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HomeMy WebLinkAbout0043 SEABROOK ROAD y3 y� �-- - - --- - , _ _ .30 ��-%- I BIZ 0s �pFZHE tp� 'gown of Barnstable *Permit# ` y9 tips Expires 6 inonths from issue date •ARNSPABLE, : Regulatory Services Fee - ®� M g � s69. m Thomas F.Geller,Director 3 p1 F `l 0 MA Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8662 3038 J(/ P �kN � Fax: 508 790 0 �/ � T EXPRESS PERMIT APPLICATION - RESIDENTI� 1,IiY 1 2005 Not Valid without Red X-Press Imprint e��� �� Map/parcel Number O _ Property Address 4-3 Q• M-K R&, W a-n n'6 [Residential Value of Work ®�' C®Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address � n Contractor's Name Telephone Number —Iq® — Home Improvement Contractor License#(if applicable) " Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance rone: m a sole proprietor , ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance - Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) W/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 of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro erty Owner must sign Property Owner Letter of Permission. ome I provement actors License is required. Signature Q:Fonns:expmtrg Revise063004 (5 a The Commonwealth of Massachusetts c -� '- Department of Industrial Accidents Office of Investigations 600 Washington Street, fh Floor Boston,Mass. 02111 Workers'Com ensation Insurance Affidavit:Building/Plumbing/Electrical Contractors ET ,name: \I address: 0 "Bo o ci lA-1�1 ^ state: M� zi : 0V�!!oI hone# To 11� Cl work site location full dress): J ❑�I am a homeowner performing all work myself. ProjedT e: ❑New Construction❑gemo ell., ("� ©'I am a sole proprietor and have no one working in any capacity. ❑Building Addition ( w�.,�i•',',f i., ,re,!,t.._��«r,.�w•:! ...."_r .�:�s'v. 'w ... ..... ❑ I am an employer providing workers'compensation for my employees working on this job. com an name- address: _. . ..........__..._..._�..._... ...........................:-............. city. ohone#: insurance co. -all I all # ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: c n. .name: address• city phone# insurance co. li # R F RE KIN company name: address: city ohone#• insurance co. . of # Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties.of a fine up to 31,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do her certify under t e p ins and p ties of perjury that the information provided above is true and orr''ecct Signature Date Print name �Nj -Phone# 0 Larl� 11 —pill official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office C]Health Department contact person: phone#; ❑Other I (mised Sept.2003) n r' r r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned.to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. SPIN WWI� City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits maybe returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 4 Tarm._of Barnstable Reg-aatory Services er .=Director . �# snRrtsrastE, '=T�omas�F::Geil ,., . : . bum � :.Britding�Division -Tom'Perry; Building Commissioner , -•- 200 Main Street, Plyaarus,.MA 02601 .147w.town.barnstable;ma.us Fax: 508-790-6230 ' Office: 508-862-4038 Property owner Must Complete and Sign This Section if Using ABuilder T ��-� • 1U aA ,as owner of the subject property l' 1 • �hereby authorize:'• �(�•��-5 � •to act on mybe�f, . . • . . in all niatters relative to work authorized by this binding permit application for, (Addres s of Job) S gaature of er Date Print PST , f ,per �fze��zo�zu�ea.� o�✓�QOac�u�aelta �\ Board of Building Regulations and Standards HOME 111�., OVEMENT CONTRACTOR Re ilug _ 1 2007 r Mclual (I Y C James James Curley 287 Fuller Rd. Centerville,MA 02632 Administrator c• SENDER: :2 ■Complete items 1 and/or 2 for additional services. I also wish to receive the W ■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. j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address ` permit. ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery rn ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. 0 v 3.Article Addressed to: 4a.Article Number aor d ' d �_/�C�/2�- � 4b.Service Type d c°� ❑ Registered ❑ Certifiedcn °c U) A--J, ❑ ss Mai QNc�I e c handise ❑ CODerc Delive z ti I—) o' 5.Receive By: (Print Name) A dress A> s(Only if requested an a is t 6.Signature: (Addressee or Agent) X N PS Form 3811, December 1994 Domestic Return Receipt i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid uSPS I Permit No.G-10 I I • Print your name,address, and ZIP Code in this box• II I Town of Barnstable Building Division 367 Main St. Hyannis, MA 02601 I [ ] [R307 012 . ] < LOC] 0043 SEABROVROAD CTY] 07 TDS] 400 HY KEY] 217063 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 CLARK, SHIRLEY M MAP] AREA1 61AC JV] 432115 MTG] 2001 43 SEABROOK RD SP1] SP21 SP31 UT11 UT21 . 29 SQ FT] 1434 HYANNIS MA 02601 AYB] 1957 EYB] 1975 OBS] CONST] 0000 LAND 22700 IMP 78300 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 101000 REA CLASSIFIED #LAND 1 22, 700 ASD LND 22700 ASD IMP 78300 ASD OTH #BLDG(S) -CARD-1 1 78, 300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 43 SEABROOK RD HY TAX EXEMPT #RR 1453 0120 RESIDENT'L 101000 101000 101000 #UP FY98 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE109/93 PRICE] 35000 ORB18758/112 AFD] I LAST ACTIVITY] 01/09/97 PCR] Y 4't 1 'G R307 012 . A P P R A I S A L D AfA KEY 217063 CLARK, SHIRLEY M LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 22 , 700 78, 300 1 A—COST 101, 000 B—MKT 88, 000 BY 00/ BY ME 4/88 C—INCOME PCA=1041 PCS=00 SIZE= 1434 JUST—VAL 101, 000 LEV=400 CONST—C 0 ----COMPARISON TO CONTROL AREA 61AC ----------------------------- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND—TYPEd 227001 LAND—MEAN +0 1010001 74880 IMPROVED—MEAN +5% 250 ] FRONT—FT ] 100 DEPTH/ACRES TABLE 02 10001 LOCATION—ADJ APPLY—VAL—STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA—MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION— [ ] STRUCTURE—CARD NO— [0 0 0] DATA— [ ] XMT [?] j�. h �j R307 012 . P E R M I T [PMT] ION [R] CARD [000] KEY 217063 000000001 j PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B36297] [11] [93] [AD] 1000001 [LK] [01] [94] [100] [NEW ] [HY REMOD' L] [ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ ] [ ] [?] i i 116 �III�.�ry�{/O 2J�RFCYC(fp�p� UPC 68021 ' NO. SF11 SA '�Q°psr-coNs'`r HASTINGS, MN V RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET 43�/7ea.brook Rd. Hyannis SUMMARY 307 H 73 LAND P 6 BLDGS. OWNER TOTAL 35 G SO RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: LAND BLDGS., Turner, Leon C. Fr �32brielle M. 11/15/63 1226 328 g TOTAL - LAND a 0) BLDGS. `�� - (�.cf�•4 9Yt ec�C TOTAL LAND BLDGS. TOTAL LAND BLDGS. 0) TOTAL -- LAND BLDGS. TOTAL LAND BLDGS. 0) _. TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL DATE: /6 LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE #t OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT -F 61 G LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR a) BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS.. TOTAL LAND �?y m � BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND o ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL Conc. Blk.Walls / Bsmt. Rec. Room St. Shower Bathp'� Bsmt. PURCH. DATE :onc. Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE Brick Walls Attic Fl. &Stairs Toilet Room Roof RENT ;tone Walls Fin.Attic Two Fixt. Bath Floors 'iers INTERIOR FINISH Lavatory Extra 3smt. F 1 2 3 Sink -4-a % '/z 'A Plaster Water Clo. Extra Attic i EXTERIOR WALLS Knotty Pine Water Only )ouble Siding Plywood No Plumbing Bsmt. Fin. tingle Siding Plasterboard Int. Fin. _Shingles TILING I ;onc. Blk. G F P Bath Fl. Heat J G ---- l/ 9 x 3 'ace Brk.On Int. Layout Bath Fl. &Wains. Auto Ht. Unit .i. -j V,' a PCO Veneer Int. Cord. Bath Ft. &Walls -- U Fireplace 4_ 36— :om. Brk.On HEATING Toilet Rm. Fl. - p Plumbing olid Com. Brk. Hot Air Toilet Rm.Fl. &Wains. 2 �� ��• Y -- Tiling Steam Toilet Rm. Fl. &Walls 3lanket Ins. r % Hot Water Q �`� St. Shower loof Ins. Air Cond. Tub Area TotalS`Q Floor Furn. ROOFING COMPUTATIONS 1sph. Shingle _ Pipeless Furn. / G, S. F. t/ :./t;1 0 . Nood Shingle No Heat ;.j J S. F. 3. 1sbs. Shingle Oil Burner S. F. r7 j late Coal Stoker S F 'ile Gas ROOF TYPE Electric S. F. OUTBUILDINGS ;able f Flat S. F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED lip Mansard FIREPLACES S. F. Pier Found. Floor ;ambrel Fireplace Stack Wall Found. 0.H. Door LISTED FLO RS Fireplace / / Sgle. Sdg. Roll Roofing :onc._ LIGHTING Dble.Sdg. Shingle Roof :arth No Elect I Shingle Walls Plumbing line iardwood ROOMS Cement Blk. Electric \sph.Tile Bsmt. 1st y P TOTAL 3 0 2-7. Brick Int. Finish PRICED, H-FSingle 2nd 3rd FACTOR /.� REPLACEMENT - - - �(�� i OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. CON D. REPL. VAL. Phy.DeD• � PHYS. VALUE - Funct.Dap. ACTUAL VAL. f �WLG.) l=/"7,�? ¢%cvif- G' 306 77 /Z-- aG S 96 1 2 3 4 5 6 ; 7 1 .8 9 � 10 I TOTAL - . i i , zR OPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE CLASS I pCS I NBHD PARCEL KEY NO. 9043 SEABROOK ROAD 07 RH 400 07HY 01/04/96 1041 00 61AC R307 012. 217063 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T Lana BY/Dale I CD FSFa.D eDv o ,LOC./YR.SPEC.CLAS OYP UNIT ADJ'D.UNIT CADJ. . PRICE PRICE MAP- -AC- E gCRES/UNITS VALUE LARK SHIRLEY M #LAND 1 22.700 CARDS IN ACCOUNT - 10 1$LDG.SIT 1 x .29 =10 224 34999.9 78399_9 .29 22700 #BLDG(S)-CARD-1 1 78.300 � 01 OF- 01 #PL 43 SEABROOK RD HY BATHS 3.0 U x C= 100 10500.0 10500_0 1.00 10500 B #RR 1453 0120 r RKET 88000FIREPLACE U x C= 100 3100.0 3100.00 1.00 3100 B COMEA E Di• APPRAISED VALUE J A 101,000 U � PARCEL SUMMARY gi I LAND 22700 Ti BLDGS 78300 S TOTAL E 101000 tj i N CNST T I DEED REFERENCE Type DATE RxortleA PRIOR YEAR VALUE C I Book Page Insl' MO. yr.D Sales Price A N D 22700 8758/1121 1,09/93 35000 BLDGS 78300 1226/328; !00/00 TOTAL 101000 3758/114: b9/93 A. BUILDING PERMIT -METAL SHED OF NO AmounlVALUE........... Type LAND LAND-ADJ INCOME SE SP-BEDS FEATURES BLD-ADJS UNITS Number D­ 22700 13600 836297 11/93 AD 100000 Class Con st Tola, Base Rale Atl Rale year Bull A Norm. Obs v. U oils Units I A I ge Depr. Contl. CND. Loc. %R.G. Repl.Cost Nev Atlj.ReV, Value Stories Height Rooms eo Rms Baths •Fis. Parlywall Fec. 03C 000 100 100 63.10 63.10 57 75 19 80 9.0 70 111785 73300 1.0 6 3 3.0 12.0 Descnnnon Rare Square Feel Rep, Cost MKT.INDEX: 1-00 IMP.BY/DATE: ME 4/88 SCALE: 1/00.56 1 ELEMENTS CODE CONSTRUCTION DETAIL di100 63.10 1434 90485 GROSS A THRE FAMILY DWELLING CNST GP:O 85 8.50 220 1870 *-----------45--- *____-22-----*--14--* STYLE 17DUPLEX 0.0 30 18.93 308 5830 ! 7 FWD 10 ! DE-S-rGN-ADJ MT' -00 ------------------U-0 r -- - -------grf - ----- X.TER.WALLS fiW00D SHINGLES 0. ! *-----22-----* 22 = EAT/AC TPFE 0901EH T OT NA ER 0- 26 BASE ! ! IRTEg PTNISH 0409YWALL -----------0.0 12FFG ! 1 NTEA LLAY0UT f2AftA.TN6RMAL 0.0 !• INTE R.-9-U-kLT Y -02S AM-E---A-S -EXTER.----0.- 0 ! *-----22-----X--14--* FLOOR S Ili UCT_ 02WD JOISTIBCAM (10 O D W! 7 EFLOR COVER 01HAR6W006 0.0 Tplal a,:s Av>t= Base_ 1434 *-----------45----------* --------------- - - --------- - ----------- E ROOF TYPE ___ _01 GABLE-ASPH SH 0.-0 T BUILDING DIMENSIONS LECTRICAL_ 01 VERAGE (f.0 SAS W22 S07 W45 N26 E45 S07 E22 FOUNDATION 02CONCRCTE BLOCK 94.4 A FWD N10 W22 S10 E22 ._ SAS S12 -------------- - --- ---------------------- LFFG E14 N22 W14 S22 .. HAS .. NE7GH80RH060 6fAC HYANNIS LAND TOTAL MARKET PARCEL 22700 101000 AREA 2848 VARIANCE +0 +3446 STANDARD 25 C ����� �REcvueoc 116 pa =J o2z UPC 68021 No. SM 1 SA posr.co�s'`� HASTINGS, MN aw �.�...... •c _ y'.uIAYWii'!i IY°' -- _— -�� - --- — G I 4. � TOWN OF BARN8TABLE REPORT Sp TOWN NAME (LAST, FIRST, MIDDLE) DIVISION /DH NOTE DETAILS i O ERVATIONS—ITEMIZE EVIDENCE, SERIAL IS ETC. ---L - c N `) L SUBMITTED B PAGE P 339j, 59� 289 L tal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Inte ational Mail See reverse Sen to Street&Number P ice,S ate,&ZIP Code Qa 6o Pos ge $ S� . Certified Fee Special Delivery Fee Restricted Delivery Fee LO rn Return Receipt Showing to Whom&Date Delivered n Rehim Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ � r) Postmark or Date E `0 U. rn a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). YI 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 window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the kU return address of the article,date,detach,and retain the receipt,and mail the article. IT N 1 3. If you want a return receipt,write the certified mail number and your name and address 0) fi on a return receipt card,Form 3811,and attach it to the front of the article by means of the I gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article 4 RETURN RECEIPT REQUESTED adjacent to the number. . 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 00 5. Enter fees for the services requested in the appropriate spaces on the front of IN receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 381 to 6. Save this receipt and present it if you make an inquiry. co °FINE _ . � . Z xe Town of Barnsta le Bmwffriim NAM 9. Department of Health Safety and Environmental Services 1°rFc nnA't" Building Division _ 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 25,1997 Shirley M.Clark 43 Seabrook Road Hyannis,MA 02601 RE: (M-307/P-012) Dear Property Owner: Our records indicate that your house at,43 Seabrook Road, is currently being used as a three-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 two-family home. 2) apply to the Zoning Board of Appeals for a variance 3) prove that these are legal three-family. You must contact this office immediately to tell us what direction you wish to take. Si erely, Gloria M.Urenas 7,.n—.c..c t naa,.o �.,..Mg.,.Uvr �men�.,.....r GMU:lb CERTIFIED MAIL-P 339 592 289 P9703 I I a I I i 116 //// ��RECYCLF0 02� UPC 68021 i No. SF11 SA 'D OOgT.CpNS���� HASTINGS, MN SSACHUSETTS UNIFORM APPLICATION FOR,PERMIT TO 00 PLUMBING- T Vdntor ) �O y Mass. pat 2 .19 _ s. Owners Na. ,. a. qj Build.. l=,ocatio .� . . - me Type-of Occupancy NOW, O erwvation ® Repiaoemenf.Q. Plan &ubmTfted, .Yes 9 No O ' FIXTURES x x < P-2i.4441 O Z ix 0 p r. IL3 X 0: O C d 6 < W •- a < v1 Y61 a d O r~ u y 1.- 0 x id. � m 1- z 0 0 (a x x < W k be. W < <. C < J v < et oc C < oo r. F 93 ® ., x !- a� to ea < 0 ei O - sue-esstr� _. BASEMENT 1ST FLOOR 2ND FLOOR 3R.D FLOOR' 4.TH FLOOR -. STH FLOOR 6TK.FLOOR, TTH FLOOR $Vt.FLOOR Instailing Company Name- Sherman .Plumbing, Inc. CfieckQne: Certir Address ? White's Path 12ate Corporation 508-398- 901 .. O Partnership 4^ Business Telephone'- O klrm/Co.Name of Ucensed.Plumber. David. G, Sherinar INSURANCE.COVERAGE: . ve a c4ffgt 11011Y Imurano.PdicY or its sul #antial.equivalent,which meets the requirements:oT MQL Cfi. 1.42.. Yes No O it you have Owckednt.•aease Indicate the tYpG oov_erage by decking the f tppropriate-box Aaiabiliky insurance policy ® Other • ..___ -` of,indemniky Q � Bor>Id O:, • OWNER'S INSURANCE WAIVER!I am aware thafthe licensee does not have_the insurance coverage required by Chapter 142;o(the;Mass._t3enerai Laws and tftat tr>)i signature on this perrnft appiication waives-this'requirement Check one: gnature of Owned ot;Ownets ent Owner O Agent.p hereby cer*-that an of the details and information:l have submitted(or ente_ed)in.above appiica6on are true and acdrrafe to the best of my knowledge and that all plumbing work and installations performed under the.permit Issued for this applicatlon.ivill be in::cotirpttance with all Pertinent provisions of the Maissachusetts State Plumbin a and Chapter 14 f. neral,Laws.. rile _ ign ure o tense taty/Town- _ TYPe of license:Master[ Journeyman-p BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS: `FEE. NO. APPLICATION FOR PERMIT TO DO PL-U.MBINQ .NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER Cher�+an Plim!hirnn_ Tne. 57 White's. •Path j So. Yarmouth, MA 02664 flERIKIT GRANTED { DATE PLUMBING INSPECTOR { r �'7M[>, TOWN OF BARNSTABLE 36297 � Permit No. . BUILDING DEPARTMENT 1 """ 1 Cash TOWN OFFICE BUILDING/ML 670• HYANNIS,MASS.02601 Bond ....N/A....... R E M O D E L CERTIFICATE OF USE AND OCCUPANCY Issued to SHIRLEY M. CLARK Address 43 Sea Brook Road Hyannis USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June 9 19 94 fl�nsrpector-��., ..... uild .. ISSUE DATE(MM/DD/YY) °A� II:IImERTIFICATE OF INSURANCE .. 02/25/93 ;. .. . PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Rogers & Gray Hyannis CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 640 Iyanough Rd Rte 132 POLICIES BELOW. Hyannis MA 02601 COMPANIES AFFORDING COVERAGE COMPANY A Wausau Insurance Company LETTER COMPANY B INSURED LEER James N. Basler, COMPANY C #. . . 923 Rte 6A LEER P.O. Box 4 compAw D LETTER Yarmouthport MA 02675 COMPANY E LETTER COVERAGES .: ....:::;.;:::><::::>> : . ... ...........................................::.::.:..... THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANG�.Z LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL 8 ADV.INJURY $ OWNER'S&CONTRACTER'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per acdden4 $ NON-OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN U MBRELLA FORM WORKER'S COMPENSATION STAMORY LIMITS ................. EACH ACCIDENT $100000 A AND 151400084569 02/18/93' .'02%18%94` DISEASE-POLICY LIMIT $500000 EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE_HOLDER:"':;:,.:.;:;: CANCELLATION ...... .........::...............................................:::: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Yarmouth EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO Building Inspector MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Main Street LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR >< LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. South Yarmouth MA 02664 AUTHORIZED REPRESENTATIVE ROGERS do GRAY INSURA CE AC3L'NCy'INC. iByO 1990 '. _. PORATION. ems- -- _ COMMONWEALTH OF MASSACHUSETTS �^ E� DEI RIZTMENT OF rNDUSTRIAL ACCIDENTS iL Goo WASHrNGTON STRI�tT `may- �ames Gamaoei BOSTON, MA_SSACHUSETTS 02111 �r—n:ss�one WORKFRS' COhfPENSATION INSURANCE AFFIDAVIT wt e S - (l iccnscc/perrtaincc) with a principal place of.busincss/rcsidcncc at: (City/Stacc/Zip) do hereby certify, under the pains and penalties of perjury; that: [ ) I am an cmplovc.r providing the following workcrs' compensation coverage for my employees working on this job. WAVSA (1/ /s' / yoga �G/ �5�� -7 Insurancc Company Policy Number, f)fam a sole proprietor and havc no onc working for me. (] I am a sole proprietor,general contractor or homeowner (circle one) and havc hired the eontraaors listed below who have the following workers'eompmsation insurance policies: Namc of Contractor Insurancc Company/Policy Number N-amc of Contractor Insurancc Company/Policy Numbcr 1-2mc of Contractor Insurancc Company/Policy Number Q 1 am a homeo A ncr performing all the work myself 1:OTE-- Plcasc be aw2sc that wbilc borocowncrs wbo ctaploy persons to do raaintcaaacc,coostrvaioo or repair work on a ccwclling of not more than three units in whicb the homeowner also resides or on the grounds appuncoaat tbercto arc slot gcacr2u), i considered to be employers under the Workcri Compensation Act(GL C. 152.sect. 1(5)).applieatiosl by a boraeownet for a license or pernit may evidence the legal sutus of::employer uadcr the Workcrs'Compensation Act i uadcrstano that a copy a ties st:ccmcnt wits ix fork•ardcd to tLc Dcpa:r::cnt of Industrial Accidents'OGscc of lnsur:ncc for.cowraYc vcriGcuion and that failure to secure coverage:s required under Sccdon 25A of MGL 1.52 can kad to the imposition ofstiminaJ penalties consisting of a fine of up to 51500.00 and/or imprisonment of up to onc year and civil penalties in the form or;Stop Work Order and a fine of S 100.00 a day against mc. / Signcd this /� day of , 19 3 i cnscc/Pcrmittcc Licensor/Pamiaor 12 235#Asphalt 6 2x6 Joists 16" o.c. Shingles(existing) 2x8 Rafters 16" o.c.(existing) R-30 Fiberglass Batts 2x6 Joists 16" o.c. 1x8 Facia �y 4x5 Aluminum flF Gutter 1 x1 2 Plancher 1/2 Drywall i Existing board 5/8" R-13 sheathing iberglass Batts 716" 4 Mil Poly Finished 2x4 Studs Ceiling 16"o.c. 2x10 Box Sill 2x6 Sill 2x10 Joists II ll 16" o.c. 6" R-19 Fiberglass Batts 6'8"Min. o Head Room 3-2x8 Laminated Girder(existing) Existing block wall on footing 3-2x10 Stair Stringers 3' Thick Concrete Floor Cathedral Section as Seabrook Road Hyannis Massachusetts Renovations for: Ms. Shirley M. Clark November 8,1993 scale 1/4"=1' drawn by: inb a ouo - ........... 43 Seabrook Road Existing Floor Plan Hyannis, Massachusetts Proposed Renovation for Ms. Shirley M.Clark • June 29, 1993 scale 1/8 1' drawn by JNB Full length step 24x16 6/6 �M A double hung 24x24 6/6 double hung 5-21/Z"A 9 x 7 overhead door 24x24 6/6 „o. oONE!",,iC double hung O js `FIS �� Mullion Bath Kitchen z it r (vinyl) (hardwood) o i; F ` B Anderaen0 Bathdropped sl Eq II£ r 1 _ (vinyl) O v.M,z O edlfny I. la_., h € « :.,<. 1 Car Gara e FWH6 g Patio Door Master Bedroom mz. ® ® Vaulted Gelling (carpet) O u Solarium 3'-0"x (hardwood) 3 - CaStlegate C O O r Vaulted Ceiling OI E 6-Panel F door unit 'Roro-51N-W: 'Ro[v51N-14: � x 6'-61 Guest Bedroom Living Room (carpet) (hardwood) da. l F Caatiegate 10-51W-17 ..-..._ 9-Lite .... . Vaulted Ceiling B B B - B door unit Walk in Closet (carpet) ill Andersen® i G C 235 Casement B C E B Existing Spruce-Tree Exhibit"A" 43 Seabrook Road Final Floor Plan Mas sachusetts Hyannis, ' y , Existing Spruce Tree Proposed Renovation for Ms. Shirley M.Clark x October 25, 1993 scale 1/8"= 1' drawn by JNB h ; j A 5 F I aF £ F 3 F .. 1E f a Ell I I� II. I LI ------------- 43 Seabrook Road Front Elevation Hyannis, Massachusetts Proposed Renovation for Ms. Shirley M.Clark September 18, 1993 scale 1/8"= 1' drawn by JNB MMM .. ; I k I I� Ell L16911 ��� � I � 0 43 Seabrook Road Rear Elevation Hyannis, Massachusetts Proposed Renovation for Ms. Shirley M.Clark October 9, 1993 scale 1/8"= 1' drawn by JNB �\ �\ - � / . g \ ( � \ I j � �\ IOU \ �m / / s \ Left & Right Elevations Hyan s 7 sRoad c usm Proposed Renovation fo r M& Shirley M.Clark . . . October 9, 1993 scale 1�8 % f drawn by JNB I 80LVai6w)wov / S19ZO VW 110d 9lnowleA — b9 alnos £Z6 `t xo8 181se8 •N sewer 66/0£/90 001lelydx3 1d00IAI0NI - adAl < 8MOT UOTIPJIST888 801MIN03 1N3W3AOSM 3WOH yJaani�rn°° �° a niae�veuo'�5'ay Cailure topossess a current COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ! MassachusattsStateBailding OF ONE ASHBORTON PLACE Codelscause for rerooatlop MASSACHUSETTS BOSTON,MA 02108 ofth1s11con". LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR 03/0 8/1 9 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NlnNE o 06/.30/1 *493 012929 PRINT IN APPROPRIATE 6 R BOX ON LICENSE. JAMES N 3,ASLER g 21 E S S E X WAY BLASTING OPERATORS SS 1; 375-50-7641 m YARMOUT1id�R MA C2675 ST INCLUDE PHOTO. . PHOTO(BLASTING OPR ONLY) F b0.00 a' NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY �L I \\, HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: 03/08/1946 _ "+ iw \ \ THIS DOCUMENT MUST BE - « SIGdI AMEN FULL QVE SIGNATURE LINE ' CARRIED ONTHE PERSON OF SIGNATURE OF LICENSEE a qjg; I ' THE HOLDER WHEN EN• OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. I NER V \U { * p t SEPTIC SYSTEM MUST ISE '•J Assessor's office(1st Floor): © /, INSTALLED IRCOMPLIANCE Assessor's map and lot number _� 0 WITH TITLE 5 �P���THE/+ tp`e Conservation(4th Floor). 46 RMONMENTAL CODE AND I� Board of Health(3rd floor): ,, f =TOWREGULATI®NS >; DA8177�DLL •. Sewage Permit number rua Engineering Department(3rd floor) "�o House number 4 f ' Definitive Plan.Approved by Planning Board 19 d c7 ; APPLICATIONS PROCESSED:8:30,9:30 A.M.:and 1.:00-2:00 P.M.only sµ a TOWN OF _BARNSTABLE !BUILDING INSPECTOR APPLICATION�FOR;PERM1T TO + Q Yq Did . t ' TYPE OF CONSTRUCTION +'t i r o 19 93 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L( 3 S If o"4 Proposed Use G' S l i°�/L- FG�{ ` IL f C Zoning District Fire.District Name of Owner ,S la 1 2 L e Address Name of Builder ��d�es A 34 Address 13 D Name of Architect IV 0 IV C-- Address Number of Rooms Foundation Exterior GJ/-l� �� L eDA � SI�i�G 1-�s Roofing —&3S!VI, c.i Sly r/1�G-C ES Floors l Interior ®ptl Heating Plumbing Fireplace Approximate Cost 000 Area /F% Diagram of Lot and Building with Dimensions Fee �0i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Siipervisor's License 6l Z 1 2- Gl CLARK, SHIRLEY M. fA « ! 36297 REMODEL ,z No Permit For - Single Family Dwelling Location 43 Sea Brook Road Hyannis Shirle �M. Clark Owner Y - _ Type of Construction Frame Plot ��' Lot Permit Granted November 8, 1 g 9 3 Date of Inspection: _ ,Frame /��� / 19 m3.b.) Ids lation �f z 19 fir place 19 i Date Completed 19' ' 1 �/9/f g5Z _ • � ' �� � w � { � � J v� ,. -�-,- (� , � - � , - � � � _., , �- �� r I �� � � � � � � � � �� � � � � � � � __ _ _ _ _ � �' � � ~ I � � � i � � � � ° � � � i _ -� � � -� n � -�- R TOWN''OF'�'d�RNSTABLE,�MASSACHU$ETTS t DINw PERMIT � ,. � - • .. v'- � � ..6 �f L�1=3�7".0 DATE NoY@m}Je'r Pi , tg 93 PERMIT NO. 0 3 '29 /3i, `Y APPLICANT James N. B�Sler ADDRESS BO:{ 4, `Yarmoutii�ort. 2929 (NO.) (STREET') ICONTR'S LICENSE) Remodel (_) STORY Single Family Dtzellinc�uMBER of PERMIT TO WELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 43 Sea3rook Road, Hyannis ZONING DISTRICT— , (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) Rt'MARKS: Sewage #93-601 AREA OR VOLUME 140 sq. i t. 100 000• FEE PERMIT s 50. 00 t,., (CUBIC/SQUARE FEET) ESTIMATED COST OWNER Shirley ixi. Clark ".. ._ —� _ . '�� Z f., is G�,tl'tt 1 NG U t h'I. ADDRESS 1 3 u 5iiur'c��r r l uo Q xa. �m3 'IIi�.a.r�� �.>,� k i^� Ci-ncicuiati., Ohio I