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HomeMy WebLinkAbout243 FALMOUTH ROAD/RTE 28 i Town of BarnstableBuilding Post This Card So That rt is;Uisible From the Street -Approved?tans must be�Reta ned on Job andthis CarclMust be tCegt �A2LN5'PA81.6. - d .�3 i '",g '" �> ,, s a - • M" Posted Unti[Final inspec,,[o Has Been Made s � � � s LWhere a.Certificate of Oc pan*cy s Requ red,suirermi ch Build ng shalLNot be Occc pied u';ntil a nal�lnspect�o has been made^�� Permit No. B-17-4257 Applicant Name: Clifford J Schorer, III Approvals Date Issued: 02/13/2018 Current Use: Structure Permit Type: Building-Demolition Expiration Date: 08/13/2018 Foundation: Location: 243 FALMOUTH ROAD/RTE 28,HYANNIS Map/Lot: 292-164 Zoning District: HB Sheathing: Owner on Record: SULLIVAN,WAYNE ContractorIme Clifford J Schorer, III Framing: 1 Address: 10 TURNPIKE ROAD Contractor�L cense., CS 104296 2 k . .,.. SOUTHBOROUGH, MA 01772 z Est P,rbj6ct Cost: $0.00 Chimney: Description: demo existing structure - 1PermltFee: $ 125.00 x, Insulation: r' Project Review Req: Fee Paid: $ 125.00 rDate 2/13/2018 Final: Plumbing/Gas t J 1/ J . � Rough Plumbing: _3 z� .Building Official 4 . Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six onths afters suance. Rough Gas: 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 z 6i`g 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 I 'cti6n for the entire duration of the work until the completion of the same. y Electrical The Certificate of Occupancy will not be issued until all applicable signatuy the BuildmgandF�re'Offic re b ials are pr �ided onthis permit. Service: Minimum of Five Call Inspections Required for All Construction Work- Rough: 1.Foundation or.Footing 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 Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION OFuBARNSTABLE Map Parcel 1 Application #�_ 1 2�18 JAN 1.5 B y� 19 / Health Division Date Issued ZI/3/1 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Z - 3brkl Historic - OKH Preservation/Hyannis Project Street Address f,0!416 Village v Aya i ss Owner b S te_a I+V k 'Ja1"ON 0 Address /0 TURN PrAt Rb . S.80" Telephone -5-0 s — M#�dl 7X Permit Request Z EM d L riln N OF z:xr5T,7_-i)& 5-7-je o crivR6 O Square feet: 1 st floor: existing Lgo)Obroposed U 2nd floor: existing proposed 0 Total new 6 _ Zoning District M B Flood Plain N o Groundwater Overlay NO Project Valuation 19006 Construction Type Woob Lot Size . 16 IL Ocae Grandfathered: ❑Yes WNo If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family $ Multi-Family(# units) Age of Existing Structure 0 Historic House: ❑Yes A No On Old King's Highway: ❑Yes ¢a No Basement Type: ❑ Full ❑Crawl ❑Walkout Other NONE Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) O Number of Baths: Full: existing cZ. new ® Half: existing CS new O Number of Bedrooms: 14 existing 0 new Total Room Count (not including baths): existing a new O First Floor Room Count Heat Type and Fuel: ;fGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing 6 New O Existing wood/coal stove: ❑Yes ONo 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 >f Appeal #�o 11- -O 1 a RecordedW Commercial ;4 Yes ❑ No If yes, site plan review# aO/17- - O 1 a- ke0 Current Use _ MS.YC� Proposed Use f -r.xF_� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) \ Name o' I ;4Ph A;fl Q16 -ee it Telephone Number Address 1 o TU R w PtK � X�� . License#�'� c �6 U-rg 3 6 k U Q a 0 Al J9�d 1 ome Improvement Contractor# Email a s c � ,n 12P rZ (a M/4 . , CO ILA Worker's Compensation # N ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 SIGNATURE DATE O D/1 3 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER .s DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i .ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL G FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i f`J Town of Barnstable Building Department Services ` MAS& Brian Florence,CBO �`� Building Commissioner 200 Main Street,Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508490-6230 Property Owner Must Complete and Sign This Section If Using A Builder 4 I 4/V N 1 .ZN�-as Owner of the subject property hereby authorize le to act on my behalf in all matters relative to work authorized by this building permit application for. , (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections e p ormed and accepted. fid er S afar cant P S R OL icy Print Name Print Name Date . I Q:FORMS:OWN MPERMISSIONPOOLS Rev:0&/16/17 Town of Barnstable ! Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 iu�srwma. MAM www.town.bamstable.ma.us s6;9. �D GAS tw . Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAH ING ADDRESS: 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. DEFiNMON OF HOMEOWNER Person(s)who owns a parcel of 1-and 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 Rermit. (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 requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMP110N 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 persons)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 It 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFnM\FORMS\building permit forms\EXPRESS.doc 08/16/17 The ComrnomveaIth of-Vassadiusetts Department&f1ndus17id Acdderats �T,f,we Of b"W igaliew 600 Wadiuigion,Street Boston,MA 02111 wYPm maxLgo?Ma WGrkers' CampensaticEm Insurance Affidavit:Builders/C,ontracfnrsMectr cia siPlumbers Applicant Iufm maiian Please Print F.eSr�blY Address: Are you an employer?Checkthe appropkate bar: ' Type of project(required): I.❑ I am a employer with 4 ❑I am a general contractor and I 6. ❑New construct km employees(full an Wor part-time)-* have hired the sub'-contractors 2.X`I am a sole proprietor or parbm r- listed an the attached sheet 7. ❑Rrmrodeling ship and have no employees These sub-contractors have 9-,gDemoolition working for me in any capacity. employees and have waders' [No workers'camp.itisu mce comp.insurance., 9. ❑Budding addition required-] 5. ❑ We are a-corporation and its 10_❑Electrical repairs or additions 3-❑ I am a homeo=w doing all work ofii cets have ememised their 1 L❑Plumbing repairs or additions o w, right of exemption per MGL c.152 § / and we have no 17 ElRoofrepairs i . 4+cenar�re required-]1 � 1(� employees-(No works' a❑Other COup-msmanz -) *Any am ehatcber]Mboo:fl,st RIM fillouttheswtioabelowshev¢iu duftviaskeW c=peasatio-uperuyinf=Wffm. I Sameowners wbc submit slits,affidn g i they ace chino all wa k au$&m hoe outside comt-aa=amst submit a nem affidavit in&csiin_-saCb- ZC,buUacMzs that clteA this boot mast rhed as addirinnal sheet sbouing the name of�e sub Eomt�scm¢s and staEe whew or not these eat ham emph gees.IfthesuB cantmctnrsbsee e�IoFers,tfie}'�sCpm�ide ffie¢warkme comp.policy nambm .Tam Below is ilte policy and jab she ttr, ormatiom Insurance Company Name: 'Policy#or Self--ins.11c-#: Expiration Bate: Job Site.Addre= CitylStatel�,tg: Attach a copy of the workers'compensationpolicy declaration page(shoving the policy number and expiration date). Failum to secure coverage as required.under Section 25A o€MGL c- 1572 can lead to the imposition of criminal penalties of a fine up to S1,30D OD andfor one-year imprisonment.as well as civil penalties.in the foam of a STOP WORK ORDERand a fine of up to$2.50-00 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 verfcafian- 1aFo fret by carfifirusider the s art ab a, perjury thatfire irrforwsatimi piwiiW Q v is acid correct Si�atu-e: I,ate ®D ;2 Phone 10k. 7- 5.'- �✓ 0jo7cialuseanly. Do not write in dds area,to be completed by city artown affidaL City or Town: PerraitUcense# Issuing Authority(circle one): 1.Board of Health 2.BZtfing Department 3.GiyfToera Qerk 4.Electrical buspector 5.Plumbing Inspector 6.Other Contact Person: Phone#- laformation, and Instructions r� hf ssachmeft Geheaal Laws chapter M rxpnm ail envloyers ID pravida WOO='compensation f x-their employees. pursues ibis sisizzte,an employee is defined as."_.eveay person in the service of another under any c ontmd ofbire, express orimplieCL oral orwriitzn" r An vnpkyer is defined as an indi iffiA paitaershiP,associafiaca,corporation or other legal entry,or any two or more of the foregoing engaged is a joint entexpim,and including the legal representatives of a deceased employer,or the receiver or trastee of an individual:partnership,association or other legal entity,employing employees. However the owner of a dwelling hawse having not more than three apartments and who resides therein,or the Occupamt of the = dwEIIiag house of another who employs pmssons to do maintmance,conslracti-on or repair work an such dwelling house or en the grounds or building appurE therein shall notbecanse of such employment be deemed to be an employer." 2S also states that"every state or local licensing agency shall withhold the issuance or MGL chaptor 1�2,§ C(� �Y . renewal of a Hcense or permit to operate a business or to construct bufuilding&in the commonwealth for any applicantwho has not produced acceptable evidencm of compfiamce with the insurance coverage required." Additionally,MCH<chapter 152,§25C;(7)states aNeitl>er the connaaawmIth nor any of its political subdivisions shall enter into any contract for the performance ofpeblic work uniI acceptable evidence of compliancewith the msurance.. recf T+re =1s of this dupt cr havm Been presented to the conftacting aurthodiy." Applicants Please fib out the woukess'compensation affidavit completely,by checking the boxes that apply-to your situation and,if necessary,supply sub-contractors)name(s), address(es)and Phone number(s)along with their certificate(s)of has r,a ce. Lfi nited Liability Companies(LLC)or Limited.Liability-Parftimships(L P)with no eaployees other than the members or partners,are not mq�md to cant'vro�ers' compensation iusarenm If an LLC or LLP does have employees,a policy is rD#krt. Be advised that this a:$dayif maybe c•nT„ hued to the Department of Industrial Accidents.for confnmaiion ofmsmrance coverage. Also be sere to sign and date the affidavit The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Tr+runsh iai A_ccid=±g. Shouldyou have any questions rcgai:Emg the law or ifyou are requaed to obtam a workers' compensation policy,please call the Department at the nnmber listed below. Self-roamed companies should enter their self-i asaranGB license number on the appiapiiafm line. City or Town Offxcials: Please be sure that the affidavit is complete and pried legibly- The Department has provided a space at the bottom of the affidavit for you to fM out in the event the Office of Investigations has to coid-actyouregardingthe applicant Please be sure,to f0i in the permit/license nuanbes which will be used as a r cfereace member. In addition,an applicant that must submit m " I ermWlicense applitation any given year,need only sohmit one affidavit indicating cozrent Pe P s in policy information Cif necessary)and under`Job Site Address"the applicant should vauite"ail loons in (cry ar town).'A copy of the affidavit that has been officially stamped or ma3iced by the city or town may be provided to the ' applicant as proofthat a valid affidavit is on file for fuhnre permits or licenses- A new affdavkmust be filled of t each year.Where a home owned or citizen is obtaining a license or penmit not related to any business or commercial venture (i.e. a dog license orpeumit to bi=leaves etc.)saidperson is NOT rimed to complete this affidavit The Office of Investigations would like to thank you in advance for Your cooperation and shouuld your have any questions, please do not hesitate to give us a call. The Deq amtmmfs address,telephone and fax nm aber. T ja of Massc use is ' • Dega��nent cif Iridr�ial A��at� face Of jave tkatiO 4 ��a$hingtan �ost�1�fA E1�11� Tt,-1.#617' -4 emt 406 or 1-M-MAS F Fax#617 727'749 Revised 4-24-07 W V_Mass,�gagldia_ f EVERS• i /+ NSTAR Electric&Gas Company ' VURCE One NSTAR Way,Westwood,Massachusetts 02090-9230 ENERGY December 6,2017 Cliff Schorer 10 Turnpike Rd Southborough Ma 01792 RE: 243 Falmouth Rd,Hyannis i To Whom It May Concern: At Eversource,we're committed to delivering great service. This letter serves as confirmation that, as of December 6,2017 the electric service to above address has been removed. Based on this information,there is no electric power at this address and you may proceed with the demolition. If you have any questions,please contact meat(781)441-3365 I Sincerely, Si Ho New Customer Connects i The Town of Barnstable Department of Public Works 382 Falmouth Road;Hyannis;MA 02601 ��D1�1�''('�j • s.►xxsrea�. • ARN 1 L KAS& www.town.bamstable.ma.us 1639-2014 575 Daniel W. Santos,P.E. Office: 508.790.6400 Director Fax 508.790.6343 February 13 , 2018 Subject Disconnection from Municipal Sewer of 243 - 245 Falmouth Road Hyannis village Map-& Parcel 292 - 164 Dear Sirs; This is to notify that the property at 243,- 245 Falmouth Road ( Map & Parcel 292 164 ) in Hyannis village, Mass was disconnected from municipal sewer on February 13th , 2018. The disconnection was inspected and. accepted by the Construction Projects Inspector from the.Town of Barnstable DPW Admin & Tech Support office. Tf you have any questions, or need additional information, please call Dave Anderson at 508 - 294 - 2800. Sincere) y; David Anderson Town of Barnstable DPW Admin & Tech Support TO�� j3?o1 O,c �q�ry`STgc, i i Department of Public Works 47 Old Yarmouth Rd. P.O.Box 326 SZ► Water Supply Division Hyannis,MA. a + 02601-0326 BARN6TABM TEL:508-775-0063 MARS. 039. ��� Hyannis Water System Operations FAX:508-790-1313 Ep�A February 13, 2018 Town of Barnstable Building Inspector Town Hall Hyannis,MA 02601 Re: 237 &243 Falmouth Road a Dear Sir: Please be advised that the above water services were shut off at the curb stop and meter removed on February 13, 2018 The Water service was cut&capped at the main on February 13, 2018. The owner has informed us that they are demolishing the building. If you have any questions,please call the office at(508) 775-0063. Sincerely, Jayne Starck Hyannis Water System ro�v F��3 2p NOP ,® r jx Town of Barnstable Regulatory Services BARMTABLE II BARxszAs Richard V. Scali,Director aMASS 95 �� Building Division Paul Roma Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Dominos Pizza c/o Mr. Matthew Eddy Baxter-Nye Engineering and Surveying 78 North Street Hyannis, MA 02601 RE: Site P1an.Review#037-1-6—Dominos Pizza 2�Z&_24-3+aimouth Road;H-yanm's�__,�Map 292, Parcel 165 & 164 Proposal: Project involves the removal and the renovation of an existing building into a ' restaurant and two-bedroom apartment. The new building will use the same footprint as the existing building,with an addition of 140 s.f. of cooler space. Site improvements are proposed including new parking and an additional entrance; improvements to storm water management; and a new grease trap. All other. existing utilities are to remain. Dear Mr. Eddy: Please--be.advised_that-at.the-formal.-site-.plan-review.meeting-held November_17,-201.6,-the-above -- application was found to be approvable subject to the following: • Approval is based upon and must be substantially constructed in compliance with the plans entitled"237 and 243 Falmouth Road,Hyannis", 5 Sheets,which include the Truck Turning Template Plan for delivery tractor trailer and the Landscape Plan; dated October 27,2016 and last revised November 9, 206; "Storm water Management Report for Domino's Pizza"dated October 27, 2016, last revised November 10, 2016; "Storm water Management Operation and Maintenance Plan dated November 9, 2016 all plans prepared by Baxter Nye Engineering&Surveying,Hyannis for Cliff Schorer, Southborough, MA: Also, Floor plans and elevations, 2 Sheets, dated November 10, 2016 entitled "Dominos/Apartment"2 Sheets prepared by Bruce Ronayne Hamilton Architects,New Ipswich,New Hampshire; • A Conditional Use Special Permit from the Zoning Board of Appeals is required for the restaurant use in the HB District. • Impervious lot coverage is greater than 50%in the portion of the lot located in the Groundwater Protection Overlay District and will require either relief to be granted from the Zoning Board of Appeals, or provision of additional pervious surface to comply. Provision of the easement/agreement for parking and for the location of the dumpster in easement area will need to be provided prior to further permitting. . • Proposed location of the dumpster within 10 ft of the property line will require a variance from the Board of Health. • Signage for assigned residential parking spaces and right turn only signs at each egress will need to be provided. • A photometric plan will be required to be submitted and approved by DPW prior to the issuance of a building permit. • A wastewater modification application will be required to be submitted and approved by Water Pollution Control prior to the issuance of a building permit. • A road opening permit will be required from DPW and an application to Mass DOT for the 2nd proposed curb cut. . Final plan and construction coordination with MassDOT is necessary. • New addresses will need to be assigned to the site/units through DPW. • A Common Victualler License will be required for the restaurant use. • Applicant must obtain all other applicable permits, licenses and approvals required. Upon completion of all work, a registered engineer or land surveyor shall submit a letter of certification, made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan(Zoning Section 240-105 (G). This document shall be submitted prior to the issuance of the final certificate of occupancy. A copy of the approved site plan will be retained on file. Sincerely, Ellen M. Swiniarski Site Plan Review Coordinator CC: Paul Roma,Building Commissioner ZBA File Hyannis FD Health Department DPW Licensing r Town of Barnstable . , P�pFTHE 1pk� Regulatory Services Thomas F.Geiler,Director 1 9 r r BARNSTABLE' r� Building Division y Mnss. �jDrE16 9.M.t a Tom Perry Building Conunissioner 200 Main Street, Hyannis,MA 02601 ,= _ " z rill Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: Zt O Rec'd by: s�c(LI V � ` e i Complaint Name: 1 Map/Parcel _Location �� Address "AAA,4 Originator Name: 'Z->� IN U Street: Village: State: Zip: Telephone: Complaint Description: C)n-e- i2 C—�lGt UC4� �. G. —,Z Vk�c b/D a1AA n)JU-A21 L 6AJL.M a, ALI )Mfy)e& FOR O FICE USE ONLY Inspector's Action/Comments Date: Inspector: lV1 . Additional Info.Attached Q:fonns:complaint APPLICANT INFORMATION (BUILDER OR HOMEOWNER)- Name o��'Pt1 1 � 1��1�C7 Telephone Number 5©ij a H UJyU6 Address TO i` US License # C25 60n OMQ-V3 aillt ca CDLi-S Home Improvement Contractor# 15 9(03a Worker's Compensation # j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ?1Q M SIGNATURE DATE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Z ( Map o''�� Parcel, i 1py Application # G Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee f Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address o� ''�J -rIItP1ch3Ttk �, Village Owner m c Address T,0, 146W Y •� Telephone 509) - -7-7 U e q S-7i Permit Request _Ib� wom W��iJa3r �i Square feet: 1 st floor: existing _proposed l�wa 2nd floor: existing proposed Total news O Zoning District Flood Plain Groundwater Overlay Project Valuation I�! ®�° Construction Type V"D ;RV'rrv1-t Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting"(Tocumentation. Dwelling Type: Single Family ❑ Two Family Cr'- Multi-Family(# units) Age of Existing Structure 't01-95 Historic House: ❑ &Yes o On Old King's Highway: ❑Yes M-156 Basement Type: ❑ Full ❑ Crawl ❑Walkout 3,01her :5i-r-f5 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) C-5 Number of Baths: Full: existing a� new Half: existing new Number of Bedrooms: W existing 0 new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Oa G ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Q No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ®'No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION -�- - - - (BUILDER OR HOMEOWNER) Name ME> L_% Telephone Number -568 o'?N o 511AC5 Address X �q�-_) License # C—So "cq 3 600 Nkao 01 6(Pq Home Improvement Contractor# 4 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � 7 DATE SIGNATURE i > t 6 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO..—,,, 'r ADDRESS VILLAGE OWNER DATE OF INSPECTION: if I.r FOUNDATION,"', -" = 1 FRAME INSULATION,-. { FIREPLACE ELECTRICAL: ROUGH FINAL - i t PLUMBING: ROUGH FINAL st GAS: .`' ROUGH RERY•� s:5: - FINAL ! flNAL BUILDING' tDATE CLOSED..OUT ASSOCIATION PLAN NO. et The Commonwealth of Massachusetts c s - Department of Industrial Accidents.-. ° Office of Investigations 600 Washington Street :eta Boston,MA 02111. c www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name (Business/Organization/Individual): Ill. r ,.r �,eflivro . lLx)m r pro�> etwopEzln;&- Address:7? jco City/State/Zip: ' fW-uO1C-4 NCR 030 Phone #: OW&P 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. 1 2• remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance S. ❑ We are a corporation and its required.] officers have exercised their ]0.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t. employees. [No workers' 131-1 Other comp. insurance required.] ;Any applicant that checks box#!I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. f am an employer that is providing workers'compensation insurance for niy employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebyecerfder t ains and penalties of perjury that the information provided above is true and correct 41 Si afore: Date: / �1 Phone#: Ill/ 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#: s 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,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 'ounds or building a' urte" „ gr g pp nant thereto shall not because of such employment be deemed to be an employer. MGL 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 coverage required." Additionally,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the,boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)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 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. Self-insured companies should enter their 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 of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street Boston,MA 0.2111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass..gov/dia I _S-onsttuction_Superv.isor License License: CS 83500 „ NATHAN W`CANTOPi! 18 L.R MURPH YS,.�. yWAY SO CHATHAM', M902659 31 « , Expiration: 7/24/2012 �.,issiuner' Tr#: 29368 Office of Consumer Affairs and Ilusiness Regulation 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 Home Improvement Cook actor Registration �w Registration: 159632 j Type: DBA Expiration: 5/15/2012 Tr# 296734 NATHAN W. CANTO BUILDING A r NATHAN CANTO 18 L.R. MUR.PHY'S WAY SO. CHATHAM, MA 02659 ,;.�4���✓`� Update Address and return card.Mark reason for change. 'M DPS-CA1 -G101216 Address Renewal Employment Lost Card %r 50M-04/04 ��ie -�on�na�uoea�i o�./�aoaac�ivael7a Office of Consumer Affairs&B siness Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: R t Registration:, r1.59632 Type: Office of Consumer Affairs and Business Regulation Expiration: XS%2012 DBA 10 Park Plaza-Suite 5170 L _ Boston,MA 02116 NA AN W.CANTO130WD1NG AND REMODELING NATHAN CANTO 18.L.R. MURPHY'SAY} o C✓ SO.CHATHAM, MA 026�59r „j Undersecreta y Not valid without signature n From:wayne SOYmn Fax:(86e)610.4s21 To: Fox: •1(W)673-1896 Page 2 of 2 4/1Mi1 6:66 hpr.11.2011 10:05 PM Nathan W. Canto 1 508 432 1666 PAGE. 1/ 1 Town! of Barnstable Regulatory Seces { + 'Thorn,=,",Ce@er,Dirmor Buildaing Divbfon TausParrY,Suildleg+Commissioner 200 Maim Sires H5%nml ,MA 02601 w1vw.ta,'vn.bs�rmstab io.m�.r,s Office, 509-862,4038 Pax; 508-790,6230 -PxOpezty OmlerMUSt Complete and Sign 7'Zus Secdon , thal Subject pmperty hezzby auxborize xellive to works authodmd by this buu7diz pew ePpliM6n ior. *JPO, 8%jo �igt<sm o 6f G (J l'ruat Name , If is apP1yiUg for per t please ca p ere.fihe 'I-IOMeowneis License ExeMpdon porm on tie revue side. Q;FORM3:o NNEAftjLV jS6jON r K - e a 9 9 i n �q t IL o a--I cvwc 9 v F-W (:,AJC- %4. ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,,� Map '2-q.2 Parcel / Y ,j•f t Bp�R�ISTABL4ermit# Health Division d y39-7 d)ate Issued S 06 Conservation Division �D Application Fee Tax Collector �c 3 d k [,.— ____-Pernttt'Fee Treasurer Planning Dept.. CO p p=W AW= ENGINEERING DIVISION Mojl TO Date Definitive Plan Approved by Planning Board CONSTRUCTION. Historic-OKH Preservation/Hyannis Project Street Address a q 3 Y—'.4 L Village Y'4 4V A;1-4 Owner W q X o 6' Sue-Z_ Address e.0 4 6 de C� he Telephone _gyp g_ 51 kR- 5212 Permit Request 1Z-'� e I A.) AA-cg 9 vz?,o C2 1-r r 4 f 7 L / 1Q d&--1 7-0 cgn yd 4-0 fl [ '7r-LoSr V Square feet. 1st floor. existing I'i q D proposed 140 2nd floor. existing 0 proposed b Total new d Zoning District Flood Plain Groundwater Overlay Project Valuation f o, 0®d-- Construction Type R 00010 f 419-1 6- Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family W-,- Multi-Family(#units) Age of Existing Structure i' �_ "--Ir. Historic House: ❑Yes 3'lgo On Old King's Highway: ❑Yes aW Basement Type: ❑Full ❑Crawl ❑Walkout Q Other�f L-4 e, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 _ Number of Baths: Full: existing U new Half:existing new Number of Bedrooms: existing— new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: aGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes U o Fireplaces: Existing New Existing wood/coal stove: ❑Yes Ci-146- Detached garage:❑existing ❑new size Pool: 0 existing ❑new size Barn:O existing 0 new size Attached garage:❑existing ❑new size Shed:Cl existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes ❑No If yes, site plan review# Current Usek a r,ocar TA L Proposed Use SS I jo"n 4- BUILDER INFORMATION Name 1 /,4 S SW I-(-I 'VA-%2 Telephone Number 5-0 Tom'- Address o •.9 d R 13 `7 License# SA c,*,7 o if S t3.mc Nr "94- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO BAD SIGNATU E DATE Vlad/d '' FOR OFFICIAL USE ONLY 1 I PERMIT NO. DATE ISSUED ' MAP/PARCEL-No. i t ADDRESS VILLAGE ,r OWNER � DATE OF INSPECTION: } FOUNDATION FRAME INSULATION FIREPLACE .3 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH.--,-,vj n FINAL GAS: ROUGH" FINAL FINAL BUILDING 5 .! es DATE CLOSED OUT cc--c ASSOCIATION:PLAN NO. I , � f • • :,• .... , •'., - ::.,�� .h a••' •'•�• •• n�vealth of 1Vlassachusetts• : . • , - 2' comtno t ceidents' • . • = Department of fndustria . Edo'Washington Street - Boston;mass. +' atiollAbSurance Affidavit-General Businesses / / C m,ens • • Wor�.ers. , �� �� �,�, ,,w��r�r4'`3'+'1• 'SY��<rf�f�.p"A.0 .. . I, ., - - ., r address; t,. ,, F .... � h e . ..• 1• -. . F . _�. • staate , antlBaFlEatgstablis$meet . work ocati address:dhaveno out; ' $usiness Type: 0 Retail❑Rests�cladingR�aY�rstete,Antos etc.)' ato.a sole proprietor an . 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'• ,.:: .r N. • `';4,, t;.` rt. 4•:4i},b,.ls<'.:L�. _ insiir UCM,=b+'i't"' ` r_♦ ositioa o crimitlalpenaYtirs of a fine up to$1,500.00 and/or ainst ma• 1 understand that X Failure to secure coverage a+regtjred under Section 23A of MGL 152 can lead to the fmp. r ent as welt as ch 1penalties in the form oft, STOP WORK OltDDyR and a Verification o0 a'day ag one yearn'imPri'0Tu° ded to the Office of Ynvestl aeons of the DTAfor coverag r ent maybe formr copy o f this statue, under thepains and pGnalt' bf perJury that fFie informatzan provided above is frue an, eorl�llf o I do hereby certify d Date10 f hone# �' print name t `� . do not write is this area to be coaapletad by city or town official v afflcia we only permit/licens-0 OBuildingl7epartment []Licensing$oard ' city or toYrn: � ,' ❑SeIectmen'a Office []$eslthDcparbnenl , (]check if iminediste response is regui ed ( Other phone#; contact person: tfevisftd Sept 2003) !T_ e Znforxriation and Znstxo&tions• r exel Laws'chapter 152 section 25 xegr— es all employers to provi�rworkers' compensatioix for their. eri .• . tisy. Massachl?ae frrnnthe IgEL , an employe is.defined as every person m the service of another under any c&act e�Sloyees; .As quote"' � . ... • of hire;express or isxrp a oral or written. ' partnership, association, corporation or other legal entity, or any two or mare of employer is defiired as an individual, �' tAn he foregoes s c ged•in a'joint enferprise,and including the legal representatives of a deceased,employer, or the receiver or artaersE association or other legal entity, employing employees. 'However.the owner of a trustee of an individu�,P . F� dwelling ' �ot'inore than three apartments andwho resides therem, or the;occupant;o the dwelling house bf house having..,. _ s ersbris to ilo main.�Oance, oonstrption or repair work on such wekI g house mr on the grounds or another wbo.emp1by P ' t thereto shall not b ecaus a of suchemployment.b edeemed to be ari employer. ,.. -building.gppuu•teuan •.. : .►' cha ter 152 sectibn 25 also'states fhat'every state or local licensing•agendy shall withhold the issuaneb or renewal I GL F t too Opel-ate a business or to construct buildings in the.6nUnonwealth for any applicant who has Of a license or pe2'mi,. p not produced accepny.o fits poetical ubddiiviisioons h�neer i o any outractgfor theerformanc ofpublictwork untg cozrmoonwealthnor.any.ofits political s acceptable evidence of compHbAci a with the insurance xequn ements of this chapter have been presented to the contracting authority: . ' . Applicants Please f the woe s'.eon�pensmim affidavit corn ►letely,by checking the box that applies to your sitda{ion., Please l 1 company name, address anck phone numbers along with a certificate of insurance as all affidavits may be submitted FP y to the pepartrnent'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 b eing to not the pepartment 6f° dustrial Accident . Should you have any questions regardm the'"Iaty"or if'you sire reques d, a.Workersr•compensationpQlicy,please call theDepartrnent at the ninxiber liste,3�elovy. t required to vbtam , , , , • ' City or Towns . P lease b e surd that the affidavit is cbmplete and printed legibly. The Department has provided a space at fnd liottoni of the affidavit f�you to fill o-at in'the event the Office of Investigations has to contactyou regarding flae applicant 'lease sure to fill-in the permctliicens e,number which wl be used as a reference number. The.afiidayits uzay.be returned tq. be- or: gemerits have been made, ` the D ep artn t by, p AX unless other:ari an Investigations would like to thank you.in advance for you cooperation and should.you have any questions, The Office of • . . , , please do nothesitate to give uS a ell / a�{ment's address,telephone anti fax number: . The Dep _ • - The Commonwealth Of Massachusetts Aepartment-Of Industrial Acca•deuts of lie . Ufa"of 600 Washington Street Boston,MR. 02111 fax#: (617)7Z7-7749 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 0 0 Building Permit Amendment $25.00 FEE VALUE WORKSIIEET NEW LIVING SPACE square feet x$96/sq. foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE JJ 2 p square feet x$64/sq.foot of-0 x.0031= 1 Y-2 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE.>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (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) Permit Fee' projcost FZHE ram, Town of Barnstable ti Regulatory Services MRrrsrasi e Thomas F.Geiler,Director �prEDNw'�A�O 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 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: k6-0 o V+-n a J Estimated Cost 10 1,0 0 0 Address of Work: Ea L�,,a.r 7-kr /� /J. H�.4-a n9 r S Owner's Name: (,t9 A Kwo r J Date of Application: q/a o/®y I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 [❑B lding 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: i Date Contractor Name Registration No. OR Date 0 s ame Q:forms:homeaffidav ' oFt► ,a,<. Town of Barnstable Regulatory Services BAMSTABLE, : Thomas F.Geiler,Director MASS. 1639• A.O� Building Division rED MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: oy JOB LOCATION: //�L 1`/3- /GY C wj yv /� ✓� y �� S number street village "HOMEOWNER': ��9 S/�� S�JG G/✓ �Q F'— �' Sao 9 ��FJ-7 7 G 9�7 name home phone# work phone# CURRENT MAILING ADDRESS: �, Q d /3 0 -2 S i4�dy -s rJrP R g`?fiL/l/ city/town Istate 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 re ' ements and that he/she will comply with said procedures and requirements. Signature of Homeo 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 1 L ►' � TOWN OP SABNSTgBLZ SEPOBT s MENT88Y/QONT=NUA g�P08T DrvrsroN rosrr � ��� NAME (LAST. nRST. X=DLE) NOTE DETAILS i OBSER =DNS-rM MIZE EVIDENCE. SERIAL IS ETC' v �1 Z� S � • L)Lv co cam- owr- s PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS. DATE PRINTED I CSTATE LASS I PCs I NSHD 'nFNTIEIQAIION KEY NO. 0243 ROUTE 28 07 HB 400 07HY 01/.04/96 1041 00 HY04 [R292 163. 203568 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ'D.UNIT Lan,l Bv,Dan; SF,,D,men lion LOC./YR.SPEC.CLASS ADJ. CON D. P PRICE PRICE ACRES/UNITS VALUE Daae,iption NORRIS, SALLY A MAP- CD. FFDe InIA"e' #LAND 1 51,000 CARDS IN ACCOUNT - L 30 3SITE 1 X .15J = 8C 387 50 2i9999.97 340559.96 .08 27200 #BLDG(S)-CARD-1 1 20,000 01 OF 01 A 10 18LDG.SIT 1 X .15J = 80 387 50 2199 99.9 7 340559.96 . .07 23300 #PL 249 FALMOUTH RO COST 7TUUU- N I #DL LOT-26 MARKET D BATHS 1 .1 U X I C= 100 6000.0 6000.00 1.00 6000 B #RR 1388 0144 0723 0047 INCOME A - NO BSMT S X C= 100 5.95 5.95 1440 8600-3 #SR HIRAMAR ROAD USE D APPRAISED VALUE D A 71,000 J A PARCEL SUMMARY T U LAND 51000 A S T LDGS 20000 M O-IMPS TOTAL 71000 F E N CNST E N DEED REFERENCE Type DATE Rece,d.a PRIOR YEAR VALUE A T B-k Page '^�' Mo Y, D sera,P,c. LAND 51000 T C562880 00/00 BLDGS 20000 U TOTAL 71000 R E BUILDING PERMIT L O T RESTRICTED S Numbe, Dale TYpa A-, SHAPE,SIZE,ECON LAND LAND-ADJ INC ME SE SP-BEDS FEATURES BLD-ADDS UNITS 51000 1 2600- Cpnsl. TOIa Yea,Bui l Norm. Ob- Class Unils Vni,s Base Rale AUI.Rate Aj5 1f9 Age Dep,. Con U. CND. Lpc. 0.y R.G. Repl.Cost New AUj.Repl.Value Sto,iea neignl Rooms eU Rms.Barbs I Fix. Panyw.11 Fac. 02C- 000 100 100 55.25 55.25 45 65 29 66 60 26 76960 20000 1.0 8 4 1_1 6.0 Descnplion Rate squa,e Feet Rapt,Cos, 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 1440 TWO FAMILY DWELLING CNST GP:00 T *--------------------60--------------------• . STYLE 04CAPE COD 0.0 --------------- -----------------------d-b � ! J ESIGN ADJMT 0G 0. U ! EXTcR.YALLS _11W006 SHINGLES0. ! ! H_EAT/AC W TYPE _120IL- ARM_ A_I_R _____0'.0 T ! ! NTER.FINISH 04DRYWALL 0.0 24 BASE 24 : I INTER.LAYOUT 12AVEA./NOAMAL ' 0.0 U --------- ---- ! INTER.QUALTY 02SAME .AS EXTER. 0. A FLOOR." STRUCT_ _64CONCRETESLAB d- W! "E LOOK VE COR_ 04tAR __ ________0 PET .0 A,­ Ap>a a Base 1440 ! ! ROOF TYPE 01 GABLE-ASPH SA 0. ---------kC --- --------- ------------ BUILDING DIMENSIONS *---------------------60--------------------X ELECTRICAL___ 01AVERAGE 0.0 T - -------- ----- ----- A AS W69 N24 E60 S24 .. FOUNDATION 03CONCRETE SLAB 99. --- -- - --- ---------------------- i _ L COMMERCIAL:'NBHD: IN HYANNIS HY04 LAND TOTAL MARKET PARCEL 51000 71000 AREA 527520 VARIANCE +0 -87 STANDARD 50 RESIDENTIAL PROPERTY MAP NO. LOT NO. Z4q - FIRE DISTRICT SUMMARY STREET 251 Falmouth Road _ LAND 3 9,) 292 163 g BLDGS. / y/p C OWNER TOTAL ,Q LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot #26 LC # 17786C 79 BLDGS. 0) - B TOTAL rutrataugh! M' ° 1 aC LAND .`Norris Sally A. 9 28 72 451 18 Ct #562 .-8 ono' - � BLDGS. TOTAL � LAND a) BLDGS. TOTAL g 8 LAND BLDGS. TOTAL LAND 01 BLDGS. TOTAL LAND BLDGS. Ol - TOTAL LAND INTERIOR INSPECTED: J rn BLDGS. TOTAL DATE: z -9-7 LAND ACREAGE COMPUTATIONS BLDGS. AjokAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUS . 59�Z 157 GJ^ Z3400 49 LAND CLEARED FRONT BLDGS. REAR e. TOTAL WOODS&SPROUT FRONT LAND BLDGS. REAR WASTE FRONT TOTAL _ REAR LAND BLDGS. TOTAL LAND V OI BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND LA14L) COS I' nc.Walls Fin. Bsmt.Area Bath Room Z Base 0 BLDG. COST nc.Blk.Walls Bsmt. R.C. Room St. Shower Bath Bsmt. _ ' O O U PURCH. DATE nc.Slab Bsmt.Garage St. Shower Ext. Walls kick Walls Attic F._&Stairs Q Toilet Room PURCH. PRICE Roof RENT one Walls Fin.Attic Two Fixt. Bath Floors ers INTERIOR FINISH Lavatory Extra _ 1 2 3 Sink U 1/2 1/4 Plaster Water Clo. Extra Attic 0 EXTERIOR WALLS Knotty Pine Water Only uble Siding Plywood No Plumbing Bsmt.Fin. Ingle Siding Plasterboard Int. Fin. pushingles TILING 4, }' no. Blk. G F P Bath Fl. Heat ce Brk.On Int. Layout Bath .&Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl. &Walls Fireplace m.Brk.On HEATING Toilet Rm. Fl. Plumbing lid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. Tiling �/ L Steam Toilet Rm. Fl.&Walls anket Ins. Hot Water i•Gd,a w� St. Shower of Ins. Air Cond. Tub Area Total 1 1/ Floor Furn. ROOFING ).R� 5 COMPUTATIONS ph.Shingle Pipeless Furn. Z 7 O S.F. oad Shingle No Heat S.F. bs. Shingle Oil Burner S.F. ' ate Coal Stoker S.F. to Gas S.F. OUTBUILDINGS ROOF TYPE Electric ble Flat S. F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED 'p Mansard FIREPLACES S.F. Pier Found. Floor ambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing nc. LIGHTING '- Dble.Sdg. Shingle Roof arth No Elect. DATE ine Shingle Walls Plumbing ardwood ROOMS Cement Blk. Electric sph.Tile Bsmt. lstj.t) TOTAL J C�d Brick Int.Finish P Ingle In d 3rd FACTOR REPLACEMENT o2 3 U o� OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOO. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAgL VAL. 1 2 -- 4 5 _ 6 -- B 9 __.. t0 TOTAL MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (P i or Type) Mass. Date 19 Permit Building Location Owner's Name Type of Occupancy New ❑ Renovation ❑ Replacement`®' Plans Submitted: Yes❑ No ❑ N � N W in N N U Z ¢ ' cc U! rt 0 Q �" x O 0 N S 1. J W W F' ~ s Q 4 m N W 4 ¢ 0 OF- N V W 4 Ul 6 4 cc cc O W W W N j = 4 S S W C W F' W Z,.J F� Z p. W W O > U. f• W J M W Z 4.-W 4 C f y N m Z O O N Z rr 'Z O C7 t Y. 7 3 O 0 J U C > 0 6 H O SUB-8SMT. BASEMENT I 1ST FLOOR 2NDFLOOR 2RO FLOOR I 4TH FLOOR I STH FLOOR eTHFLOOR 7THFLOOR 8TH FLOOR Installing Company Name �l-QN Y7/y Check one: Certificate Address ❑ Corporation �- ❑ Partnership Business Telephone O Firm/Co. Name of Licensed Plumber or Gas Fitter �e INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142, Yes 'M No ❑ If you have checked yeS. please indicate the type coverage by checking the appropriate box. - A liability insurance policy 'other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am awar that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and t at my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's—Agent Owner❑ Agent❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this appl' ti n will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Geggral taws. T e of License: Title Plumber g ture o oen r or as titer Gaslitter City/Town Master Ucense Number ) APP Journeyman BELOW FOR OFFICE USE ONLY J FINAL INSPECTION SKETCHES 7 PROGRESS INSPECTION FEE I NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME i TYPE OF BUILDING LOCATION OF BUILDING ce/ PLUMBER OR GASFITTERy� LIC. NO. PERMIT GRANTED ` DATE /r f 1B 7 e • • GAS INSPECTOR MASSACHUSE-r S UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print gr Type) GTi,1771 Mass. Date 1 f� Permit # ���/0j 0 49-24�m � / 3 Buiiing Location� �'�/L�/���� ZZ Owner's Name �U Type of Occupancy New p Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ - FIXTUR z a, z z X Q N W 0 O z y H N z W W W X A N > V Q 1A N z N Q cc Q ' ~ z O z_ o W t- W = 0: 'A W z f. J N N 0 S ¢ !� V W N Y C a Q d Q Q m Q 2 d i V z O p .� W ¢ W p Q N = Q a x O0 W W = ~ ~ W to O p 3 J N G M' Q Y p p W CC Y z S kc d W W 9 W 1- O z I O 0 F- Z O C N z _z W f O Q = N H Q Q O Q -J ..a Q W rt In Q O Q F- 3 Y J m 010 p J _ ►- N W G7 a Q 3 9 In O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR GTH FLOOR TTH FLOOR S H FLOOR Installing Company Name / Check one: Certificate Address ❑ Corporation Z p Partnership Business Telephone 8` J ❑ Firm/Co. Name of Ucensed Plumber ! -> INSURANCE COVERAGE: I have a curr bility Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes " No If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy [,g Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass, General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accur,aate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in dompliance with all pertinent provisions of the Massachusetts State Plumbing Cod and Chapter 1 2 o the General Laws. By, ,f ignature of Licensed Plumber Title Type of License: Master© Journeyman p City/Town APPROVED OFFICE USE ONLY) License Number (�f 0 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS C C5 FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OFF BUILDING e LOCATION OF BUILDING ��� PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR R292 163 . OP P R A I S A L D A T Ale KEY 203568 NORRIS, SALLY A LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=HB 51, 000 20, 000 1 A-COST 71, 000 B-MKT BY 00/ BY ME 9/87 C-INCOME PCA=1041 PCS=00 SIZE= 1440 A JUST-VAL 71, 000 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA HY04 -- --MAY NOT BE COMPARABLE-- COMMERCIAL NBHD IN HYANNIS HY04 PARCEL CONTROL AREA TREND STANDARD 301 30 LAND-TYPE 510001 LAND-MEAN +0% 710001 527520 IMPROVED-MEAN -960 500 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 800i] 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- [000] DATA- [ ] XMT [?] i R292 163 . • P E R M I T [PMT] ACTIOR] CARD [000] KEY 203568 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT i [ ] [R292 163 . ! ] LOC] 0243 ROUTE 28 CTY] 07 TDS] 400 H KEY] 203568 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 NORRIS, SALLY A MAP] AREA1HY04 JV] MTG12018 57 SNOWS CREEK DRIVE SP1] SP21 SP31 UT11 UT21 . 15 SQ FT] 1440 HYANNIS MA 02601 AYB11945 EYB11965 OBS] CONST] 0000 LAND 51000 IMP 20000 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 71000 REA CLASSIFIED #LAND 1 51, 000 ASD LND 51000 ASD IMP 20000 ASD OTH #BLDG(S) -CARD-1 1 20, 000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 249 FALMOUTH RD TAX EXEMPT #DL LOT 26 RESIDENT'L 71000 71000 71000 #RR 1388 0144 0723 0047 OPEN SPACE #SR HIRAMAR ROAD COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] C562880 AFD] LAST ACTIVITY] 05/02/96 PCR] Y Town of Barnstable Regulatory Services BARNSTABLE $ sgrAB Richard V. Scali,Director Building Division Paul Roma Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Dominos Pizza c/o Mr. Matthew Eddy Baxter-Nye Engineering and Surveying 78 North Street Hyannis, MA 02601 RE: Site Plan Review#037-16 Dominos Pizza 237 &243 Falmouth Road, Hyannis Map 292, Parcel 165 & 164 Proposal: Project involves the removal and the renovation of an existing building into a restaurant and two-bedroom apartment. The new building will use the same footprint as the existing building,with an addition of 140 s.f. of cooler space. Site improvements are proposed including new parking and an additional entrance; improvements to storm water management; and a new grease trap. All other existing utilities are to remain. Dear Mr. Eddy: Please-be_advised_that_at the_formal_site-.plan-review meeting_held-November..17,-2016,-the-above - -- - application was found to be approvable subject to the following: • Approval is based upon and must be substantially constructed in compliance with the plans entitled."237 and 243 Falmouth Road,Hyannis", 5 Sheets, which include the Truck Turning Template Plan for delivery tractor trailer and the Landscape Plan; dated October 27, 2016 and last revised November 9, 2016; "Storm water Management Report for Domino's Pizza"dated October 27, 2016, last revised November 10, 2016; "Storm water Management Operation and Maintenance Plan dated November 9, 2016 all plans prepared by Baxter Nye Engineering& Surveying, Hyannis for Cliff Schorer, Southborough, MA: Also, Floor plans and elevations, 2 Sheets, dated November 10, 2016 entitled "Dominos/Apartment"2 Sheets prepared by Bruce Ronayne Hamilton Architects,New Ipswich,New Hampshire; • A Conditional Use Special Permit from the Zoning Board of Appeals is required for the restaurant use in the HB District. • Impervious lot coverage is greater than 50%in the portion of the lot located in the Groundwater Protection Overlay District and will require either relief to be granted from the Zoning Board of Appeals, or provision of additional pervious surface to comply. J • Provision of the easement/agreement for parking and for the location of the dumpster in easement area will need to be provided prior to further permitting. . • Proposed location of the dumpster within 10 ft of the property line will require a variance from the Board of Health. • Signage for assigned residential parking spaces and right turn only signs at each egress will need to be provided. A photometric plan will be required to be submitted and approved by DPW prior to the issuance of a building permit. • A wastewater modification application will be required to be submitted and approved by Water Pollution Control prior to the issuance of a building permit. • A road opening permit will be required from DPW and an application to Mass DOT for the 2°d proposed curb cut. 9 Final plan and construction coordination with MassDOT is necessary. • New addresses will need to be assigned to the site/units through DPW. • A Common Victualler License will be required for the restaurant use. • . Applicant must obtain all other applicable permits, licenses and approvals required. Upon completion of all work, a registered engineer or land surveyor shall submit a letter of certification, made upon knowledge and.belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan(Zoning Section 240-105 (G). This document shall be submitted prior to the issuance of the final certificate of occupancy. A copy of the approved site plan will be retained on file. Sincerely, /z/z Ellen M. Swiniarski Site Plan Review Coordinator CC: Paul Roma, Building Commissioner ZBA File Hyannis FD Health Department DPW Licensing ] [R292 164 . ] LOC] 0243 ROUTE 28 CTY] 07 TDS] 400 HY KEY] 203577 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 SULLIVAN, WAYNE MAP] AREA] HY04 JV] MTG] 9212 P 0 BOX 1309 SP1] SP21 SP31 UT11 UT21 . 16 SQ FT] 1440 SAGAMORE BEACH MA 02562 AYB11945 EYB11970 OBS] CONST] 0000 LAND 25600 IMP 26700 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 52300 REA CLASSIFIED #LAND 1 25, 600 ASD LND 25600 ASD IMP 26700 ASD OTH #BLDG (S) -CARD-1 1 26, 700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 243 FALMOUTH RD TAX EXEMPT #RR 1388 0082 RESIDENT' L 52300 52300 52300 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] C71945 AFD] LAST ACTIVITY] 10/25/96 PCR] Y N i "1 R292 164 . OP P R A I S A L D A T A KEY 203577 SULLIVAN, WAYNE LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=HB 25, 600 26, 700 1 A-COST 52, 300 B-MKT BY 00/ BY ML 9/87 C-INCOME PCA=1041 PCS=00 SIZE= 1440 JUST-VAL 52, 300 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA HY04 -- TREND EXCEEDS STANDARD COMMERCIAL NBHD IN HYANNIS HY04 PARCEL CONTROL AREA TREND STANDARD 101 30 LAND-TYPE 256001 LAND-MEAN +Oo 523001 527520 IMPROVED-MEAN -950 506 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 800] 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- [000] DATA- [ ] XMT [?] R292 164 . P E R M I T [PMT] ACTIOR] CARD [000] KEY 203577 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT j ��IdM . Ya i ti i i i j , ' also _- RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Falmouth Rd, Hyannis H -7,3 LAND y 0 0 =1 � BLDGS. 292 164 OWNER %✓Gr. teY t c'�... �i'. �i!�� TOTAL a 3 7 J t-] RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: 79 LAND �d BLDGS. 19 7c TOTAL L C' LAND Sullivan, Wayne / ($32,400) , /��,� .�r �, BLDGS. ^ / ti.C�°y��tX tnc.^� � fA [�-•4„c y�a � .py A G' �J• TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. 01 TOTAL LAND BLDGS, RL S 8 TOTAL I LAND BLDGS. INTERIOR INSPECTED: TOTAL DATE: FLANDACREAGE COMPUTATIONSDGS.AND TYPE # OF ACRES PRICE TOTAL DEPR. VVAALU1E 1 TAL HOU p ° , OOO 24000 ©�-1 'V y LAND -- CLEARED FRONT BLDGS. REAR 4a, TOTAL WOODS&SPROUT FRONT LAND REAR O BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. 0) TOTAL LAND / r' BLDGS. fO LOT COMPUTATIONS LAND FACTORS - TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND Conc.Walls _ Fin. Bsmt.Area Bath Room .7 % Base "'� BLDG. COST Cone.Blk.Walls Bsmt. Rec.Room St. Shower Bath Bsmt. ' Conc.Slab Bsmt.Garage St. Shower Ext. PURCH. DATE Walls PURCH. PRICE Brick Walls Attic Stairs .Q. Toilet Room Roof RENT /-7-���" !r" Stone Wells Fin.Attic Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. F T 2 3 Sink / D� sA 1/2r/� Plaster' Water Clo. Extra r8smt. 0 EXTERIOR WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing Fin. Single Siding Plasterboard Int.Fin. li, hingles ? TILING onc. Blk. G F P Bath Fl, Heat /460 Fece Brk.On Int. Layout Bath F.&Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl. &Walls Fireplace om.Brk.On HEATING Toilet Rm. FI. Plumbing (� olid Cam. Brk. Hot Air Toilet Rm.FL &Wains. Tiling Q Steam Toilet Rm.FI.&Walls Blanket Ins. ' Hot Water ��, f St. Shower oof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS ' Asph. Shingle / Pipeless Furn. D S. F. ✓ 67 . Wood Shingle No Heat O S.F. � Asbs. Shingle Oil Burner S. F. Slate Coal Stoker S F hU Tile Gas S.F. OUTBUILDINGS ROOF TYPE Electric Gable Flat S.F. 1 2 3 1 4 5 6 7 8 9 10 1 2 3141 5 6 7 819110 MEASURED ' Hip Mansard FIREPLACES S. F. Pier Found. Floor ?`!' Gambrel IFireplace Stack Wall Found. 0.H.Door /LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing �l Conc._ LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Pine Shingle Walls Plumbing Hardwood ROOMS Cement Blk. Electric Asph.Tile Bsmt. Istg fa/j TOTAL '"1 el, Brick Int.Finish O ED Single 2nd 3rd FACTOR , I T I IREPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. - PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG. k 'J—'— �/`y�- !_• a? 3 a 3 — /g ;L / 9_� v 1 2 3 4 5 . 6 7 B 9 10 TOTAL PROPERTY ADDRESS ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS NBHO KEY NO. Q 243 ROUTE zs LAND/O/HER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT ADXD.UNIT L antl gylpale 5<e omwso" LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Descdpuo n S UL L I VA N. W A Y N E M A P- cD FF.oenh/nc,esE #LAND 1 25,600 - CARDSINACCOUNT - L 10 1BLDG.SIT 1 X .1 J= 8C 363 25 2199 99.9 7 15 9719.9 8 .16 25600 #BLDG(S)-CARD-1 1 26.700 101 OF 01 A #PL 243 FALMOUTH RD COST 52300 N BATHS 2.0 U X C= 100 7000.00 7000.00 1.00 7000 B #RR 1388 0082 MARKET D - NO BSMT S X C= 100 5.95 5.95 1440 8600-8 INCOME A USE APPRAISED VALUE D i A 52,.300 A U PARCEL SUMMARY T S LAND 25600 A T BLDGS 26700 0-IMPS E TOTAL 52300 F N CNST E N DEED REFERENCFI ins a DATE s 1Bs P,a PRIOR YEAR VALUE A T ;. Rpek Page LAND 25600 T C71945 I00/00 BLDGS 26700 Uy TOTAL 52300 R E I N-1,e, Date DING PERM S A-- LAND LAND-ADJ INC ME 6SE SP-BLDS FEATURES BLD-ADJS UNITS 25600 1600- Con sl. TOt al Vear Built Norm. OUsv. Class Units Units Rase Rate Adj.Rate A4W 99 Age Depr. Contl. CND. Loc. %R.G. Repl.IA51 New AOI,R,pl.Value Stories Height Rooms etl Rms Baths 1 Fia. Pert"."I- II-0-2C- 000 100 100 55.25 55.25 45 70 24 74 60 34 78656 26700 1.0 8 4 2.0 8.0 Description Rate Square Feel Repl.Cost MKT.INDEX: 1.00 IMP.BY/DATE: ML 9/87 SCALE: 1/00.75 ELEMENTS CODE CONSTRUCTION DETAIL S HAS 100 55.25 1440 79560 GROSS AREA 1440 TWO FAMILY DWELLING CNST GP:00 T FOP 35 19.34I 36 696 *---------------------60---- -------------* STYLE 17DUPLEX 0. DESIGN ADJMT -00 -------------------0.- R --------------- --- - --------------------- U - ! EXTER.WALLS 10CLPBD/SHINGLE 0. --------------- --- ---------------------- � � EAT/AC TYPE U2GAS 0. ! ! INTER.FINISH _04DRYWA LL 0. T ----------- U 24 BASE 24 INTER.LAYOUT _12AVER /NO_RMAL _0.-- ! INTER.9UALTY 02SAME AS EXTER. 0. _ R FL00RSTRUCT 64CONCRET_ESLAB 0. L .� W! ! EFLOOR_COVER__ _04CARPET 0. IAreas Aux n 3b Raap- 1440 ! ! ROOF,TYPE ___ 01 GABLE-ASPH BUILDING DIMENSIONS ----------- . SH 0.- 34----*-- *9--- -------- 26--------X ELECTRICAL_ _01AVERAGE 0. * �dAS W26 FOP SO4 W09 N04 E09 .. 4 FOP 4 FOUPIDATION 03CONCRETE SLAB 99. AIBAS W34 N24 E60 S24 .. *--9---* -------------- --- ---------------------- COMP4ERICIAL NBHD IN HYANPIIS HY04 L I LAND TOTAL MARKET PARCEL 25600 52300 AREA 527520 VARIANCE t0 -90 STANDARD 50 _( 1 �' � � .W +�+� • s I ��i �� i 1 ti '7 __ 1 �� I i { G i I II'� r I'� �Q � � �� ,� �� _ , ;. TOWN OP BABNSTASLZ gEP08T S MENTABY/CONTINIIAur N BZPOBT - --------- ,,� O Dn/ISZON �Df� Li1 Y�(f 4 NAME (LAST, tZR&Tr AIDDLB) NOTE DETAILS i O85ExnTIONS-ITEMISE EVIDENCE- SERIAL IS ETC• Tb97 I 4 Q Jf Al 3 Ft T Town of Barnstable *Permit# �C ~O Expires +L—menths from issue date SZAerA : Regulatory Services Fee BAM MABB �' Thomas F.Geiler,Director s639• � prF p �A Building Division..._...a__._:.. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 S PERMT Fax: 508-700-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL;� Ya 24 Not Valid without Red%Press Imprint TOWN U. Map/parcel Number Property Address `'Residential Value of Works. Owner's Name&Address -Ali Contractor's Name ' I t-V Telephone Number Y [ l G 2 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am ole proprietor ❑ the Homeowner I have Worker's Compensation Insurance Insurance Company Name 1" I_J LA J)5 Workman's Comp.Policy# 0 Permit Request(c eck box) Re-roof(stripping old shingles) All construction debris will be taken to � ❑Re-roof(not'stripping. Going over existing layers of roof) ❑ Re-side' ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: P o rty wner must sign Property Owner Letter of Permission. e rovement Contractors License is required. Signature Q:Forms:expmtrg a a.,:�encann2 f Df r°�ti Town of Barnstable Regulatory Services 3 BAMSrA LL ' Thomas F.Geller,Director HAM 394 lk Building Division _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I W�A-Y-�-� .S ti I-�I. J ./.._...:::......_.:_.;as.Oarner..of hereby authorize in all matters relative to work authorized•bp this building-permit-application for: (Address of Job) . i Signature o ate Print Name I - • _ Board.of Bui !ding Regulatl6ns an HOME 1 j d Stapdards OjVEMENT C R :9ts ret�en ON7' CTOR .. 127174 612004 rrlividual JEFFREYS JEFF WA}' P REY W/ARNI, =rf.. WICH RD.. s t BOURNE, MA 02532 -5�1-` 1 fi N o v 114 QUO.2 y3 FA(.•+e.�%''t ��o, _ LEFT s�06 2y i 71VCr 4-0,*LLS no a jeopbiwow. as do c c.es d= a K .8 dwR oan .Tv _G-q v 6 SPAcr" _ LrL T v e.,J H l rcHr.,J --7 ott S P�G� R rY,_A c s.�s�^�R d cyt + c.aR r ar 1-7-tor r ^4& k frlou►r�' P��ndti�✓G- rt,, t7�' .JE t.�.) '