,.,. ....... ................... .................. ....................... ..'. .........19...!..� TO THE,.,INSPECTOR ,OF BUILDINGS: The undersigned hereby applies for permit according to the following infrmoertion: n,..- ...,;. . Location ..... ...............G,,........ 4,�..... ? ��.... ....... `!1.X.�.�-e�- ...... Proposed Use .............�. 1 ✓VC. ............................................. ... (� ............................/.'..� Zoning District .......................U...l..�.......... ....................Fire District ..1 � -. ..C�..l�� ��u�A L-;Z ;Pon ...Aym. .Name of Owner ...� W.,�!... :...... .... .... i�.. :.... ILI.... J�,11S Name of Builder ....S�TP`�2 .... .' :...(, Kss ...................................� ................ Name of Architect ........................ .......................Address Number of Rooms ........... ..............................Foundation ... 2 Exterior w' C ' 1 �, F.. Roofing ...................... ............... ..... Floors ....... 11�... .......U..�.l V. !. ...........Interior .......... Heating ....... Z0.!l;;......Plumbing ....... ] �� ....... ..... d .�....................................Approximate Cost ............ Fireplace ..:........... ............f... Definitive Plan Approved by Planning Board _______________________________19_______. Area .......`III AD -i�....... . ....... Diagram of Lot and Building with Dimensions Fee �a�. °.l✓..ld...... ... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTHL✓ r I I hereby agree to conform to all the Rules and Regulations of the Town of -arnstable regarding t bove construction. Name . .. .... ... ...l. .......... k Werner, Gary L. ....... Permit for ........I 1/2..story ..dwellingsingle family ........................ -Vol 888 0 Location ...................... St.a& ..Roa.d.............. Centerville ............................................................................... Owner .............qqyy..L.!...Werner......................Werner frame ype of Construction` .......................................... ............:............................................................ Plot............................. Lot ....... ........... Permit Granted ..........may..l...................19 79 Date of Inspection ....................................19 Date Completed 19 ............. PERMIT REFUSED ................................................................ 19 . ................................................................................ . .................................. .......................................... ........................................................... ................... Ile .......................................................... .................... A. Approved ................................................. 19 .......................................... ............................... ............................................................................... -AL