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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
BAPIMABM
Posted'Until'Final Inspection Has Been Made. t Permit
163P �
r�x+" Where a Certificate of Occupancy is Required such Building shall Not be Occupied until a Final Inspection, has been made.
Permit No. B-20-638 Applicant Name: Nick Abaray Approvals `
Date Issued: 03/04/2020 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 09/04/2020 Foundation:
Location: 39 BLDG C UNIT 18A TOWER HILL ROAD,OSTERVILL.E Map/Lot: �117-180-20Q _ Zoning District: SPLIT Sheathing:
Owner on Record: MULLIN, KATHERINE G ii Contractor Name:``,NICHOLAS ABARAY Framing: 1
Address: 1 PARK LANE APT 1116 I Contractor License: CS-111332 2
BOSTON,MA 02210 -• Est. Project Cost: $24,000.00 Chimney:
Description: Siding demo and replacement Permit Fee: $160.00
( Insulation:
'Project Review Req: Fee Paid: $160.00�'
Date: ;' 3/4/2020 Final:
Plumbing/Gas
Rough Plumbing:
\'Building Official
t Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after':issuance.
All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas:z
All construction,alterations and changes of use of any building and stuctures shall be in 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 Final Gas:
work until the completion of the same.
� �-----�•�'° `f Electrical
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: ,>r Service:
1.Foundation or Footing
2.Sheathing Inspection _ Rough:
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 Final:
5.Prior to Covering Structural Members(Frame Inspection)
Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
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).
Building plans are to be available on site Fire Department
Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map > I Parcel O t9 Permit# V 3 70
Health Division �90 l0l%Z 7Gv L�_- c17 _ Date Issued `� a
Conservation Division LZ 7/D`-7—- Application Fee
Tax Collector 0 0 L- — l o��0 oZ Permit Fee C,'9
Treasurer r
~f/O o� SEPTIC TF®� pZ.
Planning Dept. iI�STALLE
WIT TITLE
Date Definitive Plan Approved by Planning Board EPI�IIR®�[IfAERITAL C®�21 M-pt.
Historic-OKH Preservation/Hyannis TCd14114 REG-ULA71Ci(X17
Project Street Address
Village L L 6-
Owner Address '3 aa,-P62
Telephone
Permit Request k2L7_1ne!iS_ cf- ���( �} / Z /.3 �e
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
OProject Valuation 3 ,000. 00 Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family O Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: O Yes ❑ No
Basement Type: ❑Full O Crawl ❑Walkout O Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing new
2 Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas 0 Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes O No
Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:❑existing 0 new size
Attached garage:❑existing ❑new size Shed:O existing ❑new size Other:
q
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
G' BUILDER INFORMATION
Name d Telephone Number 0 7/- to G
Address License# _ 06 / 3 y
R Home Improvement Contractor# 7
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /J
SIGNATURE DATE /�
f
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL--No.. , rt
ADDRESS VILLAGE
OWNER
s
DATE.OF INSPECTION: t
A .
FOUNDATION
'FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH, =.z FINAL
1j
PLUMBING: ROUGH FINAL
GAS: ROUGH, FINAL
-
FINAL BUILDING _ G
DATE`CLOSEDOUT y - �
ASSOCIATION PLAN-NO. ^
The Commonwealth of Massachusetts
Depdrtment of Industrial Accidents
Office 0floyeslfs�/81fOBs
600 Washington Street
-•==` ', • Boston,Mass. 02111
may,, Workers' Com ensation Insurance davit
name:
location ......................
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city
❑ a homeowner performing all work myself.
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gyBm a to secure coverage a+required under Section 25A of MGL 152 can lead to the imposition of criminal penaltin o[a 9rte to S1,S00.00 md/or
one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a Sue of 5100.00 a day against me I m►derstmd that a
copy of"statement maybe forwarded to the Office of Investigations of the DIA for coverage veritication
I do hereby certify the pains and pe alties of perjury that the information provided above is truo and correct
Date > G
Signature
S Phone# L/U 7 7/—
Print name D `
official use only do not write in this area'to be completed by city or town official
PC Case# ❑Boding Department
1 city or town: r / ❑Licensing Board
once i'required ❑selectmen's Office
❑checkif immediate reap q ❑Health Department
contact person:
phone#; ❑Other
- Urp:"d 9195 PJla
Information and Instructions
i Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
j loyee is defined as every person in the service of another under any contract
employees. As quoted from the"law", an emp
of hire, express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL'hapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit.' The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law'or if you
are required to obtain'a workers' compensation policy,please call the Department at the number listed below.
City or Towns .
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
- be reformed tn-
be sure to fill in the permit/license number which will be used as a reference number.. The affidavits may
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.cluestions.
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 Investl9suons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
°*1HE,° Town of Barnstable
Regulatory Services
BAMSTABLE. ' Thomas F.Geiler,Director
MAss.
E1 MA+a�O� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion,
improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions, along with other
j requirements.
Type of Work: �E �6 c E- �/�� Estimated Cost 3 0 0 0, ®O
Address of Work:
Owner's Name:
Date of 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 hereb appl fora permit as the t of the owner:
G 123 �
t Cc tractor Name Registration No.
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1 OR
Date ,L Owner's Name
Q:forms:homeaffidav
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10 F PR PERT A 'I Y X--�Ll N S AA^y N B cc E- STANDARD LEGEND
NOTE:not all symbols will appear on a map
.......................
117 GOLF COURSE FAIRWAY
MW I TZ EDGE OF DECIDUOUS TREES
P O, 1 r.. .t. ......................
EDGE OF BRUSH
1 \ / ' ORCHARD OR NURSERY
7 V-777 EDGE OF CONIFEROUS TREES
0
MARSH AREA
...............
........ . ...... EDGE OF WATER
DIRT ROAD
DRIVEWAY
PARKING LOT
PAVED ROAD
DRAINAGE DITCH
. 4 PATH/TRAIL
PARCEL LINE
mm i to <—MAP#
46 21 -<—PARCEL NUMBER
#1860 —HOUSE NUMBER
— 2 FOOT CONTOUR LINE
47 . 1 110 10 FOOT CONTOUR LINE
Elevation based on NGVD29
>/4,9 SPOT ELEVATION
44 . o0o STONE WALL
-X—X- FENCE
RETAINING WALL
RAIL ROAD TUCK
STONE I ETTY
4 4 SWIMMING POOL
..........
PORCH/DECK
0 BUILDING/STRUCTURE
DOCK/PIER
. 4 HYDRANT
/AAAP 11 e VALVE @ MANHOLE
4 4 0 0 POST OFP FLAG POLE
T 0 W N 0 F 0 A R N S T A 8 L E G E 0 G R A P H I C I N -F 0 R M A T 1 0 N S Y S T E M S U N I T 0 SIGN e STORM DRAIN
PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATASOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James
+ WEhNd—bWP_._ I =100'scale map and may NOT meet of property boundaries.They ore not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE m TOWER
0 20 40 NofionalMa Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards -0- LIGHT POLE o ELECTRIC BOX
1 INCH=40 FEET enlarged scaie. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assessor's tax maps.
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Board of Building Regula ions and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvemeritr_Contractor Registration
Registration: 123067
Type: DBA
Expiration: 12/02/2002
THOMAS EDLDRIDGE CONSTRUCTION °
THOMAS ELDRIDGE
138 SPRING ST. ,k .
HYANNIS, MA 02601
Update Address and return card.Mark reason for change
Address 1
Renewa Employment Lost Card
�`ce vaninovuuea�/ o�✓�aaaac/u�aelta
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration:• 123067 Board of Building Regulations and Standards
,Expiration:..12/02/2002 One Ashburton Place Rm 1301
T e .INDIVIDUAL Boston,Ma.02108
ypt.
THOMAS EDLDRIDGE CONSTRIJ'
THOMAS ELDRIDGE
138 SPRING St;
HYANNIS,MA 02601 `—V- �
Administrator Not valid without signature
Board of Building Regulations
One Ashburton Place, Rm 1301
Boston, M 108-1618
License: CONSTRUCTION SUPERVISOR LICENSE _�'\ Birthdate: 06/03/1958
Number: CS 059348 Expires:06/03/ 4 _�� Restricted To: 1G
b -
THOMAS S ELDRIDGE t=-.- --- 'a
138 SPRING ST
HYANNIS, MA 02601
Tr.no: 26029
Keep top for receipt and change of address notification.
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