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0022 BAY ROAD
�� � �, i P 1 i ' ' _ r� � �� � TM o-r n. ,. � r. � T t. fn-...'.n�.it —.. .. .. .�. ..� .. •...' may,. Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept SAMOrAMZ MMM e�� Posted Until Final Inspection Has Been Made. .639. Permit Eno Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-3616 Applicant Name: Jen McNally Approvals Date Issued: 11/07/2019 Current Use: Structure Permit Type: Building- Deck Expiration Date: 05/07/2020 Foundation: Location: 22 BAY ROAD,COTUIT Map/Lot: 020-002 Zoning District: RF Sheathing: Owner on Record: Riley,Sean Contractor Name: BARNES CUSTOM WOODWORK Framing: 1 LLC. Barnes Custom Builders Address: 22 Bay Road 2 COTUIT, MA 02635 (— ~-~Contractor License: 178557 � Chimney: Description: replacement of deck Est. Project Cost: $40,000.00 Permit Fee: $ 110.00 Insulation: Project Review Req: 2(2x8) max span T4" / Fee Paid: $ 110.00 Final: Date/ 11/7/2019 /f Plumbing/Gas Rough Plumbing: l N, Final Plumbing: } Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. 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. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open.for public inspection for the entire duration of the work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. 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 ,1 ,_ (` Final: Building plans are to be available on site ? All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT + Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date Map 02a Parcel 06�2— Applicant Information Applicants Name D& J Applicants Address Z ,q' mail Address Telephone Number Listed ❑ Unlisted Business Information. ; =iZD New Business? ---------------------------------------- Yes —' cn t ;z Business is aregistered corporation? ------------------------- Yes C1J' `.D If yes Name of Corporation Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? --------- Yes No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business Business Address Type of Business �f E�� p Building Commissioner O�tv'Use Only Conditio Cll U ' 'n 1 IN Building Commis ' n �� Date O Clerk Office Use Only f r� Town of Barnstable. Building Department OFTHE TO�� Brian Florence,CBO Building Commissioner eMwsTnaLe, ' 200 Main Street,Hyannis,MA 02601 MASS. 9 139• `0� www.town.barnstable.ma.us �AtEO MA'S A Office: 508-862-4038 Fax: 508-790-6230 Approve Fee: Permit#: — - HOME OCCUPATION REGISTRATION Date: �rn� ' f Name: 1/ E. ZL Phone#: Address: � VilIage:( O4� I Name of Business:, 1� � �. Type of Business: (fcol t--rMap/Lot: d 20 O O Z— INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in-.traffic abovelgorma� residential volumes;and no increase in air or groundwater pollution. a After registration with the Building Inspector,a customary home occupation shall be permitted as of Iight subjedtto th® following conditions: �, C-o • The activity is carried on by the permanent resident of a single family residential dwell' g unit,located ao within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential�buildings,, d them is no outside evidence of such use. O° • No traffic will be generated in excess of normal residential volumes. X__ • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be empl ye in the Customary Home Occupation who is not a permanent resident of the dwel ' g unit. I;the undersigned,h ve read d ee with the above restrictions for my home occupation I am registering. Applicant: Date: (J MUST COMPLY WITH HOME.OCCUPATION Homeoc.doc Rev. 10/17 RULES AND REGULATIONS. FAILURE TO r;OMPL_Y MAY RESULT IN FINES. Assessor's map and lot-number :...'. .. ...:::.....� • Sewage Permit number '..................................i......,....... 7NE.T°�� :. TOWN OF BARNSTABLE i . Z BASBMULB. iG39 16 gUILDING3 INSPECTOR 90O \e� rti APPLICATION FOR PERMIT TO .�.V v:'P......... ....:...............................................:........................................... TYPE OF CONSTRUCTION .......,OPP.........................`.......................................................................................... _ 4 r l�l� ..... ............ 9. '0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......oft..a .........! (. x......... �..................CG,;�( /..�................................................................................ Proposed Use �s ... ..............................................................................:. — ................................ ......................... Zoning District ...... .. ......................................................Fire District 60TV/ 7— ....... .............................................................................. Name of Owner,# At A.11-7a0 .T/A-';�..............Address A.,? ## o i.......4.P T1//7— Name of Builder �.. i....H ��fr/�®..........Address ......qI1........•..O e..........GO rplo .. ........ Name of Architect A!P� �qf...1.9/....P ....Address �v�........1 ,fiy A �c r�W........ Number of Rooms f ?!* ......../...a R.'0 . . ...........Foundation ....G `/.L ✓ ................ Exterior ..)yO.D....... RII' fksS.........................:.....Roofing �`.�?f%f/< �......: r � . VIAri iv f 5, Floors ®® ....�1✓ �!�'1...... /j� ii�� 1 ..E� � erior � .. !t.. .. 00/�1.........6�.0`19 ''...... ..................... . ..... Heatin '................Plumbing Fireplace ................................................................Approximate Cost .. ........................................ ------�9--------. Area ....... .,....... .. ......... Definitive Plan Approved by Planning Board -----------_--_--_---__ ,��// .L�(.�dt.�.... ....:.......... II Diagram of Lot and Building .with Dimensions Fee S'® l.4...�... ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH VFW r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. R..... ............................... , ' VAgostino, Henry A. Noj'.'IZ&... Permit for .......add to dwelli ............................. ............................................................................... Location ............22.14Y.A(md............................ ...........................W.Vat....................................... Owner ..............Helau..A*... .......... Type of Construction ..............fr. ................. ............................................................................... Plot ............................ Lot ................................ Permit Granted ................J.......eun26.........19 80 ........ at e ....................................19 • Date Completed ................... 1904--) PERMIT REFUSED ................................................................ 19 .......................:....................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ................. ............................................................. Assessor's map and lot number .:. .:...............:............. - 17 Sewage Permit number .......................................................... QED,*THET TOWN OF BARNSTABLE • BARNSTABLE, i "6 o w BUILDING INSPECTOR °''�• ar a APPLICATIONFOR PERMIT TO •• '............................................................................................................................. TYPE OF CONSTRUCTION ` r' ............................r.................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: -1 , 11 r G..r....7 'j.'/ �- Location .............................................................................. .................................................................................................. Proposed Use . . r' . L I .. /;�, U . r,f ................. ff.."...:.:.........:✓..'t.. ................................................... r. Zoning District .......'.`......:........................................................Fire District 711 .............................................................................. Name of Owner ..............Address ° • .. ........................................................... Name of Builder/.l...:...!...........• ............Address Name of Architect ........ . .......... .. r Number of Rooms • ' ' '�''I r // M'l �' ..........Foundation :'?./.!"- r : -� /=- T - ........................t.... .. .. ...'........................... Exierior ........, Roofing f.. .. I- Floors '....................: r ........�.....:. •� � , Interior i..'.�.......: ...................�. .:...:.:....... ............................ ......... ........... ..................... ............ iieating ...................................................................................Plumbing .................................................................................. ......................................................................Approximate Cost :....1:. Fireplace ............ . ...........:..................................:.......... Definitive Plan Approved by Planning Board -----------____-__-----------19--------. Area ...... ... `.. ............... Diagram of Lot and Building with Dimensions Fee ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH ' r r i I r •-/ I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......: ... ..:..:........:........ ............................ D'Agostino, Henry A. A=20-2 ,,Ooo�. No.�4-31� .... Permit for ....add..tQ..dWe11ixig ............................... : ............................................ Location 22.d ay.RAad......................... .............................0atu.Lt.................................... Owner .......Henry..A...A',Agoatinn:................ Type of Construction frame..................... .......................: .................................................... d Plot!.............................. of ......... . ..................... J ne 26 80 t Permit Granted ........................................19 Date of Inspection ..../.............................19 -•Date Completed :19........................... �. PERMIT, REFUSED ..................................I... .... 19 ............................. ............................................... ............................................................................... Approved ......................:......................... 19 ............................................................................... Assessor's map and lot number �. ^� -�• _-�- et Q�Of YN E l0�♦ V Sewaget Permit number/0 t aL vV � Beak .R`f 7 i Baa39TOBLE. House number ........................... ...... ..:.. .... rasa 1639- �k �vkY a TOWN. OF MARNSTABLE BUILDING' INSPECTOR APPLICATION FOR PERMIT TO ............... M/1'�.I.+ �,.9... v0�.......... TYPE OF CONSTRUCTION .�P.ur..d..W 4.I. .I.Ir:7 'v.N..4F....fir KAI.Y.I.... ........................ ; W ocjl Mawt z0-d TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a;•permit according to the following information: Location ....P�.a... .... 4� - 4.''.�J. a � -�?.l ^.1�i�llLec'j �. r'... v� ...�Aa t.......... Proposed Use ...P !Q '� a- ..../q.flf. t} SrsS.......................................................... ..... Zoning District ..Fire District Name of Owner M ��c�r ..!�-b,FTL;�..Address � , c�....R!...0 .a4d (�G �.. .r`-�r..' . ' 'C U'Mcts� RoR ' `' _ Name of Builder 3 ��©��. � :�..,. .� -G1a� STig;� l"A ........... :......Address' . ..Q................... ... 1. .... ' Name of Architect Cff,$.C.J�Ali.!�.:+-Wdt!S.1 R-!'Csl..............Address / �Ay .L!. .4�"' �'��•SOiJ/ /�/C[G /p�Se�I ANldM ice. ...........r...... .�. ................... C Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ...Roofing �' Floors .Interior jj Heating Plumbing .. ../.:.�.�.Y .......P.e................................ Fireplace ..........:.. -- ..................................................Approximate Cost ^ O.Q. Q............ E ..i.................... Definitive Plan Approved by Planning Board ________________________________19_ �_. Area Diagram of Lot and Building with Dimensions Fee ........!................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH IL 0�, Rrs1'-1ewce— \ q 171 , R�r , plr-4se hfor'e, pk0.W «� 1 Ord Ro�ol Co N-�9T'(ZL+ e1'c:/� Ll �1 Q'�l �ekJCG �IRJ� L� I tu T5— )-&T �-' wL I hereby agree to conform to all the Rules an tions of the Town of B rnstable regarding t above construction. � - Luczua^ R^CoAau ^ � 33268 Swimming Pool _ No -----~parmit for ------------ ' Aoe'easozy to Dwelling ` � .------.------------------- | Location _22_Bay_ ___________ -----.. --.—.----------- ' . ^ Ovvner —.Ri.cha.rd_�oftua________. . ' . ' Type 'of Construction /Tiner............ -------------------------- . �. Plot ............................ Lot ....................... / J�lv �, ~ 8l � ` P��rm� Granted ----��--------l� 'Date of Inspection ....................................lP._' . ' uou, Completed ....... ~ ~ . - . ~ PERMIT REFUSED ` ................................................... ' ---' . lV . --------..---------`--.�---.. . . ----~--'_------~---------'�— ----.--------~..----.—.'/---- ------------.-----..--.,...---.. . ^ . Approved ---------------- 19 � --------------~.—..-----.---.. ' - , -------`---^--------''^^^^--- ' � ^ - Assessor's map and lot number ...... ..............................:...... cF THE to Sewage Permit number .........................................................r• Z SARNSTADLE, i House number .........................................................:,......,`..... 900 �639 �00� 'FO Nix y. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION .FOR PERMIT TO ' ................................................. I TYPEOF CONSTRUCTION ..........................................................:.......................................................................... !............................................19...... .'.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...................................... ............................................................................... ProposedUse ` '.................................................'r.�... ....... ..5..........................................................................,......................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ......:......`...'.'..::..Address ............:..v......n ........... .....i" { /R:..:...................Address C'Ifi � ! SY /c� r..................................... 11. �.... Name of Builder ............................................. ' Name of Architect .......................................................:...:............. .t..............Address .... �. r . Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ..........................:.........................................................Roofing .............—...................................................................... Floors ......................................................................................Interior .................................................................................... Heating ...........................................................Plumbing ..,...... .... � I ....................... .... ............................................................... Fireplace ............... . ...............................................................Approximate Cost .:`'...�J O -��•n sa Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ..................................... Diagram of Lot and Building with. Dimensions Fee 1 SUBJECT TO APPROVAL OF BOARD OF HEALTH 5 f 1 t'd z c19?q/r~ D �- r s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. RICHARD A_-� .3 No Permit for ..�nstail Swimming Pool- ............................... Accessory to Dwelling ...................... Location ...Bay...Road .................................. .................CQ.t.vi.t............................................... Owner ....Richard..... ..Loftus. ............................ .. .. .... .. .. ....... Type of Construction ...:vkqYj_/ Liner ....................... ................................................................................ Plot ............................ Lot ............ i/ly 9, 1981 Permit Granted ......;?�.'...........................19 Date of Inspection/.... ...... .....................19 Date CQmple�e ......... ........................19 PE-/RIT REFUSED ................................................................ 19 ................. .................... ...... ......... .......2.-- .................... ............... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... 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TYPEOF CONSTRUCTION ...............&W,15........................................................................................................ ............ � , .......9............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..Cl?a. �/¢ � �✓f ....... ................................... n.... ........................ ............. ....... ........... ............................................... Proposed Use ......................S�5� D�i✓�G ....................::.................................................................................... ........................ Zoning District ...........................h:F.......................................Fire District .......C67U.`.r..................................................... Name of Owner U..1Clj � �.D�/'�S ..Address ......f/�"^�� e0 T 17 ...... ..................... ............................�......... Name of Builder �V.5.4 A 5 �'w'LL.'.'`I'?� 5. Address ...I S� �f�cr/1F�1�rs2 t2 .................................................. Nameof Architect ..............N t v.......................................Address .................................................................................... Number of Rooms .......... ..........................Foundation ......�G'.keT�................................................ ............................ ..... Exterior .........W.0 ...Roofing �. . ...� Floors ........... .C�L��.....................................................Interior ........Gt ;O ................................................................ Heating ................4) e.....................................................Plumbing ................. �e..................................................... Fireplace N�1 Approximate Cost .......•....../�Uv.......................... • �...................... ........... Definitive Plan Approved by Planning Board ________________________________19________, Area .-............ Diagram of Lot and Building with Dimensions Fee .........(5./..................... . . ... SUBJECT TO APPROVAL OF BOARD OF HEALTH G` 2 I hereby agree to conform to all t e Rules and Regulations of/TowofBarnstable regarding the above construction. Name C US, BICHARD ^ ` a�-'— � ' ~ 2327U Build Addition ' ��� -----.. Permit for ------------ � Single Family Dwelling --------------------------' 22— Bay I,ane ' - Location — -- —-- --------.------ � Cotoit � --------------------------. � Richard Loftus Owner ---______________.____.. � ` Frame ' Type of Construction -------------- � -------------------------' � ` . plot ....................... —. Lot -'---.------ � ' . � Jull' 10 ` 81 Permit Granted --------,----'l9 � Dote of|nspection .------.��'77�9T9 " ` � - Date Completed ..................������ .....l9 � � � � � PERMIT REFUSED ` � , -----.---------------- lA � . . � ..................... ........ ............................................... .................. -- ��-------------. � � � —.---- � , r------^--_---- . ` °= � �� —..—~. �. .............................. ' Approvo6��— ---—. lV ' ~ ' -----�— � '—',-------------.+.. � y � ---.''--------------------.— � � � y ~�� o% a essor's map and lot number ... ..... r........ Ass CF THE Tp� ewage 'Permit number ..... r....... < ....0..t �,�..:✓!.. .<.,+,� d�' ♦� r u f Z BARNSTABLE. i House number ..: ... ..:.......................................................... 9O MAO& p 1639. �0 YpY a' TOWN OF BARNSTABLE ' BUILDING INSPECTOR - APPLICATIONFOR PERMIT TO ....... ........ ..... ...........................................................:...................:.......:.. TYPE OF CONSTRUCTION 0 SOP......... .......................................................................................... ................... .......g............19 '. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: WIF Location ......................o.. .................................................................................................................................................. ProposedUse .......RED, De ve"...... ............................................................................................................................................................. � r ZoningDistrict ........................... t........................................Fire District ....................r..................................................... Nameof Owner ......................................................................Address ...! . i9�!................�............................ Name of Builder ?J.!5.�.!�: .......�.:.W.r..�".'.'..t.5........Address ..1.5.6......Sfi��.4FrE/1..........�.�.......1 ..... LG Nameof Architect .............t`U`............................................Address ............�................................................................. Numberof Rooms .......... .......................................................Foundation ......CrlY!C . ................................................ Exierior t. Kf?.?) ...Roofng /..5?NAc Floors ....................................................Interior 44X0?7 Heating ..............A)6r7...e......................................................Plumbing ............... d r�.`v............. .. ........................................ Fireplace ..:....................Na)1.....................................................Approximate Cost ............ ............ .5Y-1 Definitive Plan Approved by Planning Board -----------_--_--_-----------19--------. Area ....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.. �� • Name .................. .......... ............ ~ TDS" � 8ICBARD ' m� ' .~___� ~ 23276 Build Addition No ----.-. Permit for ------------ �a�cilv Dwelling ` ''—===~=-----.,~ -----.��� ----. , _ - Location .2.2 ..Bay..I,aoe __________.. . ' Cotoit --------------------------. Bi l� �� � uvvne, - --- . ^ ` . ',p= of Construction" . ' ' ^ plot ` . � -- . ' ' July 119 l Permit_ — -------_-- ` ""'= of. Inspection" ' | ""'e C" "p== ^ � � ^ ' PERMIT AEFUSE0/ ' —' 19 —'~�~~^~�r .... . .~----........................ w ' ' , -------.--..----------------. ` � ` .--------------------~----- ----.----~---------------.— ' ` . Approved .................................................. lV ' ` ' ^ --------------------.-----.. ------------------------^— Assessor's Office(1st floor) Map Parcel i!)O Permit# /oq J Conservation Office(4th floor)(8:30-9:30/1:00- 2:0Q) ate Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)Engineering Dept.(3rd floor) House# �� rpJ/;�57 IKE Planning Dept. (1st floor/School Admin. Bldg.) =�I t� �a INSTALLED A��I�iE Definitiv an A proved by Planning Board 19 TOWN OF BARNSTABFfClION EN E DE AND O TowN REGULATIONS Building Permit Application f ~' Project ess Village a-T"U \-V-- Owner p/q) si�_( 66 J Address LjgA4 Telephone �P Permit Request . O y 47 4-6 604966E 67X(SEW6- /9� "b /T)d*i ;O Gt�/�ao�.LS First Floor :;� 7 47 ' square feet v � � 0 Second Floor YO square feet Estimated Project Cost $) 1 Zoning District Flood Plain Water Protection"-- � Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Lk)001�1 &Yvt 6 Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure 1960 Basement Type: Finished Historic House Unfinished Old King's Highway 3 Number of Baths C No. of Bedrooms 3 Total Room Count(not including baths) J First Floor Heat Type and Fuel t Central Air A/0 Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information _ Name Telephone Number Address 3 3ZZ License# 0 9 Y7 54 VMll- Home Improvement Contractor# 1014 oa q Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOO` �IIS%7 SIGNATURE DATE / BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY e7 ��PERMIT NO. j i-� � DATE ISSUED ` i MAP/PARCEL NO. ADDRESS VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION FRAME INSULATION • 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH r FINAL 4 iA, GAS: RO-WH 0 : FINAL FINAL BUILDING I x -go/ tx •;� , - DATE CLOSED OUT v g; A ' l ASSOCIATION PLAN NO. i 1 , NEt:' U I TAG K. t ' � �i1P tlua:•T .� 0.1!13f 6.J t,_�,a �, . ss o ` ............. Qr 5 ADMWM s+a�a and'aicfY,;MA 563 5 L �qy pa �1te �anvinomuiea� o�./�aaaac`�uael7a a . 0 ARTMENT OF.PUBLIC SAFETY - CONSTRUCT_IOMI_SUPERVISOR LICENSE ;. buibei:=�_ ;;Expires �;Res_f ct_eut_i<::.-jQO --`°THOMAS R NORSE ->=393 LAKESHORE OR $ANOYICH, MA 02563 r MORTGAGE INSPECTION PLAN i BOSTON SURVEY, INC. 9s 04533 One Thompson Square P.O. Boa 220 Charlestown, MA 02129 (617)242.1313 MAIN (617)242-1616 FAX , APPLICANT: ✓ON M.JENSEN I LOCATION. 22BAYROAD DEED/CERT 45261700 CITY. STATE: COTUIT MA PLAN REP: 1321143 SILT i t O qm 25_A trap BAY ROAD I •tote tV b�Surer:tnmm•e . 1 PREPARED. 11.27.1995 I SCALE: i fnoh=80 feet CERTIPIED 70:••NORWEST MORTGAGE. INC. The M*anen;c;ructurey are ayptocimately loeaud an the 'A OF Accordl aro nd" rh"n."re"elthtr Aotormed to she setbackng to s EOfKtator Manaeomrn:Aaen y ttgPiretnieu of the I�yt tottinS ordlnanca in effect of mw.the meiof lmprotamtmc on thh Property trettlrrte 4t cotutructloo,or are txetgpt from violation an. CARMEN tree deli and a p perty rRtl In an f cment`,action under M.G.L.T1tle%III,t_hapicr 40 A, u A• �" u iatu S on 7,and that thcro ars no cncrOachMeiits Of Ma Jor TE TA `" Co !+�tr Peril No: L Eit ro�emsnts either�j,.across propene lines exC:pt 17 Effective Date: sno•n ano notod hcrcon. *moo NOT7:70m C a areae of,nMtmal r to p v,no:c po,r.; ocalpnbdon Is na bated on en serf I�lno enaH^pl,Tnw e T r title Thl;plan waa yrvpy a pAt�C\te. t{t�MllteMurPr 5vvd of q Ikrotlon of Dtoto3sbnol ongmw•e eryd u. rQ>� MF oral pro imnlcal atenderde for Mon • potllo q s r7 E.05.are uee for am odter ouryoee•9 1pn Ins o ad0DIM use j W r u+rOu J.Nr�a'Inp dad doaerfinont,o•cominxl on. n teol+ibited.This Plan it not to oe The Canintonwealth of Atassachusetty .�: _�.�•�: Department of Industrial Accidents ,3 iiw _ o lee011AIMOS&F lloos »` ; '.. _r; 6011 t114.0t igton Street .-- ff= Boston.Mass. 02111 Workers' Compensation Insurance Affidavit _.__ or....,.ion- MMI homeowner performing all work myself. a a sole proprietor and have no one working in any capacity 1-1 1 am an employer providing workers compensation for my employees working on this job. company onme• n(fdrecs• cih• nhnne#• ipcur•tnce co nR�iS)'# ' ;.... ...,.,:Rr_„_:..<...... . . .._„_,...,.�,,,..-.�;tea••-:-^�r^'r^'„-►n--...,, •.-.; ... ... . ,,.,..:..,.,,..,_.r.,...�,. I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contr actors listed below who have the following workers' compensation polices: company onme• address• •. phone#• incu Me co policy# ctimw name• address: city- Rhone#• incur•tnce cn oli •# :Atiach additimial'sheet ifriecasaty�� - 7.__'�•a `>l"�'sp rr�;—�.:r;:.•ety[. +,. : vrt.;ysiaa Failure to secure coverage as required under Seetion 25A of DIGL 152 can lead to the imposition of criminal penalties of a fine up toS1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NvORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cope of this statement forwarded to the Office of Investigations of the D1A for coverage verification. I do hereto•certif der t e pains , penalties of petym y that the information provided above is t and tsect. Signature ate rint name ����(1/'y —Phone# S°�� �i�� official use�oniv do not write in this area to be completed by city or town official +' city or town: permit/lieease# ntiuilding Department Licensing Board ' O check if immediate response is required �Seleetmen's Office E311ealth Department contact person: phone#; MOther (revised 3;95 P1A) 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 emplgtree is defined as every person in the service of another under any - contract of hire, express or implied, oral or written. An emplover is defined as an individual, partnership, association, corporation or other ;::gal entity, or any two or more of the fore=oing 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`rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1.52 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. V 7..7...... .•..,.. � P..:j•r•.•:3:•e,, ., �t,;:f',it-» .`;.�.•+•••. �+;a._��.y:. •i�?.:.R .:.- ,ru..+... �iy,,�:�:�:'Ve�r-_�!• :e .:^T*�`:i.:• . ...,; .. ......-• fir:•_., f..•'•7: .a: '.oi:•^.. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers 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 affida�it. 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. 77 ....�.1rNw.a1N191�1.r,•i��r7:ww.!q�.7�•M\J�.�; - `� �. ,... '. ......�'.,.... ...:.,... .. ........ :._..... =;'1."':..•r �`''.tress Cite 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 regardina the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be 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 Boston,Z. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 y i h The Town of Barnstable Department of Health Safety and Environmental Services °ram ►` Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissio: For office use only Permit no.; ' I I 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 coast, ction 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: T`��� -�I�'�`'`� f�( Est.Cost l '/ oho -IXAddress of Work:�� ` I �U ��y 1 A f V I XO er's Name Date of Permit Application: �.. I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby a ply for a permit as the agent of the owner. �0 3 Yflo) (of aq Date Contractor Name Registration No. OR T/11• Cf1111/11011 N'calt/1 of:1 fascuchusctts • •� �:, _- j:! Department of Industrial.4 ccidents OfficeafIMS1/gatlons 6(18 lf'a.v 1111„tun Street 4 •�tr. Bustin!.Maa:r. (12111 Workers' Compensation Insurance Affidavit i li :in inf rm inri• ---• r�--•—� -�. -•�..�._.r�.r-._�.._-.-._....._._.---- ---- -- fcnti n- cite I i[ 1. nhont! Q 1 am a homeowner performing all work myself. �t'I am a sole proprietor and have no one working in any capacity _ I am an employer providin_ workers' compensation for my employees working on this job. enntn•tnt• n•Imt•• — •tdtlrcc�• . Kitt— nhnnc N- in-mr•tnce rn Holier!! . ._r -,....... ._.-� .._..-.._._._-._._..._. .. I am a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed below who hay: the iollowin_ workers compensation polices: Cmmmtnt• nntne- add rccc• Ctrs" flhnflC�' in�iir-nrr rn •tom � __. _ �..Y. _- - -�r�.,:C-� -�T..t�.w•1�- __.Tr ___ •S• ---� . cmmninc n•tlnc- •trillrrcc• tiny• nhnnc#• incttrince cn --Hey# Attach additional sheet if necessary,-_'._- F _-+;....'::::�:: "..''- "'-.. ..""'.•.: ...�.`-:-:age:� F:ulurc ul secure cut•crnac as required under:�ectton:_4A of AIGL 152 can lead to the imposition of criminal penalties of a line up to SI.500.UU andiur unc�cars' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a daq against me. I understand that n cope of this statement mat be forwarded to the office of Investigations of the DIA for coverage verification. /«o/retch! ccrrift to r r!r rrirrs rid penalties n rrju .-that t/ic information prat ided above is true an orr .cr. n St_..aturr t� l�.0 Date 3 `� Print name Phone>; ' official use unit• do not write in this area to be completed by tiny or town official citt or town: permit/license>3 Mtluilding Department I [:Licensing Huard L t Selectmen's Ufficc r `` 0 check if immediate respunse is required ❑ 1•, ❑ticalth Department phone 9: r-I0thcr contact person; r'. t Information and Instructions ^ . j V Massachusetts General Liws chapter 15_' section 25 requires all employers to provide workers' orke ' ctmipcttsatiim for employees. As quoted from the "13W_. an employee is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An eiytph rer is defined as an individual. partnership, association. corporation or other legal entity, or any t%vo or im the foreuoin�s cm�-Iaged in a joint enterprise. and including the le`_al representatives of a deceased employer. or the recci%-er or tntstce of an individual . pannership. association,or other legal entity, employing employees. Ho«,e%,cr owner ofa dwelling_ house.having not more than three apartments and who resides therein. or the occupant of the dwcllin`_ house of another who employs persons to do maintenance;construction or repair work on such dwelIin__ or oil the __rounds or building appurtenant thereto stall not because of such employment be deemed to be an empio-, MGL chapter 152 section :5 also states that evert•state or local licensing agency shall withhold the issuance or 01111 of a license or permit to operate a business or to construct buildings in the commonwealth for sny icant who lens not produced acceptable evidence of compliance with the in coverage required. Adc::tonally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performznce of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. ,al�ltlicants Plerse fill in the workers' compensation affidavit completely, by checking the box that applies to;your situation anc supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial ,-accidents for confirmation of insurance coverge. Also be sure to sign and date the affidavit. 71le `javlt should be returned to the city or town that the application for the permit or license is being requested. n ;lie Department of Industrial ,accidents. Should you have an-, questions recarding the "taw" or if you are recur-e :o obtain a N,.•orkers' compensation policy. please call the Department at the number listed below. . City or rowns Plecre he sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the a"'.davit for you to 511 out in the event the Office of Investigations has to contact you recardin? the applicant. P'.c be _. : to fill in the permit/license number which will be used as a reference number. Tice affidavits may be returnee -:ie Department by mail or FAX unless other arrangements have been made. The Office of IIlvestic:jtioils would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to __ive us a call. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents " Office of Investigations 600, Washington Street Boston,Ma. 02111 fax R: (6177) 717-7749 phone �`: (617) 727-4900 exr. 406. 409 or .375 •- y', - • k• N-p- !'',t-� �l 1 ��P V�Yf�2�fYGCL'Z ��CG(./LCC[1GLL� � ♦.. x DEPARTMENT OF PUBLIC SAFETY Y I. CONSTRUCTION SUPERVISOR LICENSE ' - n Expires: .. T HOWAS=}1MORSEt` : 393 LAKESHORE"DR F SANDWICH, MA 02563 J.` � "Y S"�j.' }�Y�ur�'+�1cS:x$'�Pgt S}-•�t,'iT i.. �.� f a .� ��/}�y�•� !' �j�� i��]�'y j Sty i ! HOMEIMPROVEMENT CONTRACTOR > 'Re�gstration' 104296A kit plration�=' 87%13%98 THOMAS R MORSE REMODEL�N6 SP r- `K �"<rhomas RMorse : �`°�'�' �3'Lakeshore Dr All ik.Dnni"IsranroR. SandNlCh MA.02563�` ill a IPi! ePas F.—x s Lj i p n 0 t p �. 5 e r1 11 � oo t . ( o I $n' z z o u � A QU1 ! � h \ � J II 7J