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HomeMy WebLinkAbout0360-0362 BEARSE'S WAY ��o -�3�� �����- �� ' o D l l o c Dol� „� Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee � 5. BARNSTABLE, MASS9` se39. Thomas F.Geiler,Director 39 X-PRESS PERMIT Building Division Totn`Perryj CBO, Building Commissioner APR - 9 2013 2:OO�iVIain Street,Hyannis,MA 02601 { `www.toWn.barnstable.ma.us Office: 508-862-4038 TOWN 0TW8AANMMtE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press_ Imprint Map/parcel Number a Property Address J OD 'Residential Value.ofWork �5�� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name t t. .., 7�r�j Telephone Number t ( 1 Home Improvement Contractor License (if applicable) Construction Supervisor's License#(if applicable) dorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance , Insurance Company Name ?1C Workman's Comp.Policy# `„1c -<- 1I'�$� � Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) 1,Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to. ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders:U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Sep rate Electrical&Fire Permits required. *Where et fired:'Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: , perty Owner must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors License&Construction Supervisors License is r quired. SIGNATURE: i C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 A �tNE rq�, • anxxsrnaIZ, MASS. a,� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I£Using A Builder N as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: inn (Address of Job) Signature of Owner a e.� W Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption.Form on the reverse side. ; C:\Users\decollik\AppData\Local\MicrosoMWindows\Temporary Intemet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 1 Massachusetts -Department of Public Safety Board of Builtling Regulations and Standards Construction Supervisor License.: CS401696 TIMOTHY P JOHj�SON 180 MEGAN RD Hyannis MA 02601 .Expiration Commissioner 08/23/2014 a tion y8ka for and►vidul u.to n1y cwse Lieet►s,or Fg���#a � to If found retu� n ., on the eyperat►v►da Rusin Regulaho Mari bei}prs Office of Consumer AffaWrs&Bns�ness Reg S1g0 CTOR �ff►ce of Ggnsumer Affairs and : . E.NT CONTRA.- Plaza Sui 1MPROVEM TYPe 10 Y$tK 02116 me stration. h 59982 DBA 0 fin' ��tto �1'0 14� _ xR n -,` ST �;ION TIMOTHY-PM,ENN JOHNS� � w r � t . Y JOHNSON�\ Not li wi bout signature TIMOTH z . 180 MEGAN RO . ,K- Undersecretary HYANNIS;WA 02601 -s" 7be Commonwealth of MAssachuseats De anent Industrial Accidents � oI Once of Investigations 600 Washington Street Boston,.MA 02111 fpmv.niass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectriCians/Plumbers Applicant Information Please Print Legibly Name(Bksmesslorgauization&dividuat)_ Address: / C t1 City/State/Zip: nn i C', Cow Phone#- 77 -1 Are an employer? it the appropriate box: Type of project(required): lam a employer with 1f 4. ❑ I am a general contractor and I employees(full and/or part-time).' have hired the sub-contractots 6. ❑New construction 2.El 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 w for me in an capacity- employees and have wodcers' - orking y apa ty- I 9. ❑Building addition (No workers'comp.+�+nce comp.insurance. required-] 5- ❑ We.are a corporation and its 10.❑Electrical repairs or additions 3-❑ 1 am a homeowner doing all work officers haii a exercised their It.❑Plumbing repairs or additions myself [No workers'comp- right.of exemption per MGL 12- oof repairs , insurance reclnired-]t c..152,§1(4),and we have no employees-[No workers' 13.0Other comp:insurance required.] `Any applicant that checks box#1 most also fill out the section below showing their workers'compebsodon policy information i homeowners who submit this affidaut indicating they are doing all wo*and then hire outside contractors must submit a new am&vit indicating,sttch: tConttactors that cbeck this box must attached an additional sheet showing the name of the sub-captors and state whe*u or not those entities banre employees. If the sub-contractors have employees,they must ptovide fir workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. - C Insurance.Company Name: ` + / Policy#or Self-ins.Lic.#: do� Expiration Date:- `( Job Site Address: /o �2S �/ City/StatelZip: n Attach a copy of the workers'compensation policyy declarati n page(showing the policy num . 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 S 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 MOP"day aAamst the violator- Be advised that a copy of this statement may be forwarded to the Office.of luvestigati of e DAY for insurance coverage,.erification- I do hereby c ' n the pains and penalties of perjury that the information provide above is ante and correct Signature: ' Date ' Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/I'own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: !L NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES f The Commonwealth ®f Massachusetts DEPARTMENT OFINDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 - As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED EMPLOYERS INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803-0970 ADDRESS OF INSURANCE COMPANY WCC 5011456012012 11/02/2012 - 11/02/2013 POLICY NUMBER EFFECTIVE DATES Bryden &Sullivan Insurance 88 Falmouth Road Agency Inc Hyannis, MA 02601 (508)775-0476 NAME OF INSURANCE AGENT ADDRESS PHONE Timothy P Johnson dba Timothy P Johnson Construction 180 Megan Rd Hyannis, MA 02601 EMPLOYER ADDRESS 11/02/2012 EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy.of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OF HOSPITAL ADDRESS T E POSTED BY EM L YE I J off, CAPE SAVE 1 Weatherization g � 508-398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner ,n / 200 Main St. Hyannis,MA 02601 P ��✓ RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application #201101761, Status A, Parcel 292189 at 360 Bearse's Way,Hyannis,Permit type: RADD, and issued on 4/11/2011 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-38 Cellulose insulation was added to the attic. Walls were dense packed with R-13 cellulose insulation.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Cape Save 7 Huntington Avenue Suite C, South Yarmouth,MA 02664 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Q0 Health Division Date Issued V Conservation Division .Application Fee Planning Dept. Permit Fee �J Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Addre�P ('S e,5 a Village a n n 15 Owner Cv ,r l at iv, e- Address S+Re_-4cc Av 'EL Telephone C-5 o g) a.g� Permit Request ��a tin i n Ge��J�oS� �en���� Wa46 i z 0,+)on 1t `I n igoA:5 h a-`+Ic, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 29 Two Family ❑ Multi-Family (# units) Age of Existing Structure 5 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing — new Total Room Count (not including baths): existing new First Floor Room Count r Heat Type and Fuel: 14 Gas ❑Oil ❑ Electric ❑ Other r Central Air: ❑Yes W No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑,new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ^_ CD Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -- , Commercial ❑Yes ❑ No If yes, site plan review# Current Use R45 Je a it Proposed Use J?e Y,+c � 0 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name i am c 5 �e r Telephone Number Address License # Z C s6 vn af`m-d J-�'h d` o 6 b`� Home Improvement Contractor# Worker's Compfi105-1 u ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Yarrv,nU -I'1 SIGNATURE DATE S�Z,+ ) , FOR OFFICIAL USE ONLY APPLICATION# ! ' DATE ISSUED y MAP/PARCEL NO. V i , ADDRESS VILLAGE " OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ;} ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r C t ASSOCIATION,PLAN NO. 1 L _ t The Commonwealth of Massachusetts Department of Industrial Accidents t Office of Investigations 600 Washington Street Boston, MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information p Please Print Legibly Name(Business/Organization/Individual): M 10,14 LJ_ d-C i4- s i< t)131& cdee SA Address: r\i6n�t&- . City/State/Zip: YAR cog:-rl Ai &kWone#: Are you an employer? Check the appropriate box: Type of project(required): I. I am a employer with i 4. ❑ 1 am a general contractor and I employees(full and/or.part-time).* have hired the sub-contractors 6. ❑ New construction listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑Demolition working.for me in any capacity. employees and have workers' 9. [] Building addition [No workers' comp. insurance comp.insurance.= required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.[] Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] c. 152,§1(4),and we have no employees. [No workers' 13.0 Other is 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 axe 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-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: f t 1 1 s Lk (}i\ ce Policy#or Self-ins,Lic.# CI`�G �����1 S-i Expiration Date: IC61 Job Site Address: 3 0_• City/State/Zip- . U&An 151 A Attach a copy of the workers'compensation policy d claration 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 me-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 lhepaznsondRenalties o erjury that the information provided above is true and correct Si ature: ` Date: 4 _ Phone#: w Official ttse onlp. Do not write in this area,to be completed by citJi 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#: f °A'�'��'° `""' CERTIFICATE OF LIABILITY INSURANCE �� 1I/1/2010' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE. DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER i NANT ME:C Shannon Sperrazza Risk Strategies Company —PHONE —..... (78I)986-4400 FAX (781)963-4420 ...._. 15 Pacella Park Drive ADORES&soperrazza@ risk-strategies.com — Suite 240 PRODUCER 00018476 Pandolph MA 02368 INSURERS AFFORDING COVERAGE NAiC# INSURED INSURERA:Seneca Specialty Insurance Co INSURER B Aeatinng Group Ins Services Michael McCloskey, DBA: Cape Save INSURERC:Chartis Insurance _ 7 C Huntington Ave INSURER D: _ INSURER E: South Yarmouth MA 02644 �— —t----i INSURER F: COVERAGES CERTIFICATE NUMBER:CL1011132675 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR; POLICY EFF i P011CY EXP LTR TYPE OF INSURANCE i POLICY NUMBER MMfD MMlODIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE '- 1,000,000 X COMMERCIAL GENERAL LIABILITY IDAMAGE TO RENTED PREMISES(Ea occurrence) $ 50,000 A CLAIMS-MADE i X:OCCUR j3AG1002608 10/16/2010�10/16/2011 MEO EXP An one persat) $ 10,000 +-- --- -? PERSONAL_&ADV INJURY !$ 1,000,000 GENERAL AGGREGATE $ 1,000,000 EN L AGGREGATE LIMIT APPLIES PER: j j PRODUCTS DUCTS-COMPIOP A GG i S 1,()0(),000 X !POLICY J—'PRO-JE LOC i $ - 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 �6208200 1116/2010 '11/6/2011 (Ea accident) i ANY AUTO L I------ �_ ; BODILY INJURY(Per person) $ L_i ALL OWNED AUTOS i (I X BODILY INJURY(Per accident)'i$ t i j SCHEDULED AUTOS it I-- 73C, - PROPERTY DAMAGE X ;HIRED AUTOS (Per accident) $ X 'NON-OWNED AUTOS f S I I $ X 'UMBRELLA UAB OCCUR i EACH OCCURRENCE $ EXCESS UABi CLAIMS MADEI j AGGREGATE +$ 1,000,000 _ DEDUCTIBLE i I i ----!$ B i ' RETENTION $ ! l023578601 �}O/16/201010/16/2011' -- C WORKERS COMPENSATION Michael McCloskey j ! WCSTATU- OTH•t AND EMPLOYERS'LIABILITY Y 1 N { X':TORY LIMITS' ANY PROPRIETOR/PARTNERtEXECUTIVE 1 is excluded from coverages 500 000 j OFFICER(MEMBER EXCLUDEDT a j.N 1 A ` E.L.EACH ACCIDENT $ i(Mandatory in NH) ! �9930951 10/2i/2010 20j21/2011 If yas,describe under E.L.DISEASE•EA EMPLOYEE � $ 500 000 i . DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500 400. I y i i DESCRIPTION OF OPERATIONS!LOCATIONS(VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Issued as evidence of insurance. Contractors-Executive Supervisors or Executive Superintendents. CERTIFICATE HOLDER CANCELLATION (508)790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ruth 460 West Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601-3698 Michael Christian/SMS 'a� `=' ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(2wwg) The ACORD name and logo are registered marks of ACORD 0-A ere, erllwd�l Office of Consumer Affairs and Business Regulation i 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 Type: Supplement Card Expiration: 1016/2011 CAPE SAVE WILLIAM MUCCLUSLEY _._____......_.. .. .. _ ..... 8201 S. HOURD CT _..-_.-._.. CHAPEL HILL, NC 27516 _._.� Update Address and return card.Mark reason for change. Address "" >�s_• r �e;, ,.L.,.;;;::>>. Renewal Employment i r Lost Card .:.i�lU Z�G•.7F1.1.=t�,:-.ark>sXir�l rj,. r•�tdStt{'�tldd�c'.- �'"• Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR F Office of Consumer Affairs and Business Regulation Registration: 16W2 Type: li}Aark.PJaaa-Suite 5170 ,•,: Expirationc. .10/6/2011 Supplement Card Boston,MA 02116 CAPE SAYE WILLIAM MUCCLUSLEY 7C HUNTING AVE.. S.YARMOUTH,MA 02664 Undersecretary Not valid wit ou signature ,- WlNsac1111V-0ts ^ l3l'partivie'il; of Pit bliv N:IIi'1� 13�x:l1 Qi �t 13171it11n•� litrtal;lt+,n. nia! �€' la;cl:tr•�ls License: CS SL 102776 Restricted to: IC ~, s, WILLIAM MC CLUSKY _ r 37 NAUSET ROAD WEST YARMOUTH, MA 02673 t ;ti nli•.i„rrr' FF 102776 08l2512010 09:23 9193212955 PAGE 01i01 COE- .°SAVE Weatherization 508-398-0398 August 22, 2010 To Whom It May Concern: William J. McCluskey is an employee.of Cape.,Save. He is authorized to negotiate contracts and building permits for our.company. Michael McCluskey Cape Save—Owner S 929-593-5939 cell X Huntington Avenue,.South Yarmouth,NIA 02664 oFtHE r Town of Barnstable Regulatory Services Thomas F.Ger,Director ass.MAM eil Fo;A.,a`�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder cij- as Owner of the subject property hereby authorize_ i l� om u owl_to act on my behalf, in all matters relative to work authorized by this building permit application for: 3 U �W'5e-5 W0,V , 41WNiIs_ d�b (Address of J b) Signature o Date Pnnt Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the,reverse side. Q:FORMS:O WNERPERM ISS ION 06/14/2010 19:21 7275413969 PAGE 03 Jun 10 10 04:38 ::d Moritz 508.540-8253 PA D610 0 Town of BarnstableSJ79#ear ---- r Regulatory Services t n.,n�HrA3 f fThen,i,c F.Cei]cr,LireetoT — Building Divisioxt_ Tom Yorry,C.-130, ]dt iidir.�C;crnr.+issloner "C0 Vain 5trs-ee,-iyaris,MA 52601 w-rnti,t�t�r..far n�tabl:.r'i2..w Fax, SdB-"5i1 62 30 S_ ,-862-4036 g Sir) i lti I7^AJ(., Oiwlr k' Nor VCA,f).4(a 01 f 1,[ter(X•press Imprint pAup:ytrrccJ Nusrber i,:c at.S'.i.j Hi for worm uneer Sfi000.00 ;�Residartis) falae art.�urk_ .___� L-,�-tter's?4arre-k Address *J er _ o:ophone N �,>n•r:.>qr's_t`?ame ���[72.� �� t�c.� __.. --•-----_....--- ------ _... „ ••----. I+C•me Improvei^ Tit CCr_tractcr I.icerse -r;cti:, 5tiioer•�isoc'a l�.Gsr>sc#(s=t=ppliC•�b1�7.--•--�¢�� .�•---.--�---"•— -� -..__..--• Con; Cotr,ptnsat:on}marancc X.PRESS4 PERMIT Chac�:::r�e: �7 1 aa-a s tle;,;oprit for �U 2; 9 [] 1 arnthc T�Orr,oCwner pensw� Dii huvranr,,e TOWN ( � �AR�ST>��LE 1 I ha�c 1Vurkcr's(; -� Ira°rr�r.e Gxr.➢An?h3mz� 'Arc;krmn's COM-Policy'': Copy of 1asti pinee Compliance�er5ftcete mvs a:ct rtipaap ench gerniit. Permit Rc7';i-51('check tox) RN ro,f s•;'pFir� sh'npk ts) A..cou.strvcticn debris wi!i bs tlkken to— [_ 4e-:nof!nGt stripping: Laing,over _existing: yens cf uct;; E-5(tP C�:1CGfS Y� �rplacemert WtndvWs/c'aars sliders.U Vaiuc - ;inFxiri::t;^, AC µof a'incc+ws� •��.tfft rt07t:Qd: 1,57LPMtf.f1(t.,lS t,trr�li!:OC1 not;xcp,f.t compi,:.•tce',vi:)t i,acr i9-A"1 4cp u:i:�+s.[rc�..1c:,ON,,.e.Fii;tot::. gn8c-lydii:,;i,elc •lyo:e: eJUperty � CV, rr m45t.►6n Ti r�per!y Uwnt; (:ettes�:Perrn:�:;gn- A.cop;ofIbc ITC me Improvemert CO f"Ce>ast&(On=true 2iL'rl SU�tf':I�GC]x.lCerls4 a3 �rc�q/�-red. � ' —__-----'- i The Commonwealth of Massachusetts r Department of Industrial Accidents Office of Investigations 600 Washington Street t Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): t2 t 72— oA.4 7J,A � Address: / 5-/4 o-c v rct2 A ' City/State/Zip: M fi- 624�1 Phone M �;0 6� J lS 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/of 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 8. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp, insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical.repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[Z Roof repairs insurance required.] t G. 152, §1(4), and we have no 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-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information Insurance Company Name: x? Policy#or Self-ins.Lic.#: ka 131 $ 332-34 40 Expiration Date: Job Site Address: .3 i�O_3 FZ :Iq� City/State/Zip: w is Attach a copy of the workers'compensation policy declar tion page(showing the policy num er 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. I do hereby certify under the pains and penalties of perjury that the information.provided above is true and correct. Signature: Date: 49 ��'-/D Phone#: 7 Official 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, 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,`parinership; 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 tihereto shall not because of such employment be deemed to be an employer." MOL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coveragetrequired. Additionally,MOL chapter 152, §25C(7) states"Neither the conunonwealth 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. 4_Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if J necessary,supply sub-co.ntractor(s)name(s), address(es) and phone number(s)along with their certificates) of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pennit 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' If-insured companies should enter their compensation policy,please call the Department at the number listed below, Se ' self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the event the Office of Investigations has to contact you regarding the applicant. of the adavitfor you to fill out in icant Please be sure to fill in the_permit/license number which will be used as a.reference number. In addition, an appl that must submit multiple permit/Ecense applications in any given year,need only submit one affidavit indicating current policy information under"Job Site Address" the applicant should write"all locations in iformation(if necessary)an _(City or has been officially stamped or marked by the city or town may be provided to the town)."- copy of the affidavit that applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. u in advance for your cooperation and should you have any questions, The'Office of Irivestigations Would like to thank yo 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 # 617'727-4900 ext 406 or 1-87.7-MASSAFE Fax # 617-127-7749 Revised.4-24-07 www.inass.gov/dia I 03/25/2010 19:53 7813296674 PATTERSON INS PACE 01/01 DATE )RD,a - CERTIFICATE ®F LIABILI` INSURANCE T03/26/2010 I m THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATIOP! PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Patterson Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND EXPEND OR 190 wa;hington street ALTER THE COVERAGE AFFORDED BY THE F.ouabS BELOW. P.O: B:)x 36 INSURERS_ AFFORDjmG COVERAGE wast6wo3d MA 02090- INsuRr� INsuRERkNorfolk & Dedham Mutual_ tMorita Contractars Inc m uRER it Liberty Mutual ':15 Hoo car Road INSURER C: s INSURER 0: y��1pbl Z MA 02081- I4SUReR E COVERWES THE POLI DES OF INSURANCE LISTED BELOW HAVE BEEN LSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIRE RENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSI TRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGRM tTE LIMITS SHOWN MAY HAVE BEEN REDUCED Sy PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRAMN MOATS NSR TYPE OF INSURANCE POLICY NUMBER DATE IM PAN IMNODAM LTR �. Giim�aALLMOILITY R0205927 02/06/2010 02/06/2011 EACH occumExce $ 1,000,000 a[ (ON@Af�C1ALGENE3tALLfA9ilET( FIREDAMAG6 ermTve} S 50,000 CLAM NL4DE ®OCCUR MED EXP(Artyorm S 5,000 PEMNAL&ADVKf• g . 1,000,000 GENERALAOORW-ATE S 2,000,000 rAG A� �LOST - _ PRODUCTS-COMPNOPAGO S 2,000,000 ►OLICY M LOC A Au77N=nEuAuum B&90259847 02/07/2010 02/07/2011 CaM NM SINGLEtW .,NY AUTO - _ - . (Eel s 1,000,000 f LL OvmM AW08 / / J / BODILY INJURY R 1 CHEDMM AUTOS SPt Psrn-V 5 I OM AUTOS / / / / BODILY INJURY I ION-OVWw AUTOS PROPERTY DAMACSE (Per accimomS GAR/GE LIABILITY AUTO ONLY.FA ACCIDENT 9 .NY AUTO / / / / OTHER THAN EA ACC s AUTO ONLY: AGG 8 EECCE KS LIABILITY / I J / EACH OCCURRENCE � *CUR CLAMS MADE AGGREGATE S RMUCTMLE (El'CdJTTD1N S �WgCC �' mm DYE YE3L4S LIA8IUTY " 'OMPEN&A7I IN AND / / / / x TORY - E7fIP1 EL EACH ACCIDENT S 100,000 g =13IS332369 02/06/2010 02/06/2011 EL DISEASE-EAMILD S 5001000 EL D9SEM8E-POLICY IJWr Is 100,000 07H1 R DE5g8PTT IN OF OPEItAT1ONSrLOCATiowmE UW.ISIEXCLUSION&ADDED BY E NDOR9ESW471SPMAL PROMONS FAX 5CO-546-4290 CERwo:ATE HOLDER ADDi770NAL ENSURED•INS IErnift CANCEL1.AllON SHOULD ANY OF TKE ABOVE DES=BW POLUM IM CANCELLED BEFORE THE EXPIRATION DATE TMMEOP, THE ISSIIM INSURER WILL ENDEAVOR TO MAIL 2 0 DAYS wRrmm NOTICE TO 7M C•ER I CATS NOLDOt NAMED TO THE:LEFT,BUT TOIWN OF FAINDUTA pAI rIs DO SO IMPOSE NO OBUOATION OR LIABILITY OF ANY IBND UPON THE BUT=ZRG DEPT INS RREPRE95WAndM 59 TORN HALL SOUNRE A RIB 71VE FALMOUTH NA 02540- ACORD 1 s-S(7I97) 0 ACORD CORPORATION 1988 nu'IN8(26s(941D}A1 ELECTRONIC LASER FORMS.IN .-(ROE)W 50 PeAB t Pt2 I _ _ I ` �- 'N'lassachusetts-Department of Public Safety Board-of Building Regulations and Standards Gonstructiion Supervisor License License: Cs 29456 Restricted to: QO -EDWARD C MORIIZ E 15 HOOVER RD WALPOLE, MA 02081 Expiration: 9/11/2011 �'um•ni�sioner --- Tr#: 4190 —�_ e N. U o0.ieaaa/sud ds s . Board of Building Regulations and Stsod�r.. HOME IMPROVEMENT CONTRACTOR a Registration_ 107729 Expiration;_8/52010 Tr# 27 _ =_=_ :Type.=P— teCorpoialion M0RITZ CONTRAGTOR_INC e Edward Moritz is Hoover Rd _ - = Walpole.MA 02081 - - Admidrstmt0r 06/14/2010 19:21 7275413969 PAGE 02 Jun ?u K- 043"WP Ed Mcriiz 508-W-8253 p-2 Town of Barnstable RegWatory Services ThumasT.Cciler, Director MAU •6"'i if Building Division 'x'ooa Ferry,Building 1+OAt�I'bS100kr ;-00 Main suoet,llrmxis,M.A rx-y691 v,rn.tgwn barnstable.za2.us 5:)8•R52-4W6 ]property Owner!YYuSt complete aacl Sigan This Secti0.r1 Lf��sin P }3uil�et p L ph to ace on my�F�aIf i.�al?t;�ttets rdatr,c ev wnrk=6,.iz:d by ibis.bt:a&;g perzrrt-APOCAzsor,far. ea-Wr rvar ?_�st Na:ae If�,.)ert%, Owner is aptlYin� #�z permit n#easy cUII1n eS the 110meo,wexs License J�xernVion F;jrm 0r1 the re�erti RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET Bearse's Way Hyannis SUMMARY to ' H 73 LAND 3 Sa o '. 292 40P BLDGS. S ri 189 OWNER F,FYt tG� �-X.� lr�"ra..�..i TOTAL 3 3 0 0 LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: � BLDGS. TOTAL LAND Cam, Of BLDGS. Q TOTAL U _ LAND J.or Elizabeth C. , Tr: LGL Trust 12-19-73 Ctf. 0213 1� N -7'4c O BLDGS. V 5 TOTAL f� LAND D L F3 E NC' e T BLDGS. Sl Ho J-/!� 0 )OY LANDL -� - BLDGS. TOTAL LAND BLDGS. TOTAL j LAND INTERIOR INSPECTS BLDGS. TOTAL DATE: 7by.,b-I f I X" LAND ACREAGE MPUTATIO S BLDGS. ND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HODS 3 a f 6 0 3 G O LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR 01 BLDGS. WASTE FRONT TOTAL REAR LAND ch BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND c�l7 ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY— Nn on Rl nwz FOUNDA'I-ION tyarviA. a -I Ai . LAND COST Y rnc.Walls Fin. Bsmt.Area Bath Room j_ Base ' .'7/- EILDG. COST I tnc.Blk.Walls Bsmt.Rec.Room St.Shower Bath Bsmt. _ O6 PURCH. DATE Inc. Slab Bsmt.Garage St. Shower Ext. Walls PORCH. PRICE. . rick Walls Attic fA1 &Stairs 77 Toilet Room Roof RENT one Walls Fin.Attic Two Fixt. Bath Floors ers INTERIOR FINISH Lavatory Extra 6,,) tmt. F `1' 2 1 3 Sink Plaster Water Clo. Extra Attic EXTERIOR WALLS Knotty Pine Water Only I mble Siding Plywood No Plumbing Bsmt.Fin. ngle Siding Plasterboard Int.Fin. � hingles TILING o nc. Blk. G F P Bath FI. Heat I ice Brk.On Int.Layout Bath P.'&Wains. Auto Ht.Unit r Veneer Int.Cond. Bath FI. &Walls Fireplace im. Brk.On HEATING Toi let Rm. FI. Plumbing ilid Com.Brk. Hot Air Toilet Rm.FI. &Wains. Tiling O 7j Steam Toilet Rm. FI.&Walls • lanket Ins. Mot Water St.Shower Total ( 7 oaf Ins. Air Cond. Tub Area � Floor Furn. ROOFING COMPUTATIONS j %ph. Shingle Pipeless Furn. S.F. ood Shingle No Heat S.F. sbs.Shingle Oil Burner S. F. ate Coal Stoker S.F. to Gas S F OUTBUILDINGS ROOF TYPE Electric S. F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED able Flat Floord Found. Pie S.F. r n . ip Mansard FIREPLACES r ambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLO RS Fireplace Sgle.Sdg. Roll Roofing Dnc. LIGHTING Dble.Sdg. Shingle Root DATE arth No Elect. Shingle Walls Plumbing - ine ardwood ROOMS Cement Bik. Electric P sph.Tile Bsmt. 1st 8 1;20, TOTAL o Y'.' Brick Int.Finish 'Ingle 2nd 3rd FACTOR 01' U REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.DeP. ACTUAL VAL. �. BWLG. �•� P x - s - iii /Fio. ?3N73 /9,1F'A ' t - 2 - 3 -- 4 5 .' 6 7 - 8 — 9 - 10 ' TOTAL iTOWN OF BARNSTABLE REPORT SU` m=NTA8Y/CONTINIIATI -BBPOBT o NAME (LAST, PIRST, MIDDLE) stLajl-'-nkz �`sl> i� ,'�✓ VISION / FT NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC- �S o N3 El - CIO SUP �5 2-1 - 9 SUBMITTED BY ! PAGE I '/ PROPERTY ADDRESS ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED CSTATE LASS I PCS I NBHD KEY NO. 0362 BEARSES AY 07 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACT OR$ T Lann By/Dac s ee Dmonson Y UNIT ADJ'D.UNIT ACRES/UNITS VALUE Des—plion W I N E R. H O W A R D A T R S M A P— cD. rF.Dennrne,ea LOC./YR.SPEacLASS ADJ. COND. PE PRICE PRICE #LAND 1 17,100 CARDS IN ACCOUNT —' L 10 18LOG.SIT 1 X .1 =10 407 29999.9 122099_9 _14 1T100 #BLDG(S)—LARD-1 1 37.800 01 OF 01 A #OTHER FEATURE 1 700 COST 5 6 N BATHS 2.0 U X C= 100 7000.0 7000.00 1.00 7000 B #PL 360 BEARSES WAY HYANNIS MARKET D — NO BSMT S X C= 100 5.9 5.95 1440 8600—B #DL LOT 2 LC17786—C INCOME A SHED S 12 X 12 1986 E= 96 10.0 4.8 144 700 f #RR 0109 0086 USE D — UNF 2ND F S X C= 100 16.9 16.90 432 7300-8 APPRAISED VALUE D i A 55.600 A U PARCEL SUMMARY T S LAND 17100 A T BLDGS 37800 MI 0—IMPS 700 F EI TOTAL 55600 N CNST E N DEED REFERENCE Type DATE Ra d-I PRIOR YEAR VALUE A 41Rook Page MO Y, D salsa Price LAND 17100 nsl T C130Tb9 I I�07/93 L 42000 BLDGS 38500 U C122273 1�12/90 L 82500 TOTAL 55600 R C121303 ; 1:08/90 L 55000 E BUILDING PERMIT *INFO GIVEN AT S Nam , Dale Type grtwunl M 0 D E L UNIT...... LAND LAND—ADJ - INCOME SE SP—BEDS FEATURES BLD—ADJS UNITS _ 17100 ................ 700 8900— *ATTIC•1/2 FIN.. C ia. I Cnn sl igll' Base Rale AO.Rate V r B 'It A e Ner m. Oovnv ms -----...-...-- U oils Ur I q�� {I� g D pr. C tl. CND. Loc vh R.G. Repl.Cosl New Atlj.Repl.Value Stories Height Roo atl Rma.Balt,s a Fir. Pertywell Fac. 1102C— 000 100 100 55.25 55.25 45 175 19 80 60 40 94535 37800 1.4 9 5 2.0 8_0 *87 REMODELED... r—Desc,Vion Rale Square Feel Repl.Cosl MKT.INDEX: 1.00 IMP.BY/DATE: ME 9/87 SCALE: 1/00.75 ELEMENTS CODE CONSTRUCTION DETAIL S SAS 100 55.25 1440 79560 GROSS AREA 2880 TWO FAMILY DWELLING CNST GP:00 ................ T 814 3 16.58 1440 23875 *---------------------60-------------------_* S_TYLE 170UPLEX 0.0 R ! ! ESIGN ADJMT 00 ---- -��- --------------- --- --------------- - -- U ! EXTER.WALLS 11WOOD SHINGLES 0. --------------- --- -------------- C HEATIAC TYPE O2GAS 0. T ---TE-R--F-I -ISH -04 DRY4A-LL------------0.- U - 24 BASE 24 :INTER.LAT6UT 12AVER.AID RMAL 0. R -------QUALTY- -02-5-AM- INTER* E AS EXTER. 0. A ! FLOOR STRUCT 04C64CRETE SLAB 0. L DL W! ! EFLOOR COVER_ 04CARRET 6- -,Iq YP Aaa Base- 1440 ! ! ROOF TYPE---- 01 GABLE-ASPSIRH S 0. BUILDING DIMENSIONS #---------------------60--------------------X ELECTRICAL___ _ _ 01 AVE.R AGE D._ W60 N24 E60 S24 .. -------------- _--- A "' FOUNDATION 03CONCRETE SLAB__ 99. --------------- --- -- L NEIGHBORHOOD 63AD HYANNIS LAND TOTAL MARKET PARCEL 17100 55600 AREA 3871 VARIANCE t0 +1336 STANDARD 25 e. _ t [ ] ER292 189 . ] LOC] 0362 BEARSES WAS CTY] 07 TDS] 400 KEY] 203782 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 WINER, HOWARD A TRS MAP] AREA] 63AD JV] MTG] 0000 P 0 BOX 434 SP1] SP21 SP31 UT11 UT21 . 14 SQ FT] 2880 HARWICHPORT MA 02646 AYB11945 EYB11975 OBS] CONST] 0000 LAND 17100 IMP 37800 OTHER 700 ----LEGAL DESCRIPTION---- TRUE MKT 55600 REA CLASSIFIED #LAND 1 17, 100 ASD LND 17100 ASD IMP 37800 ASD OTH 700 #BLDG (S) —CARD-1 1 37, 800 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 700 TAX EXEMPT #PL 360 BEARSES WAY HYANNIS RESIDENT'L 55600 55600 55600 #DL LOT 2 LC17786—C OPEN SPACE #RR 0109 0086 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 07/93 PRICE] 42000 ORB] C130769 AFD] I L LAST ACTIVITY] 01/19/96 PCR] Y R292 189 . OP P R A I S A L D A T A• KEY 203782 WINER, HOWARD A TRS LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 17, 100 700 37, 800 1 A-COST 55, 600 B-MKT BY 00/ BY ME 9/87 C-INCOME PCA=1041 PCS=00 SIZE= 2880 JUST-VAL 55, 600 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 63AD -- TREND EXCEEDS STANDARD NEIGHBORHOOD 63AD HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 171001 LAND-MEAN +Oo 556001 54197 IMPROVED-MEAN -300 2506 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] . `�. R292 189 . P E R M I T [PMT] ACTIOR] CARD [000] KEY 203782 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT I