HomeMy WebLinkAbout0218 ARROWHEAD DRIVE o(A)HE9p�'�
. . Town n of BarnstableBuildi"n'g" .
501
"' he.Street-A roved Plans Must be;Retamed on; ob and,this Card,Must be,tCe t ,
ost:7h�sCard.So That�t;isVisible From t
yam' ate;, \ .�;.: '� � ..�,'.
ection:Has Been Made.0 ? , .'
.Posted Until°Final tnsp.,, � � -;
.b' s,
y .
r
Re aired such;Buldm shall Not.be.Occu led unt�I a Final Ins ecL�on has been�made ej
Where a Certificate of Occupa� Y q ,, c.. ,g, .,, ,N..,. P , . p . � u , , . �,
M,
Permit No. B-16-1759 Applicant Name--- . Menezio Louzada Map%Lot: 270-086
Date Issued: 08/10/2016 Current Use: Zoning District: RB
Permit Type: Addition/Alteration-Residential Expiration Date: 02/10/2017 Contractor Name: MENEZIO LOUZADA
Location: 218ARROWHEAD DRIVE, HYANNIS Est Project Cost: $ 10,000.00 Contractor License: CS-094477
Owner on Record: BARNSTABLE HOUSING AUTHORITY Permit Feed $101.00
Address 146 SOUTH STREET y,Fee 14�ad ' $101.00
HYANNIS, MA 02601 Date 8/10/2016
®r
Description: Replace selected wood shingle(Shingle is a repair job) Install new PVC railing on the back porch
Project Review Req : Replace selected wood shingle(Shingle is a.repair job). Install new PVC rails g on the back porch.
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by thiseimrt is commenced wtthm six months after issuance.
...,
All work authorized by this permit shall conform to the approved appllication and�the approvedconstruction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structur 11 e sha be in compliance wk, the'lgc zonirig by-aws nd 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 work until the completion of the same.
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:
1.Foundation or Footing F _ £
r1
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Y
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
S.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction.
"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 ,q��L `S
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
r
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map o� �' Parcel Permit#
Health Division Date Issued
Conservation Division o Feed - 00
Tax Collector ot
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 1 h,C2 (Ji h aft
Village M G AU V I S
Owner DA0111J AIAQ? OAAWS . � )siAJ& N V94 .ddress \3 MEl-
Telephone Qr;41
Permit Request A.��A i,�rd i� - amoof-, c ex 1s i- � �/f: x b s rn d t''i ro E)r
�WAO It I)PV teuniEQ. L'Aiald _ - RhDaE CiEkit
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
q 9 p P 9 p p
Estimated Project Cos Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑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 ❑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 p i
Name Pau AA 0 Telephone Number
Address License# kb �
OS I 11 I Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATU DATE 9L3Yi2O
�,'• FOR OFFICIAL USE ONLY 1
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS , VILLAGE
OWNER ,
DATE OF INSPECTION: -
FOUNDATION
4 y
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH .FINAL
GAS: ROUGH FINAL
ti FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. s-
`t
1.
YT
i
• =-___ The Commonwealth of Massachusetts
Industrial Accidents
Department o ,
eP f ,
wee film reMatiaos
600 Washington Street
Boston,Mass 02111
Workers' Compensation Insurance Affidavit
r
name:
location:
city hone#•
❑ I a homeowner pmAorming all work myself
am a sole rietor and have no one worlu
am an empl roviding workers'compensation for my employees•working.on this job.::
..1 .........................................................:..:................................................
co
=##:
:.:::..:n:•.....................v•w:::::...nfi: w::::r•w::::::.v:....::::+:; ......:4:.::�v
hams... •.
G':i:?��,:?�:��.�. F;�;:;�;� iiiiiiiiii:
Q•
�i:•i:•:vvi$iiiiiiiii:`viii: +:ii{i ,'
::::w:;:; n..::::.:..•.:.:.. •...:::::::........:::.:::::...:.nn.::n....:w..... ....V.
:::::v:::.:...........
::. :::vii?:•:
.................................:................................................•::::.:}.v:.}:}>:}.L:{S.;. :•::
ii:;:;:;i
..... .. ........................................... .r.....................
........................................................... ...................... .v.�::: ::::::::.:: :. :::..v. :.:.:`:: :?::j:::<:::?:::::::::::::i:::i::is ii::;:;4.}jj::}:::::>::j::>:::
:•v.. .:w::::: .: :: :::: ::::.............::..................:::•.v:.v::::::::.v:::::::::.:....:.•::v:::::.v.�.�::::: ::::..�:: ::v. .:::::.:::::::. :•.v::.�._:::::::::::::•...:...............
❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractom,listed below who
have
the followingworkers'compensation polices:
ii}i#};
.:::::.::::.:.::.:.:::.t:::::::.::.:::.r:.:::.:::::.::.:::::.::.::::::.::.:::::..,::.}:{ii.}:.}:.;:.}:.}.:::.,.:n:v.�,m,::•rfx x..
:•`.:tiv:L:isi}::::}?�iiiii isi?i>•:•}i}:•i:^}};.;{•i:4:•i}i:•:i:+?•ii iiiii i:i:ijiiiiii::�T::iiiiiii:�ii:ri:^iiiiiiiii isi�iiiiiii:i':}Sj'ii:•iii:{:jiiiii<::}
'ii}r�:}•i� :::^i:C�i:':ii::+}j#::;:;:j:+.;:��:jY:::':::::.':{Y'�i?i'>R :?'i}::is?:iT:ii�i:{:i"-}'•i}}:?•:J:::}i:qi:{{^}:C::n}•.�.}v::.;w:.v.
}{:iii i::vii:?i}:�Y:�ii:;i:;?•}}}:•}}}};•}::Ci4'-.
:i}iiij}i:'ii:�iii�}�iii:�i}:�iiiiii i:•}:•} •:
coma ,
.
:.f..........:?'•i:•}:}Y}::::.v:•. •}i?Siii;i:}}}};isi{}i:S.}}i}}i:•}:{?i:i::�iiiiiiii:ir:•i:::i�ii:�iiiiiiii iii:i4:v:iiiiii}:isi�iiiiii:?i:viiiii:•%•}:4::?:}•::.}•}::}:::::j?^:{Ji::;:
...........u:+::r.:+............::::v::::•::{•:•}:•:{r'{•iv-.v... ..........-....}:..............n.v::::.v:::v:ti{??•..-.n.....n.........-
:•.•4ivt
;:;:ti :v:::ti;#i:;iii:?:{::}�ii;:;i:;:;#:;:+;:;:;:;:ii;:?;{:}::;iiiiti;i���:v:;:;:;:::j�iii:�}:��:?�:5�{:::�:?y:;'r,:;#:•�;`:?;:�:;:;��;:;:;:?;':::�j:;:;::;jj#:;:j4::.:.?:::::.isY,.ji;ijF};:-}.�:tiv'�;::::i}.:.,{:
adtfres
t nv: ..{•.-:eC n;.nY.;;n.}........vv ...i..-::nv. ...4.. :',iqp
.:........... .. ..M... .fn.}:.1.tr::?•:i•}:?{+•i:4.x... •}}Y}�k......{. .::!•:: vCt..\'R•v. w:::.... r:.v....... :...,. v.v....... �v
.....r......... r...n.....-....ii}..n• ................v.......4.�... ...........n. .v... , ••..•r'�}'{v::}:-:•::::•:n::•:n}}•:n}}, ... r�f:•::::rw:r:':::5.}::{:::::::..'{t.r.}'•}}tw::... pp •/irg:'
....:.n.....:JSn+:.rY�.f............S..r..r:nv x:•. ...f.. ..............n.....vh: n.v..........S.�vx:.L•nC•. �}.v.t r.....rr.•::.:::::::r:}:::.::•:{.:.tvv...nv.•}}::.v: ::... :...v.v..wrnv:h::.�:!rit;:n•i:,vw{,ry r{v.. Y}
.....x•Ynv:•..... ..............:....:v.•f..:%..Th...:C.n...x:....................n.....{6Y..%..+v.r.rvivv:v..............T\�-.....................v.............v........................}}::^}}}irn�i:•:C•.:v.:::::.......
{... ........................... ......... ....... ..........r...v:x:w:.v.vn ...........:...:,.:.v..:•vnv:vw:::::::::::::::••v}}il.i:.;��v:n::xv::.v: :::::::::::::::::::..:.......Y}}::•}:?ii}}iii%Sv:
:.:::..:...............:v.::w::•.........J.r..:.,} ..v.....•;........:.••:•:•::•::x:rJ:{•:::::•:::.:vrn.....v ....:r-w:::::nv:w;.... ...............n...n.........-........:..........:....
.. ..............,r .f.... : ...... q .v: ... .:w:rv.•::...... : ♦;{.}}}•.}};:w::::::r_•: .v:::::::::.::::r?J}}}:}}}}%i{?•}:v:•}:•}'•}Y:•}}i:4{{" +:b}i:ti i}}}:•}}:•}
.rryi:r�.i:.::r w}}:.n:i}YF•.,{v:�{•:l}:::::.+.•.v:}.:nw.?v......{:...........:::: •.v.�M::..::v::w:-.}._;:<{•:i•:w:•:{a':-}:::}:::.:::::. home. .-:::.:i::.}:{•:;;•}:-;:;;.:>:.:{i•:•}:?•>:.:o:•:?{i••v:. :..,-::::•::?•:::::•.
>:•:oo}}}:•:;•}}};;;:• ::::ir�iirrii'irriii :: I .ti I ...}:2;:!?.;Y:#;a;'„'c;`x
................
NM !++ a ,can an
.......n......•.w:r.....-....r.• 4. ... .. .•:}••}}}}}'•}}:"{'•}Y%3'::.}'•}}•:?•:'v: ntv:v:::::}i'•}%•}......ti•%•}T}.Ji • v: }:{{•}:}}:•:::::::.v.v::::.v::...........................................................
....... ... .. .h.... fi.{ t.n..v...n..}\ v.t.r...n... ..
.r • • v}: .. ,....:... ..........v.........} ...... .,.v v r...�•..w..r.. ,}}:•}}:{:{?.}:•:w::::::x• v.t..'
. ..N ......:,tr° .fY...:.....} .�.': .a9.,... .. .r... .........rb....:............... .. ...Y.}.%".?2k•........-..........?....�•: : oY�?•}:}•:.S•:.}.:.........r.. ......:.Y...:.fi... ..nt• .:. .. .,... ...........n t.....x.t.......#. t ::::.........:. n::•::}:•i:�Y.}.::•;:h}:•:a}}:•;:�r:
.... .......:: ..... : vn•.:, •k .r.:..... ..:. ..••J.•..... r•:..w ....... ............ nn\:•}r.,.',,•:t::t.�+:..i':n.-.�v:T}}:?{•}Y}Y}}::::n:::.......}::•.v:.:.-.
:.. .r.. . .//'•:•:::..•nc....,: ..nr ...»........ ct.... ?r..-.....nY:?•a:^r;•r.:...2?}:.:.4•{:••. tnt•....... ..............frt:•�:::•::�r�•..:,::;�!,::.,..-.. r. o}...••.a-^.•:•:<•:}�«
• ...........:,,..:..._:•.............+.•.... } r%:rr.}...tr.:r...::•%ii•!•Y%•:n....t•:r.•....a:n +�...-.:nr,X}}n•:•:::x.......:•::., �� :::::::•:::•::{:•�:::::;:::::::t::::•>:•}}:•:-t;::;:.:•}::..::::.::.:..:..,wf',a�
l�mrartce;•ca.:.:::::..:,::,.•:.,,.t..F......:::•.......r:::,,,,:::,.::.::,,:,•::::>:•:{{<4.}}:.:{.:;.,..,::;•::;:.r::::,.:::::::,::.:::.::,:.:..:.,. .:.:.:...:::..::.:::.::.::,:.:::::::.:.:.::,:.«,:,.:,:.::::.:.:::...:...::,.;:.:...}:.}:.:.:.,;.,:.}:.;
......................................
:•^:•f•::•:....{..:. .... ..::.n.. .. ..........t ... ......-.:..v............. .... .. ............ :tv::::.....:;•Y}:• :-}C•.4..v..v :run.....::•}:�:{.}}:•}:
::...fi.....vn...•:};+y:•}}:H•}Yt:::4. f;:,+,•x:.}:•%G: :..v..nw::x.:...........A.t
..-.........r..r .H........Y .::::..............................n{{•.vr:.v:n:':Ch}:?}}:•:........T.fi:YY:.t:•::•.<.v:::.tv.:::::n.....v.r......r.....................................
................ : .. ... ..................--.::.:.............v.v..v::w.v.•::v::v:w.:w:::.vw:::::.v::;.: x.v::;... ...... ...................
............... ...........v..vnv.v:nv•nv v::•.::..::..:v,:•... i........v v..v.............:::w.v:nn.v...,-...}................-...............n r^:•}}}:•}}%•}}x;.}}}}:•}}}:{.}:C•.?" :::............ fi %•}:f}%:L?{!::::•
., :::w:::x•}�:{w:n\....r}f....v..n.................\..-v. r n:0.w:::.}::::tv::.................n.-...-...{............... .. ......
}}:
:$:<:}:•:•}%{rii?•}}}}:•:•%•}:•:•}v:•}}irv':}%•}:%'.�}Y:}}%{?S•:!}:•:Ji}:'%{•i:??V}}}}}:'}}}:'i:':J}:':4:•i:?S4:vi:'}:;}:}}i:•}:•}}:{4%;::�:}:4}:•:•}:
•:JM/.Sr%v:,?i:?{�:{v};•}:v%•:•:•:•}}}}:•}:-0:4:•i}}}:C•}:4}:{•j}i:•%•i:{%•:??6:}c:;{i.....................................
^\
:•:hv:
1
•......................r....:..:.;..•:.:.v:.:..v:.::.::.::.::.:.::.w:.:.v..w-.....:...:.{:...:......v....:.....n.v:.:...-�......,+:7}y.5�•�.4•::'.:fY:.:.i{..}}}..r.:-:v':.:::i:::'.:i:iiti i?vt{ . '
..-............... V:.:..v
w ..........- }::•.}}:.}i::.?:.}:.}�:.}rii: i iri ..............
......r..
: :nb. }:C}{{6:} :- :..
w�l.l •,v,.•?r
::i:'i}::>:�;:�.<:::::::��ii::7i;1:;�:••}•,;_}•;•%•}:•»>:•%�}}:•}>}>i}}:-}:•:i;:::{:�i:�i:�<i::is�i:�ii:}}'is�rii:�ii:;�i}`:i: :;i::�:?:Ysr:�:�:� :
....................r:::::::.:..........n...--. r:.,:::::::::::::::::::::::::::::.�::::::::::•.::.::.:::::n•:::Wit:.....•..
- :•:•\. n................4...fi[v.:N..w:::::x:::.v::::.v::r:.::..v....n........r/............-..n..r.r................
w:.-....... •:::v:r••:w:i•:•:}:::' •�G..;n x{n w::,.:},.r.\;v}•.tr:•.:vv}:r.; }:•}%•}Y:}'.v,rt:.:.v::v......{•p.Y'.•%i Ytt........
................n.• :r:......../.�.. n r:::.xn f.{., .. r•:•:::-.;.; ..v•.vtw:::::::.{..v:.+.w::
.......n..........f.Sf ... ..t. ...... .v.r. :•:::::rt m rf.......... ..... .... yCyKr..:•
.......... ... ......... r .xn n r.....v..n..v.:\... :.:...::.w:.�.v.%.v-:}ty:}::vM .:::... x:.w::::{:.v:::::nv:::.v:::::::{•i}:•}:•}:�}:fi}}}}:C•:,v,Y}iy}%•., •swwvr:•'.}:
.......-.u,{..:rr..r..n....inw.r.�,• ...5:r....fr ...}.......T...r....:.}........ v::•vv. ..x.. .... .v...... ............... :::::?•}:O}:•}:}}m: %.;...5::;:.}'•:'i:-}`i}%4'•:vv .}•.{Oy,.
........................:....v:.v.. .�n. .. .....rx•::wn•}:::\:v::•}n�}..n...Y:L... \d...v441.,.:,.., .... f ...........
.iu..,..n ..�t&....•..na..........:-...:.oa2n.....T..-..:•:::?}...-...::::-`.t.n.+.�q�Z.%..,•::::•. :•}:•::::..........Yr}::::•::•%•::•}r:•.,..Y:•::}::{.;.}.Y:;}:•}Y}:•}}.:•}:r...::HiMr.::•;:4�;:i::t::#:;�ii:�.nt•:..-
Fame to seems coverer as required under Section 25A of M(M 152 can lead to the b ion of Crhuimd penalties of a Sne to 51,500.00 and/or
one Years,lmprisonmmt as won as dva penalties in the form of a STOP WOGS ORDER and a fine of$100.00 a day against me. I understand that a
copy ofdds statesne tmay be forwarded to the osce,of Investigations of the DIAfor coverage verlficdlon.
I do hereby eerti A e p mrd pwalties of perfury that Ae infornm&on provided above is ft,!and ned
S, Date
Phone#
o®elal use ody do not write in this am to be completed by city or town oflicid
City or fawn: persomemse# DBuibiing Deparhnmt
Ogg Board
❑check Simonedide regwnse is required - Osdechnen's Mee
DHealth Department
contact person: phone#; ❑Other
(teritad 9/93 P1lU
1 1 11 1 1 1 1 1 1
. . .Ili lo - . . - .111•:f1 .1. .11 . •-
:1./ . . . . �• • .111 11 - / L ,/ � ..I.11�. - �1 1 . / 11 / � . I. 1� 1 .� • .1.1• .
/ 1 I • f1I�• 1 11 • •1 • tl 1 • •M . •II • .• . •1 • • 1 ":r :111. • • /1 • •
• .11
/ • • • 11 • �1 • _�t 11 • 11 ti11 G . - .11 • II 1 11 • 11 'Y• • - all•'.1• • • �•: �• vIIu• . •I 11 M4 •
• • 1 11 . •1 so'Fri
11�i 1 It •M .11 •11 . • 1 �1 •y, �111.1 �1111/ • t • :/111. . • • 1 • • 1�1 •
• • - ~1 • 1• I 11 ' 1 • 11 • 11 .II II •It •11 i1111. .11 • 1 • �Y •.;.IN
11 - 11 • 11 • 111 11 • 1 - • • I II_ 1 • •
1• /�1 1 • :1 Ise. • .a •II • . . 11 1 11 a1 .11 V' •11 • 1 Mt •11 •) • • .. •11 1 1 1 • 11 • 1• . •11 II •J • too .
• • I 1 • *1.;-.i • I 1 :•I III• • 1 11wW.kl �1111• •
a . •II • Y.11:.� 11 •1 /' I 1 1 1 ' 1 1 1 11 1 1 1 1 1 1 /
1 �.I 1 1 1 1 0 11 1 1 1 1 1 'I I I I I ioW4 0 1 ON I I
I I / 1 1 1 1 1 1 1 1 1 1 11 1 I I 1 1 1 1 1 1 / 1 1. •II i 1 :.111/ :l 11
•11111 •11 • �'% 1 1 1 •I .It • 11. • . 1• «= 1 .II Y •II YI I .•111�1 111 • Jr •I11. • 11 •�./ • 11 •11 • . • . .. 1.1•
- • Y. • /�11 •1 V•11111 1 V ' 111 11 11 11 1 V �. 111 �11 �1111. . 1 1 • 1:/ 1 •�•til . •••.�111 �t • 11 •111. •11
1 / •
-----
1 1 1 .'
' �: 7I 11 // ' •1...=1 V•I111•�1 `Y.II •11 .• • ' 1 r•I111• �1 . ' •� .�11 • 11 . •1' // .1 .1• • I. • 11 Y1.1 .II UI .11 1
1 1 11 • •1111• .11 1 •111., .to1 .+.. .II 1 . 1 .II 0 11 1 .-IA .I/ ' 111 H .1. w.l • 11 11 .11 I /. • 1.• 11
. II It �• • 1 1 . I11 ••,11 .1 1 III I•V. VM .�.111, 1.1 r.11l•1.11 .1. .II • II I .11 V- r• '�1 1 1 I 1 'I JI I 1
. 1 i-fr.r7,jt3 Ilk1 i• . ( 1 • 1 1 1 - :+.11.1 �• I. 11 - «1 ••1 •I • •' 1 1 .1 1 • t W.1. •II •1 11 .�I•IUI •1 �./
•�111 • �• IL• I 1 II 1 - • .1 III �•11 •1 1 /11 .. « . w11A 11 • 1 '. 1 .n 1 1 ti . .11 •J: . 11 u • •
�• 111 �I 1• • . Y. 11 'Lis.
r.11lll�.11.`✓.1I •II 1 • 1 1 Y ✓• I 11 1 • 11/�111 .1 •1 /111/1 •.I 1�• . • '
1 " I
' K . 11 11 .1 1.•1--�� :• . • 1 V.I111. wl •11 1 1 •1111�• �r•. . 1 1 . 11/:111 1 . . I�1 . V .1 11 • . . •I11 . /
1 .1 ' tli Siegel 1 • 11 11 11or! till /1 , it V' • 1 1 •✓.0 •II 1 . 1• M•I11Y. « •. 1 W •11/ 11 . • r+.111 ' K
• - 11 1• III II 11 •�/.1111 r-1 111111 1 .i ' 1 1 i 1 1 .I �•11� .•1 cull /�1 1 i. • 1►. 11 • - .11••�•
11 1 • 1/1 N11 . • 11 •1 111 • 11�1 .1• .11 V�11 .Ill 1 •��11 11 1
1 t. • 1 • •Y•II 611 • • fob/1 .11 • 1 0 11 • ' .11 V" • ,tell .. /-I .1. •11 1 1 1 • / . 1 .11 . 1 • • 1
1 •• 1• 1 ............Y 1 Y.1 • _J W, I
1 1 .. I11 till t • v. • 1 .II - .11 • Y•. III .-1
1 1 11 11 1 1 1 � 1
1 •11 1 1 1114111k"140PIW41 1
i � I I IIIII
1 it I I
1 1 I 1
1 • '
1111 � ' Il II • ( ' 1
�WE
The Town of Barnstable
MAM• s�aivsrnstE. •
�m� Department of Health Safety and Environmental Services
. Building Division
�. g
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERWr APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with.certain exceptions,along with other
requirements. 45s SA
Type of Work: .i�cU 11)M,� /��1 it°ID�� t/ENt Estimated Cost
Address of Work: ON F' A RPQC.y R lJ ,b 40 -
Owner's Name: DAVi b V 1Q E t- �94 Fk) 96)t291k)C
Date of Application: 91/o d
I hereby certify that:
Registration is not required for the following reason(s):
ri 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 BeROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I h reb apply for a permit as the agent of the owner.
Date Contractor N ��gistratiAo.
OR E
Date Owner's Name
q:fb ms:Affidav
I
YWa
Re ulations
Board of Buildin g 1301,One Ashburton Pace Rm
Boston, Ma 02108-161'8 girthdate: 1oi2011959
License: CONSTRUCTION SUPERVISOR LICENSE Restricted To: 00
Expires: 10/20/200 r;.
PAUL,J CAZEAUL►'
1585 MAIN S'I' 4
OS CL;ItVILLT , MA 02655
Tr.no: 7665
for receipt and change of address notification
Keep top .
-� ae �rr�rr,>yru�s a
F3aaI-d of ,13ui.ldincj Req(Aat.ions and 3tarrdrarcis
One Asl�buTtan Pl:ac� Raarn 1301
Bostan . Massachuset.t.s 02108
-I rne Dripravernent Contra t',ar' 'R t.rat j.c,ri
s i-ati-on 103714 F_xp.i.rat•..ion: 7/9/02
-I..y P e: P r`x v a t e C a r p a r a t i o n
HOME IMPROVEMENT CONTRACTOR
Registration. 103714
r�t1t C & isms" I'NC SExpiration: 1/4/02
►,ak., i, G a z eau Lt � � _ � Type:, Private Corporalio
C-"1J dd.iah Rd :P .O . -Box'2781
0'r J r,<:a i rs MA O265.3 PAUI J. CREAU0 8 SONS, I
Paul Cateault
Wye��_ 22 Giddiah Rd. P.O. Box 2
AOMINIsryATOR Orleans
MA 02653