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HomeMy WebLinkAbout0033 PINE AVENUE 3 -a7.5- i f ' i ..e.. -..+..++.r. _- .__. �rww.•�++�M`:M�rwr:rws�a+l+..�....:.:u.w.wwrpn++_. wrynYM+'w.r�orL.1�. I.wdR'iYr��r.�=�_.�LbM�YEr � S��:Yim. ..- �•• .. ^Iti'��- - - _�.. � e x •�' r J.w.`,.w.,.�.fr.r✓' w.�. J ,I+W...a+..ar Ini _ ,� .....w..�. �,. ......�.._.�.,,.,,.sw4.' .AL 'W�w.»w+SLS.G w:.•«...r.,,,-..a:a.c_r..:.s._. �..w,�.�, .�w...,,..w.$i,-_.,,,. .+L�,..�.;,f.n�:wrr.,�.�::c�'"'_ ..>• ....� ..., ,..:-r.�:�+-.. . ...fA ........:-:4.4.....w:.y.�. :n _ __ _ __ _ _ _ v - i f i f 1 �•ifi�- ur r r 1!t q '�• �. t rrf� E�bitEt6EEtEEt ��ll�t�E�:!\1. FfR foie .....•� �......� . pit y �#•rrrrrsrrt ��iRIlLthk• /� law � f yVV1� y � rl:r' ay,f/!3►-, day o`�;��. 0 0 Q f • Page 1 of 1 Anderson, Robin From: Scali, Richard Sent: Thursday, April 27, 2017 11:47 AM To: Roma, Paul; Jenkins, Elizabeth Cc: Anderson, Robin; Hartsgrove, Elizabeth Subject: FW: Finishing up the Kiosk leases/vendor licenses Hi Paul and Elizabeth: I spoke to Leslie with regards to the three kiosks on the Wackenheimer site. As you can see below she has communicated with her two potential kiosk operators,that she will forward them leases which includes the.' space they rent inside the Arcade.She mentioned that they both already had that agreement for space inside. I am not sure where the paperwork is for these two occupants. I did see that Paul had one this morning for Orren. The other kiosk which is hair braiding will be run by Wackenheimer with one of her employees. I know you will need copies of the new leases which they will provide to you. Please let me know what other paperwork or information they should provide besides the lease and the business certificate form to be signed off. Thanks to you all for meeting today to resolve this matter. Richard From: Leslie Bondaryk [mailto:wackenhammerlb@gmail.com] Sent: Thursday, April 27, 2017 11:26 AM „ Te, Sccali, Richard; Orren Vacnin; Nefcasso8l@gmail.com Cc: Elizabeth Wurfbain Subject: Finishing up the Kiosk leases/vendor licenses Hi Orren,Nef, Richard Scali, who runs the town licensing and zoning offices, and I had a great conversation about how to make everything run smoothly with the kiosks out front. I have made new leases for both of you, which I'll forward separately,that should take care of the zoning use in that they explicitly include the use of storage/rental space inside the Arcade -Nef s lease includes tlie'relationship to the space at 33 Pine Avenue which he already rents from us. Orren,Nef, Richard encouraged me to ask both of you to call him at 508-862-4778 to make sure that your vendor licenses are completed suitably and to introduce yourselves. Thanks for your patience while we work this out. Looking forward to a great summer on Main Street. Best, Leslie Bondaryk VU/2017 Town of Barnstable *Permit# 6)7,3c Expires 6 months from issue date Regulatory Services Fee al af9107 Thomas F.Geller,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint [ap/parcel Number 309 C) 7 roperty Address -3 3 /01 a/,!;` 69V -01 � eJiesidential Value of Work _0 049_OD Minimum fee of$25.00 for work under$6000.00 1wner's Name&Address (S/��%/T✓/fJ S /��c/ 'ontractor's Name /-S Telephone Number ©/ ,j/ [ome Improvement Contractor License#(if applicable) /d �,7 37 -5- sorts-Licensees( applieatriej C2 ,3 ]Workman's Compensation Insurance Chec one: rftooI am a sole proprietor �� I am the Homeowner ®P R SS ❑ I have Worker's Compensation Insurance FEB 0 9 2007 ssurance Company Name TO 6 F BARNSTABLE Vorkman's Comp.Policy# :opy of Insurance Compliance Certificate must be on file. -ermit Request(check box) E�Re-roof(stripping old shingles) All construction debris will be taken to_ /- d /5 T/9 L -n ❑Re-roof(not stripping. Going over existing layers of roof) Re-side CD ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) " . '"Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conse ation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. :IGNATURE: kFonm:expmtrg xvise061306 Town of Barnstable Regulatory Services BARNSTABI.E, Thomas F.Geilerf Director• 9 MASS. 1639• p,0 Building Division rED MAC. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 9Please Print DATE: A ✓` JOB LOCATION: nuumbeer street village t "HOMEOWNER!': /2© e"l o Ci4 '/t�iPS name home phone# work phone# CURRENT MAILING ADDRESS: �� L� 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 hue 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 an .- 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 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 fora/certification for use in your community. Q:forms:bomeexempt r The Commonwealth o,fMassachuseas ' • Department of Industrial accidents .s 'Office oflrivestigations• . 600 Washington Street . Bdston,AM 02,11,7 V)dw-massgov/dia Workers"*Compensation Insur�mce Affida-vit;.$uilderg/Cofitractors/'Eledtrieiaus/pitb ers- ,' A licant Information � � � ,Pleas a Print I,e 1 . • ' Name(Business/Organiiatlon/Indi s��'du _�/ �e .�� Z eel C A-. • • •Address: 3 .3 - '' �'�._�� • ------------ . •.,�. � tic , City/State/Zip: r� s Phone.#: a Z Are you an employer?'Checkthe appropriWaye 1;❑ I am.a employer with 4 :Type of pi ec#(required neral contractor and T ) employees(full�d/ozpart time),*. , dthe slab-contractors 6 ❑New construction , 2.❑I am a'sold.proprietor or partner- listed on the'attached sheet: 7. ❑Remodeling ship andhave no employees These sub-contractors have vorking for me in any capacity, employeeo and have workers' 8' ❑Demolition. o workers'comp.insirtatce comp,insurance.$'• 9. ❑B g addition ' ed] 5: ❑ We are a.corpozation and its 10.❑tlectriealrepairs of additions `3 -onto homeownerdoing a1l:yvozk — --officers-have exercised their 11: Plumbin re myself.[No workers'conk, riglrt t5f exemption per MGL' g Pairs or additions insurance.requized,]t c, 152, §1(4),and we haveno'. 12.521 oofre'paits . employees, [Nb workers, .15.2' het gomp..insurance required,] *Any applicant that checks box#1 must also fill out the sectiod below showing their workers'ce}npenaation polies infom�ation. f Homeowners,wha submit this affidavit indic ating they are doing all Woik and then hire outside contractors mutt submit new affidayitindicatin tontm.ctbrs that cbeck this box must attached in additibnaltheet showing the name of the Aub-contractors and state whether ornotthose entitles ha e,,h employees, If the sub-contractors have employees,they must proyidb their workers'oorap,poHcy number, lam an employer•thatisproyiilingworkers'compensation insurance formy employees. Below "e isApolicy andjob site' information. Insurance Corrpany Natie: Policy#or Self-ins.Lit, E xpiration D ate: . ,lob 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 requited under Section 25A•of MGrL c. 152 can lead to the imposition of criminale )fine up tb$1,500,00 and/or one-year imprisonments as well as civil penalties in the form of a STOP WORK.ORD R aes a nd a fiat violator of tip to$250.00 a day agam9t the , Be advised that a•c of this statement maybe e forwarded to Investi ations of the bIA for insura pe covers a verification, �Py y the•office of I do hereby certify under the pains•and penalties of perjury that the informatron provided above is true acid correct. Phone P, _ Offzctal we only. Do not write in this area,to be complefed by city"or town official " City or Tdwn:' l?ermit/I,icense# . Issuing Authority(circle one):' 1,Board of Health 2,Building Department I City/ToTm Clerk 4,Electrical Other Inspector 5. Plumbing Spector 6, ContactPerson: ' Phone#• Massachusetts GeneralZaws chapter.152 requites all employers to provide-Workers' compensation for i�he4r:employees. Pursuant to this statute, an employee is defined as".,.every person in the service of another under any contract of lie, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two of more of the foregoing engaged in a joint enterprise, and including tbz legal representatives of a•deceased employC; or the receiver or trustee-of an in.dividnal,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 onthe.grounds or building appurtenant therato shall notbecause of such employmentbe,deemedto be an employer." IvIGL chapter 152, §25C(5)also states that"every state or local licensing agency shall withhold the issuance or rendwal of a license or permit to'operate a buismess 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`1Iejther 6e commonwealth nor any of its political subdiyisions shall enter into any contract for,tho_performaiice of pnbl c•.work until aceeptENP evidenea aiwcom]516ice�yithtl3e in e' requirements of this chapter have been presented'to the contracting authority,"- Applicants j Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(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. Sp advised that this affidavit may be submitted to theDep'aztoient of industrial ' Accidents for confirmation ofinsuranca 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 pemut.or license is being requested,not the Department of Industrial Aocidents. Should you have any questions regarding the law-or if you are required to obtain a workers' compensatio-a policy,please call the Department at the nun;ber jisted.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 spaeq at the bottom 'of the•affidavit for yomi 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 parmit/license applications in any given year,need only submit ono affidavit indicating current policy information(if necessary)and under"lob Site Address"the applicant should write"all•loc4ons in : tcit5''°r town)."A copy of the aff davit that.has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be M1.ed out each year.Where a home owner or citizen is obtaining a license or permit not relate.dfo any business or commercial venture (i.e. a dog license or permit tobiun leaves•eto.)said person is-NOTrequiredto complete this affidavit. The Office of Investigations would like to thank you in advance.for.your cooperation and shcu ld you haveAMY questions, please do not hesitate to give vs a call.The Deparbnent's address,telephone-and fax number, •Thu Cal Aw A th dMul%dways Mtomt ofladwWal Ae014411t4 ' Of ee Of Inives UOU �00 WaaRnStm, Stma Rc stQn,.MA 02111• • '• Flu►#617-727"7 0 Revised 11-22.05• � �� The Commonwealth of Massachusetts . Department nf.&&ytriat,dccidents -0 fits aflriyestigations• ' ! 600 Washington S&eet . .Boston,1Vl�( 02III' Vl xw.massgov/dia ' Workers-"Compensation Insuronce Affidayit;.BwilderglCoritractoxs/Electricians/Pltunb ers' A licant Information Please Pr' Name(Business/orgamzadon/Individuat)' •Address' 33 -e-o-i, /�9(S vt C fate Z City/S / ip: //�-�n < � G�!•,�Phone.#: '7 � • _o l C-9 Axe you an employer?-Check the appropriate b'oxa 1 ❑ I am a employer with 4, ❑ I am a general contractor and I ;Type of prof set(required);,, ,� employees(full and/or part timg),'*. have hired the stab-contractors 61 ❑New construction . 2. ,12-lam a'sole proprietor a;* . listed on the'attached sheet 7,•❑Remodeling ship,andhave no employees These sub-contractors have 'vorlang for me in any capacity. employees and have workers' 8' ❑Demolition. , [No workers'comp,msMarlce comp,insurance.$'• 9. (]Building addition required.) 5. ❑ We are aoc rporation and its 10.0tlectricalrepairs or adclitzons—_- — , I-anr•a homey- e . ' —..__. 3' wn —a❑- r loin -a'11 fficers- . g work , have exeaccised their 11:❑Plimmbing repairs or additions • myself,[No workers'comb, right bf exemption per MGL' insurance,requ%ted]t c,152,§1(4) 12,,and we haye no'. 0 Roof r sprits employees, [No workers' 13;❑ Other ' e0mp,.in8urancereg6ired,j *Any applicant thatchecks box#1 must also fig out the sectiotbelow sbo v their workers'co}npensation policy infom�ation, t Homeowners,who submit this atndavlt indicating they are doing all woik and then hire outside contractors must submit a new affidayitindicating su ch, #Canhaators that check this box must attached an additional sheet showing the.name of the pub-contmotors and-state whether ornotthose entities hava employees, Tfthe sub-contractnra have employees,they must provide theip workers'comp,polio+,number, I am an employer,that is provding7porkers'compensaton insurance for my employees.information. l e policy and ob site, Insurance Company Nanie: Policy#or Self-ins,Lit,#;. _ • ExpirationDate: . • ob Site Address: City/State/Zip; Attach a copy of the workers' compensation pglicy declaration page'(showing the olio number and e policy zI&O ioa date); Failure,to-secure coverage as requiredynder Section 25A,of'MCY ,c. 152 canleadto the imposition.of criminal of a fine ti tb$1,500-00 and/or one-year' P y imprisonmen as well as civil penalties in the fozin of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violatdr, Be advised that a•copy of this statement maybe e forwarded to lnvesti ations of the'DIA for insura pe coves e verification y fie'office of I do hereby certify er t e pa' s and penal 'es 0. 'ury that he info ation provided above is true and correct. Si tore: Date: Phone 91 _ Offcctal rise only. Do not write in this area, it; be completed by,city or town officiaL City or Urn: ' �ermit/I,Icense# . Issuing Authority(circle one) .1 Board of Health 2,Building Departrnent 3., City/Town Clerk 4,Electrical Inspector 5, Plumbing Inspector .6,other Contact Nrson; Phone#• .,�.�1�� �.Lllr..��.1. ���.�.'.��.�Ll i<.1.1:�.�CD1.9.� ' • . . . Massachusetts General'Laws chapter.152 requires all employers to provide workers' compensationfor`heir employees. Pursuant to this statute, an employee is defned as "..,every personinthe service of another under any contract of htie, express or implied, oral or written." An etrtployer is defined as"an indiyidual,partnership,association,corporation or other legal entity,or any two or more ofthe foregoing engaged in a joint enterprise, and including the legal representatives of a•deceased employer, or the receiver or trustee of an indivi dual,partnership,association or other legal entity,employing employees• Sowever the owner of a dwellinghoum 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 to e�dee dto bean.emPYer. or on the.grounds or building appurtenant thereto shall not because of such employment b � IvIGL 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." 4 AdditioaaaIly,MGL olaapteL I52, §25C(7)states 111�5jther the commonwealth nor any of its political subdiyi ions shall enter into any contract for,tho,perfdmi&e 6f publ mwork until aceeptabIP e7iY3 ensa of comp i e lith e in m ee requirements of this chapter have been presented'to the contracting authority.' a Applicants Please fill out the.workers'compensation affidavit completely,by checldag the boxes tliat apply to your situation and,if necessary,supply sub-eonfractor(s)name(s),addresses)and phone number(s)along with their ceztificate(s) of • insurance. Limited•LiabilitrCompanies'(LLC) or Limited LisbilityPartnerships(LLP)withno'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. Bp advised that this affidavit may be submitted to theDep'artment of Industrial ' Accidents for confirmation ofina,•ran.ce coverage. Also be sure to stga and date the affidavit. The affidavit should be returned to the city or town that the application for the pemait.or license is being requested,not the Department of Industrial Aocidents. Mulct you have any questions regarding the law•or if you are requited.to obtain a workers.' compensation policy, lue call Department at the nu�b er listed.below. Self-insured companies antes should enter their. • self-insurance license number on'the appropriate'lind — City or Towji Officials Please be sure that the affidavit is'cotdplete'and printed legibly. Tile Department has provided a spacq at the bottom of the•affidavit for you.to fall out in the event the Office of Investigations has to contact you regarding the applicmt• Please be sure to fill in the permitllicense number which will be used as arefererice number: In addition,as applicant that must submit multiple parmit/license applications in any given year,coed only submit ono affidavit indicating current policy information,(if necessary)and under"Job Ve Address"the applicant should write"all•loc4ons in (ert�r or town)."A copy of the affdavit t4t.has been officially stamped or marltedby the city or townmaybe 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.There a home owner or citizen is obtaining a license or permit not relatedfo any business or coumiercial.venture (i.e, a dog license or permit to bumleaves•eto.)said person.is•NOTrequiredto complete this affidavit. The Office of Investigations would like to thank you in advance.for your cooperation and should you have.gnY questions, please do ndt hesitate to givens a call _ The Depaximnt's address,telephone,and fax number:: R64on.MA 021 U. , Revised 11-22-Ott. FOX 617-727-77-49 ' . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l :36 ff—Parcel �'� Application# o2e,07ecR 7 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee 0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 /0/, e, Village Owner C-4/!ih Z G0 C_Ar Address Telephone Permit Request 770 ® t-��an v Pe- ,4_ vi�; `v -li �. •�� �•., c� Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Z�— Two Family ❑ Multi-Family(#units) Age of Existing Structure /'`? Historic House: UkYe-s ❑No On Old King's Highway: ❑Yes ❑No Basement Type: mull ❑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 :3 new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ZI�0i1 ❑ Electric ❑Other Central Air: ❑Yes �Mo Fireplaces: Existing VC S New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existii ig ❑nr size-:':'!— Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ s�• Commercial ❑Yes Uklqo If yes, site plan review# Currrerit Use Proposed Use 0 Q BUILDER INFORMATION Name < r"s�z��' G ✓�-�i t",)-vvc- Telephone Number a g— 7 2 `—010 Address 13 &X' `/ 7 License# ® C / & C 0 2 Home Improvement Contractor# S—q Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f SIGNATURE e DATE FOR OFFICIAL USE ONLY r PERMIT NO. - } DATE ISSUED MAP/PARCEL NO. r t ` ADDRESS„ _ VILLAGE OWNER- DATE OF INSPECTION: FOUNDATION j FRAME INSULATION ®tam"' ?--o -7 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' � , r III FINAL BUILDING y DATE CLOSED OUT ' ASSOCIATION PLAN NO. ~ 1 r i ,r L Town of Barnstable Regulatory Services " BA MASS Thomas F.Geiler,Director prf�MA'�a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 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. 04 (�O Type of Work: 7000 1-4 4110 v e- it'e-4 -4 r k *-GL Estimated Cost 90 Address of Work: 3 3 /®l `G 1"C Owner's Name: C 4 e (il7 zG O C_ �( Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 [Brdilding 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! ply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms1omeaffidav .oq (,�\ 1/LG <+V/!L/!LV lL IYGLLN.lL V•J ill Ho7J l'i\.fL LLV GLLJ Department of IndustriaZ Accidents : Office of Investigations 600 Washington Street : Boston,MA 02111 www.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Ilmformation Please Print Legibly Name(Business/Organization/Individual): G/ Address: I& 0-Ar Xzlo 417 City/State/Zip: )610! -"di•`z 0 -2- 6-0/ Phone.#: I--J e f- -7 '2 V' —010 Are you an employer? Check the'appropriate box: -'type of project(required):; . 1.❑ I am a em to er with 4. ❑ I am a general contractor and I p y 6.. New construction . employees(fall and/or part-,time).* have hired the sib-contractors 2. Yam a'sole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition' working for me in'any capacity. employees and have workers' •�• . 9. ❑Building addition [No workers' comp.insurance comp,insurance. 10.❑Electrical repairs or additions required-] 5, El We are a corporation and its officers have exercised their ` L I am a homeowner doing.all work 11.❑Plumbing repairs or additions [No workers' comp. right of exemption per MGL 12.❑Roof repairs ce required:]t c. 152,§1(4),and we have no employees, [Na 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 affidatrit indicating they are doing all work and then hire outside contractors must submit a new affidavitindicating such. $Contractors that check this box must attached an additional sheet showing the name of the'sub-contractors and state whether ornot those entities have employees: If the sub-contractors have employges,they must providtr their workers'comp.policynumber. I sin an employer that is providing workers'compensation insurance for my employees. Below is-the policy and job site information. Insurance Company Name: Policy#or Self ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-yeas 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 Off,ce of Investii?ations of the DIA•for insurance coverage verification. I do hereby certify u r th pains•and penalties of per that the information prgvided above is true and.correct,' RIME J�%'L Date: i� . Phone#: Off cial use only..Do not write,in this area, to be completed by city or town offtciaL City or Town: Permit/Liceiise# Issuing Authority(circle one): :1..Board of Realth 2.Building Department 3. City/Town Clerk 4.Electrical Lspector 5.Plumbing Inspector b. Other ContactPerson: Phone#: • x r t 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 hiie, 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 TeceivPr or trustee-of an individualaartnership,association or other legal entity, employing-employ ees. 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 appuutenant 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 inssurance 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-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies•(LLC)ar Limited Liability Partnerships(LLP)with no employees other than the members orpartners, are not required to carry workers' compensationinsurance. If an LLC or LLP does have employees,a policy is required, 13.e 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.'- compensationpolicy,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 To"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 1111 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"alllocations In (city-or town),"A.cbpy 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 pewit not related to any business or commercial ventute (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 hike to thank you in advance for your co operation and should you have any questio.Lai�' please do not hesitate to give us a can. The Department's address,telephone:-and fax number: e,,COMMMwtraJ.th of Musaobus��s Depu�nmt d h4ustial A..oci mts' Ogee¢f Investigations 600 Washingtc6 Street Boston,MA 4?111 T6,9 617-727-490.�ext 406 ar 1-417-MASSAFE Fax-4 617-727-E t49, Revised 11-22-06 • wwvi?.maSS.gQv/Clia . 671 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration `.102359 Expiration 711/?008 Tr# 127833 iType Individual PETER G.MANDRAVEFLIS +` Peter Mandravelis 75 Betty's Pond RoadCl Hyannis,MA.02601 Administrator ; t 4 BOAR�arn�rnaiuueaD OF,BUILD ll� �R�IA IONSa I I, License: CONSTRUCTION SUPERVISOR Number..--CS� 031106 t 4 Birthd� t=0 04!955 { ,. EpireS; 07f2`07 Tr.no: 13983 Resxri -t =,00 PETER G MANDRA\ELI�S ,N, PO BOX 1647 i HYANNIS, MA 02601 Com lone �4 f DINING ROOM W REAR ENTRANCE D DOWN O Q UP Q c KITCHEN 01 . LIVING ROOM PANTRY S N HALLWAY BATH LIBRARY BEDROOM UP FRONT ENTRANCE MAIN FLOOR AS BUILT E f .. .. � 1"-- _.a.,�.-.... _.>,' �-.�. .-'.Y;'f •.i<Y <n,r ii; �"' �. t ;,_i.�ri yl�Y. I _ W3033 �` � DCLS2433 j �" 830R30 83DR30 OC is Jp I i I, j i co OD k I' > a t r 131101 88 849 } JA1 t EE l 'I F I `�i.'V'Sd�iL�tl �t°"i�kN3Li7��itwrl��- - - - . _.--•-- ------- ------ -- -- --- '- ----- - __-- --- - ...-;...---`- ---- --- - - - N : , YY J 1 i. S i i � git3 ------------- co T i / l p I M `cly i ! i I 1 s i : __—__ __ _-__..__--------_______ .__-1 ________ __ _ -__.__-.._ 4-4-7- e : • � ff33 L tt < I STZ { V , tj ip --" s• A X , com y, - - ---.._..-.._.__.._...... 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I A _t cos v� OAffA . � SHEET NO. 1 1 OF_ NGINEMG CALCULATED BY y �� DATE OWM ,INC CHECKED BY DATE 260 Cranberry M w ,Orleans,MA 02653 SCALE SOR-255.-65 700 www.ceccapecod.com 1 (} j 1 1— ' ,l ` i f y ` { 1 ' i I iri AirSS w. i 3r ---` t y� , £ £ 1 i k Zi £ i µ x f i i r i , i 1 1 1 4 4 i V 1 I i 1 i 1 � 1 i — T i s s } if 2� c __.. ---------------- - -+�-'_-_ id i --% `- ' �1t Rewde:Rom NEBS CUSTOM printing service 1-800-386-6327 NESS,Inc.Groins,MA 01471 %mvv.rebs.com - Ref.No:P,266600,u12 JOB O�!A f' L r SHEET NO. ` OF A N*"��*7�TMTG" CALCULATED BY ^� DATE 2 y OlY PA 1,INC— CHECKED BY DATE 260 Cranberry Highway,Orleans,MA 02653 4j 1- 508-255-6511 Fax:508-255-6700 www.ceccapecod.com SCALE i If. - E /.tip --------------- f s , nIA 4 : 1A TS__7AThVv__�E t —_ _— 3 ...................1a........ _ —_fix' cl �a9 F�ov f � f ; f_ ' r 1 I I i S t S , 'pr+,b : s , i t ! 1 -fir +---- ` � -F-- , d Sb , f , f r i { C i I - - s r " � , - +- -- k , , f r , - 46655 ---JI -11" 144. _ r IA,L- I IL AP : r } 1 Ij ✓� - i � • u � � i 1 4 ' , s f � wlTik .._... „ r E I- ' { { f � 3 DI 1 , 8D i .-moo,;,,;:r F-rmn N£BS CUSTCM"printing Service 1-200-6P&5327 NCSS,Inc.Gmton..MA 0147t v wmnebs.aan Hal.No:G?r35540'�:2 Ms. Virginia B. Smith 33 Pine Avenue Hyannis, MA. 02601 508-775-3406 March 17, 1997 Gloria M. Urenas Zoning Enforcement Officer Barnstable Town Offices 367 Main Street Hyannis, MA 02601 Dear Ms. Urenas, This is in response to your letter of March 12 concerning the use of my home on 33 Pine Avenue as a two family dwelling. This home is now, and has always been, a single family home. There are two electric meters; one is for general electric use and the other is for the water heater. Enclosed please find a copy of my electric bill which will confirm this. I hope this will clear up your records. If you have any further questions, please contact me by phone at 775-3406. Sincerely, _--Z� Virginia B. Smith r+ `J pp �1 FM � s' NEED HELP WITH YOUR HEATING BILLS? IF YOU QUALIFY, YOU MAY BE ABLE TO GET HELP PAYING YOUR HEATING BILLS BY CALLING THE SOUTH SHORE COMMUNITY ACTION COUNCIL AT (508) 746-6707. r N V - ACCOUNT NUMBER D�E.f,XNG DATE NEXT REAR DATE <> 1458 917 U019...:..: ......... FEB..:20, 997 . ... .,:: MAR„14 1497.. SERVICE PROVIDED TO ACCOUNT SUMMARY MRS JOHN B SMITH. PREVIOUS BILL 82.29 33 PINE KAM� PAYMENT - THANK YOU -82.29 HYANNIS MA 02601 CURRENT ELECTRIC CHRGS 93.14 AMOUNT DUE 93. 14 ELECTRICITY USED COST OF ELECTRICITY RATE 32—RESIDENTIAL NONHEAT — ANNUAL CUSTOMER CHARGE 4.18 METER 7026389 ENERGY 454 KWH X .068090 = 30.91 FEB 18, 1997 ACTUAL READ 51882 FUEL 454 KWH X .06500 = 29.51 JAN 17, 1997 ACTUAL READ — 51428 32 DAY BILLED USE 454 ENERGY 252 KWH X .048270 = 12.16 FUEL 252 KWH X .06500 = 16.38 RATE 57—WATER HEATING — ANNUAL METER 8048797 CURRENT ELECTRIC CHARGES 93.14 FEB 18, 1997 ACTUAL READ 3763 JAN 17, 1997 ACTUAL READ — 3511 32 DAY BILLED USE 252 USE COMPARISON KWH KWH DAY ITEMP CURRENT MONTH 706 1 22 32 LAST MONTH 619 1 20 35 ONE YEAR AGO 489 1 17 30 ,p u U �I�CrrIC STOMER SERVICE CENTER 1-800-642-7070 OR OUT OF STATE (508)-291-0� 0 Printed on recycled paper to protect the environment. SENDER: V ■Complete items 1 and/or 2 for additional services. I also wish to receive the H ■Complete items 3,4a,and 4b. following services(for an H ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address ` permit. Z ■Write'Retum Receipt Re uested'on the mail piece below the article number. d d P 4 p' 2. ❑ Restricted Delivery rn t ■The Return Receipt will show to whom the article was delivered and the date a C delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number 2 IX CIL E 4b.Service Type f°0n 3 , ❑ Registered Q� ❑Certified IM N ❑ Expres till �p ❑ insured c c ❑ Retu .Mercha di se ❑ COD ' a 7.Date liveyyls 5.Received By: (Print Name) 8.Addres dd e I if requested W and fee► aid) t ¢ t- 6.SXnature:9 ressee orAgent� 0' v� N PS Form 3811,tecember 1994 Domestic Return Receipt First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • Town of Barnstable Building Division 367 Main St. Hyannis,MA 02601 P 229 805 266 4S Postal Service Receipt for Certified.Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to _ Street&Nu r 33 ost ce,State,&ZIP C e 0 Posta $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 40 TOTAL Postage&Fees $ate Ch Postmark or Date 0 tL 0- Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached,and present the article at a post office service y window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address °) rn y on a retum receipt card,Form 3811,and attach it to the front of the article by means of the p gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. a 4. If you want delivery restricted to the addressee, or to an authorized agent of the C i addressee,endorse RESTRICTED DELIVERY on the front of the article. M k 5. Enter fees for the services requested in the appropriate spaces on the front of this 9 u receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ii `� 6. Save this receipt and present it if you make an inquiry. °F rnE . 1 e Town of Barnstable ' � Department of Health Safety and Environmental Services ArEo �" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 12, 1997 Ms Virginia Smith 33 Pine Street Hyannis,MA 02601 RE: 33 Pine Street Dear Property Owner: Our records indicate that your house at 33 Pine Street, is currently being used as a two family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two family You must contact this office immediately to tell us what direction you wish to take. Sincerely, VM.oria Urenas Zoning Enforcement Officer GMU:lb CERTIFIED MAIL-P229 805 266 P9703IIa TOWN OF BARNSTABLE d REPORT SIIF MENTASY/CONTINIIATIO WORT 1 r NAME (LAST, FIRST, MIDDLE) )(\' /YAPS r�1 DIVISION /DEPT NOTE DETAITS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL 1S ETC- I � } i y SUBMITTED BY PAGE i .............'..> LA ........:.::.::::..:::. ltiiiilll Us .............................................................................. .... B LDI ..................................................................:..................................... stArTTIH ......................... PINE STREETMEIN .x.. :t•;:•:::.:: :.;: ::t ::':•`: ::::<`: ?M1?: :;`4 +`rr'r�:?::::::;`. :: ti: ::::`ttt.:;;'.;::•::::`• i::r:: ::.....: gill •.'3:�:;y�:l: '3if:�E� •:..t�.�.� ::1 '• :1 ::�•`4'•�•.�i' '+.`:#'t`.:' '::x::'t't� `` :� �•t.M1'':2 `.":#:i ?::?:::i#< 25 ttu: > ZONING . .::::::.:: ....... ...... ................................... ............................... ..... .. . ................... ............................ ???????? ::.............:::::::::.. iM SUN- r<r< SEARCH ME I Rim :.t..::::::::::::::::::::::.:::.::::. " . M1 [ ] [R308 275 . . ] LOC] 0033 PINE STREET CTY] 07 TDS] 400 HY KEY] 222510 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 SMITH, VIRGINIA B MAP] AREA] 67AB JV] MTG] 0000 33 PINE ST SP1] SP21 SP31 UT11 UT21 . 22 SQ FT] 2140 HYANNIS MA 02601 AYB] 1871 EYB] 1970 OBS] CONST] 0000 LAND 43900 IMP 130400 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 174300 REA CLASSIFIED #LAND 1 43, 900 ASD LND 43900 ASD IMP 130400 ASD OTH #BLDG(S) -CARD-1 1 130, 400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 33 PINE AVE TAX EXEMPT #DL LOT 2 RESIDENT'L 174300 174300 174300 #RR 1257 0100 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] C61009 AFD] LAST ACTIVITY] 01/11/96 PCR] Y R308 275 . •P P R A I S A L D A T A* KEY 222510 SMITH, VIRGINIA B LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB- 1 43 , 900 130, 400 1 A-COST 174, 300 B-MKT 157, 700 BY 00/ BY ML 6/88 C-INCOME PCA=1041 PCS=00 SIZE= 2140 JUST-VAL 174 , 300 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 67AB -- TREND EXCEEDS STANDARD NEIGHBORHOOD 67AB HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 439001 LAND-MEAN +0% 1743001 178835 IMPROVED-MEAN -2706 25% ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100°61 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 [?] R308 275 . • P E R M I T [PMT] ACTIOR] CARD [000] KEY 222510 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT NW`SJNIlSVN VSLL M099 Odn �°` l b la3 _ RESIDENTIAL PROPERTY LOT NO.MAP NO.� FIRE DISTRICT v; 275 STREET 4%*ff-St. pine St.9 Hyannis SUMMARY 3O8 �� H 73 LAND 7 OWNER ,-c-c.-c- TOTAL • RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: tt��2 �7'T LAND D.L. # Ol BLDGS. gigo - 1 TOTAL 0a. n. _.2 2 ] �?02 LAND Smith Virginia B. 1-2 - 4 tf.61 0 BLDGS. Cr, y N/V/3 II IA O?...60/ TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: �to BLDGS. DATE: }I „-„6/:?,3/� �/""U �'6 TOTALLAND ACREAGE CO PUTATIONS BLDGS. ND TYPE LC 23 83A. 01 - # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL Kou' �7°i'o as Zo 0 0o Was art of 308-130 in 197 -75 LAND CLEARED FRONT � BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL LAND 02.E BLDGS.. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND �G s ROUGH TOWN WATER BLDGS. ' T HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND „,�. e,a.c. Slab w.us smesmt.Rao Rarage oom St. Shower Bath- �m. Walls Bsmt. — PURCH. PRICE. DATE �u7. In Bt.G St.Shower Est — _. . (, .+ick Walls Attic FI. &Stairs Toilet Roomtff -- — Roof RENT ,me Walls Fin.Attic Two Fist. Bath �P /. _ Floors -- Q G7 ...�c L r S/�r .ars INTERIOR FINISH Lavatory Extra w ,.' ly/•� - ,;,,,t, 1 2 3LNb Attic ” t>s e rt) /7 _ 0 ff Cie. Extra G h 'h 'h Plaster .y EXTERIOR WALLS Knotty Pine y cmble Siding Plywood ing Bsmt.Fin. S ;ogle Siding Plasterboard Int.Fin. ;7 .Shingles TILING Inc. Blk. iff Bath Fl. Heat ..,ce Brk.On - Int.Layout Bath Wains. LAuto Ht.UnitVeneer Int.Cond. Bath Fl.&Walls Fireplace + ?j% 0 ,m. Brk.On HEATING Toilet Rm. Fl. Plumbing Fyo 1.lid Com. Brk. Hot Air Toilet Rm.Fl.&Wains. = ----- __ Tiling Steam ( Toilet Rm.Fl. &Walls „ianket In., " Hot Watqqqg St.Shower Laof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS ' ++sph. Shingle vr Pipeless Furn. J S.F. 6 y 6 0 , •: As ,wood Shingle No Heat ! S.F. Zz -A:) -.sbs. Shingle Oil Burner '-T S.F. :,late Coal Stoker S•F. Sao Sze ' iiie Gas / S F �7 Jn O CO OUTBUILDINGS ROOF TYPE Electric S.F. /-j ,. 3 0 Z 1 2 3 1 4 5 1 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED ;fable V/ _Flat Ili Mansard FIREPLACES S. F Pier Found. Floor �ambrel Fireplace Stack I I Wall Found. 0.H.Door LISTED FLO RS Fireplace 14 IV, Sgle.Sdg. Roll Roofing / (;nnc. LIGHTING Dble.Sdg. Shingle Roof G Guth No Elect. DATE Shingle Walls Plumbing Pine j Hardwood ROOMS Cement Bik. Electric Asph.Tile Bsmt. 1st TOTAL L 02 Brick Int. Finish PRICED ,iingle 2nd 3rd FACTOR NP REPLACEMENT 5-7 9—) -3 d--WWRANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. UWLG. f�f., 2s79a3 :O 3Y 7S' z .3 4 5 6 _7_ 3_ , 10 ' TOTAL ROPERT',`ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. 0033 PINE STREET 07 R8-1 40 ' 07HY 07 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT 'ADJ'D.UNIT Lana BY/0a1e S ee Dlmen.,on LOC./YR.SPEC.CLASS ADJ. CON.. P PRICE PRICE ACRES/UNITS VALUE 0--plion S Mt I T H. V I R G I N I A 3M A P- c0. FFDe h/Acres E #LAND 1 43i9O'J � CARDSINACCOUNT - 10 13LDG.SIT 1 X .22 =10 277 71999.9 199439.9 .22 43900 #BLDG(S)-CARD-1 1 130,400 01 of 01 a #PL 33 PINE ST COST 174300 OfS 2.0 U x B= 100 88C0.0 8800.D 1.00 8300 B #DL LOT 2 p�mARKET 157700 PLACE U X 6= 1D0 3900.0' 39GC_0 1.00 39JU 3 #RR 1257 0100 INCCMIE F I R E P L U 1 X s= 100 17G0_0 170G.0 1.00 1700 e USE (APPRAISED VALUE D iA 174.300 U kANDEL SUM4MARY 3900 T JBLDGS 130400 M I 10-It4PS _ E i I I I IT0TAL 174300 f i jN CNST N DEED REFERENCE Typo DATE FlIco IP R I O R YEAR VALUE 11 T Book Page Incl. MO. Y,,iD Sel.s prR» A N D 43900 S C61009 :00/00 �LDGS 130400 1 C61009 103/86 IfOTAL 174300 BUILDING PERMIT I Number Dele Type Amnunl I LAND LAND-ADJ INC ME SE SP-6LDSi FEATURES 6LD-ADDS UNITS 43900 1 14400 C1d 55 COn51. TOI aI Bay¢Rale Atl.Rate Vedr Built A Norm ObSv. U oils Unrls I A u31 119 Age Deor COnO CND LOC %R G Rep, Co51 New Ad, Rep, Value Stones Height Bppers Rms B-Ihs IF- P-rtyw-II F-c. 000 110 110 74.55 82.01 71 70 24 74 100 74 176214 130400 2.10 6 3 2.0 3.0 c"plion Rale Spuare Feel Repl.Cost MKT.INDEX 1.00 IMP.BY/DATE. ML 6/83 SCALE. 1/D 0.5 5 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 82.D1 714 58555 GROSS AREA 2140 TWO FAMILY DWELLING CNSTP:00 1U8 115 94.31 525 49513 *---15--* STYLE - 10OLD STYLE 0.0 ----- - -- ---------------------- I FAG 41.01 60 2461 ! 1U8 ! DE-S--IGN ADJMT DZDESIGN ADJUST 10.0 -- - --- ---- ---------- SB 100 82.01 137 15336 ! ! EXTER.'4ALLS 11 -O-OD SHINGLES 0.0 - -- - - --- 8EW 125 12.50 65 813 *-6-* *--13--* HEA'i%AC TYPE 090IL-HOT _W_AT_E_R__ 0_0 B20 60 49.21 714 35136 ! ! *-BEW--*-* INTcR.FINISH a 5 P L A S T E R 0.0 10 10 35 1SB 11 INTER.LAYOUT 12 VER.-A-domAL D_0� !FAG! ! ! INTER.OUALTY 025AME AS EXTER. 0_0 ---- --- -------- - - - --- *-6-* *---1 7--'-* FLOOR STRUCT 02.4D JOI ST/BEAM 0_01 D W '- -' ! EFLOOR COVEf7 06 INE F100_R.ING _ O.D1 E TetdAre:,, lAOe _ 125 Ba¢- 1426 13 10 10 ROOF _TYPE _'�3iIP-ASP_H__SH_I_N_G__ 0___!7_I BUILDING DIMENSIONS ! ! ! L E C T R I C A L J 1 a V E R.A G E _ _ G.0 T BA;i W34 N16 1UB N13 FAG W06 N11) *---15--* BASE * FOUNDATION J2 ONCRE_- BLOCK 99.9 f E06 S10 .. 1U8 N22 E15 S35 W15 ! _� -------------- - ---------------------- - ------- - --- -- - -- ------- BAS E15 N10 1S6 N11 BEW N05 16 10 NEIGHBORHOOD 67AB HYANNIS L E13 S05 W13 .. 1S8 E17 S11 W17 ! ! LAND TOTAL MARKET .. BAS E17 S10 E02 S16 _. 820 ! 820 ! PARCEL 43900 174300 N16 W02 N10 W17 S10 W15 S16 E34 *--------34------*X AREA 48683 820 . . VARIANCE +0 +253 STANDARD 25 -4bb-- 106 UPC 68021 No. Cbsi HASTINGS, mm I + I I pt i t` N UPC 68021 i os No.g�q HASTINGS,UN y6.'w.'i i&L' � �.�_�s ..:_��Z x_v .ncc.�,:..v:�i��i _,mti'��L`�A�.�k'`y1"�' ,.;:..y �4� _ 4�y,