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4083 MAIN STREET
XXT "M Mr, g DA%' P;A N U X k, m U'! R �t 4 I MA. MR- '-M,V A." A, R, 71- g m S, m -Iwq J,2 Now"; .6 --V' - -14 ONO* -M.QE 4, U3` W 01 v" IN. "N SW IRS *1 F� - " "" -W"" - , 'a " .i �-i t�I'f!5 IVWS,,%��o,25 I 335 --y Z�;VP 4,14 tNN,,- gr R Im Rs i; 'M —Nq� 14 A�- 4, gngi lt"A' IN 0'" CIV anni". Fg-g"V py R $ 411, ilk AM& -V,- W, ra -v- p VAN N� F RE OA� �g Zor �V§'q.Ag,54",�w f%: -A" "'M $n `011 114,'r,� A 1A 'e— Y 'v— - , 4�, m ;A 4 �W M,4 q 4 t ,p,,-g 4, .,ji, "i" 14" —�N— W.- X.—N ""t, m Wxu YIN', A IP- 5A, I �,�g g—in—,--vu—N&M" W RN, T, �P R WN s,;�,MQfz m A7Q N��12 r If, , ., g— tv;.,1 0 a - - -- I 111.11�1 11 1",� 4 pv. p -N , ARM 'AA 10AH ni;,N 'r-k� I w Aaw A qI A. Akz�, �16`4.Z "a m OEM. X� V, w 4 'E 'Ir e-_Yj;-,`�Vvins�*'�il Er". S, krl' t W�fw "A- gs `YN "M A vl� UM� 4" Is K� M,3 64 VZVN4� tl: W WON �MINE% I F fli,--I�cl,I-sr �A Y fiffiffiff Vg 24 NA og gg , �% -y- f In 11�M & .Zjpvcq���-gp R mom OS f" $� at%d�" i �Oa y 00 � and fa Ar AS/LOT 28 AS/LOT 53 tK___ 11 rya / SHE AS/LOT 74 ==__==`S AS/LOT 52 ////_p�__ _ _; _ _ �j� � - 5 AS/LOT " rn Ire- CD 0 o . � 000 0 NOTES.- THERE IS A WAY FROM THE LOT IN REAR TO ACCESS RO UTE 6A 0 VER THIS LOT. THE LOT DIMENSIONS ARE FROM THE DEED. AS/LOT 26 ALSO, PRE—EXISTING, NONCONFORMING RES. ZONE- "RF-2" This MORTGAGE INSPECTION Plan Bank is Fo0nl FLOOD ZONE.- "C" TOWN: __C_______A__ ____________________ REGISTRY OWNER: DEVINO_F&NANCY M GALLONI__________ DEED REF: �889/B_Bc 9 _____________BUYER: _KEv�N_I_&_BvRL '_A_SW�ECVVY__„___________:_______ DATE: _ 1210/97______________________ PLAN REF: _SEE ABOVE_______________ SCALE:1 = 60 FT. I HEREBY CERTIFY TO THE SANDWICH CO-OPERATIVE BANK _____ ______ _THAT THE BUILDING �`�H OF �a� YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS o�� PAUL cy� CONSULTANTS SHOWN AND THAT ITS POSITION DOES _-- CONFORM A. `` 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MER THEW TOWN OF _ BARNSTABLE -----AND THAT N % 32098 aQ INDUSTRY ROAD IT DOES_ NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD :.."�;. �,- o �' MARSTONS MILLS, MA. 026�8 ►S?_,<< AREA AS SHOWN ON THE H.U.D. MAP DATED_�02��2 _ "so.. . . TEL: 428-0055 Co u t — a 250001 0001 D jai LAND FAX: 420-5553 9 _ ________ THIS PLAN NOT MADE FROM AN INSTRUMENT ,22165 DCB P L A. MERITHE PLS SURVEY, NOT TO BE USED FOR FENCES, ETC. Town of Barnstable 1111d1rig5� j Post, s Card So That rt is,1Vki le'iFrom tfie Street Approved Plans Must be,RetainedFon Job and this Gard Must be Kept weu Posted Until'Final tiffs ectionHasBe�enIVlatle " = ' s Where a Certificate #OccupancYis Required;such Buldmg;shallNot bey:Ocup�edunt�la Frnal Ins pect>lort:has<been made Permit _ fir .; ,Ee . . . ..> _ -� M _ Permit No. B-17-3888 Applicant Name: Brian Olsen Approvals Date Issued: 11/22/2017 Current Use: . Structure Permit Type: Building-Insulation-Residential Expiration Date: 05/22/2018 Foundation: Location: 4083 MAIN ST./RTE 6A(BARN.),BARNSTABLE Map/Lot: 336-053 - Zoning District: RF-2 Sheathing: Owner on Record: BURTON,BEVERLYA Contractor Name:'`BRUIN CORPORATION OF Framing: 1 ATTLEBORO Address: PO BOX 96 2 Contractor License 104439 CUMMAQUID, MA 02637-0096 Chimney : Description: 13 hours of air sealing work,2 weatherstrips,420 sq`ft of blown f~ tProlectCost: $5,095.00 insulation in the attic, 1 attic hatch, 1 exhaust hose, 710.sq ft of �Perm�t:Fee: $85.00 Insulation: blown insulation in the walls. Y ^' Final: Fee Paid: $85.00 Project Review Req: x Date 11/22/2017 15 Plumbing/Gas Rough Plumbing: Final Plumbing: .IVB Official A..._ .- Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz months after issuance. g All work authorized by this permit shall conform to the approved application and the!approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zornng by laws,'and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building ariaTire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing ' _ Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department s� 1yl�l Building plans are to be available on site Final: � � All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT w L1' Town of Barnstable RECE&IPT s . QB SAMMA13M 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-3888 Date Recieved: 11/8/2017 Job Location: 4083 MAIN ST./RTE 6A(BARN.),BARNSTABLE Permit For: Building-Insulation-Residential Contractor's Name: BRUIN CORPORATION OF ATTLEBORO State Lic. No: 104439 Address: 479 Mount Hope Street, N.Attleboro, MA Applicant Phone: (508) 695-8222 02760 (Home)Owner's Name: BURTON, BEVERLY A Phone: (908)310-3444 (Home)Owner's Address: PO BOX 96, CUMMAQUID, MA 02637-0096 Work Description: 13 hours of air sealing work,2 weatherstrips,420 sq ft of blown insulation in the attic, 1 attic hatch, I exhaust hose, 710 sq ft of blown insulation in the walls. --41 CD t . t C%) Total Value Of Work To Be Performed: $5,095.00 -03 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Brian Olsen 11/8/2017 (508)695-8222 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $5,095.00 Date Paid { Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 i t isizo t 7 $3s oo i xXa X000c 7oaa-1 Credit Card _o ._ w. ....... ._.w 3637 .. . I Total Permit Fee Paid: $85.00 tvsi2ot7 $50.00 XXXX-XXXX-XXXX-1 Credit Card 3637 y f. Town of Barnstable of the ram, ][regulatory Services P� ti Thomas F. Geiler,Director * r Building Division . * 1ARNSTABLE, y MASS. Tom Perry,Building Commissioner i639. �0 . OtEo3.tA 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: -;'O lGO5 7Y Fee: — Permit#: HOME OCCUPATION REGISTRATION Date: Name: —�U f `J � �J� Phone #: r��- 3 Address: o g�_5AOL Village: �!a 1 n�0 416 Name of Business:_— —�—{—�— ---- -�---- �d—S—(------------------------------ Type of Business: AaAaGu::C40P Map/Lot: 3 3 (S7 s 05-3 INTENT: It is the intent of this section to allow the residents of the'l7mvu of Barnstable to operate a horue occupation mthin single Family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the chvelling•: there shall be no increase in noise or odor; no Vlsraal alteration to the premises winch would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary lionae occupation shall be permitted as of right subject to the following conditions: • 'rlie activity is carried on by file permanent resident of a single family residential dwelling unit,located witlriu that dwelling unit. • Such use occupies no more than 400 squau-e feet of space. • Tliere are no external alterations to the dwelling winch are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • 'riie use-does not involve the production of offensive noise,6bration,sinoke,(lust or other particular matter, odors,electrical disturbance,heat,glare, humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flaminable or explosive materials, in excess of normal laouselaold quantities. • Any need for parking generated by such use shall be naet on file same lot containing the Customary Home Occupation,aril not mthin the required front yard. • Tllere is no exterior storage oi•display of materials or equipment. • (There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the.Customary Home Occupation is listed or advertised as a business,the-street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned, have read and agree mth the above restrictions for nay home occupation I auaa registering. Applicant: Date: f I� 08 E(omcoc.doc Ro'.QI/R/ YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which j you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) . DATE: �� _ �C) �, Fill in please: dot .."' APPLICANT'S YOUR NAME/S: L%�1 1 rj :�Hzy) BUSINESS YOUR HOME A DRESS: VI) a`C.1 .t 6I TELEPHONE # Home Telephone Number �`C� 7 s NAME OF CORPORATION: ;,�' c'7�. ✓'t ✓ IZ'J NAME OF NEW BUSINESS TYPE OF BUSINESS HA !lt' C. IS THIS A HOME OCCUPATION? / YES NO, ADDRESS OF BUSINESS o _ ��-� MAP/PARCEL NUMBER 3J� ��✓ (Assessing) When starting a new business there are several things youmust do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO%h' s R'S OFFICE This individ in#oC e an peg it re uirements that pertain to this type of business. zed SIG COMMENTS. 2. BOARD OF HEALTH This individual ha ,beeprjL T6f med gfe1per quirements that pertain to this type of business. / l/( Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS ICEN ING AUTHORITY) This individual has en i f rm d of the licensing requirements that pertain to this type of business. A COMMENTS: horized Signature** R /S 1 j Li cL&-sc J t � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `� Parcel:; Application # r! � Health-Division ,,f I b 8 b Date Issued ft Conservation'Division Application Fee 60 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation / Hyannis IL-Project Street Address 6�3 --r Village. �Q Owner v Address Telephone Vo 7 ��l%�`� G „ •�� f CC C e Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay [ProjectsValuatioo-% Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new N Number of Bedrooms: existing _new C Total Room Count (not including baths): existing new First Floor Rcg 9 Count �j Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood al stoVT ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing `C3 never size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INF ATION (BUILDER HOMEOWNE Telephone Number Xddress,:,,,� qGa U License # Home Improvement Contractor# ---Worker°s,Compensation_# yA LLkCONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L rif+'.:p5.... SLGNATURE—_ "ATTE---c,60113169 d zr k = FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER i i 1 DATE OF INSPECTION: ; FOUNDATION e6 X— ` FRAME INSULATION i 3 FIREPLACE ELECTRICAL: ROUGH FINAL g � PLUMBING: ROUGH FINAL . GAS: ROUGH FINAL Y FINAL BUILDINGV— Y S E i DATE CLOSED OUT ASSOCIATION PLAN NO. I r Town of Barnstable Regulatory Services flAR1i9TAIIM Mass. �b39, �e� �i ArED My; 6 Building Division - Thomas Perry, CBO,Building Commissioner U 200 Main Street, Hyannis, MA 02601 www.town.barnstableana.us 'Office: 508-862-4038 Fan: 508-790-6230 PLAN REVIEW Owner: y P—f n 0-i Map/Parcel: % Project Address builder: The following items were noted on reviewing: ©,-t C, 12t) "'"OZ rid e-of t3 O ie�M Rib 67-t i Coee&L TC-7 Reviewed by: '� per-u� Date... Q:Forms:Plnrvw The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant.Information Please Print Legibly Name(Business/Orkanization/lndividual): t.City/State'/Zip h1 t Phone.#: OJ6 J? —7 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(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me m any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.-insurance comp.insurance., uired. 5. ❑ We are a corporation and its 10.0-Electrical repairs or additions �' ' ��``"'" "` officers have exercised their 11. Plumbing repairs or additions C 3X-1 am a homeowner doing all work ❑ g py if [No Workersiinp. right of exemption per MGL 12.❑Roof repairs c. and we have no insurance required.]t 152' §14( )' employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy 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. tContractors 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-contractor;have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.`Lic.M 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 tip 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 WA for insurance coverage verification. I do hereby certifV under the pai •and penalties f perjury hat the information provided above is ue and correct SiEnature: Date.: Phone# Offu:ial use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r - - Information and InstrU ctions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: another under an contract of hire, Pursuant to this statute,an employee is defined as ...every person m the service of y . express or implied,oral or written" i An employe is defined as"an individual,partnership,associati/crporation or other legal entity, or any two or more of the forego g engaged in a joint enterprise, and including theresentatives of a deceased employer,or the receiver or e of an individual,partnership, association or ol entity,employing employees. However the owner of a dwe�g,house having not more than three apartnieho resides therein,or the occupant of the dwelling house off another who employs persons to do mainten. ce,construction or repair work on such dwelling house or on the grounds ,r building appurtenant thereto shall not eca of such employment be deemed to be an employer." MGL chapter 152, § 5C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has no roduced•acceptable evidence of compliance with the insurance coverage required." Additionally,MGL eha�ter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract fo�the performance of p lic work until acceptable evidence of compliance with the insurance requirements of this chapt have been present d to the contracting authority." Applicants Please fill out the workers'.co ensation idavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor( name( ,lWdress(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Comp es or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not require o' workers'compensation insurance. If an LLC or LLP does have employees, a policy is required Be ad ' e that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance erage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the cation for the permit or license is being requested,not the Department of Industrial Accidents. Should you have y stions regarding the law or if you are required to obtain a workers' compensation policy,please call the D artm at the number listed below. Self-insured companies should enter their self-insurance license number on the ro ria C. City or Tow;i Officials, . Please be sure that the affidavit islete and prin legibly. The Department has provided a space at the bottom of the affidavit for you to fill out;hJ event the Offi f Investigations has to contact you regarding the applicant. Please be sure to fill in the permie number whic ll be used as a reference number. In addition,an applicant. that must submit multiple permit/ applications in given year,need only submit one affidavit indicating current policy information(if necessary) der"Job Sile Ad " the applicant should write"all locations in (city or town)."A copy of the affidavit tha has been officially s or marked by the city or town may be provided to the applicant as proof that a valid affi vit is on file for future pe is or licenses. A new affidavit must be filled out each year.Where a home owner or citin is obtaining a license or t not related to any business or commercial venture (i.e. a dog license or permit to bti leaves etc.)said person is N required to complete this affidavit. ; The Office of Investigations wouY like to thank you in advance f our cooperation and should you have any questions, please do not hesitate to give us a calf The Department's address,teleph° e•and fax number. The Commonwealth of M . usetts Department of Iadust ial A ' nts Office of Investigations 600 Washington Street Boston,MA 02111 'v Tel. #617-727-490.0 ext 4-06 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia. Y 1 ' Town of Barnstable ZHE 1p�� Regulatory Services sAxxszAa[E Thomas F.Geiler,Director p MASS. i639. Building Division ED Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 wvv v.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Y of LOCRTIO JO B- i !� 3 � Co number street / village 3,1 ��� �^/ name home phone# work phone# CURRENT MAILING.ADDRESS: U c' " � _& 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 requ' ments. r�T Signature of Homeowner= Approval ofBuilding Offiicia 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.l.i-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. °FtHErgr• Town of Barnstable Regulatory Services g Y '"JM "BCE'MAS& Thomas F. Geiler,Director 039. `�� 1 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, 02601 www.town.barnstable a.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Ow 6 er Must Complete and A This Section If Using SiNuilder I , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorize by s building this buildi permit applicationr:for: (Address of Job) Signature of Owner f Date Print Name If Property Owner is a /1. in for permit lease complete the Homeowners License P rtY PI? Y g. P.� P Exemption Form on the-reverseSig e. ('l-F(1R Ad¢•0UUNFR PFR MM.RION may- 00 c O R 0. e Rio% /9 i E : 19 , zfz S N�-01-5 Its Po 9�1� i- V° LN A Ll � ECG oil 15y51® <Vu5 �c oL �t�j� a DJ-1A i r i —EALqTING . g@OUSE . AD # @ t F f s cv _ PT @ @ 118 1 OAS 2,4 " . a W @ � s; ii—OUSE '71@ # d _ J � y� .co �c-FyiL,.E ! o,` ,:«.-.•�--..M,s..,,r.,..�,.�fi^.2X .....y.,.0.. pME 6N ."..,�,,...:..,_., OR ii&IJAL 0� �>:, l - �.�...,..-ter ...•.,� i � oz D nq, �o �� e rl t � MINI,/ `Jcoo@ O # @ Clo O i i _ - a• j5L`f _ +T�'4+v.W M�W •'3WM r4y s4c'W..:m•.. ;k Aj G .. - � '� '"'M`.• �• ty,� iss8i4 ', -: T 3; i APPFt®VE®. oa o 2 s MAY AS/Llable n laHi9,y AS/LOT 53 ° Co. - � • �(� `�� , i��� tip° V" •mil �,�-_. . AS/LOT 74 ,f -A AS/LOT 5, AS LO T O Ln 5�, r 2 K � III .73 O. � /.n e O b2�irrG�° ,ba�rL Felon o ,! e� [Crthsi NOTES. TIYERE IS A WA Y FROM THE LOT IN REAR °710 ACCESS ROUTE 6A OVER THIS LOT. ZVE LOT • DIMENSIONS ARE FROM THE DEED. AS/LOT 26 ALSO, PRE EXISTING, NONCONFORMII_VC .'ES. ZOAIE- 'RF—�?" This MO f�TC'AG E 1 NS P T;CTIO N: F5"an is .For a n lc Use O n i FLOOD ZONE.• "C'" UWN: __ ' _ _� - _ 1�GC�IS`I'Y b4YNL�;I�: U�'�'INO_,I;&:_ EED REF: _101,I�/Q_s _�----------- 1V 11VCY_�1_GALLQr1'/...__. . )ATE: L�,lt'�✓y7 ___ .. ---BUYER: .IiEYlN__J..&_ _A_�SWEN 'l_`...------- -------- .. ----- }'LAN I21�I�: _S'sI1'_�If2Y1 ----=----------SCALE:1 HEREBY CERTIFY TO '_A LC_�" -Q _fZA7J _ 60 PT 4ANIf HOWN ________ _ _THAT THE BUILDING ``" OF YANKEE SURVEY THIS PLAN -IS LOCATED ON THE GROUND AS �''�� ���� ROWN AND THAT ITS POSITION DOES ____ CONFORM ��' PAUL y� CONSULTANTS THE ZONING LAW SETI3ACK REQOIREMENT'S OF THE ."; '• 40B (SUITE 1)WN OF ___f1QFi'NS'T�f�Lf;__-- MCHi 1 rf F1"J ) DOES_ NOT ----------AND THAT' -i,;�_ No. ??cam ^_ INDUSTRY ROAD _ LI:i WITHIN THE SPECIAL FLOOD HAZARD �` • �� . �' MARSTONS •MILIS.. MA. 026.18 REA AS SHOWN ON THE H.-U.D. MAP D.A'I'ED_z,'Q.?/�9 _ ` \ ; ''F�''�"-5 ° 2 t -Pa 250001 0001 D �'ra;"�h���° TEL 428-0055 ` 'k FAX: 420-5553 P: 1[.A. AIF RIT [ .Y, i S -------- THIS PLAN NOT bfADE FROM AN INSTRUMENT SURV F.1. NOT TO 13E USFQ FQR FENCES. ETC. 22165 DCB �� o� � �oo� .. O �` �` �Pr ��P�����P �o�o��e� �� � A _�T � l � . ` ;„ Jow �. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION = Map :� ` 46 Parcel S*3 Permit# /� Health Division �" ItAA- fed�v /r rr9aes/- Date Issued S O31 � p B � Conservation Division /_t -�� b ��1�T pplication e `�� Tax Collector Permit Fe . S�. w.f Treasurer J Planning Dept. sczj Z# ' Date Definitive Plan Approved by Planning Board �Z- Historic-OKH Preservation/Hyannis t ,� Project Street Address 07,3 A44% s Y`i✓- c:a . Village Owner evtk,\y 13uC�-g^ Address YO73 C_L'02 •,q�G Telephone ,S�&T— 3 7S—f,gel Permit Request .L tea' AAo^ ,e renzift RLAV t.t&�- cf;ren ANd Square feet: 1st floor: existing111A,2() proposed C) 2nd floor: existing r) proposed d Total new Zoning District ® Flood Plain Groundwater Overlay Project Valuation O Construction Type op Lot Size '/LJ,66V, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure /$fD Historic House: ❑Yes 3Jo On Old King's Highway: WYes ❑ No Basement Type: ❑Full Q'Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new G Half:existing new Number of Bedrooms: existing�S new _ 0 Total Room Count(not including baths): existing I new 0 First Floor Room Count Heat Type and Fuel: ❑Gas 2 Oil ❑ Electric ❑Other Central Air: ❑Yes W o Fireplaces: Existing _� New 0 Existing wood/coal stove: ❑Yes ❑No Detached garage:®'existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name & vc. Cc(Y Cys4cm 14 mes Telephone Number 5n2 r- 773-/J;LF Address H c rrsce, +- 1401 A,,d License# C S 05-77/;2 Home Improvement Contractor# /09''751 Worker's Compensation# lf'sJ VW4/ 'J� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N66 sr m SIGNATURE G DATE / G� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED C Q I MAP/PARCEL NO. ADDRESS' VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME J' INSULATION F FIREPLACE t ' ELECTRICAL: { ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING I , i DATE CLOSED;OUT ASSOCIATION-PLAN NO. - I S E oFtHE r Town of Barnstable Regulatory Services y + s�uvsrns , ' Thomas F.Geiler,Director q$A • ,,��� Building Division TfD MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 ,t . 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: en-.� �1 K� 1-e.� D;w�� awe- d,Serr�,. A-'I-Estimated Cost 701'r/l/G- Address of Work: Owner's Name: Date of Application: 7 /1 I hereby certify that: Registration is not required for the following reason(s): OWork 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 THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Da Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav r y The Conimonwealth of Massachusetts Department of Industrial Accidents affee allanstlgatiaas 600 Washington Street - • Boston,Mass. 02111 Workers, Compensation Insurance Affidavit c� ci all work myself ' ❑ I am a homeowner performing ❑ I am a sole et oz and have no one workin in ca ac�tp lon/t/this'Ob. 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J +�n:y?•�•a,#•J�,9 �'+t.E �t, } .��rta{C'w� � r Faibse {o seemt coverage ss requlrrd mtder Section 25A of MGL 152 esn Iead in the imposition of eriatirsal p essaltin of a 8ne up to S1,Sl}odTil md/or one years'imp ri�onmeat as xeIl as dvA penalties in the form of a STOP WORK ORDER and a ban of 5100.Q0 a day against me: I mmder'shad a ' Dopy of alb statementarsy be torwxtded to the Office otInvestlgatioru otthn DIA.tar coverageveriIIcaflOIL I do hereby certify under the pains and penalties of Perjury that the information provided above is int'and tarred Date 5 Signature - — phone# Print name rdty fldal use only do notwrit.e in this area to be completed by dty or town oMdal pemittUcense# ' QBailding Departramt or town: ❑Licensing Board ❑Selectmen's Office � Bhnrnedlatetespotueisregnired QHedthDep rhnent Cj []phone#; Other contact p en on: (Kv a9195P14 f F1xe roy� 'own of Barnstable Regulatory Services s 33amsw t Thomas F.Geller,Director X&M 94,,rE6; Building Division - TomPerrp, Building Commissioner 200 Main Street, Hyannis,MA 02601 ' Fax: 508 790-6230 office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder (�•ev����1 ��'('�+'� .- -- .;as..O�unes..ofth•e.subjectptope�r- ...._._._. .: hereby authotize �? _ - _.to:act on mp.behalf,. in all m,attets relative to wotk authorized by.this building-petmit-application for: (Addtess of Job) Lq tietoS�tute of et. AG Print�anae I B'OARD,OF B;UILDI!NG REGULATIONS License: C NSTRUCTI®N SURERUI'SOR I t�hum!bar.afr.-1 057712 8� i_j• Tr no 18779 �_ ti E Rest tic STEVEN D COLE PO BOX 10005S b -`•'mpg=oner MAgSTO'N MILLS, NIA Acting Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: r AND OR -Search Results Reg. No. Applicant Street City State Zip Name Title Expiration BOURQUE & COLE JP.O. BOX MARSTONS JH I BOURQUE, GENERAL 109751 CUSTOM HOMES & REM. 1005 MILLS 02648 JOHN PARTNER 9/24/2004 Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 8/3/2004 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations_ $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= 02 0, e o 0 x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY-STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf - 50.00 >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf - 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS � s ON . o � Open Porch x$30.00= (number) Deck..-. ... I x$30.00= ���. 06 (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) G o Permit Fee 17 . a Projcost Rev:063004 Town of Barnstab1ARH -SABLE pF1"E'°wti Regulatory Services 1 : 5 , Thomas F.Geiler,Director MUWSrABLS 9 M. . g Building Division 1639. �0 ''TED MAC a Tom Perry,Building Commissioner )ION 200 Main Street, Hyannis,Mk62601 y - �%K Office: 508 862-4038 Fax: 508-790-6230 g L PERMIT# O4 FEE: $ �i SHED REGISTRATION 120 square feet or less VN Location shed(address) Vill ge. Property owner's na Telephone number Size of Shed Map/Parcel# �7 03 Signature j�]2* Da te - Hyannis Main Street Waterfront Historic District? n -9/t&I03 Old King' Highway s Hi hwa Historic District Commission jurisdiction? Conservation Commission(signature required) —Ad-0 3 D4 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg " REV:121901 i AS/LOT 28 sr AS/ T 53 V. .` s•_. � a AS/LOT 74 - 0: =: 2 AS/LOT 5,. 14Vw°I� AS/LOT \ �o .73 Ind � o /0 o heAr h bad/l. o � J- o Pd 40,1k q NOTES.- THERE IS A WA Y FROM THE LOT IN REAR 'TO ACCESS ROUTE 6A OVER THIS LOT. THE LOT DIMENSIONS ARE FROM THE DEED. AS/LOT e6 ALSO, PRE-EXISTING, NONCONFORMING ZONL RF-?'� This MOIR'I'C►AGE INSPT;CTiON: Pan is For 1�Rnlc Use Only FLOOD ZONE.' 'C" .7 -RE(:G IS'I is 3 WN I R:;D REF: __I f�iQ_sir- -------------BUYER: .li��lN_ /..&_�4�Y�'E�LY_A_�5'!���'N,C)'_..._ _---------- ('E: PLAN 12L,1� s%F �f' Vry - - - , 1 -- - - _..__. . [�._.. _19__ ___ __.___------ SCALE: _ 60 ��BY CERTIFY TO ,�' S—A L)yX CO �' g-Yf _ _—_THAT THE BUILDING �`AH OF k /�/ YANKEE SURVEY WN ON TIiIS PLAN ISLOCATED ON THE GROUND AS �� fI WN AND THAT ITS POSITION DOGS PAUL____ CONFORM ' ��. . CONSULTANTS ['HE ZONING LAW SETBACK REQ01REMEN'T'S OF TI-IL- ht�jiilFN1 40B (SUITE I) V OF _ B9 NS'TAf?L.E_'_ __ _—AND THAT a;: No. 3.VM '- .INDUSTRY ROAD OES_ NOT _ Lit WITHIN THE SPECIAL FLOOD HAZARD �`''•� s� �' MARSTONS .MiL1S,,MA. 026.18 A AS SHOWN ON THE. H:U.D. MAP D.ATE.D_z,_lQ _ _ a ``. �!—'? o�`� r' TEL: 428—0055 u t —Pa 250001 0001 D 4 i.'•""'a FAX: 420-5553 _ THIS PLAN NOT MADE FROM AN INSTRUMENT JL A.-MERIT� E V, PIS -------- SURVEY. NOT TO BF. USED FOR FENCES. ETC. 20165 DCB TOWN OF BARNSTABLE SIGN PERMIT , PARCEL ID 336 053 GROBASE ID 24822 ADDRESS 4083 MAIN STREET/RTE 6A ( PHONE BARNSTABLE ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BA I PERMIT 34639 DESCRIPTION SWEET PEA'S NEST (6 SQ_FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS.: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 THE BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * IARNSUBM *. MASS. 039. �FD A MA'S B ILDING DIVI` + N DATE ISSUED 11/00/1998 EXPIRATION DATE The Town of Barnstable�� Department of Health, Safety and Environmental 'Services M. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector �/ — 9 "/ 0 !Iication for Sign Permit Applicant: e, ( el Assessors No. a 6" JhijeeA?s / s Doing Business As: T Telephone No. Sign Location Street/Road: i/7 Y //?�'1 e%t i ag,��3-7 Zoning District: = Old Kings Highway? ( e /No Hyannis Historic District? Yee Property Owfj(21'h Name: at76 V��n Telephone: ,5` 9 3Z"::6 Y6 9 Address: U L1 17 Village: �/0 02 4 4el Sign Contractor Name: —Telephone: Address: _village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes45 (Note:ffyes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and#iat the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: Size: Permit Fee: '17S. Sign Permit was approved: , Disapproved: ��: Signature of Building Off ial: Date: Sign 1.doc If toe �^wih did �' � �" � �'Y �'€M� 9 P I` aryJl III i t III I I I o- r I�lay I I I I �IIrI �Irl a aII W/� / �� Kaaw a N �IpPw J 'klIUr ^V��t I ii Ina , sly bNar�r , a a€ irp i- t 'MrV aauM ". �CCL 6 sVil _ tvC,��Je //pppppp Off m . U Amp / dA IF�PI Ial�ll II' rr E 'MFt I"G / dill owersafe Ike ¢ �� r .a MRA � K 'K q ll � •, � III ' IIr VvA j _ € e ! ,Je • VK / ��N 13 h k-S/n �V Engineel ing Dept. (3rd floor) Map Parcel S Permit# _3 q Y / House# t�b � Date Issued CO Y �P BMM1 alth(3rd floor)(8:15 -9:30/;1:00-439) Fee Cense�a on Office(4th floor)(8:30-9:30/1:00-2:00) Pimmitrg-Dept. (1st floor/School Admin. Bldg.) - t►+E►q, 1 , Definitive Plan Approved by Planning Board 19 -. ' BARNSTARLE, ' MA9S �O�En Mpr s�o$ TOWN OYBARNSTABLE, ' Building Permit Application n / Project Street Address 4o e 3 In cl -ee-� Village e U n'1 n/� a p/ Owner Kev t h + Ise Ue r ,Swee Ile, Address ' O 60X /(o co ✓1 jmci p 1d LY14 Telephone 5 0 Permit Request e M 0 V g, o L4 h ,e- ev i/ e First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family I� Two Family ❑ Multi-Family(#units) Age of Existing Structure i 50 (' - Historic House fCW es ❑No On Old King's Highway es ❑No Basement Type: ❑Full ❑Crawl &�alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing 0_New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes U o Fireplaces: Existing '2, New Existing wood/coal stove ( Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) 16"B am(size) ❑None ❑Shed(size) p Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ~ Commercial ❑Yes ❑No If yes, site plan review# Corrent Use Proposed Use Builder Information Name 1�6mtoe t)A-0,1-` Telephone Number Address License# Home Improvement Contractor# 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 BUILDING PERMIT DEN FOR THE FOLLONWG REASON(S) A1,01y FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO: ADDRESS - VILLAGE' OWNER N . t. - - - � ._ Y •t. I. , � , a t y t. a ..• _. _ - .-i - _ --_ r _ t '" _ - -__. T-"_ -4 .� _�. `_ DATE OF INSPECTION }3 FOUNDATION FRAME INSULATION 4 ; FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - FINAL r' GAS: . ROUGH FINAL - "a Y FINAL BUILDING DATE CLOSED OUT.: r ` 1 Y ASSOCIATION PLAN NO. L AS/LOT 28 AS/LOT 53 tK- AS/LOT 74 i 0:.::::::::.::s_::.: � AS/LOT 52 /���4, '�as .__��• gyp• Op 09' c5 ` AS/LOT 00 73 00 may, Lo -�4,a/71 �aPr ha'e,rL 000 - Flo f o I d1 ed A&0-i 1-t NOTES.' TfIERE IS A WAY FROM THL' LOT IN RL:fl R TO ACCESS ROUTE 6A OVER THIS LOT. T IfE LOT DIMENSIONS ARE FROM THE DEED. AS/LOT 26 ALSO, PRE-EXISTING, NONCONFORMING RES. ZONE' This M0 WIT; AGE IN1Pj,('Ti0N Plan is For " _....... ...... ..0 . .-, Ba n I< Use Only FLOOD Z0,1fF' TOWN: A.: ,: J._ ._ I� :C'ISTk)' OWNL..I�: Uf_ [,7NO I'_�4 11AIVCY Alf_C1L,/,01 DEED IZLI _ 1f359_'Q_ ----------------- - DATE,: ►3UYi;R: '[cf 4y sW F�vr, a PLAN 80 VIII - - SCA1,E: L' .-- 60 I HEREBY CERTIFY TO Tf E SgNDIVICfl C0-OPERA%/VF___ BANK -----------------THAT THE BUILDING �P`�N °F �a� YANKEE SURVf',Y SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS pAUL CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ _ CONFORM ' J. A 40B (SUITE 1) TO 'I'llE ZONING LAW SC;'Tk3f1Cl� RG;GZUIREMi-;N'I'S Uf• TIIE MFHi'riI( 1 TOWN OF _ BARNS'TAf LF_ 1T DOES_ NOT ------ - AND THA`[' N +, 320t+8 - INDUSTRY ROAD _ LII WITHIN THE SPECIAL. FL,OUD HAZARD A '`` _ �.,5•-r /;�' �IARS'roNs .bnLrs• NIA. 0`26If) AREA AS SHOWN ON THE H.U.D. MAP DA'I'EI)_7!Q1'9 _ �''S.; Jr� TEL: 428-0055 co ."01MERITI-IF -P� P ?50001 0001 D � a� •a"� FAX: 420—5553 _____ THIS PLAN NOT MADE FROM AN INSTRUMENT P, 11. 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