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0090 WATERSHED WAY
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N tFi OF W y RIGHAFID a SAXTER .s FQISTf��-� 7-A,,47` T.S� f-�v�lD�Ti6.^l LaG.4:Tioti ,U11�; TJ�� �i1�i.GS S.yOGt/it/h'E.2E0.(/C0ti1,dL YS W/T,y S'C�, ?EQUi.2E/1'IEit/TS of 7,4/ 8 /zvsr�a .q.vo 45 Nor' nor 2� COCA TEI7 1,tiiTy%N Th��' Rl vt:�2 L;Cem SATE: //-/Z=90 `L/yl.`1 LO / PL f3,� �:Z� f'd• P7 BASEO div ,.4i(/ ,eEG/STE.eEp ��,45'ET.S SyOLc/y Sh��UL.� �ST.E,21i/,G.C�'o �J�4SS. %SEQ 7-p OET��•l/SUE .L•!>T�./NETS_ .4F�i�.L../C,Q/�/7�" / � Town of Barnstable Geographic Information System March 22, 2010 At s x s . z r - e i t lk ' R lit 71 12, TOP .r r • n .. a� ¢p -3� i L .:.-' T " r i JY. _ A 4 i .F Sc z 1�y ... a ..x - c + x r rt � Ir :s k y . , ' • DISCLAIMERS This map is for planning purposes only q is not adequate for legal Map:059 Parce,:009008 N boundary determination or regulatory interpretation Enlargements beyond a scale of Selected Parcel Owner:HADAWAR,VICTOR&SAMIRA Total Assessed Value 5316100 i"=100'may not meet established map accuracy standards. The parcel Imes on this map Nl E are only graphic representations of Assessors tax parcels. They are not true property Co-Owner Acreage:0.31 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:90 WATERSHED WAY such as building locations. Buffer S Aerial Photos Taken April 19,2008 — — Parcel Detail Page 1 of 3 as tnt ;a � t AiASS, Logged In As: Parcel Detail Monday, March 22 2010 Parcel lookup Parcel Info Parcel ID 059-009-008 I DeveloLot,LOT 24 +^ I Location 90 WATERSHED WAY I Pri Frontage Sec Road - - --- - ) Sec Frontage village MARSTONS MILLS I Fire District C-O-MM Sewer Acct I Road Index 2133 I Asbuilt Septic Scan: Interactive �r � 059009008_1 Map - Its Owner Info Owner HADAWAR,VICTOR&SAMIRA _I Co-Owner Streets 90 WATERSHED WAY I Street2 City MARSTONS MILLS Y ) State.MA zip.02648 Country USA Land Info Acres 0.31 use Single Fam MDL-01 I zoning RF Nghbd 0105 J Topography Level I Road ,Paved I utilities Public Water,Gas,Septic I Location Construction Info Building 1 of 1 Year 1990 I Roof Gable/Hip �I Ext Wood Shingle _I Built Struct Wall 4. IVDK. Effect Roof AC �4. 22. 1 Area 2437 Cover Asph/F GIs/Cmp Type None - --sue..a style Cape Cod I wall Drywall I Rooms 4 Bedrooms4sModel Residential I Floor RoomsInt Bath 2 Full+ 1HAT Grade Average I TYPe Hot Water I Rooms 6 Rooms I Total om Found- Stories 1 1/2 Stories I Heat Gas I Found Fuel ation Poured Conc. J Permit History Issue Date Purpose Permit# Amount Insp Date Comments http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3923 3/22/2010 Panel Detail Page 2 of 3 101/01/199p I 7/23/2002 New Addition IB34089 I103/09/2005 00:00:00 7 01/15/1993 00:00:00 IMM 11/2 S Visit History Date Who Purpose 10/24/2007 00:00:00 Paul Talbot Cyclical Inspection 10/12/2005 00:00:00 Paul Talbot Meas/Est 03/09/2005 00:00:00 Martin Flynn Bldg Permit Completed 05/04/2004 00:00:00 Martin Flynn Bldg Permit N/C 06/17/2003 00:00:00 Martin Flynn Bldg Permit N/C 01/02/2003 00:00:00 Martin Flynn Bldg Permit N/C 09/04/2002 00:00:00 Martin Flynn Bldg Permit N/C 02/20/1999 00:00:00 Frederick Stepanis Meas/Listed-Interior Access 03/15/1991 00:00:00 IML - Sales History Line Sale Date Owner Book/Page Sale Price 1 02/07/1997 HADAWAR,VICTOR&SAMIRA 10603/323 $140,000 2 09/15/1992 HADAWAR, FAYEZ 8193/066 $115,000 3 06/15/1992 CITY SAVS BNK OF PITTSFIELD 8074/219 $169,000 4 08/15/1990 BROWN, CHARLES W 7276/119 $750,000 5 08/15/1990 SMITH, JAMES K TRS 7264/166 $1 6 10/15/1989 SMITH, JAMES K TRS 6909/067 $1 7 03/15/1989 SPRAGUE, MICHAEL E TRS 6682/040 $1 8 03/15/1989 SMITH,JAMES K TRS 6681/180 $420,000 9 01/15/1988 1 REGAN, JAMES E III TRS 6097/133 1 $390,000 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2010 $206,300 $3,800 $1,900 $104,100 $316,100 2 2009 $218,300 $2,800 $900 $197,000 $419,000 3 2008 $232,400 $2,800 $900 $219,900 $456,000 5 2007 $268,300 $2,800 $900 $219,900 $491,900 6 2006 $250,300 $2,800 $900 $200,500 $454,500 7 2005 $225,200 $2,800 $1,000 $153,100 $382,100 8 2004 $188,600 $2,800 $1,000 $153,100 $345,500 9 2003 $160,400 $2,800 $0 $67,400 $230,600 10 2002 $160,400 $2,800 $0 $67,400 $230,600 11 2001 $160,400 $3,000 $0 $67,400 $230,800 12 2000 $128,400 $3,000 $0 $36,300 $167,700 13 1999 $120,200 $3,000 $0 $36,300 $159,500 14 1998 $120,200 $3,000 $0 $36,300 $159,500 15 1997 $132,900 $0 $0 $29,700 $162,600 16 1996 $132,900 $0 $0 $29,700 $162,600 17 1995 $132,900 $0 $0 $29,700 $162,600 18 1994 $151,100 $0 $0 $35,700 $186,800 19 1993 $78,200 $0 $0 $35,700 $113,900 20 1992 $87,300 $0 $0 $39,600 $126,900 Ihttp://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3923 3/22/2010 Parcel Detail Page 3 of 3 21 1991 $0 $0 $0 $66,000 $66,000 22 1990 $0 $0 $0 $66,000 $66,000 23 1989 $0 $0 $0 $66,000 $66,000 24 1988 $0 $0 $0 $9,100 $9,100 Photos h http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3923 3/22/2010 i f �� � -�/� ._ G�� �7�� ��� -------------- -- - - _ - - --- -__ �.4 YOU WISH TO.OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1`FL.,367 Main Street,Hyannis.-MA 02601 (Town Hall) DATE-6- /'y D III Fill in please: APPLICANT'S YOUR NAME: BUSINESS/ q YOUR HOME ADDRESS: TELEPHONE # Home Telephone NumberOSr- Sao-S NAME.OF NEW-I3U$1NEP9. .Ti2�l/� � 7yolt QP QQ.SINE5S i IB T1$A:1 QM �er_no) P ► 1ta111' : YES'Have ycSo h'eangj .0pprov i f iarn.tha huild nag.divisy4n�. Y1rS NO, �S6 �� `fib �' A0DAE80 OF'BUSI•N 55 :Gv — MAP,�PAI GI=I;N.Ulillt3>�R When starting anew business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO NER'S OFFI E MUST COMPLY WITH HOME.000UPATION This individ al en�n r e "an�yperrrnit requirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO A thorized nature* COMPLY MAY RESULT IN FINE$. COMMENTS: 2. BOARD.OF HEALTH. This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature" COMMENTS: 3. CONSUMER-AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable Regulatory Services TNE'1pk, P� ti Thomas F.Geiler,Director . Building Division - snrwsrAsi.E, 1 y KAM Tom Perry,Building Commissioner . �,0 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ADDroved: . Fee: �' P•errru HOME OCCUPATION REGISTRA ON Date: _ Z y— b Name: —rz ��-�- ��— Phone#: s-op Address: C 7`� Village: Name of Business: Type of Business� �ias' .�� Map/Lot D-�f&2./B0�— ZYL 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 above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: •. The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. o Swh.use occupies-no-meFe-than 400-square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic.will be generated in excess of normal residential volumes. • 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 is 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 employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the un e , ve r d ,tr e with the above restrictions for my home occupation I am registering. Applicant- Date: Homeoc.doc Rev.5130103 °p1"EA Town of.Barnstable Regulatoiy Services o, Thomas F.Geiler,Director HAM 1619. .�0 Building Division QED MA'S Ralph Crossen,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 90 SHED REGISTRATION Location of shed(address) U Village WWI y1w Property owner's name Telephone number 00 g o5'j -6 o g -.06 3 Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) too 1 PLEASE NOTE: IF YOU ARE WITHIN TBE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,TBFM MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg t � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map 7 Parcel ©( J Q� Application# v mZi��a Health Division Conservation Division , Permit# Tax Collector Date Issued 3 a310 Treasurer Application Fee V Planning Dept. Permit Fee d� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Y_ Project Street Address 12 &Zip zne5,4� A461-� Village Owner ddress Telephone Permit Request w ^ I + Square feet: l'st floor existing proposed 2nd floor:existing proposed Total new Zoning District- '� Flood Plain Groundwater Overlay 1 _ Project Valuation po Construction Type �- Lot Size - Grandfathered: ❑Yes ❑ No If yes, attach supporting documentaton. 1 Dwelling Type: Single Family UXTwo Family ❑ Multi-Family(#units) , Age of Existing Structure 1�7 Historic House: ❑Yes On Old King's Highway: ❑Yes O No � c; Basement Type: U'Full ❑Crawl ❑Walkout ❑Other . a I Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing ` new First Floor Room Count Heat Type and Fuel: Gas Oil ❑Electric El Other Central Air: ❑Yes o Fireplaces: Existing New Existing wood/coal stove: ❑Yes 12<0 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION c� Name Telephone Number ^� �— Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1.4 SIGNATURE 1 DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED + MAP/PARCEL NO. j ADDRESS VILLAGE OWNER ! DATE OF INSPECTION: FOUNDATION FRAME o O gig. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �;U 7.Svt �fv > DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'b1 Name(Business/Orgmizationdndividual): . Address ��T ✓25��� City/State/Zip: ��� — Phone.#: ���� Zc1 02— Are you an employer?Check the appropriate box: -Type of project(required):. 1.❑ I am a e to er with - 4. ❑ I am a general contractor and I mP Y 6. New construction . employees (full and/or part-time).* have hired the gub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in any capacity. employees and have workers' Y p tY 9. ❑Building addition [No workers' comp.insurance comp.insurance.t r ed.] ' 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. m a homeowner doing all work • officers have exercised their 11.❑Plumbing repairs or additions ' P'myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. YContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors bave employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,is well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. do hereby cer ' un r e ai s and penalties�ofperju�ryhlal the information provided abo�ise and correct.Si afore: Date: Phone#: r0ffflciaL only. Donot write in this area,to be completed by city or town offcciaL n: Permit/License# Issuing uthority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and In ttuctions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employer,or the receimer nr ,Ue-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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall • enter into any contract for.the performance of public work until-acceptable evidence.of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contcactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit: The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents.-Should you have any questions regarding the law or.if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy'information(if necessary)and under"Job Site Address" the applicant should write"all-locations in (city:or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your,cooperation and should you have any questions. please do not hesitate to give us a call. The Depaxtnent's address,telephone-and fax number: The CammQiavrealth of Massachusetts Depux Dim ,Tit of hidVsWal Accidents ®flee Qf Investigations 600 Washingt6 Street Boston,MA 9.2111 „ Ter. ##617-7-27-4900 ext 406 or 1-$77 NaSSAFE Fax##617-727-770 Revised 11-22-06 wvvw.mass.pv/dia THE G�, •1vY�a.i Va ysaiaas��a.ar,.av f "°+ Regulatory Services L Thomas F.Geiler,Director • S bss. Building Division Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 www.towA,bzrnstable,mz.us. ace: 508-862-4038 Fax: 508-190-6230 permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires thatthe"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 1equirements. , TYPO of Work: ��"C�'� 2C�1'--Estimated Cost Address of Work:. / Owner's Name: I L Date of.Application: I hereby certify that; Registration is not required for the following reason(s); ❑Work excluded by law []Job Under S 1,000 Reer ccupied pulling ownpennit Notice is hereby given that: OVnR,g PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT FORK DO NOT HAVE ACCESS TO THE ARBTI'RATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PBRJURY I her, apply for a permit as the agent of the owner; ate Contractor'Signature. Registration No. OR Dat Owner's Signature Q.,,M,.{or w:homeafudeY Rev: 060606 o�IW,�. Town of Barnstable Regulatory Services aARwsrABLFe Thomas F.Geiler,Director mass. 9`b 16s9 .�� Building Division ArF p�.t a Tom Perry,Building Commissioner 206 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 3 o JOB LOCATION: n` mber street village "HOMEOWNER": \ ,(I IMME �c � 36�-' o -z name home phone# work phone# CURRENT MAILING ADDRESS: S `E d city/town state r zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and . to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department m inspectio oce ures and requirements and that he/she will comply with said procedures and requirem n Signa ure of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner.shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt 1...�. .; -i- j ' .i 41 { �Oo ca.o is `" OF l,</A : : .: .. J _..i.RIGHARD:..S.n� f.•'..EAXTER. 0, � LA`p' ; Q OV Sf•/OGt/iV rYE�EO.C/COMid,L Y,S � � A4,4'�Sro'�� ;{il•,t.�,s: � . ���/oE.0/.vim ANo .Gd/ry SC,q L C i/ • ' 'E'Ql/ie`c/t'1ENTS OF TtiE 7`oWiVgF ��.-4it! i2E.�"'�,eEit/ .00,Q T.E1� !,s%j7-y%its Lo7' 2 Tom//S �l..A.v/S tia7- B.4,5'EO av,4i(/ ,Q4�XT.E,C E,(/YE b/C. �✓`?-.eU�IBit/T,s'U.2!/�'Y� Thies :• AEG/STE,eE4 :jEQ 7-p /dal s/y Sf/�ULI> _V07 191c= f�7'4/it/�S i • -7'TT-1 o I --. • ` �. I • '�� _ t v i �" � , t �� � , • i ,. Office Use Only The Commonwealth of Alassaehusats Permit No. 4f D epa rrm en t of Public Safety Occupancy R Fee Checked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3N0 (leavebLnk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed in accordance With the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORHATION) Date 1d . 3 Q —/ f/ TOWN OF BARNSTABLE To the Inspector of Wires: 41 The undersigned applies for a permit to perform the ectrica?'TorI d scribed below. Location (Street & Number) Other or Tenant Y �� Owner's Address OdEaz Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building _Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters Rev Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters Number of Feeders and Ampacity Loc io and Nature of Proposed Electrical Work d' No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Above In- No. of Lighting Fixtures Swimming Pool grnd. ❑ grnd. ❑ Generators KVA k � i No. of Receptacle Outlets No. of Emergency Lighting p No. of Oil Burners Batter Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Disposals No. of Purr s Tons KW Total Total No. of Sounding Devices L� No. of Dishwashers S ace/Area Heating KW No. of Self Contained P Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other OConnection No. of Water Heaters No, of No. oSigns Ballasts Low Wiring Voltage No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current LiWlity Insurance Policy including Completed Operations Coverage or its ubstantial equivalent. YES E? NO . I have submitted valid proof of same to this office. YES If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE 02"BOND ❑ OTHER ❑ (Please Specify) �i �✓ 1 pirat on ate Estimated Value of Electrical Work S .0' Work*to Start Inspection Date Requested: Rough !0 Final W Signed under the penalties of perjury: LIC...VO, ti FIRM NAME _.� b `�1 Licensee Signature 4/1 4:�VLIC. NO. 46 `► Address us. Tel. No. A. • Alt. Tel. No. OWNER'S INSURANCE WAI 40 I am aware that the Licen ee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent) 111121 ;4�j � S��r� orA 'LTI GoN � e U � � OC I � ! , _ i � � � �� ,� � I ;,�' � � ,. _ i IIs r I L� I � I �� ► �} { � � . . � _. 1 `� � - ,, � � � � I � � . � .- _ � J - � � f � o � E . ` - _ f � � , . � � � �. E �� � I � 1 i � . � ; .. � . E �. ., j ` � +., rJ + � � � - rf tb x, 44 �^ I tH CF .�.,,. ...V,/AT =/Z.SA.et) WA I RICHRFlD,, a a� UXTER r, 1 .. Na?AOtB . 47-io y Wosro-Us _ o `Y�.+..,,.+ �tivc;� ... .-....-�_. . -... ...-.-�r'✓c'.""-`-1T�'^'n+.�'4'..�����.,,;i+"''76"�..+..^tw...�{�w-•--.'.'^y�•..�..-z,. ;:'�.��+..�:,•rw'..+-ti...+r�r�z'�+e..aM+'.gj..r.-�a+.�s.+'tT� J TOWN OF BARNSTABLE Permit No. .. M...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash �M• .E7V ` X� 39 HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Fayez A. .Hadawar i, Address T.ot Oh, QO GTaf•arehad 6Tav - J Marstons Mills 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. November .30... .... 19....44............ ...................................... Building Inspector f TOWN OF BARNSTABLE Permit No. .�� ...... BUILDING DEPARTMENT E """ I TOWN OFFICE BUILDING Cash •Yl HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Fayez A. Hadawar Address Lor #?Lj Q(1 Wnrav-chad ram. Marstons Mills 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. ; November 30:. ... .. . , '19...9 :........ Building Inspector ; r ;s Yf. :...-.yip- iNn ..eKu^j�7T�bt iiv�`i}.'fjG�`r.';7 .s�•T��Si.. ._mow„ Y.,�a�YN `.,. T'- •.T•:raT".. _.,, :y:U'�?"+�49fC4�i. i�.+rY:' yr't:. +t"�$':'c�"�e 7 TOWN OF SARNST''�BLE,-AASSACHUSETTS ADVILD1 PERMIT A=039-009-008 R - c . DATE Nave C(ber 27 r 19 9 PERMIT NO. 1 '•- ��t�`'��7P I APPLICANT James r., Smith ADDRESS Barrist ab I e ;+'005190 i- (NO.) (STREET) 'CONTR'S LICENSE) NUMBER OF PERMIT TO Build Duelling (-l--12-) STORY ►Single Family Dwellin DWELLING UNITS `�:��'.• (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) " Lot . #24 90 Watershed Way, Marstons Mills ZONING E' AT (LOCATION) • DISTRICT— RE I• (NO.) (STREET) ' BETWEEN'• AND (CROSS STREET) (CROSS STREET) ' LOT +; SUBDIVISION— LOT BLOCK SIZE �• BUILDING IS TO BE FT. WIDE BY FT. LONG BY F .'IN HEIGHT AND SHALL CONFORM IN'CONSTRUCT)ON TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ' (TYPE) REMARKS:._ Sewa#e #89-676 Bond C: AREA oR,_. . s 100 000.00 115. 25 6 A 1. FEEMIT VOLUME ,7It-3`t—.—q• ft. ESTIMATED COST S )CUBIC/SO DARE FEET) , OWNER ,James K. Smith Barnstable BUILDING DEPT. k.' ADDRESS BY i • FROM THE DEPARTMENT OF PUBLIC WORK OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. FRiOR 70 COVERING ST! LJ_TI!R,!L QUIRED,SUCH BUILDING SHA;._L NOT BE'OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPEGTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE I i OCCUPANCY. POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS q4610 g61y Sep HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENTKIR ' 'HER BOARD OF HEALTH IL PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION WORK SHALL NOT PROCEED UNTIL THE INSPEC- � INSPECTIONS INDICATED ON THIS CARD CAN BE � TOR HAS APPROVEQTHE VARIODUS STAGES OF WORK IS NOT STARTED'WITHIN SIX MONTHS OF ,DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION-- I PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. k41 J ?W, r. NP ter �'s urr A .0, 7�N V6 W., XV 17 '.4w.......... s"i'l y • 1� 'n, rt" Z i. 4o :t7l ce o. pAs el _0 L NP ��VAPA r. 7.1 K 4. 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