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3715 Main St. , Barn 9/10/2013
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c,� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 4,,/ l •' Parcel /�2 Permit# , ./�3
Health Divis on lC 5 g3/UQ- '-9 S Date Issued i ®Z I
Conservation`Division a3, _c a o; Application Fee -64
Tax Collector 4,, / - S- -102-, Permit Fee `
,ek--,D0
Treasurer ili —
c;z- SEPTIC SYSTEM MUST BE C772
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Planning Dept. / INSTALLED IN COMPLIANCE
Date Definitive Plan Approved byPlanningBoard 5
PP El�MRO MENTAL CODE AND +.
Historic-OKH Preservation/Hyannis C (11 9LA TI , e A.
Project Street Address J /0A 1 M. 14/Al G T
Village C UM Iv+4 9211/0
Owner L U/5 P GA q n Address 7 .5-- AM,/ S'r"
Telephone ,, e' I3 i 2 -7%'L
Permit Request S ii'E,0 DELW
ci-ifp = vx/61 /0._ e)
DECK = 1Q' Xge . 3!a ` ct
4 0
Square feet: 1st floor: existing proposed 2nd floor: existing p osed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 494c) , Construction Type
Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation.
. Dwelling Type: Single Family fjd/ Two Family ❑ Multi-Family(#units)
v Age of Existing Structure �� Historic House: ❑Yes 0 No On Old King's Highway: iYes ❑No
A Basement Type: '`Full 0 Craw ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing 2‘ new Half: existing new
Number of Bedrooms: existing new ,,YJs/
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: PZ ❑Oil ❑ Electric ❑Other c
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal so{e: 0 15 G1;No
N -
Detached garage:0 existing ❑new size Pool: ❑existing ❑new size Barn:0 exii g 0 ne size
Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other:
�' n
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ w rn
Commercial 0 Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Named ,r Telephone Number ,_- in~60P- 7,9c7y
Address ,5 7} ( 1 c'T ' License#
Ll-t •-e-c2 G? � , Home Improvement Contractor#
l/ Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .
.SIGNATUR e ef.4 L1 DATE 74 4' .-
. ,
FOR OFFICIAL USE ONLY
* ,
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PERMITNO.
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DATE ISSUED ,.,.
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MAP/PARCEL NO.
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ADDRESS — ! ' ' ; - - VILLAGE! , 4. v ,
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OWNER , ,; •
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DATE OF INSPECTION:• / '
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FOUNDATION . •''
FRAME
INSULATION FIRPLACE
ELECTRICAL: ROUGH FINAL(1,
- '
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PLUMBING: .. -,
ROUGH "-2.1‘--,7; fki.- FINAL '' _ • t t, ,
irl t1/4* =-...' '-: r : •" , r
GAS: ROUGH '..";,..I 'i::;; 1—. FINAL • -, ••
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FINAL BUILDING •1.:1; 6 :C.; iii t ,-. ,
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'-') - •,-,74, t„... 1,-: I
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DATE eLosEp 0 T ) ' ,•••• " ,-, : ;
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ASSOCIATION PLAN NO. ! '• ... , : '
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RESIDENTIAL BUILDING PERMIT FEES ••
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•
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations S25.00 '
Building Permit Amendment $25.00
FEE VALUE WORKSHEET •
NEW LIVING SPACE • •
• square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
•
ACCESSORY STRUCTURE>120 sq.f'tt
>120sf-500sf S35.00•
>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=
(number)
)er • gam,
Deck
(number) •
Fireplace/Chimney x$25.00=
• (number)
Inground Swimming Pool . $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving . $150.00
(plus above if applicable) 3.
Permit Fee
4 projcost • •
•
c- 1N,.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of investigations -
600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name: Louis Pie-Agt
location: J y J /v Al V 5 V
ci (.12, MMA j l7 MA- .0-437 Phone# ,SI21/t/oe`t- 79g-7
J I am a homeowner Performing all work myself. •
❑ I am a sole r rietor and have no one workingin an capacity
❑ I am an employer providing workers' compensation for my employees working on this job.
io�Asnv n m .
C1tY..... P
❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensation polices..
C4 U Y
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........................ ................
... .. ... •••""
................... .
Gl
iiaiuraric,e �
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby ce under the ' and penalti of perjury that the information provided above is true and correct
Signature .�l�l�/2 Date
� y f
Print name L.,,01 S PiGA4Rl7 Phone# 50 / 7?.7
-.:::.::..............:-.,-�-::::.::.,-.:::--:::-,:-::::._:-.so:;�s7 � -.-,n-.,a:.;-.;;,;-.;;.�c+�:;:.,.:::cES>:w*.-i::�44•::�-);,,<t;w<;::;.r�r..:R-'i!��:Y.t'd:8:i�a::�S:i::`.r:`:;:-:,;<y-:;::;:;-ir?_:>:x�: --_--
>: official use only do not write in this area to be completed by city or town official
city or town: permit/license# °Building Department
°Licensing Board
CIcheck if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
-;-:......�-:�-;o::-;....:::..:::: .>..,. ,n?:k- a`w�.:<r-;:..:o:<.;:-;:-:-;;:a�2ara,-�c:=1�-s,'2x-: .�.,..-::�;.,...»:�:Jo•ri�?v�'d;,f�:>-%X-�:�r v:;-R-:--;::.:;�:-:,;i„, -- --
----is(revised
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 contract
of hire,express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity;employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
/////////%%///////%//////%%%%%%%//////%%%//////////////%%%//////%%%//////////%//////%%////%%/%%//// �%%%//////%%%/��%/O�%%%%��////////////////�%�%�%%%%%
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 permitllicense number which will be used as a reference number. The affidavits may be rehued o
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts •
Department of Industrial Accidents
Office el Investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
f
HE
F tt Tn. Town of Barnstable
's� Regulatory Services
*639..
NSrLE,AB
/ Thomas F.Geiler,Director
S MAC / Building Division
Tom Perry,Building Commissioner
200 Main Street; Hyannis,MA 02601
Office: 508-862-4038 ` Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: ,5_Jezi Q Q.e,G, , Estimated Cost 9e9 po
Address of Work: Y�2 a�� � ���„�,�s1 G�
Owner's Name:op42i 4
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
['Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING'THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO 1'HE 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:
jf
(yet-4..;
Date Contractor Name Registration No.
Date Owner's Name Q
Q:forms:homeaffidav
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
* BARN-STABLE, *
9�, MASS. �2
1639. Building Division
AIFo �A Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: --(7/
JOB LOCATION:. s47 5 fro /0e
n ber ( street
"HOMEOWNER": j village
�56 5/ -790_-,
/�I- G��L �
name home phone# work phone#
CURRENT MAILING ADDRESS: 944.2-02._
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 work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
req ' ents.
Signature of Homeowner
Approval of Building Official
•
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
. work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
I Ed SENDER:
9 •Complete items 1 and/or 2 for additional services. I also wish to receive the
re •Complete items 3,4a,and 4b. -.4 following services(for an
•ce d too ou name and address on the reverse of this form so that we can return this extra fee):
d •perm t Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address Z
O ■Wnte'Return Receipt Requested'on the mailpiece below the article number. 2. ElRestricted Delivery co
■The Retum Receipt will show to whom the article was delivered and the date ..6
c delivered. Consult postmaster for fee. °�
d 3.Article Addressed to: 4a.Article Number cu
CC
i
E
4b.Service Type d
o �a,/ 0 Registered 0 Certified ¢
'� ' 10 't cr
w ❑ Express Mail t w ;� Insured a
cc ` y 41.�1 0 a6o I 0 Return Receipt •r Me - i Q; ,.OD
c / 7.Date of Deliv=ry 41 o°
oi
z C(*nIfyifreted
Lc ,�G gl
m 5.Received By: (Print Name) 8.Addressee's '°gri c
W and fee is paid tP 4 t
g 6.Signatu? ' ddressee or Agent) ��� ~
o
X
(I) /�—
PS Form 3811, December 1994 Domestic Return Receipt
i
UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid
LISPS
Permit No.G-10
• Print your name, address, and ZIP Code in this box •
TOWN OF BAR EST ABLE
BU 'LONG DI VI 0ON I
367 MAIN ST
HYANN I S MA 02601
P 229 805 299
US Postal Service
Receipt for Certified Mail r
No Insurance Coverage Provided.
Do not use for International Mail(See reverse)
Sent to n i
SA
I.E.rR. hy
Street&Number U
P. O o-k 0207-4-8
Po Office,State,&ZIP Code
•
Postage $
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
rn Return Receipt Showing to
Whom&Date Delivered
D.
Return Receipt Showing to Whom,
< Date,&Addressee's Address
0 TOTAL Postage&Fees $ 02.$02
M Postmark or Date
0
rL
co
d
Stick postage stamps to article to cover First-Class postage,certified mall fee,and
charges for any selected optional services(See front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service m
window or hand it to your rural carrier(no extra charge).
2. If you do not want this receipt postmarked,stick the gummed stub to the right of theCC
return address of the article,date,detach,and retain the receipt,and mail the article.
U
3. Ifj you want a return receipt,write the certified mail number and your name and address rn
on a return receipt card,Form 3811,and attach it to the front of the article by means of the
gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article
RETURN RECEIPT REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the C
Iaddressee,endorse RESTRICTED DELIVERY on the front of the article. CO
5. Enter fees for the services requested in the appropriate spaces on the front of this €
receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811.
u.
6. Save this receipt and present it if you make an inquiry. a
f
•
oFTME�
The Town of Barnstable
• BARNSPABLE. •
9� � Department of Health Safety and Environmental Services
•peo pas" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
August 2, 1996
Mr. Richard Arenstrup
P.O. Box 2248
Hyannis,MA 02601
RE: Mr. Louis Picard-M-317/P-082
Dear Mr.Arenstrup:
Please be advised that State Law mandates the performance of specific inspections in the course of
construction and requires the contractor or builder to notify the Building Official relating to such.
Specifically 780 CMR Section 111.2.
It has been brought to our attention that there have been no inspections done by this department
relating to your permit#16108.
Thank you in advance for bringing this project into compliance.
Sincerely, ,
Richard G. Stevens
Building Inspector
RGS:lb
• g960802a
Certified Mail: 229-805-299
a
-Assessor's Office(1st floor) Map gi 17 - Parcel Oge .ermit# r 6i 16
flConservation Office(4th floor)(8:30-9:30/1:00- 2:00) - Date Issued ' V 'a( -94
2. Board of Health(3rd floor)(8:15 -9:30/1:00-4:45):7 s'�. 9°3 P� f'rFe` �`'', /, pd
/ Engineering Dept. (3rd floor) House# 2-776—"Ve $°46 A-- ./Z
Planning Dept.(1st floor/School Admin. Bldg.) ZO f ;;',7,? ��Fr? ; 3, ?S'
3° Definitive Plan Approved by Planning Board /✓ 4- :?0 19 . � Z-;' sq. 4. /N -
TOWN OF BARNSTABLE - >
`` Building Per 't Applic ion Via-~
Project Street Address 3 7 S . ' / ty
Village ;
Owner # Address .
Telephone '(___%a - 7 9077 , `
f �9PePe
n' ' Request .ram ` .,��Q �
First Floor square feet ,
Second Floor square feet
Estimated Project Cost $ /( �J )
./
Zoning District ' Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type /
Commercial Residential ✓
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure 1-/a .-t-- Basement Type: Finished
Historic House Unfinished
ALiA 0
ld King's Highway c,"--0 ,
�
Number of Baths c-2-- No.of Bedrooms i
Total Room Count(not including baths) J First Floor
/�(,c Heat Type and Fueli x Central Air Fireplaces /
Garage: Detached Other Detached Structures: Pool '
Attached CQJ1_ Barn
None - Sheds
Other
Builder Information
Name eRtc ,„,d A 3i—,Eta Telephone Number 7P�-- 3 3 3 (�
°Address E 2z 4°g" e iLeS ,i* r License# - e9CJ4/6.'Z.
Home Improvement Contractor# /cf,e9C7 691
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE — - 9b
BUILDING PERMIT DENIED FOR TH FOLLOWING REASON(S)
F _ -
ti = FOR OFFICIAL USE ONLY - z -
1 - ° `
PERMIT NO. `I ICJ t. O 5 1 I _
DATE ISSUED
MAP/PARCEL NO. i ' , ', I
, i
ADDRESS ' VILLAGE , 1
4 . I - ' '
,1 I - . 4 , -
•OWNER .
DATE OF INSPECTION: r
4 f i 1 i i �'`
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FOUNDATION ' F`
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FRAME . . ,
INSULATION y I c ,
1 e`r ry
,FIREPLACE
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ELECTRICAL: ROUGH • FINAL - -
PLUMBING: ` ' ROUGH FINAL 77- _ _
I • 1 - r I $ .
GAS: ROUGH . FINAL e, , i i -i - ; I '
FINAL BUILDING'. 3 7? '4 q 46 i r I f ,
i i, I r
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DATE CLOSED OUT i 1 ° { ; i !
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ASSOCIATION PLAN NO. i ; i f f ! 1 F t 4 1 ,
t i • ' i r 1. 1 I 9 i /i ;
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• BP:09819-0181 95-08-29 2:43 #043272
.pRIVEWAY EASEMENT .�
O
AGREEMENT made this d.S day of ANS 'v 4, 1995 by and between
STANLEY E. ST. PETER and FRANCES H. ST. PETER, both of Main Street,
Barnstable, Barnstable County, Massachusetts, hereinafter referred
K to as "GRANTORS" and ROMANIE CHASE, also of Main Street,
h
Barnstable, Barnstable County, Massachusetts, hereinafter referred
N to as "GRANTEE" .
kL PA
In consideration of the payment of One and 00/100 ($1.00)
Dollar from the GRANTEE to the GRANTORS the receipt of which is
hereby acknowledged, the GRANTORS hereby grant and convey to the
GRANTEE:
1. An Easement for driveway purposes over and across the
CC
w property of the GRANTORS bounded and described as follows:
Z5 Q
03 Cu Beginning at the corner of the granted premises at the
junction of land of the Grantor, Route 6A, and property
M
of the Grantee.
Thence 15 degrees, 38 minutes, 20 seconds West by land of
the Grantee and total distance of 95.80 feet to a point;
thence South 13 degrees, 34 minutes, 10 seconds West by
land of the Grantee a total distance of 97.48 feet to a
point; thence North 87 degrees, 24 minutes, 40 seconds
West by land of the Grantee a total distance of 10 feet
m Cu to a point; thence North 3 degrees, 44 minutes, 39
Ci';; seconds East by land of the Grantor 45.10 feet to a
point; thence North 16 degrees, 11 minutes, 20 seconds
1
I_.
BPs09819-0182 95-08-29 2:43 #043272
East by land of the Grantor a total distance of 55.00
feet to a point; thence North 24 degrees, 28 minutes, 56
seconds East by land of the Grantor a total distance of
97.50 feet to the point of beginning.
Said area is shown on a plan of land entitled 1/Easement
Plan in Barnstable Ma
ss.s. for Stanley y E. and Frances H.
St. Peter, scale 1" 40, , Edward E. Kelley, Registered
Professional Land Surveyor, Cummaquid, MAC} and is shown
thereon as "Driveway Easement". Said plan is to be
recorded at the Barnstable County Registry of Deeds.60oX $ilo(me-c%
2. The drivewaydescribed above shall hall be maintained in good
repair by the GRANTEE, her heirs, successors and assigns at their
cost and expense.
3. This grant of easement shall run with the land and shall
be binding on and shall inure to the benefit of the parties to this
agreement, their respective heirs, successors and assigns.
4. The driveway easement granted by this instrument shall be
appurtenant to the property of the GRANTEE.
5. The GRANTEE agrees that for herself, her heirs,
successors and assigns that she shall maintain the driveway
easement area in a safe condition and that she shall be responsible
for the safety of all invitees, guests and other people that may
use this driveway easement and that she shall hold the GRANTORS
harmless from any and all incidents or accidents which may occur on
the granted premises while it is being used as a driveway.
6. It is further agreed that the GRANTORS may continue to
2
BP109819-0183 95-08-29 2143 #0433272
use this easement area for their own purposes and that it remains
their property but that they shall not encumber it nor block it in
any fashion.
IN WITNESS WHEREOF, we have set our hands and seals this
day of J 5 , 1995.
Thai nt,.- -e— Kyle )
•
Romanie Chase , now known as tan ey ,
Romania Abraham t. Peter
Francesca. St. eter
•
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss: Date: 'zr::).\'a, \G\j
Then personally appeared before me the above-named StanleyE. St. Peter .. ��
Frances H. St. Peter, who separately acknowledged the foregoing
g g g to be their free acf antkitied,,;
•
•
4 1Y ``�
Nota Public ,. ••, •' •
•
My commission expir.67 t !'
STATE OF MASSACHUS1;rl
County of Barnstable :'_
Date:%,aS1�5 r '
Then personally appeared before me the above-named Romanie Chase, Nyhp T.
acknowledged the foregoing to be her free act and deed. *now known as Rbt0Oie%F017.414,
•
Q •
Nota Public •
My commission e, it es:
3
Bk 27303 Psi 259 022906
a 04.--1 v-2013 03 2 05p
00°����riasg ;suo,� 0I°8y :Elk] IIASSACHUSETTS STATE EXCISE TAX
BARNSTABLE COUNTY REGISTRY OF DEEDS
9U6 . :po0 9221 :4I10 Rate: 04-18-2013 a 03:05pm
wug0:20 e EIU(7--8I-t0 :'1nO CtlL: 1336 '. ..L. 22906
SO33O JO AS1SI93N AJN003 318y.LSN8V8 Fee: $10.26 Cons: $3►000.00
XVI 33I)X3 AIM()) 318t11SN8V0
IU EASEMENT
GouN
THIS GRANT OF EASEMENT is made by ST. PETER FAMILY REALTY TRUST,
ROMANIE ABRAHAM,TRUSTEE, under a Declaration of Trust dated October 22, 2001,
and recorded with the Barnstable County Registry of Deeds in Book 14351, Page 313, of
3715 Main Street, Barnstable, MA 02630 (the "Grantor")
TO LETA FULGINITI of 3705 Main Street, Barnstable, MA 02630
WHEREAS, the Grantor is the owner of a certain parcel of real property located at 3715
Main Street,Barnstable,Barnstable County,Massachusetts,as more particularly described
in a Deed to Grantor dated October 22, 2001, recorded with the Bamstable County
Registry of Deeds in Book 14351, Page 320 (the "Burdened Premises");
WHEREAS, the Grantee is the owner of a certain parcel of property located at 3705 Main
Street, Barnstable, Bamstable County, Massachusetts, as more particularly described in
a Deed to the Grantee dated August 14, 1992, recorded with the Barnstable County
Registry of Deeds in Book 8216, Page 27 (the "Benefitted Premises");
WHEREAS,the Grantor is the owner of a garage structure located mainly on the Burdened
Premises but having approximately 68 (sixty eight)square feet of the structure located on
the Benefitted Premises;
• WHEREAS,the Grantor has agreed to grant an Easement for the benefit of the Benefitted
Premises on and over a certain portion of the Burdened Premises consisting of .a
rectangular piece of land containing approximately 565(five hundred sixty five)square feet,
and the garage thereupon, plus an additional 2 (two)foot buffer zone on all sides, located
as shown on the attached Exhibit "A", in that area designated as the "Easement Area".
NOW, THEREFORE, for consideration of payment of THREE THOUSAND AND 001100
($3,000.00) DOLLARS,the receipt of which is hereby acknowledged, the Grantor hereby
grants to the Grantee the following Easement:
1. The Grantor does hereby grant and convey to the Grantee, her heirs,
successors and assigns with quitclaim covenants, for the benefit of the
Grantee,jointly and severally,the perpetual exclusive right and easement in,
on, and over and across the Easement Area. The Easement granted
includes the right to perform at the Grantee's sole cost and expense
reasonable maintenance and repair work in and over the Easement Area,
including repair and maintenance of the garage structure. The Easement
Area is not to be used as an accessory dwelling or any other use prohibited
by the Town of Barnstable.
Bk 27303 Pg260 #22906
2. The purpose of this Easement is to allow Grantee use of the garage
structure as well as a small buffer zone around the portion of the garage
located on the Burdened Premises for access to and maintenance of the
garage.
3. The Grantee hereby releases to the Grantor and permanently waives all right
of the Grantee or any person claiming by, through, or under the Grantee in
or to the Easement Area or any other portion of the Burdened Premises
except for the Easement granted hereunder.
4. The Grantee agrees to indemnify and hold the Grantor harmless from and
against all costs, claims, expenses, damages, including personal injury and
property damage, and all liabilities of any nature whatsoever incurred by the
Grantor as a result'of the granting of this Easement and the use thereof by
the Grantee.
5. As used herein, the Grantor and Grantee shall include their legal
representatives and shall be binding upon and enure to the benefit of the
parties hereto.
Bk 27303 Pg261 #22906
rci APR
EXECUTED under seal this .' day of-Marelh, 2013.
ST. PETER FAMILY REALTY TRUST
;c
Romanie Abraham, Trustee Leta Fulginiti
STATE OF V LA U
1-Fplepdt 00. Match 3 , 2013
22rd APR
On this CJ day of March, 2013, before me, the undersigned notary public,
personally appeared Romanie Abraham, Trustee as aforesaid, proved to me through
satisfactory evidence of identification, being(check one): L" or other state
or federal governmental document bearing a photographic image, ❑oath or affirmation of
a credible witness known to me who knows the above signatory, or O my own personal
knowledge of the identity of the signatory, to be the person whose name is signed on the
preceding or attached document, and acknowledged to me that he signed it voluntarily for
its stated purpose.
�; mGEIAB E/l
lie
�*_ tipon gnle iD �1. 18 Notary P lic: ?2DI 0
J• • Recoded1n1.•noodtCuti My commission expires: Oec Z
COMMONWEALTH OF MASSACHUSETTS
Bamstable, ss March (5 , 2013
On this j day of March, 2013, before me, the undersigned notary public,
personally appeared Leta Fulginiti, proved to me through satisfactory evidence of
identification, being (check one): or other state or federal governmental
document bearing a photographic image, 0 oath or affirmation of a credible witness known
to me who knows the above signatory, or 0 my own personal knowledge of the identity of
the signatory, to be the person whose name is signed on the preceding or attached
document, and acknowledged to me that she signed it voluntarily for its stated purpose.
SX-In 4.0WirciftV
Notary Public:
My commission ex ires:
k>. SUSAN L. PROVENCHER
.sapuf 4, ' Notary Public
• r10�/ +,�'' COMMONWEALTH OF MASSACHUSETTS
•S�;e) ► �• w My Commission Expires
r7 y
�, October 14, 2016
7
Bk 27584 Ps31.7 044532
•
07-31-2013 a O$=25a
Notice of Alternative Sewage Disposal System
M.G.L. c. 21A, § 13 and 310 CMR 15.0287(10)
(Phis Notice tos be recorded and/or filed for registration in the chain of title of the Property served by an Alternative
Sewage Disposal System("Alternative System ).]
NAMES) OF OWNER.OF PROPERTY SERVED BY ALTERNATIVE SYSTEM:
�o,a►P 1 �?10\nt4 9nf
ADDRESS OF PROPERTY SERVED BY ALTERNATIVE SYSTEM:
37 I C Mc c / 1Z 1- Cs. A A3ctrNstCatif-C
TITLE REFERENCE FOR PROPERTY SERVED BY ALTERNATIVE SYSTEM[check and -
complete each that applies]:
Deed recorded with the-armocri4 e Registry of Deeds in Book:21303 ,Page 2&
Certificate of Title No. issued by the Land Registration Office of the Registry District
Source of title other than by deed
[If Alternative System Owner(s)is other than Property Owner(s),complete the following:]
Alternative System Owner Name: 1 it'\ ) npko.
Alternative System Owner Address: -37 t S Ma vo s l R. - Cat 3 ruts 1-e.17
WHEREAS,Section 15.280 of Title 5 of the State Environmental Code("Approval of
Alternative Systems"),provides for the Massachusetts Department of Environmental Protection(the
"Department") to approve or certify,as appropriate, all proposals to construct,upgrade or replace on-site
sewage disposal systems using alternative systems;
WHEREAS, owners and/or operators of approved or certified alternative systems are subject to
general conditions, as specified in Section 15.287 of Title 5 of the State Environmental Code,310 CMR
15.287, and may be subject to special conditions, as specified in the Department's approvals or
certifications;such general and special conditions potentially including, without limitation,requirements
relating to the use of trained operators,periodic inspections,maintenance, sampling,reporting and/or
recordkeeping;
WHEREAS, Section 15.287(10) of Title 5 of the State Environmental Code, 310 CMR
15.287(10), requires that"prior to obtaining a Certificate of Compliance for installation of a new or
upgraded system, the system,owner shall record in the chain of title for the property served by the
alternative system in the Registry of Deeds and/or Land Registration Office, as applicable, a Notice
disclosing both the existence of the alternative on-site system and the Department's approval of the
system. The system owner shall also provide evidence of such recording to the local Approving
Authority [;]" and
•
WHEREAS,the Property is served by an alternative sewage disposal system.
NOW,THEREFORE,Notice of an alternative sewage disposal system is hereby given for the
above-referenced Property, as follows:
1. Existence. An alternative system has been installed as a new or upgraded alternative sewage disposal
system, on or adjacent to the Property, and serves the Property. The trade name and model nnrnber(s) of
the alternative system are as follows:
Trade name of technology: C .o i it. '-1 P\as L 1p
Manufacturer Name: T.1.0Ctik+-rr.fo/ 5ist-e.nc._ T'.ro: V
Model number(s): ("�,j<<`t 4 p,0 s L pP
Page 1 of 2
f
Bk 27584 Pg318 #44532
2. Approval/Certification. OnJ,)Ne 3 aon [date],the Department,pursuant to its authority
under the section of Title 5 as specified'below, approved or certified the technology used in the above-
: referenced alternative4 system,under MassDEP Transmittal Number X la,sp yz [Transmittal Number
•
of approval or certification].
[Check one of the following,as applicable:]
Approved for remedial use under 310 CMR 15.284
Approved for piloting under 3 .0 CMR 15.285 •
_Provisionally approved under 310 CMR 15286
)( Certified for general use under 310 CMR 15.288
A copy of the Department's Approval/Certification is available from the Department in person or on-
line at the Department's website: http.://www.mass.gov/dep .
WITNESS the execution hereof under seal this Xih day of Tali
,20)3 ,made by
the above-named Alternative System Owner(s)0
.r) 4.„...„.
[Alternative System wner(s)]
Print Name(s): ' ,,.;r 12S Sv LSi-orNi •
•
•
COMMONWEALTH OF MASSACHUSETTS
,ss pe�+iuta.-99�
•'••: '%On this fl2( ay of Joky ,20�3,before me, the undersigned notary pu r���� • �•.�;�a,.�,
appeared Dar;Lek'61-0\,,,,,,e (name of do uznent signer., proved to me throu ,, 'Nit " ' :.0-
;','•. -I'. ::d; :,ice :,
evidence of identification, which were . ' ;i.. ems. to be theperson W] -.-:..= :5: »'•
•� ; .
►! -•:�'. t., NI that(he) (she) si '?2, ea =signed on the preceding or attached document, ..• ac..o, I.d - .}t O t` .�. -� �:
voluntarily for its stated purpose. 1 •
/ 1 =. yb•.Z":Qa• Qo,
(off ial `ignature and s al of notary) '!!ii"' N!„� :.:
(Complete the following Property Owner(s)Consent if Alternative System Owner(s)is other than the Property
Owners):] illgielf
CONSENTED TO: 4
operty • ner(s)j• 'at N....e(s): illb va . ' aVlns
rr
D. : t<
COMMONWEALTH OF MASSACHUSETTS
, ss
On this 2cp ay of 5‘,A , 2013,before me, the undersigned notary public,personally ���,,,,,;,,,,,,,,i,��
appeared 1�. N'ip\ 3 jo��, ,J (name of doc mgnt signer),proved to me through satisfactory �Y•,.• ',,.,�.
evidence of identification, which were _ I l t ' 9P•••
o be the person whose name i , A,,,,7 '1.:• .1t
signed on the preceding or attached document, an• .clmow ••I .o .. ��•� •• ""4t�' ,:` k"� that(he) (she)signed it �.: yea;�;;,��;•.
voluntarily for its stated purpose. t PI
'-
!I •D� ��r F'1.1 . `/ :..,1;• 'i;.t�w
0.. $ _.a e Tied? .) of notary) .•.;;�,,rY..0.fiv ,r
Upon recording,return to: •...••gS4':��r'
[Name and address of Property Owner(s)] • _ `'•",'.,"''+,���-'
Page 2 of 2
•
BARNSTABLE REGISTRY OF DENS11
Bk 27303 Pg262 #22906
N ROU lE1 co Vow 6A
82.5140 E
a 155 16
N � �
1 39.1'
W 36.3
7.
! Exist. Septic Coversil:
o in N g3715 O
97.15'
S 86 32 50" E----
3.3' Over Line 2.4' Over Line46
I \`,, / or•
A
0
V
5Ql� O. �O' 0N. l J� .1.
f She
ce/DFI/FNv Exist.
/�% rR r Cott./ V•• d-
40
24„1, ' \ Gar. c %,.)
W 2' buffer
Easement Area
715± S.F. around bldg. 356'
Fi N 39.0'
CS
Z 121.03'
N 8724'40" W
Lot 1
} 42,869f S.F.
0.98.* AC. - N
Mop 317 a n
=u Parcel 81 M Lot 2
^ 0) O
in co
rei
o 91.93' I
2 N 8724'30" W STREET ADDRESS /3715 MAIN STREET(ROUTE 6A)
ASSESSORS MAP 317 PARCEL81
OWNER: ST. PETER FAMILY REALTY TRUST
. DEED REF.: BK. 14351 PG. 320
PLAN REF.: PL. BK. 282 PG 28 LOT 1
TOWN OF BARNSTABLE ZONING
BY-LAW
ZONE : RF-2
SETBACKS: I CER77FY THAT TO 7HE BEST OF MY PROFESSIONAL
FRONT = JO' KNOWLEDGE, INFORMATION AND BELIEF THE DWELLING
SIDE 15' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
REAR = 15' OF THE ZONING BY-LAW FOR 7HE TOWN OF BARNSTABLE.
PROPERTY LINES SHOWN HEREON
WERE COMPILED FROM AVAILABLE4....
���r��10F'�Ss9cy EASEMENT PLAN
PLANS OF RECORD AND VERIFIED �° TERRY °�
1 ON THE GROUND. WARNER " IN
No.38721 BARNSTABLE, MASS.
THE DWELLING DEPICTED ON THIS
PLAN WAS LOCATED ON THE GROUND '�,. � �Q SCALE: 1"=40' MARCH 19, 2013
BY SURVEY ON AUG. 24, 2012 AND '7 -"'�'rA f/i
EXISTS AS SHOWN AS OF THE DATE f I • -1- TERRY A. WARNER, P.L.S. _
OF LOCATION. 3/L713 'M.. 22 LONG ROAD
HARWICH, MA. 02645
THIS PLAN IS FOR PLOT PLAN (508) 432-8309
PURPOSES ONLY.
THIS PLAN IS VOID IF NOT INiEUli
STAMPED AND SIGNED IN RED. 0 20 •40 80
PROJECT NO. 12-196EASE
BARNSTABLE REGISTRY OF DEEDS
4
•
•
- 414.....I•
711 \...
1909 I.O. 6A i
STATE - t0C11S MAP scat"1•.2000•
HIGH WAY ASSESSORS MAP SIT
N �—_. ROU rE PARCEL e,
S82' :I't0`E 192,1fi go.w1DE
1 J M}1B
I 153.1s
j •
' .. 37�
o
A• �
W
1 1 : $r btl '
4,1
eV
Z •
lo
LETA L.FULG1N1T1
�W E ' 4LBEitT R. i BK.8216 P6.27 a r/` ).
LAMB es •`e •
A
W Lc.15639A LOT 1 w./'.E•
)/ ----
1�Ti PL OA.292 PG.28 .k/ s, !
_...„.Z
.,ra i .17/47 it s
73
i SW
VI
nl �il
e rI• . 3 i
-
M3•31trE ..:1 a
O
1r S85°32'40"E 2 , l i i ,S '
o r 1:f
•o.00
g=0 _ _— ' N 8r26'40'4 121.03
s ROMA1nE C VISE _
co * i$ g 9K.3101 P'i339
93
w tjg-11 F w• .o.+no Las--' I l
is 32 1
CY TORS PLAN INTRINE ;' oN AD o0 ri _ CO
a. THE,RE1i13Tdt. . x 9i.93-. _ CO '
OH
106_s. ¢.99�� SO
,-..
a eT�2�' w to
T. 1995 REG.PROF L/NIO SURVEYOR 11 O
r..
COUNTY of SaRRSTABLE- CO
' FLlK.33 PC. 13T
iI PNREBY CERTIFY THAT THE PROPERTY ONES trat
SHOW ON Yi1t$RAN ARE THE LINES DIVIDING
E7CISTIN6 OwNERSNN'S.AND THE UNES OF. CO
STREETS A1RO rays wow ARE THOSE OF 1
(MIX OR PRIVATE STREETS OR VMS ALREADY LD
EASEMENT ESTABLISHED.AND THAT NO NEW LINES FIR
BAN IN � tSTABt_E , MASS. olrsioNIN N>=
OF EKISTG ow1ts1NP OR FOR NEW N
•
'RAYS ARE sNOwN.
FOR = s,. r x :41.
STAN JULY T.1995 REG.PRoi:LAND SORVEYOR
.
�?' E. AND �gNCES H. ST PETER o CO
JULY T.1995
0 40 f_ 120
SCALE IN FEET 1'.40 .A. .-
!U
EDWARD E KELLEY
•REG. PROF LAND SURVEYDR :i
CUMMAOU 10.MA.
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
" AGE
DATA
A.
/
Le FEE — 1.
d
� TOWN OF BARNSTABLE, MASS. a , -.
a„fig
o
a ;.� 19
ba"�eg� o
rO., q
2 o'.� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO
Pie'
o
0 (PROPERTY OWNER) (ADDRESS)
q new 0
e to.a TO I
Figs.., (BUILD) _ (ALTER) t (REPAIR)
CA w422
MO °N G (TYPE OF BUILDING) (APPROXIMATE SIZE)
o ,p LOCATION _..._ ._._ __ _... ._..._...___....�
1 V S) (STREET AND NUMBER) (VILLAGE)
NAME OF BUILDER OR CONTRACTOP. ....___. _.
4 61, E APPROXIMATE COST
Cr) o toes I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN
i°-2 E OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION.
0
Et Q�
to 0 ca U) (OWNER) (CONTRACTOR)
Sao
O U
d
CZ
i.A BUILDING INSPECTOR
Subject to Approval of Board of Health.
- J
�W t
, t , .
i>,
�,//,,, .01._..,. . ... ..,,.,,
i C;; ".4,j t° w.":01°1 .i'.•'w V'[:; #i ..f'' ,e`,+ ,c':.* .,t .-3r` ..'L
A..11/ , ekiel,(4, 1 ,-__, . : ///76
- /7'
_ , .
// '
,..a. T / .., 4
d ta, 4
F I !ti 442 a i
s1.'
t ' � a ' ! —J 4
�.tt { ,'
a ,
Via. - .4, ..
y�fTNETo� TOWN OF BARNSTABLE
4
BARNSTABLE., : ASSESSORS' OFFICE
MMs.
>eO i679_
-reek, Or'
387 MAIN STREET, HYANNIS, MASS. 02601
775-1 120
BOARD OF ASSESSORS DIRECTOR OF ASSESSING
MARY K.MONTAGNA ROBERT D.WHITTY
ALFRED B.BUCKLER
GLORIA W.RUDMAN
,3 / 7 - eS)c
72Z McATirl 64- IRee
&)40
1 6615 I
/7 — YO L3//k/7 I/ L. 1
Assessor's map and lot number
SZPT1C SYSTEMSYSTO4 1%JST BE
n3 Iir.'..;,*T*t e ..D F,Y! o::' L!ANCE
7 J �T
Sewage Permit number � 'i a t t: . .. _E t4 ` T E
A S; T r •:Y CODE AND TOWN
Oi IMET0
TOWN O1 . BAR } A LE
4Py ' bs. ♦w.1 BARNSTABLE, i
VIAY RJILI!, IN INSPECTOR
APPLICATION FOR PERMIT TO Add to dwelling
TYPE OF CONSTRUCTION Wood
...i 19.711.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Rt.-LA — rear
Proposed Use Living quarters
Zoning District RD-3 Fire District Barnstable
Name of Owner Jefir.eft. ;d...A....anRomanie•••Chase•••Address
Same as above
Name of Builder Stanley E. St. Peter Address lista6A..Barn,atahle., .DWAA.,
Name of Architect NOne Address
Number of Rooms r g Po oms— 2 car garage Foundation Poured concrete and 8 in, blQcJs
Exie for White cedar shingles Roofing Asphalt shingles 1
1.' Drywall
Floors Plywood � Interior
Heating Hot water basebo4rd, Plumbing According to codes
Fireplace Existing Approximate Cost $ 20,000.00
: d
Definitive Plan Approved by Planning Board February 25, 197� Area /���
Diagram of+Lot and Building with Dimensions Fee 7.
SUBJECT TO APPROVAL OF BOARD OF HEALTH A /
`,
.1-0 4 .__-_ ._l-.kLe.__.._..._._ .
?0o%
,
x, y3" 3--/3e d ki . s ! t/4
�, 0, 0 ,' s' fa
Ilr Ay . 4, .zif A 'fa e i
r .,.,...
1
` I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Namur
C.C1' /.(9/.,e‘---'
I
' I
- - .Chase, Jeffrey A. & Bb nie
No 16951 Permit for . dd to single --.
family dwelling
3 70757'Loca ,..,_trlairilk-
tion ".•`Th'c''•6c--s'= ult . .
Barnstable . . . .
k•are'• (...
Owner 3effrey A. & Romanie chase .
Type of Construction frame
• -
. .
I . .
. ,
. ,
..
Plot Lot , • .
1
Permit Granted March 18 19 74
Date of Inspection 19
. t
t
Date Completed /;1//,/7,i '417' Cnicidf-a-
1: 1
I ,
PERMIT REFUSED
I ,
19 1 .
• I .
, ..
i
..-
.. ....
t'
( ,
Approved 19 .
, ..
t•
...„....—..N.
. .
I , .
.. I...
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t...., ..