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TOWN OF BARNSTABLE Permit No. . P3 ..•.
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash .............:.
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HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Mazel Realty Trust
Address Lot #40, 37 Viola. Lane
Marstons Mills, Mass.
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. 9
August 31� 19 90
........ . . i ....................
Building Inspector
111,- 1 BARNSTAB LE, MASSACHUSETTS
BUILDIN IT R IT
,o3-00'G.004
DATE 0 uly 9 go PERMIT NO. 33
LICANT James K. Smith ADDRESS B a to I c-, 4 u 0
Build DWullill,j
PEIIMII I'D (,I I y
(TYPE OF IMPROVEMENT) NO, IIwI I IN(. ur)l I.-.
(PROPOSO) usf.)
AT (LOCATION'), Lot #40 1— -i V vi 0 1 cl s I11.'()N RE'
INUA
BETWEEN (CROSS STREET) AND
LO T
Lo I —ULOCK SIZE
BUILDING IS TO BE FT. Willf NY I I)Tq(, Ily I'l Iff IL III ANI; IIA I.L 1',0141-014M IN CONSTRUCTION
TO TYPE USE GROIIP HASEM1.1,11 WALLS 01? I'OUNC)AI ION
I
REMARKS: #89-623
Bond
AREA OR 816 sq. ft.
VOLUME FSTIMATFn COST 70, 000,00 PE14MIT s 65. 25
(CUBIC/SO UARFO'EET) FF.r
OWNER Plazel Realty 1!ru:�t
ADDRESS Barnstable BUILDING OEPT.
171 Y
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STRFET, ALLEY OR SIDEWALK OR ANY PART Till-RI-OF, EITHER TEMPORARILY OR
PERMANENTLY, ENCROACHMENTS ON PUBLIC PROPERTY,
PFRMITTFn uNnFR THF BUILDING CODE, MUST BE AP-
0. PROVED BY THE JURISDICTION. STm r OR ALLFY (;,?A , ..; A., W I I AS 101:1'111 ANO 101 AT ION 01 I't- I(;-IC 51 W,:I?S MAY BE OBTAINED
FROM TIME
E DEPARTMENT OF PUBLIC WUI?KS. THE' IS'SUAN(:I- 01 1 IIIS I'l liMil 001-!; NO I I?TI-I A';[- IFI-11- AI-PLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLAN, Mt.1".1 FIF ki-TAINi--n ON ion ANT-) THIS W:I:,.f?:�,,APF LICADLE SEPARATE
INSPI I.T I ONS Pl--QUIRI-'l)F014
.0 FOR
ALL ( NSTRUCTION WORK: LARD KEPI POSI LU U111 IL I-INAL IUN IIA" I I---E N I T"I A PLUM IIING AND
FOUNDATIONS OR FOOTINGS. MADE. WHERE A CENI 1111CA'IL OF OCCUPANCY IS RE- Ml.(*IltNl(:AL'INSTALLATIONS,
S L L AT IONS.
I IN TAM
1. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILOIN(.; SHALL NOT BE OCCUPIED UNTIL
MEMBERSIREADY TO LATH).
3. FINAL IN
BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPEC I ION APPIiOVAI S I'lliMItIN(;IN'.['I(:11()NAI'1'11()VAI:; AII CI]ON APPIIUVAI.S
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TO HAS APPROVED IHE VAIflUUUS SIAGLS OFWORK IS NOT STARTEDINI Ili AIIA)(IN 1116 CAM)(:AN Ili
CONSTHU(JION WITHIN SIX MONTHS Or DATr. THE AIMAN(111) I'Olt I!Y 11.1'I.PHONL UH Wlili[EN
PERMITS ISSUED AS NOTED ABOVE. No 111 IT A I ION
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STEPHEN �G �o'� RICHARD�
ALLYN A.
WILSON h BAXTEA
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' shd l S/N yE.2�4rV.S.�v/G!/G p�pT-Q� USED TbE•sTti!/G/S,�,i.Lot-.e_.m,g ,
Assessor's office(1st Floor): �A3 h t+ o SEC SYSTEM �� •� F of T"E>o
Assessor's map and lot number "i` STALLED IN
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Board of Health(3rd floor):
Sewage Permit number. WITH RTLE V
Engineering Department(3rd floor): n r. a 1; 9AHd9TGDtL J
3 7 �'l'I 'aCY o� �� f�� EN�� r a rhea
House number r``pN�p rP�e,^- r o +630•
��it�B'� RE��'�G�na';,�� �0 YAY d`
Definitive Plan Approved by Planning Board �� — 28 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
- TOWN OF . BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO <f 7 Y✓C L G 1.-VG
TYPE OF CONSTRUCTION pd 7�/2.9/YJ 4::f
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 1/0 '�C� 1�/�.C� .�•��/E �, /Y/
Proposed Use �S'i�✓G'G E �5��r'��•Z>/
Zoning District �S'>dE/✓ /�� Fire District
Name of Owner,#`l4,Q ZEL Address
Name of Builder �.Q mES S'�i�/,�' Address E
Name of Architect �— Address
Number of Rooms Foundation
Exterior ��x��,130<I'2d �j' Roofing
Floors Interior
ling ��S Plumbing
ireplace 4N� Approximate Cost d ��
Area
Diagram of Lot and Building with Dimensions Fee to h oC�
® za;h OF t:,s jss aM e D
S 9 ugRV' tN
1
NOV . 3 1989
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 Supervisor's License oS/
MAZEL REALTY TRUST
No 33837 Permit For- 11 Story
Single Family Dwelling
Location Lot #40 , 37 Viola Lane _
'a t
W Marstons Mills
Owner Mazel Realty Trust
Type of Construction Frame
F G .t
Plot Lot
Permit Granted July 2 , 19- 90 ll�4r
Date of Inspection 19
Date Com•lete 19 -
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RCHARD
cg BAXTER.
No.24048
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��..� � °•,w TOWN OF BARNSTABLE
BUILDING DEPARTMENT
_ »iSTA TOWN OFFICE BUILDING
rua _
HYANNIS, MASS. 02601
�o iur r.
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
-2
Building Permit
issued to Z—f
... ........... ..................................................._._ ___... .....__. ......_„_.___
Please release the performance bond.
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Assessor's office.4,,4t Floor):
Assesso�map and lot number n y 3 /S O („ ; 0 L/ Q�oi 1N a>o�`.
Board ofzHealth(3rd floor):.
c�
Sewage Permit number a3 .� Z tiAHdSTLDLL J
Engineering Department(3rd floor): moo' IAel
-f House number 'atY O +63q. \e0�
Definitive Plan Approved by Planning Board b3 2 R 19 S g �NO d
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE '}
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO �p,c%�7�2�C 7` Z G IAIG
TYPE OF. CONSTRUCTION
19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ,-/o 7• --�zn
Proposed Use s/�/�� E' -;Z b"9/�y
Zoning District Fire District
Name of Owner Address E
Name of Builder `'7>A.'�lES S'�i'.� Address ��9�1✓.S�!QL
Name of Architect Address
Number of Rooms Foundation
Exterior L . Fd-V ed .,rrl JA/, Cam' Roofing 'ee.
Floors Interior
Heating ��S Plumbing
Fireplace BNB Approximate Cost �'� , 00*c,
Area
Diagram of Lot and Building with Dimensions Fee
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 Supervisor's License'
MAZEL REALTY 'TRUST A=043-006. 004 N .
OV3 - 06G.00'1
No 33837 Permit For 1'; Story
Single Family Dwelling
Location Lot #40 , 37 Viola Lane
Marstons Mills
Owner Mazel Realty Trust
Type of Construction Frame 1
Plot Lot
Permit Granted July 2, 19 90
F
I
Date of Inspection 19
Date Completed 19
y
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y
PERMITCOMPLETED 1/1/.�U—
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• TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE
JOB. LOCATION V 7 Cam^
Number Street address d /! Section of town
"HOMEOWNER"
Name Home phone Work phone -
PRESENT MAILING ADDRESS :~
City town State
Zip code
The current exemption for "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the, owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person (sY who owns a parcel of land on which he/she resides or intends to re-
side, 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 responsi
for all- such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes .responsibility for compliance with the Stat
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum inspection procedures and requirements
and that he/she will comply with said procedures and requirements.
HOMEOWNER'S .SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
HOME OWNER' S EXEMPTION
The code state that: "Any Home Owner performing work for whichra building
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if
Home Owner engages a person (s) for hire to do such work, that such 'Home Owner
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awarene:
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home "dwner• actir
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,. mar.
communities require, as part of the permit application, that the Home Owner
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 to amend and adopt such a form/certification for use in your community.
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Information and Instructions
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Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted bone the "law", an empinree is defined as every person in the service of another under'any
contract of hire, express or implied, oral or written.
An emph rer is defined as an individual, partnership, association, corporation or other legal entity•, or ally 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
dwellino house of another who employs persons to do maintenance , construction or repair work on such dwelling house
or oil the -rounds 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.
.'1
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 affidavit. The
affidavit should be returned to the city or town tilat the application for the permit or license is being requested,
not the Department of Industrial Accidents. Should you leave 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.
'..__._ .�.....asr.-IM�.�t.y.:.,.:..._.r••• +,- . •:.yf•.-.-.-:tar-•.n•_r._v:!'�'�'�'T.!l'•Tt��—. ..
v Jh• or Towns
wns
Please be sure that the affidavit is complete and printed legibly. Tile Department leas provided a space at the bottom of
the affidavit for you to fill out in the event the Office of Investigations leas 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 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 `ive us a call.
..:_..�•.-.:.,..r:- .--_..•..:..-,R'.-A-=m-,-,�.�,.-.::,sue-�^-..- ._.:;.,..,..r,.�,;�.., r.-,,..o-..,
The Department's address, telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations y
600 NNlashington Street `
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
left
! The Commonwealth of.Massachusetts
�_r ^_ ,::• Department of Industrial Accidents
Ofice01111MMgal/ons
600 I 1 Q.vitin ton Street
Boston, Ma.v& 02111
Workers' Compensation Insurance Affidavit
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1 am a homeowner performing all work myself.
I am a sole proprietor and have no one working; in any capacity
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❑ I am an employer providing workers' compensation for my employees working on this-job.
company name:
address:
city: Phone#•
insurance co. Vnlic3,#
.. .. ... ........ ._,,w.w,,... t'.•r... .� !ual.wa•ti+�-..aiw.riw.:...�.f ay.szgs;, .N'Rn•,, to.""��^".,"�',
I am a sole proprietor, general contractor,QFf—homeowner rcle one)and have hired the contractors listed below who have
the following workers' compensation polic
(n,
p omany name:
ddress
nsurance co. lice#
t ..... _.. ... 1 F1•.:: `,:?;.ERR:-=R'N?........,, :' T.. YT.::(�,�-P7, _ .. -
•
caimpanv name:
address:
city: phone#-
insurance co. policy#
Atiach additionsi'shcet if•neiessary 7_ZEa�5'_;•L s,�r•gf r _t��=:.a_s"' ''�`,• .r _ '"!' ''` '' "' "�
Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
une years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a.day against me. 1 understand that a
copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification.
/1 do tetchy cert�jifj,'gmid�er rile pains and penalties of perjury that the information provided above is true and correct.
Q
cl Sienaturc\ /fi�t.(�G � q�.� / ate
Print name �6ilJ�/ )��/l.C_� � hone#
official use only do not write in this area to be completed by city or town official
city or town: permit/license# 1`1Building Department
oLiccnsing Board
check if immediate response is required ❑Selectmen's Office ►�"
0Ilealth Department '
contact person: phone#; MOther
• 5�
S'
r'JY_:.',�'•'^..�y T,.nK..�F..W!>n!!\Ran.! -rs/4'MY�'a... •)•.•rrww,C.w•^.
(revised 3,95 PJA)'
f
°FTME A
y y°� The Town of Barnstable
r •
a •
• 1AFtNS1'ABI.E. •
Department of Health Safety and Environmental Services
rFOMA'�A Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
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.
��lJiSy �/AS`i9ri�S / 7H � d Type of Work: :Z 6 -D1e4A-'A Est.Cost,Address of Work: U/C> D/�✓� mil/ �S
/Owner'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$1,000.
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 apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
7 C Z pez,�4-41
Date Owner's Name
Engineering Dept. (3rd floor) .Map 0 Parcel 0 6 — Permit# 19 90 d /
House# Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) � �_� �,_� Fee 425E, 73
Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) 1
S
Planning De t.(1st floor/School Admin. Bldg.) /�s�'®j► p{tME t
De 'niti e P Approved by Planning Board 19 �y�/
r- ,9 ,E .
TOWN OF BARNSTABLE
Buil ing Permit ApplicationZ
Project Street Address
Village
Owner ct�, dress
Telephone IMP
• o
Permit Request
N C)
First Floor square feet Second Floor 5 3�t square feet
Construction Type �at&
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units)
Age of Existing Structure l0 Historic House ❑Yes No On Old King's Highway ❑Yes 011�0
Basement Type: Full Crawl -Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing / New C� Half: Existing n New O
No.of Bedrooms: Existing _/ New -13
Total Room Count(not including baths): Existing -3 New j First Floor Room Count ,3
Heat Type and Fuel: W/G as ❑Oil ❑Electric ❑Other
Central Air ❑Yes U/No Fireplaces: Existing Q New Existing wood/coal stove ❑Yes t<o
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size) A4 _
5<0ne ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
I
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name Telephone Number
Addr s License#
o �rovement Contractor#
Worker's Compensa ' i
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING E G,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
SIGNATURE V1hAk,;1-
�
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. y",� ,► { Oct
DATE ISSUED
MAP/PARCEL NO.
9
ADDRESS VILLAGE
OWNER
-+ DATE OF INSPECTION:
FOUNDATION �!
FRAME
INSULATION
FIREPLACE
• ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: J1TE',,H. FINAL
FINAL BUIY'G"l ; '� /� 3'Q 7 tt
r.
DATE CLOSED OUT c prG �fi' `
ASSOCIATION PLAN NO. "' '�^'