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Home My WebLink About0036 MAPLE WAY fro %�� `_ _ _ ___ �a� � - E 3Z �� '� i -� MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 N.`.. (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 1/4/2017 Form of Notice of Casualty Loss to Building 'Under`Mass.'Gen.Laws.Ch.139,Sec.313 BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET HYANNIS MA 02601 Re: Insured: CHARLES WHITLOCK,SHARON CLARK r Property Address 36 MAPLE WAY,WEST HYANNISPORT,MA 02672 Policy Number: 1120476 Type Loss: Water Damage:Plumbing Systems Date of Loss: 01/02/2017 Claim Number: 411120, Clam has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 313 is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division { e t Barnstable Assessing Search Results Page 1 of 2 FPO ell } i Home: Departments:Assessors Division: Property Assessment Search Results New Search I 36 MAPLE WAY i Owner: Values: Assessed Values: OTTO, PAUL J &MARY PARISH Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $78,400 $78,400 246 /132/ ` Extra Features: $2,400 $2,400 Outbuildings: $ 1,100 $ 1,100 Mailing Address Land Value: $282,900 $282,900 OTTO, PAUL J &MARY PARISH F Totals $364,800 $364,800 3313 STRAWBERRY RUN ` DAVIDSONVILLE, MD.21035 i Tax Information: Tax information is currently not available for 2006 i Construction Details Property Sketch Legend Building ; Building value $78,400 Interior Floors Carpet Style Ranch Interior Walls Drywall Model Residential Heat Fuel Gas Grade Average Heat Type Hot Water Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 2 Bedrooms Roof Structure Gable/Hip Bathrooms 1 Full ; Roof Cover Asph/F GIs/Cmp living area 750 x ' Replacement Cost $97986 Year Built 1950 Depreciation 20 Total Rooms 4 Rooms Land Lot Size(Acres) 0.18 Map requires Plug in: http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=ad... 3/17/2006 Barnstable Assessing Search Results Page 2 of 2 Appraised Value $282,900 I Interactive Property Map I have visited the maps before' ' Assessed Value $282,900 Show Me The Map April 2001 photos available s Sales History: Owner: Sale Date Book/Page: Sale Price: OTTO, PAUL J &MARY PARISH Sep 16 1993 12:OOAM 8790/294 $ 133,500 OTTO, MARY C Aug 15 1989 12:OOAM 6857/012 $ 1 OTTO, H PAU L f 1421/334 $0 Extra Building Features ' Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 SHED Shed 140 $ 1,100 $ 1,100 Property Sketch Legend ` BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area (Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) i http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=ad... 3/17/2006 f/[l o��„E Town of Bar nstable *Permit# 01A C Ex Tres 6 months from issue date _._....�.._._�....Regulatoi Services Fee snxtascw� _ ... -,T1 omas:F.Geller,Director -- Building Division @� � r _. -- '--Torn Perry, Building Commissioner X-PR ; SS •200 Main•Street,• Hyannis,MA 02601 '• J.AN S 2005 Office: 508-862-4038 _ Fax:-508-79�0-6230' TOWN OF BARNSTABLE., EXPI2ESS:kE1tNII'T A �I:YOA'I'YON RESIDENTIAL ONLY. Not Valid without Red X-Press Imprint Map/parcel Number Property Address 0 X I - r (Residential Value of Work 45—/"42 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address d`? sty ,,,y,, CP,( ter! w 1�yPe� f Tel hone Number �7 Contractor's Name — Home Improvement Contractor License#(if applicable) I s ip t la+ Construction Supervisor's License#(if applicable) orkman's ensation insurance ra, on e: m a sole proprietor I am the Homeowner I have Worker's Compensationrin '4rance Insurance Company Name �'f jj- � 5 Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Reques�(cck box) Re-roof(stripping old shingles) All construction debris will be taken to S2 t []Re-roof(not stripping. Going over existing layers of roof) [].Re-side (] Replacement Windows. U-Value _ (maximum.•44) *Oere required: Issuance of this pemrit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. o e vement Contractors License is required. Signature Q:Forms:expmtrg Revise063004 4 /i POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus 20% and Labor at the Rate of$ 50.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please make checks payable to CHARLES COREY CONY & COREY Warranties the Shingles and Labor for 10 years. TAMKO Warranties the shingles and labor 100% for the First 3 Years and then the shingles on a pro-rated basis for 25 Years Total. TAMKO Warrants the Shingles up to a 70 MPH WIND WARRANTY. TAMKO Warrants the Shingles to be Algae Resistant for a Full 10 Years. Alterations or deviations from the above specifications will be executed by the contractor without prior notice if needed to complete the job satisfactorily and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance upon the above work.if this proposal is not accepted within thirty days it may be withdrawn by us. COREY & COREY carries Workmatfs Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: -1 • �;�1, C�LI ACCEPTED BY: SUBMITTED BY: PAUL TT O CHARLES CO HOMEOWNER COREY & CO Y f The Commonwealth of Massachusetts -_ Department of Industrial Accidents { Office ofinuestigat/ons 600 Washington Street, 7"`Floor e Boston,Mass. 02111 Workers' Compensation Insurance Affidavit: Build in /Plumbin /Electrical Contractors 66 name: Le5 V address: V V E> H >S/ city V state: zip: one# work site location(full address): I arazhomeowner performing all work myself. Project Type: ❑New Construction[]Remodel am a sole ro rietor and have no one working in any ca aci ❑Buildin Addition ❑ I am an em2loyer providing workers' compensation for my employees working on this job „z� i :t pr °as •tYh�f� i,. ey, Y .y. b �t 3n v s �' t y -`car't,",rr1�,r+t••ero t 3 t r „ 4 ; \ H h s >a�.11r•CO�T.. ...:...: -. .,,.e....:,.......,..tr,.,..,., ,,....:i...,r.:�-F.U!e+•.,:..:i,iU�:..,�r:..at.J i L..._.«... -.. .-.�:. xJ.- .,r. , • Y C `(- :Ai 1 \ _3vs Cr ;u�, s,�-� Y �.•CtA^j"bo-.�"'.,.�.��n"7';�,"�..�9' �' ''rho`�� "��+r,...'S .�,,°y..y o.r<� .�': „\ c � ,C `C�t>W 2 �>..�'``� a ,+�+y°' „'b��`c .'�.�,`4• .�r��s�s �"h4F,.t,-<"`-5`fi., �.cl� '�.�.t`..i .s<.r._ .i°. .r,...�.. y a.,+EEC S,r��,�l ' +3-y�'�,i.vgyn`a';tq +'f•ts '^a c;""0.iFr. d p a 17et ° ' r r - - .Y :,, $ �'k u ,aa,$u ,h^,\ ?..?"r 'r'•T 07 0.11�,�- K�. lJ i our a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices 1:6mPanyTlartle, . >•. .. -_ -. <_ �. A.,a._,en. :a,r,.: ..r:, ....• i .. 3iroite#: v f �'— t ro7nbarly'naine... . City: 33io:ie#r 7. vrsntncee$ .-.. _ ......yt.. .... _. f, Mo---------------- r: MEN Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi under a pai and pe allies of perjur t rttf/a information provided above is true and correct Signature Date Print name Phone# official use only do not write in this area coin lete city or town official city or town: permit/license it :�--J�ie lding Department' ensing Board ❑check if immediate response is required ctmen's Office lth DepartmentLontact person: phone#; er vised Sept 2003) 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 hite,express or implied, oral or written. : i + An employer is defined as an individual,partnership, association,corporationbr+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,oir,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 buiidings in the commonweaith ror 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. 1113 Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, 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 sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to 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. NORM Mile The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600; IS:'ash ~:gton Streel Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 • ✓lze 'C�omvnao�uuecc�o�.�aaactc�iu4el�` BOA4 10 OF +UliLpl!NG REG.UL-,T!®:NS License:`CONSTRUCTION SUPERVISOR Numb 002881 / � �f1T41 6 Tr.no: 18791 CHAR+IDS E 1684 FALMOU— CENTRERVILLE, Acttrigt mis over i ✓fie i lm"'M""a a�./�craoac�u�4Ptf6 s Board of Building Regulation's and Standards HOME IMPSOVEMENT CONTRACTOR Registral6nN- 1A b66 p Ho G/ 06 COREY&CORED IPRO�VEMENTS CHARLES CORE 1684 FALMOUTH RL�S� 9 >� CENTERVILLE,MA 02632 Administrator y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map , Parcel ... '' . Permit# hq �8810(r Health Division Date Issued Conservation Division e I w •: Fee 101A Tax Collec t iD/� I Treasure — — SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. V=1 TITLE 8 ENVIRONMENTAL CODE AND Date Definitive.Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Un AT L 2, (V A y Village W NyAIVAASP6P-T Owner (EAU L' O 1 TV Address 3(o M A 10LF_ U)AY Telephone Permit Request . f r Square feet: 1st floor: existing q00 proposed _ 2nd floor: existing _C proposed Total new. Estimated Project Cost 1 g U k ' 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 ANo ' On Old King's Highway: ❑Yes ANo Basement Type: ❑Full Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Sy® Sg C� Number of Baths: Full:existing new b. Half:existing . n new r Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: KGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes KNo Fireplaces: Existing New 0 Existing wood/coal stove: ❑Yes j�No Detached,garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new. size Attached garage:❑existing ❑new size Shed:0 existing Xnew size 1 OK V-1 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑' Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# - Worker's Compensation# ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ><�-6IGNATURE DATE t FOR OFFICIAL-USE ONLY .. { . T - PERMIT NO. - G- DATE ISSUED. MAP/PARCEL'NO.,' k a ADDRESS a '.: �..' •, VILLAGE � •� w. K .� � < OWNER + DATE OF INSPECTION- _ - �'• �` - _ i - - � ; `: 4; . , i _. FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL +. PLUMBING: ROUMT FINAL _ !* GAS: `ROU � O r FINAL .� .. - FINAL BUILDING cr '= DATE CLOSED OUT 7 T to Q 'C m `= _ '' ASSOCIATION PLAN NOS z{' The Town of Barnstable °FTME rgy�o Department of Health Safety and Environmental Services Building Division BAM9 �' ` ? 367 Main Street,Hyannis MA 02601 059. �0 + A�0 MA'I A + i Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION ` Please Print , DATE: I J(j.&)E JOB LOCATION: 34o I'1 "LIC, *G() A y W, YA�vAli S #0b Ie I number street village "HOMEOWNER": Y(}f-�U L dT�IZ3 -7 04&& name 1� ,home phone# work phone# -5 S CURRENT MAILING ADDRESS: 331 MAw CAL-ZrzY ku N - �AV 1 bSo/tJ V 1 LILF_ (V a2 io39_ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellin�2s 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 _... ._ .n__-. `homeowner"—shallsubmit.to-the.--Building-Offcial.on.a.form-acceptable•to�the-Building-Official,:•thathe/she-shall--be- responsible for all such work performed under the build'ng permi (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 minimum inspection procedures and requirements and that he/she will comply with said procedures and re uirements. 'Pt'i n , Signature of Home wner 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 to amend and adopt such a form/certification for use in your community. Q:FORM&EXEMPT OWNER: Map Lot •�, DATE: The Commonwealth of lWassachuseus ;�� ( Department.of Industrial Accidents 07effVf1VY05tl92t/oas 6o0.Washington Street - �.• Boston, Mass. 02111 Workers' Compensation Insurance Affidavit - Pat/1- orr0 city, W H JA NN Is PO l2T , M A- 0 26 la -nhpnc# '7`7l-O-1&(o I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job�8�i l�o �G Cor Pt0 JGt- a ress 3 y r 0 l C/ Pro I city: nhone 9: t:. I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who hav the following workers' compensation polices: complov narn id dress: phone . policy l3 — ctry phone#: policy# 1t13 - Failure to secure coverage as required under Section 25A of�NlGL 152 can lead to the imposition of criminal penalrie+Af I r"C-UptnS1S00.00sad/or one vears'imprisonment as well as civil penaltics in the form of a STOP 1VORK ORDER and a fine ofS100.00 a day against me. 1 undermod that a copy of this statement be forwarded to the Office of loves nos of the DIA for coverage verifiaodn. I do hereby certify u de t p a d ties of -ury that the info ro ovided above is true and correct Date (,��►... �l°1 Signature Print name J(=11"r1 P S cJ' �L h rUl Phone k o(Ticial use only do not write in this arcs to be completed by city or"town official city or town: �• _ ._. _ - permiUlicense p t 18uildiog Department 0Lieeasing Board check if immediate response is required �Sdeetmen's Office. / 508 ` 0Hcalth Department ❑hnnr d7 1 / r-?Ofhrr Suggested Affidavit for Home Improvement Contractor Permit Application For Omce Use Only NAME OF CITYII'OWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application J MGLc.14ZA requires that the"reconstruction,alteration.renovation,repair,modernization,conversion,inprovemem,removal,demolition, or construction of an addition to any pretcisting 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. . Type of Work: 0 ISiyvGj�On o� P05i t f3enc-m��I 1 at.-C9/1 goo • -dti ress. Fe _of-Work� 30 M 14 P 1_f- (,r'J A A / y Owner--Name'✓ 9A-U t_ O TTD Date of Permit Application: I hereby certify that: Registration is not required.for the following reason(s): _Work excluded by law _Job under S1,000 _Building not owner-occupied Owner pulling own permit _Other (specify) 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 age t t r: _ 7V_ Date Cnntractor,NarVe Registration No. .Po(bo r OR: Notwithstanding,the above notice, I hereby ap Iv f r a permit as the owner of the above property: Date Owner 'amc O a a_x :x 2 1 u2s uAi � T;LOT_PLAN FOR LOT # Indicate location 'of garage or accessory building Additions with dashed lines -------------------- Sewerage disposal (cesspool) Well I I 1 (lot.. . . . . . . . . . . . . .ft. rear) I Abuttor s Abuttor s Name Name Lot # I Lot # REAR YARD If this is a i� � _( If this i corner lot, . . . . .. . . ft. corner 1 write in name . . write in of street. name of Q P other b street. SIDE YARD SIDE YARD HOUSE - - - - FT. I SET BACK .ft. ; 19 (lot. . . . . . . . .. .. . . . . . .ft. frontage) \ (NAME OF STREET) Information Supplied b PP Y MARK NORTH POINT Z E Ii C:. ag'o w a ® 0 0 =JO 1 =Q l..I a8 �8_• z _ �l I V �, } I '... 8.. i ❑ m o N e W �� z goo i 10 ..............._........... r-0 7 I Assessor's office(1st Floor): Assessors map and lot numb r / �� i THE> %0PAC Conservation(4th Floor. 11VS7e 71LLED 6N MAIP A,NIL&�' ��' � °► Board of Health(3rd floor,. WITH TITLE 5 t BAL13TULZ Sewage Permit number M —� �y rua .: VIRON%MENTAL CODE Aki"� 'oo ses9. d° Engineering Department(3rd floor): �z/ �,t"� y '� � � Ito V�v 6- House number 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 N 4 o ('p r 1 9 � j ri Scree h J'DO m q hp1 TYPE OF CONSTRUCTION LV(j p (d C 0 V► C.ret e 0 Z 19 TO THE INSPECTOR OF BUILDINGS: The u dersigned hereby applies for a permit according to the following information:/ Location 36 g PLC' A v.e— /7` j h h Proposed Use c d- S C ree h �00 " a hal 73 z 17 cCe l`3 ' Vz 'Zoning District Fire District Name of OwnerL/ a f �L J� Address � � �� V'R/u6 CYd'l ry h. i ✓'� AD �V� �r Q, L Address 3 c�o h,e,� Name of Builder • Name of Architect Address Number of Rooms Foundation Q-DV C I'.0 t' AL C, e S Exterior LvY I L e- C ed(�q- `7 i h4 ezf j-ee-h"Roofing Floors e G' ►� f�e1 Interior `l C re,e,.h Heating U Plumbing C� Fireplace h U Approximate Cost / d a Area &-6 Diagram of Lot and Building with Dimensions Fee P C PECdf ,\t lava ea 3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to a the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Si ipervisor's License o o ar) �� OTTO, PAUL No Permit For ADD TO DWELLINC,';� Single family dwelling t _. Location 36 Maple Avenue Hyannisport , Owner' Paul Otto ` Type of Construction - Plot Lot Permit.Granted May 13 19 94 Date of Inspection: ; Frame / 19 Insulation 19 Fireplace 19— Date Completed �' 19 ' - 4 t 1 i •+I - /i f t _ t II �' II cl '3 i NX I I I� tl 9 as 11 G I � �� . � �� i a �� a �� 'II i i 1 �. . _ t �� {� 1{ `� 1 i �' . I �i . , � . � � _ _ _ � t 12, I om=_— ZZ qTT Ii itI A {I i I! I I � F .y i� �� l ' f� �i ' �� t ' �� . �� i -- f I! 1 � �j+t+� -r._ __...�. - - - �F . _ � ; '-' ' F! �� J411! x �� i �!� i ii+ FF� _ � r ` _ �_ _ �� S �. f _ i •'C W- ; CONUA0 of s�Acxvs rs`.^ :� 1: '` t +. d...s:: R� ,'y,bas4fa�,.�"'1 w..��v'1•N� 7' � . r u •c,c r f 4 JEI'�'T OF LNDUSTRIAI><rACCIDENTs ' #,'x _ ' �� Win• � �f `600'WASHINGTON SLEET' ` g _�3w X S BOS'I'ON; IviA_SSACHUSETTS 02III 4 tr ; fames s Cartaoei• .omrnastone: WORKERS' COMPENSATION INSURAN(CMAFFIDAVTT j v 1 ( Orcrnsee/permiuee) with a principal place of business/residence at: 3 f do hereby certify,under the pains and penalties of perjury,that [] I am an emplover providing the following workers'compensauon coverage for my cmplovees working on this job. $. 4 i Insurance Company Polity Number 1 am a sole proprietor and hive no one workin for men P g. (j 1 am a sole proprietor,general contractor or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation insurance policier. 9 Name of Contractor _ Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number • y -fib _ y�';. a •. - Dame of Contmaor Insurance Company/Policy Number : g Q 1 am a homeowner performing all.the work:mvscl£' NOTE.Pleise be awake tssat'w6tic horneowcers wno ciaploy perwas to dn,maiatenaaee.coasiruaioa or iepairwork on a dweliint of not more than]t rcc'units in which the hornco'—ncr aiso resides or on the wounds appurtenant thereto arc not Ccnera v considered to be emplover:'uader the aorkcrs' Corrvensation Act(GL C 152.sect. 1(5)),application by a homeowner for a license u acc rile Ictahsrus'of an emplover under the' orkcrs'Compensation/ter. or permit may evidc J'u .eta;:nd t^a coD:•o t..s ss_t r.;cr.;will'be forwarccd to Lae r'ieDa:r:e.t or Jncus:..:JAedaenu;Office of insuiarlcr foi,coverage c . to tnc impositionpersJdc�,=;on .rc s rccu zen - c:i u ,. consi a_£of tine C. car to d cn�GG Y'�G�Or 1m�rLOr.^..L^.L of ua to one vc ::1G CV�''DCrS::Je1 L'1 the form Of Stopori: fine of S l oom a eery a€:ins:mc.' . Signed this I u day of , 19 Licc:a:_r P�.r.:�-__ :.ice^sor:Pcrr.:i—,;,: • it `—� COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE a hh MASSACHUSETTS BOSTON,MA 02108 LICENSE CAUTION EXPIRATION DATE �� CONSTR. SUPERVISOR 06/22/1996 EFFECTIVE DATE LIC-NO. j FOR PROTECTION AGAINST RESTRICTIONS I THEFT, PUT RIGHT THUMB 1 S o 03/3 1 /1994 050096 ! PRINT IN APPROPRIATE 1 & 2 FAMILY HOME BOX ON ;o DAVID G HUFNAGEL roll +� 0 3 8 J O N E S R D ` °� �'E BLASTING OPil ERATOR��'.'I m MIASHPEF AMA 02649 M(ygg:lNCL�I P1iBT0} PHOTO(BLASTING OPR ONLY) F 00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY it F E B 1 6 1994 HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER THIS DOCUMENT MUST BE � 1� SIGN 1 CARRIED ON THE PERSON O' SIGNATURE OF LICENSEE ' THE HOLDER WHEN EN- yw E OTHERS-RIGHT 7HUr.19 v-.it:T GAGED M THIS OCCUVATIO!r. 1J w cam is IONER � %f IV ✓fee Lo�imsro�u�ra.¢�c n�.il�iwaac�tuJe�, . I^ I ITI _ _ J 1 ADMINISTRATOR is ,-. .. _I