Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1074 MAIN ST./RTE 6A(W.BARN.)
ACTIVE i Building Performance Contracting,LLC Nauset Insulation P.O.Box 1044 N. Eastham, MA 02651 Phone(774)316.4464 Fax(774)316.4462 `t0 ?r� Date RE: Insulation Permits Dear Mr Perry, This affidavit is to certify that all work completed for the insulation work at has been inspected by a certified Building Performance Institute(BPI)Inspector.All work performed meets or exceeds Federal and State requirements. Resp u11 , "t f sh Emond I b i 5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # ,:;0i, 14 �,63F Health Division Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis v Project Street Address ���y/4211 LVWet Village W es-+ Owner E'(� �,red Cyh e�'1 Address 10r)q S*. 0. 1�ar'i��. tn� Telephone .7DE-36c� 1)r�D Permit Request _Tn s,.A c,42titi-,, 01� atA o 5 as re - tC -3 o 0a ss Z2&lo_�e_ 19y S .r I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation, d ,W Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (4 units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ 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 Total Room Count (not including baths): existing new First Floor Room Count ' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ? Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:) ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing &bew asize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Comfnercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name S`1 �(101'1� Telephone Number/9 W- 5 J - 13 Address > 0 )) l0 7J 3 License # T_UXy V'�11� C�'�l� b Home Improvement Contractor# J Worker's Compensation # (A)CVO09 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO nat4ce - L iS SIGNATURE L i✓s� G''" DATE r� { - FOR OFFICIAL USE ONLY APPLICATION# i r DATE ISSUED MAP/PARCEL NO. rt ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL FINAL BUILDING r- '= DATE CLOSED OUT y`H ASSOCIATION PLAN NO. :1 rs ;r av waluxameAmw Bast^I"fi7m IlIPi - NemeP P a are memooyn?Cho& e i� �ag ad e �oy I d L " imia oasl 66 ❑�N cWe w by � dadmbeamaiddlid Z 20 Ianasolepopdatrarpmtwr- � Ums MOMM shipedhoom mplay b-oa ses? 8. ❑D VAMMM Camp bmamum* - Ll bmmmm zo:p LN° COUIP' 4L0 Weareacaapaadl=asdiis � - =quim -}. °�0��ea� IpB�pebsarrad 3.Q Iamaho® ada�lgai�c lwafmznvcmvwbm npapb }tom` Gi52,$�E andueh�m bmmmnpb _ tHs�gaa �y��S��d$�esT�aermmrsvhmaae� - �mac��ad�bm��atm�edmaad� ecmm�af�emai,eoe�aetma�ormcmmc�I�re MADLY- Ionao emplojwdwfs xa—s'ao fmrj* Bdipweefimi"Wo dioba7a hmm me CmpanyAbome: poHcy#mr lk- �C' 1/Dl��3 - s Dar. Job Site Adds ���� �7Q l� ✓T �v► TnS ia,b Athteh a aw of ee piNcydeduzfimpm&PWWm9jftl andeqf0finlIMM}' Pan=tD am=covempasnqemd Secffim25Aa &McaalesdIu�e a�®anlpe ada fMeVpibDS1sMM2nlAnK�y� ,��ss peaaffiesialhefa�afaSll wcwcmmandafma GfmptoSMMadRysWjmtftvjobim BeaddodAdaaopyaf0sume I g bery riea�it�o�e011�eof �$��A� asnoe . Ido hessbyePa�iiet�eepe�pase�TtBaafFer�rilea�s � e�ia�s�ect le My or Tom 3ioe�e# tam* LBoaed 7LBAffWDqmft9mt 3tjbfrwisOw* 4. S. o� defft sfaind tr6 o e�rCONTRRCFG§t Offife bf ComonwAffabs mdRosuboam on 5 7yiPm JG _Si&e3I7® .COSH MOND i 50 SUMU DRNE /1 a� SEVE LY,MA049f �Y- ag OWNER AUTHORIZATION FORM (OWNERS NAME) Owner of the property located at: �D��/11I,�,PiVL (PROPERTY ADDRESS) (PROPERTY ADDRESS) Hereby authorize,, AEk (SUBCONTRACTOR) An authorized subcontractor for RISE engineering,to act on my behalf to obtain a buiding permit and to perform work on my property. — 4== Z Owner's signature Date i ;�l►►�Knrhut�ettl+- Drpn►rtmrnt ut'�puiviir Suf'et�' Gourd ni'guiltlintt Re}tul►►tinnsig►uid Standards . wlst,�r'�t•'rlxCo�'¢DdU�"'d�8+r1Ji�LP,r 'l..q��A°Efffi 4lcen9es CS 78818 JOSH EMOND 60 SUNSET DRIVE i.{I BEVERLY,MA 01016 Explratlont 3/26/2013 t'ortuni��lunw' Trpt 13303 The Commonwealth of Massachusetts William Francis Galvin - Public Browse and Search Page 1 of 2 _�- The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth,Corporations Division z r One Ashburton Place, 17th floor Boston,MA 02108-1512 Telephone: (617)727-9640 BUILDING PERFORMANCE CONTRACTING, LLC Summary Screen Help with this form Request a.Certificate The exact name of the Domestic Limited Liability Company(LLC): BUILDING PERFORMANCE CONTRACTING, LLC Entity Type: Domestic Limited Liability Company(LLC) Identification Number: 001019295 Date of Organization in Massachusetts: 01/08/2010 The location of its principal office: No. and Street: 50 SUNSET DRIVE City or Town: BEVERLY State:MA Zip: 01915 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: JOSH EMOND No. and Street: 50 SUNSET DRIVE City or Town: BEVERLY State:MA Zip: 01915 Country: USA The name and business address of each manager: Title Individual Name Address(no Po Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code MANAGER JOSH EMOND 50 SUNSET DRIVE BEVERLY,MA 01915 USA The name and business address of the person in addition to the manager,who is authorized to execute documents to be filed with the Corporations Division. Title Individual Name Address(no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code The name and business address of the person(s)authorized to execute,acknowledge,deliver and record any recordable instrument purporting to affect an interest in real property Title Individual Name Address (no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code I http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 12/13/2011 r - NOTICE NOTICE TO - TO EMPLOYEES t EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street- Suite 100, Boston, Massachusetts 02111 617-727-4900- http://www.state.ma.us/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with:' Insurance Company: Atlantic Charter Insurance Company Policy Number: WCV00939901 Effective Dates: 11/23/2011 TO 1 112 3/2 0 1 2 Insurance Agent: County Insurance Agency, Inc. 123 Sylvan Street Danvers MA 01923 Employer: Building Performance Contracting, LLC 50 Sunset Drive Beverly, MA 01915 Workplace: Building Performance Contracting, LLC 50 Sunset Drive Beverly, MA 01915 MEDICAL TREATMENT The.above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the ' NAME OF HOSPITAL ADDRESS `J TO BE POSTED BY EMPLOYER YOU WISH TO ®PElil A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY.REGISTERSthe Town YOUR NAME Off ce, 1`FL., 367h you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available Main Street, Hyannis, MA 02601 (Town Hall) DATE: 91 ° Fill in lease: YOUR NAME/S: Jr- rrti�i tya.., s�s1 ' 4 �� APPLICANT'S h YOUR HOME ADDRESS: y BUSINESS clhs 3 gf„tad 1 jp 1a ' i a,:9 a l�� ✓ 3 O TELEPHONE # Home Telephone Number NAME.OF CORPORATION: TYPE OF BUSINESS y NAME OF NEW BUSINESS s `� IS THIS A HOME OCCUPATIOcN YES w �� Q 1� MAP/PARCEL NUMBER , I ® [Assessing) ADDRESS OF BUSINESS starting a new business there are several things you must dwn of o in order toblainne d plYou MUST iance with hGo TO 2'00 Maie rules and n St. - [corner tions of the oof Yarmouth When 9 Barnstable. This form is intended to assist you in obtaining the information y Rd. &Main Street] to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFIC This individual has I !nformed of ny permit requirements that pertain to this type of business. Authorized Signature* 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: ort KE Town of Barnstable *Fermi . yO� Expires 6 montfrom issU date. .Regulatory Services Fee BARNSTABLE, % Thomas F.Geiler,Director BWIdiog Division Tom Perry,CBO, Building Commissioner 200 Maip.Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not valid wit/houi Red X-Press Imprint Map/parcel Number" i.1 Ff O Qnn Property Address d "Ot):a: (4)6� ;7 6AnAsr;-$1.E MA c•v Residential . Value of Work 000'o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address -G g�ol-F(L`y Co 14E)IJ /07`/ / 'iE (Q �JcS'T �jr�W[IJST•�(3LE e''/r✓� OaZ�o�vS' Contractor's Name �Lr,wt nly��' ��c�S OF GaA G9 , TNC. Telephone Number �U�S�398'SS (o Home Improvement Contractor License#(if applicable) J IF- CKWorkman's Compensation Insurance SS Check Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �] I have Worker's Compensation Insurance ®� gAR�S1ABL� Insurance Company Name -TOWN �cEi2C-ESS ' �. NSu2wk-�IC� Workman's Comp.Policy# " " �C-2& 26233 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 1 c Replacement Windows/doors/sliders.U-Value 3"1 (maximum.44) C-'1 < *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historie5e,nservation;:etc. , ***Note: Property Owner must sign Property Owner Letter of Permission. CD U; A copy of the Home Improvement Contractors License is required. ca ' r CD t. SIGNATURE: Q:Forms:buildingpermits/express Revised 123107 i ti Town of Barnstable SST"M "`" Regulatory Services i67q. ,0 Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, C-760frrtev leDw�/ ,as Owner of the subject property hereby authorize 4WV%A%I.tv w. 1 Iwo'u 'S aP GOE Co D,170%JG, to act on my behalf, in all matters relative to work authorized by this building permit application for: 71 /iy�F/.✓ �r�- /2,-6 CA (Address o(job) 1 J7 SignatLWof Owner Date N) N co o >=m 2_ DX cn —4 CyE('fFAG-,l �Gl � Co ED _ crs Print Name o rn Q:Forms:buildingpermits/express Revised 123107 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street ` Boston, MA 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 1 (1-0, T-5 pF f4,., E colz> S,tC. Address: r 7 MA,j,,, ST2EtT U a x 10 City/State/Zip: AIS r 111,4 ca Phone #: SU$ - 34' -FS'U(o Are you an employer?Check the appropriate box: Type of project(required): 1.5d I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance.: 9. ❑ Building addition [No workers comp. insurance p• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions 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.❑ Other comp. insurance required.] *Any applicant that checks box#I 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. (Contractors 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 have 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: ?aa-ES S S u 2A NC-C Policy#or Self-ins. Lic.#: f.JC-91'0 0?&a33 Expiration Date: O �� 5—/a-oc9 Job Site Address: 10 7µ 6ka,�+is �5-• gwrF- (QA City/State/Zip: 6)- ZA► MBL c MA VJt*8 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,as 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and the pains and pen [ties of perjury that the information provided above is true and correct. Signature: Date: tl Phone#: 39k- &SAp Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I Client#: 502 ALUMPRO ACORD- CERTIFICATE OF LIABILITY INSURANCE 0DATE 9/15/08D m PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins. Plymouth ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 341 Court Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 3700 I Plymouth, MA 02361-3700 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Peerless Insurance Aluminum Products of Cape Cod Inc INSURER B: P.O.Box 10 INSURER C: Dennisport, MA 02639 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DD/YY DATE MM/DD/YY A GENERAL LIABILITY CBP8181400 08/15/08 08/15/09 EACH OCCURRENCE $1 000 000 X MERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $100 000 CLAIMS MADE a OCCUR MED EXP(Any one person) $rj 000 f_0:1M PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO- LOC Ct,.2 'JECT - AUTOMOBILE LIABILITY �a ,.,ar C• ;rF. . cGri�1H .!$S'. ;1C.$' i COMBINED SINGLE LIMIT_— .$____ •k�+t ANY AITO- `� -- �- �— - - . �, (Ea accident) - �' A'LTOWNEDAUTOS'_r BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ TATUjI A WORKERS COMPENSATION AND WC9626233 08/15/08 08/15/09 IT WORC SLIMIT OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS .CHI:INS1:ci._. CERTIFICATE HOLDER I CANCELLATION r• .rr I I 1 s } SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ' Geoffrey Cohen DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN 1 O74 Route 6A NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Barnstable, MA 02630 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 Of 2 #S38514/M37645 /DAC 0 ACORD CORPORATION 1988 i T � ✓G - lugBoard of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR SL, Registration\158424 Ezpiratiori=1%23/2010 Tr# 263544 i; 1Type: Private Corporation ALUMINUM PRORUC:TS';OF.CAPEICOD INC, STEPHEN HUNTER; 476 MAIN STREET DENNISPORT, MA 02639" ✓ - Administrator hL �. �l:(ssuchusctt; - Dclt:(rrnunt �ii Public S:(t'ct� 1 B0r.(rd (it' Buil(ling Rc',ulati(ecialt(ILicense (I` Construction Supervisor Specialty License: CS SL 100160 Restricted to: WS •_ '�F STEPHEN HUNTER 17 WEST WOODS YARMOUTHPORT, MA02675 Expiration: 7/11/2012 Tr#: 100160 \ ( , iniui>siuu•t' I (Of 1. e C° b,� Barnstable Old Kings Highway Historic District Committee 200 Maio Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 ,e7 APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as deseiibed below and on plans,drawings,or photographs accompanying this applicntion for: Check all categories that apply; 1. Building construction: . ❑ New ❑ Addition X Alwation 2. Type of.Building: ElHouse ❑ Garage/barn ElShed El Commercial ❑ Other J rn 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding,window, door 4. Si -i : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign C n 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool r Type or Print Legibly: Date:s L3a 4 S��j%g* Address of proposed,vork: House# b2 74 Street: Mari 4 STrt&-t--T (L-C ( Ar Village &kir'34tASTAaf Assessors Map Lot# / fr'Alf Description of Proposed Work: Give particulars ofwork to be done: :r4sr*ct,;Tipni cw Z _ =NDCt"1G_S Gc_45S1C. VtttgL 1T uj!&t_ 140J1a QFQ4VOM:OMaNS W-NMWS - MIE furBRwti t Ja(L Cotort_ OF 7-qE w.,�jt-ovJs F l-M cJ41r'E5 . - IfE (orz,tLE C0,3FIr..1t AT10►J o,.) ALL. W• a rxj S ulrLi fHA-�4 E.x/STl iJ G. TW LlAri N�c sMrr<S J�-dc�ccF�c7yT W NDo� S u�w� H.�dE 77�1r 11DDFA �F�n.rt•E cr= �'r�c�tiJ fii�Piat1D EXr>:rtroft: T (�rtrH�S io itit��rH Fx►sn>Jb ni . Agent or Co cn tractor(print):{�ur NV%.j W �p t�na,��t�ca � c ,vsTelephone#: 1 Address: 4 Yu ki►4 STir!_5 r �(�, + /D Contractor/Agent'signature: NOTE AU applications must barignql by the c urreni owner Owner(print): to Pf' _. Telephone M fib' 3(wZ - //SO Owners mailing address: 107 r rj 5 7cig (PA Owner's signature: committee use only. This Certificate is PPRO DENIED DE E me /W,� Members signatures llP. It7r^ r SEP J 7 2008 TOWN OF BARNSTABLE Any conditions orapprvvnl: HISTORIC PRESERVATION C:Oaca ena and Set11ngsldeco111k1Locaf SerrfngslTenrporary INGIrilr FUMOLK110rdl Ccrr4ppropriareness Uzdoe gacnstable .01 f�SH�eewaY 0ta Cpmmilt Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed)(material -brick/cement, other) Siding Type material: Color: Chimney Material: Color: Roof Material: (make& style) Color: Trim material Color: Roof Pitch: (7/12 minimum) Window: (make/model) T,4y s iES G.ASSmmaterial yl,.iVt_ color (,)RITE Size(s): / p 3q X5-3 /d L a 8 xS3 / .29 xqr a e 2 8 X 3r7 /(2 22 x 37 Door style and make: material Color: Garage Door, Style Size Material Color Shutter Type/Material: Color: Gutter Type/Material: Color: Decks: material Size Color: Skylight,type/make/model/: material Color: Size: o Sign size: Type/Materials: Color: Cb Fence Type(max 6' ) Style material: Color: �P���� Retaining wall: Material: Lighting, freestanding on building illuminating sign �Q Please provide samples of paint colors and manufacturers brochure of style of windows1 jVoS�a�ag oor,fences, lamp posts etc A Q , ADDITIONAL INFORMATION: H F t � QQR n,��able Town"',e H19h1NaY // comm' II Signed: (plan preparer) f�ao� print name MA'Tflftk) tiyWEa— tel. no. 5"U$ -3(ifr- KLI(o Location of application: 109q Street no. 1094 Street (Lov"E &f} Village WE—sr .3R1Ln1S_)i43U 2 CA Documents and SettingsldecolliklLocal SettingslTemporary Internet FilesIOLKIIOKH Cert Appropriateness 07.doc r • 5 � c (� assic wARRp,NTY Double Hung Replacement Window The Haney Classic Vinyl Double Hung replacement window offers homeomiers die vvIdest variety of style, performance, color and options available in die marketplace today. The Classic N%Indow is custom made to fit your opening with very little carpentry needed, reducuhg installation tune and mess. Ow-sleek hilly\velded sash and fiiune design prrnides a one-piece sloped sill and better performance than ordinary vuhyl r mndows, mti an Mir-tight seal that keeps\,vind and water where dhey belong- outside. Consult your professional contractor to discuss wltich options best match your needs. Tilt-in top and bottom sash for easy cleaning o••, p�Fal Classic features include: 7/8" Insulatitig glass with PPG Intercept`s vvann edge spacer system proNrides 10%wanner indoor glass temperature ENERGY STAR qualified «iti optional LoNi-E glazing (add Argon gas for ultimate energy efficiency) 5 t • Factory calibrated block& tackle sash balances never n adjushnent or lubrication �Rj • Interlock at meeting rail and double weadier s alli n for a triple seal X� �PQ� OOQ Locking fiberglass half screen �OQ� pp �5 • Ventilation limit latches keep top orb ?nm sash pat o en • Consider our Classic Acoustic window to fw%'h r redMW&Pes notd . XO S: (see page 18) ee d�G ���t �--�� Available in: White Bronze Almond Actual colors may vvy. rj Over 25 exterior colors also available t (white or almond interior) Contact us at 1-800-9HARVEY for a brochure. 'See actual warranty for details. .28 rid Op Vinyl Windows s �� Q Grids Betvveen the Glass (GBG) NMiether you opt for a traditional grid configuration such as the Colonial or Prairie style or design your oNm pat- tern for a unuque look, �-inhdow grids add elegance and curb appeal to your home. Harvey uses a glazing method that alloys die grid to be positioned between the glass thereby eluninatuig the need to remove them when cleanng the vvindows. Our contoured grids are available in 5/8" or 1" profiles and provide a shadow line to give die look of a genunhe grid detail. of IColl' MA GbG 4. 7 - — -- Colotual Aaitie Divriond' Decorative Pencil Bar GBG For an upscale look, consider Decorative Pencil Bar Grids.T'lus GBG systern utilizes brasstone or brushed ruckel grid bars jouned together to form the desired grid connfigtuation. For even greater elegance, Glass Accents can be added to a special XATindow or as a design element throughout. For protection and easier cleaning, these decorative grids are positioned between the glass. of DeCti of 1�=cot �tiye pencil Class'4CCeIXs 13.E Gtid pop --'n. r.. Colonial Brtsstone Prairie Btasstone Decoative Pencil Bat-Gild Decoatiye Pencil Bat-Grid Decorative Pencil Bat-Gild i lass Accents Eltenor Gnd Package P Our Exterior Gnid Package cornbuhes a permanently fastened extet-gri�otl� } a contoured GBG to give the more authentic appearance of uhdiVidual panes of at. . glass.Thus is a great option \when historical guidelines need to be followed.0*9 ' e`` AvAable in 5/8"or 1" proftle. Note:Diamond style GBG is only ollered in flat hat•design. I ' As essor's office(1st Floor): b U ( oar THE .Assessor's map and lot number >o� Board of Health(3rd.floor): I - ew w� +w Sewage Permit number 1 *L` . t` s• t DAD.l9TSDLL i Engineering Department(3rd floor): = ! $AS& House number ` ' t °o 1639. Definitive Plan Approved by Planning Board 19 �0 rAr APPLICATIONS PROCESSED 8:30-9:30 A.M.'and 1:00-2:00 P.M.only k f � , TOWN ; OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ' iU t'G )d Cl."d'l a,m I 1 TYPE OF CONSTRUCTION tM 1jP^ I A19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location /4 7 /� � (A/ a4-VV1 Proposed Use gA ( l 9 f 0,0 Zoning District k �S t SS Fire District Id V/ ' Address G 7 6 T Name of Owner R Name of Builder \� 2 - Address Name of Architect Address Number of Rooms Foundation WD�a�12 � Exterior r Q Vkk wC 61n 6ztbr !tom— Roofing Floors 11 Interior Heating Plumbing j Fireplace Approximate Cost `o f Area Diagram of Lot and Building with Dimensions Fee © va (l i I ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnst regarding the above construction. r Name nstruction Su ervisor's License Co p � QQLDRING, PAUL PH.D. ' No 34381 Permit For Build Handicapped Ramp Psychologist Office Location 1074 Route 6A West Barnstable Owner. Paul' Goldring, PH.D. Type of Construction Frame Plot Lot r ' Permit Granted June 6, 19 91 � Date of Inspection 19 ' . q � Date Completed o 19 _ �� L .� V TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION ctv O m Ymtam iif9*3` �a c Plea se 'print.- DATE- JOB LOCATION O Number Street address Section of town r _o "HOMEOWNER" i Af Name Home phone Work phone' " PRESENT MAILING ADDRESS 1 . y town :a' ,. . 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 (s)' 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 to six 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 considored 'a homeowner. Such "homeowner"- shall submit to the Building Official 's on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the buildincr . (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 Barnstable Building Department minimum inspection procedures and re uiremi and that he/she will compl with s id procedures and requirements. 9 ements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 00 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. �J HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a=building permit is required shall be exempt from the provisions of this section (Section 105. 1 . 1 - Licensing of Construction Supervisors) ; provided that .if Home Owner engages a person (s) for hire to do such work, that such Home shall act as supervisor. "' ..Owner Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q Rules ations for . licensing Construction Supervisors-, . Section 2. 15) . This alackegu oflawarenes 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 ' Owner actin as supervisor is ultimately responsible., To ensure that the Home Owner is fully aware of his/her. re.sponsibflities,. man 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. f '"`�`r'Jk"•f!i'�'�+ifti�i t(1'�`�r� 't�^'�J��6..]'��� .,•r�"'� t'� _`�"7:7�r�F��`�M�'Lr °�rj.'�Cr=T+s��`i ;rr�„R a�4.�'`°` 'R+T,y,�' �"dYri�9y '�'.i�+r7'WvM'ifS'�N+'Ifi'�rtt'ri�'i►y�, At Assessor's office(1st•Floor): c, r- Assessor's map and lot numbed THE ' Board of Health(3rd:floor): d w Sewage Permit number = assas Engineehng Department(3rd floor): rsloca J r 7 11A$ r House number, °o t639 Definitive Plan Approved by Planning Board 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 ?kk1'C&f Cl yyt •l Ca� R G YM '. ; 1Z f TYPE OF CONSTRUCTION T1 tM YjP^ � 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �L / Location �0 7 1/t At �/, VV c,, ✓0A S Proposed Use. 1 ( f*i 1 O 9 4 t Q — F`-t I^-4LgLAJ� ����� (l� a*, Zoning District � S 1 SS Fire District Name of Owner ldvitr Address -7 V Gr R p c Name of Builder Address Name of Architect Address Number bf Rooms Foundation w kA ► Exterior Q �^ G�,t�ilN�_ Roofing t Floors - - _ _- Interior Heating Plumbing Fireplace Approximate Cost �y r Area vd Diagram of Lot and Building with Dimensions Fee © t ` c 1 . f { OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of.the Town of Barnsta egarding the above construction. y Name • rArw'. Cons ruction Supervisor's License t - t - 't GOLDRING, PAUL PH.D. A=178-010 7�-©/a No-3 4 3 8 1 Permit For Build Handicapped Ramp Psychologist Office _ 1074 Location Route 6A West Barnstable Owner. Paul Goldring, PH.D. Type of Construction Frame Plot Lot Permit Granted June 6, 19 91 Date of Inspection 19 Date Completed 19 10, PERMIT COMPLETED r J G/ A=178-010 JOSEPH D. DALuz 790-6227 Building Commirtionsr TELEPHONEo X&!kWA4t I�xx�t�c TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 April 22, 1991 Mr. Paul Goldring & Mr. Jeffrey Cohen c/o Ms. Judy Small Today Real Estate 120 West Main Street Hyannis, MA 02601 RE: A=178-010 1074 Route 6A, West Barnstable Gentlemen: Please be advised that the office use of the property located at 1074 Route 6A, West Barnstable, may be changed from a real estate• office to a professional office. Handicapped access must be provided. Peace, seph D. Da i Building Commissioner I JDD/gr j J[R178 010. J LOCJ1074 ROUTE 6-A CTY105 TDSJ 500 WB KEYJ 104657 ----MAILING ADDRESS------- PCAJI011 PCSJ00 YRJ00 PARENT] 0 STEINHILBER, CAROL ANN MAPJ AREA]88AB JVJ MTGJ0000 PO BOX 86 SPIJ SP2] SP3] UTI] UT2J 2.58 ' SO FTJ 832 W BARNSTABLE MA 02668 AYBJ1947 EYBJ1960 OBSJ CONST] 0000 LAND I17000 IMF 44100 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 161100 REA CLASSIFIED #L.AND 1 .117,000 ASD LND 117000 ASD IMP 44100 ASD OTH #BLDG(S)-CARD-1 I 44,100 DESCRIFTION TAX YR CURRENT EXEMPT TAXABLE #PL 1074 MAIN STREET W EARN TAX EXEMPT #RR 1387 0135 RESIDENT'L 161100 161100 161100 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE]10/88 PRICE) 175000 ORBJ6493/204 AFDJ I LAST ACTIVITYJI2/07/88 PCRJY 0 I • ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 Map / -7 Parcel O t 0 - - y Permit# / �S/ , Health Division -Date Issued ` _V Conservation Division Fee- Tax CollectorNJ Treasurer Planning Dept. �V Date Definitive Plan Approved by Planning Board w,Histo ic`-6KH�,;!!��TPWPPT_e-s ervatlon/Hyannis Project Street Address 10-2 9 rn(� Village Owner J i s Y'i en Address VIA P;n S C -A L � Telephone Permit Request C-e-yo'b� \D 59 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation IC Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathbred: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑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 Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing Cl 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 Name Xy�f��'��— �e CAS 1, Telephone Number 4 '.�® a1 Address ) �F e KO IJ License# ®`� C�>1 Home Improvement Contractor# kalk4 Ss a Worker's Compensation# ALL CONSTRUCTION DEBRIS RE ING FROM THIS PROJECT WILL BE TAKEN TO APflG A ,( SIGNATURE DATE 11-6 "DD FOR OFFICIAL USE,ONLY PERMIT NO. ' DATE ISSUED r MAP/PARCEL NO. _ ADDRESS" VILLAGE OWNER DATE OF INSPECTION. - FOUNDATION - FRAME INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL i. PLUMBING: ROUGH FINAL, GAS: ROUGH FINAL ' FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts LV_ = Department of Industrial Accidents Office 01/OYesl/'osangs 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit �.�orwri rlrrrr riaiii O/�%�%%%%% name M ej�kL A e t\ ,e location tv (�tn phone# 4 eLb �nit 11, ❑ I am a homeowner performing all work myself. Iam a sole rietor and have no one workin in ca acity am a ssol ey �///%%%�%%%7111,///////'��//O/111111 Cl I am an employer rounding workers' compensation for my employees working on this job. :: : :::: ::::::: :: : : :.. com sn >na a tld QtV• 6. Ohlcv In, ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have thee following workers' compensation polices: ......................................:...:::.:::::::::::. ::.:.:: : :.;::.:;.>:.::.::.;:.;:.;:.:;.;: ;:.;:.;:.;;:.;:.;:.:::.::.:.:.<::<:>:«:::>:>.>i>:<:<:>:::><:>:<:: g............................P.. ........::.:.::.. .::.::.:._::::....:...:..::.:.:::::::::::::::::::::.......::::::.::::::::: :::::.:...:.::._.:::::::::::.._::.::::::.::::: ::::::.:::::.::::::..::::::::::::.::::.;:.;::.;:. ::::>::>::;<:<:::;<:::;<:;::: com an ::na addres W. .........::.::::::::.:::::::..;::.::>::.::.:::;;:::;:.;::::.:.:.:;.;.;::;>:.;::.::....... t..<............ ...................................:.. ...::::.a.:::::::::::........:.::::::.:::. :::::::::::::::::::::.:::..:...:........ ..... ......... ....... ...a...M1...�4 •. ....L................................................................ w:::nay.:.x:... •tt.ii: "on "h sp 2'�' >.. .... :::::::.:.................. ................................. ........................................................................... . olh .......... "'tires a tv ��atnstce Fanure to aeCm a coverage as required under Section 25A of MGL 152 can lead to the imposition of criu�al penalties of a Hue up to 51,500.00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I�derataad that a Copy of this statement may be forwarded t e Office of Investigations of the DIA for coverage verincatlon. I do hereby certify a pains p n es of perjury that the information provided above is&w.and coned • Signature �' Date Print name UYl C -- �`�e C�5 Phone# official use only do not write in this area to be completed by city or town official city or town: permit/ficense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person• phone#; � ❑Other 0eviwd 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a•joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs.persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting .authority. s Applicants t 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 maybe .�, submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and •'f-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 IndusaW 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. a City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peiniiNicense number which will be used as a reference number. The affidavits may be ricturiedio 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. NO The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invest1gauOus 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 .eat. 406, 409 or 375 I� L : . . ; The Town of Barnstable • a�rrsr,►Br.e. Regulatory Services '°rEDNa�x Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner .367 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 thanfour 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: fie_ �bfl Estimated-Cost�_:5-D--Dfl Address of Work: l D_?y M A\YN 6 Owner's Name:'"A') 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 hereby apply for a permit as the agent of the owner: ��-)0-00 Date Contractor.Name Registration No. OR Date Owner's Name q:forms:Affidav lugHONE IMPROVEMENT CONTRACTOR �( Registration _L26480 Ezpira.tioo�08/200Z:� • Type: Individual MARK HERBST MARK HERBST noMINISTpgTpq Ito/ 35 PEEP TOAD R0. CENTERVILLE NA 02632. �. 72. �o7,vn�anureal!!i o�✓�aaoac/zuaett' ; .:_ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION - 1 Bl S UPERVISOR Number.CS O48546 rtd01/27/1953 E*fes:01/272002 Tr.no 2084 .ons on- , Restricted To:, 00, MARK D HERBST 35 PEET TOAD RD '-E - CENTERVILLE, MA 02632 Administrator registration valid for individual ) License Or fore expiration date. if found F use only 1301 1 return to,one Ashburton Place pm ` Boston Ma. F 00-35,000 d enclosed space (MGL CA 12 S.60L) ! 1A-Masonry only 1 G-1&2 Famiy Homes Failure to possess a current edition of the Massachusetts State Building Code I` is cause for revocation of this license. DIG SAFE CALL CENTER: (888)344-7233 I !