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Home My WebLink About1049 SERVICE ROAD MY? e0l. UPC 12543 No.53LOR , NASTIN48. UN TOWN OF BARNSTABLE Town of Barnstable405 APR 20. APB $` 52 FVE T Regulatory Services = Thomas F.Geller,Director" p�VISION • BAMSTAEM 9� WAS& �m Building Division �E�►�'��' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMU# ��3 5^_ �- FEE: $o SHED REGISTRATION 120 square feet or less Location of shed(address) Village wt�( eel l� Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District-Commission jurisdiction? Conservation Commission(signature is required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMNIISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. 'THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN . f , ' �129003 •- _ .. K s Y bye �E �I� f ,Y• - J ". . f 'e*t�'Pi.y' y y r i`} k OIAW } 153034 € Tr N OUR - 1 Pi ::. Board of Building ReRrnulations One Ashburton Place, 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 03/14/1970 i Number. CS 073865 Expires: 03/14/2005 Restricted To: I LAMES R MCGRAW 204 CRANVIEW RD BREWSTER_ MA 02631 -- --._...._- Tr.no: 18918 KI`eP top for receipt and change of address notification. - _- Board of Building Regulations and Standards Y One Ashburton Place •`�'"' - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor ReRistration Rest istratio n: 132935 Type: Private Corporation McGRATH POST& BEAM CO. Expiration: 10/31/2004 JAMES WGRATH 259 QUEEN ANNE RD. HARWICH, MA 02645 Update Addreu and return card.Marys reason for change. ` �� / Addrecr Renewal - Emltlwnnttt Lase Card q fO0YN9Np✓NI+K�' O�i.•�Io.FMiiYIM0�r1 _ .. -_ ---- o ltoord of @gilding Rcgulariotn add Standards License or registratlon valid for individui use only HOME'MPROVEMENT� CONTRACTOR before the crpiration date. if round return to: ,�• Registration: 132935 Board of Building Regulations and Standards jr-.•r Expiration: 10/31/2005 One Asbbnrtnp Place Rm 1301 Type: Private Corporation Roston,Ma,03108 McGRATH POST 6 BEAM CO. .LAMES MCGRATH ' 259 QUEEN ANNE RE). dF — HARWICH,MA 02645 4f 4ARtinie/ntnr Nor valid witfimtt sit alure i I 0S/23/03 12:13pm P. 002 t The Commonwealth of Massachusetts Department of Industrial.accidents ' _ O111C0011/i►es�011J(//s 600 Washington.Street Boston, Man. 02111 V workers' Compensation insurance Affidavit B�p1lsanLinfuL7n,�t dam:. nAr—, q,c)7—.4, cit. �0.. 4A�NsT,�1 /F a ZGG fi phone a 6 a - 3 3 ' [] I am a homeowner per owning all wgrk rnt self ✓^'dam an employer pro%idi.'�ng workers* compensation for my emplo%ccs working on this job. cq.nAnyname CIJ� �{ ` I�t3t'!- 1'1�•�� Pry� cite- � l/l/ W( C.� _ _...�lfone p• ��V �� incur tract c (nC( �[cifl 40 nnlicv b V V C •78`— t A 35 I am a sole proprietor, general contractor.or homeowner(circle one) and have hired the contractors listed below•%ho ha%e the following %%orkcri• ,ompensation polices: CQ�a�v namt: ,address: City: phone p: insurance Sp. corttnanv name- address: .4ty: — eheee M ' ldSAratlte_[0. ILRGLY.� Failure to secure coverage as required under Section ISA o(MCL!SZ ne teed to the iupoetdoe oteeimieel penalties ofe dac up to 511.S0o.06 aed/or one ve■rs'imprisoemcnt as well as civil peoslNa in the forte ors$TOP WORK ORDER ao2d a flee of S10tt.00 a dip stolen me- 1 orderaeted that a copy of this statetneat may be forwarded to the Otticc or lovesagatioas of the otA tar coverage verioesaiee. do Aereby certify sender the pain an p nalr'e r pf ry that the iwjarnmdan provided above is rare and correct Signature Date Print name V Vl _�� 1 1 �� Phoeep �-30 -�806 - olTicial use only do not write io this area to be completed by city or town aMclal tiry or town: t- permitAitense is _^npuildiog Department (3 chech if immediate response is required �Lietnsing Board QSeleetenee's Me' contact person. (3Healtb Department p phonee'_ _` s --• npthcr I ' 05/23/03 12:13pm P. 003 15UILDING 0ENAR"riViF. NT CONSTRUCTION SUPERVISOR FORM PLEA.SE MUN T. Job Location:_ /0 S62 rice Number street Villacpe Owner of Property: 7--CZ'4j C f4A T-q (,onsu-ucrion Supervisor: C Name Licensc No. Phone No. Address: � 6(AJW'1 Cy� Licensed Desigmee: _ (if other than Supervisor) Name � bissnse-Ne 2.15 Responsibility of each license holder: 2.15.1 The license holder shall he fully arld completely responsible for all work for which he is supervising. He shall be responsible for seeing that 4ILwai-b; dtsEe Ht+ildirtg r. t#e and t}red�rawings--- as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair,removal or demolition involving the structural elements of building and structures only pursuant,to the state building code Ind all other applicable laws of the commonwealth, even though he, the license holder, is not the: permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which arc: covered by the building permit. 2.15.4 Any licensee who shall willfully violate subsections 2.15..1,2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall cotitlin the name, signature and license number of the construction supervisor who is to supervise those persons enga,rd in constntction, reconstruction, alteration, repair, remotnl of demolition as regulated by section 109.1.1, of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons,the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The lic)eAtse holder shall be responsible for requesting al.) required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under die rules atxd regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. J understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE, I have a curren liability insurance policy or its substantial equivalent which meets the-requirements of MGL Ch,152 Yes No a If you have checked y%,S, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity 0 Bond OWNER'S 1NSU NCE WAIVER: I am aware that the licensee!Lo-e-s-agi have the insurance coverage required by Chapter 152 of 1he ri G ne laws,and that my signature on Ihis permit application waives this requirement. Check one: Ggnabire of own r r gr;Agin ownw Q Agent a Signature: Building Official Approval: 05/23/03 12:13pm P. 005 HOMEOWNER UCENSE UMPTION PLEASE PRINT: DATE: JOB LOCATION: NAME STREET ADDRFSS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE r-__... WORK PHONE PRESENT MAILING ADDRESS _ CITY OR TOWN STATE ZIP CODE 0 and to allow such homeowners to engage an individual for hire who does not possess a license, provided that such homeowner shall act as supervisor. (State Building Code Section 108.3.5.1) 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 attached or detached structure assessory 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 pe &0Md_under the building permit.(Section 108.3.5.1) i The undersigned. `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes,by-laws, rules and regulations. The undersigned `homeowner' certifies that he / she understands the Town of Yarmouth 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 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent,which meets the requirements of MGI,Ch.142. Yes 0 No 0 If you have checked yes,please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity O Bond 0 OWNER'S INSURANCE WAIVER. I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws and that my signature on this permit application waives this requirement. _ Check onc_ Signature of Owner or Owner's Agent Owner ❑ Agent 0 hUmaswnriim, ernp 05/23/03 12:13pm P. 004 1 For Office Use Only Permit No. Date AFFIDAVIT _ Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the 'reconstruction, alteration, renovation, rcpair, modernization, conversion, improvement, removal, demolition or construction of an addition to any pre-existing owner-occupiod building containing at least one but not more than four dwelling units or structures which arc adjwmt to such residence or building' be done by regist rod wntractom with certain exceptions, along with other Type of Work:C Est. Cost — - Address of Work -AOwner Name: �A1,7 Date of Permit Application: 1 hereby certify that: Registration is not required for the following rcason(s): Work excluded by law Job under$1,000 Building not owner occupied Owner pulling own permit Other(specify) Notice is hereby givers that: OWNERS PULLING THEIR OWN PERNHT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HONIE IIv[PROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I ereby apply for a permit as the agent of the owner: i�o arbor Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: