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0022 NORRIS STREET
�� . �� � r i 1 Town of Barnstable fi Building a Post This Card So That it�s Visible From the Street-:Ap'p.roved Plans Mlust be:Retained on Job and this Card Must be Kept • Posted Until F1 al,Inspection Has Been Made • enav§rut.� '. �d3 . Permit Where a Certificate of Occu anc is Rd fired,such Building shall Not be Occupied until a Final Inspection has been made ,. p.ry ...Y _.•. , �.. • ,.., _. _. . .., , Permit No. B-18-2698 Applicant Name: Kassy Lawrence Approvals Date Issued: 09/07/2018 Current Use: Structure . { Permit Type: Building-Addition/Alteration-Residential Expiration Date: 03/07/2019 Foundation:, Location: 22 NORRIS STREET, HYANNIS Map/Lot: 306-042 Zoning District: RB Sheathing: Owner on Record: DUGGAN,TERENCE J Contracto,r.Name," AMERICAN EMPIRE GENERAL Framing: 1 CONTRACTING CORP. Address: 291 RIDGEWAY 2 v� L Co ntractorlicense: 151297 WHITE PLAINS,NY 10605 Chimney: Est Project Cost: $ 15,000.00 Description: Residential Roof Replacement . Permitee: $126.50 Insulation: F Project Review Req: Fee Paid: $126.50 Final: A. bate � � 9/7/2018 Plumbing/Gas 'Q i- Rough Plumbing: Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months'after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and th6`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: 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. d Electrical r The Certificate of Occupancy will not be issued until all applicable signatures"bythe Buildmg,and Fire Officials"are provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing .. Rough: , 2.Sheathing Inspection ' 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r _ Engineering Dept. (3rd floor) Map Parcel 4�71i Permit# House# _V_,Z Rest Date Issued and of Health(3rd floor)(8:15 =9:30/1:00-4:30) C?-2,,)40 Fee AllJl �Is_&4-� % Conservation Office(4th floor)(8:30-9:30/1:00-2:00) b a TOWN OF BARNSTABLE � Building Permit Application T* reetAadress _ NOPP I S STTkee 1 VillageY.4vlyliS r!/�/�• Owner S E',77-v / l/,I-i j 1-f c w S Address 3OG Coat rlp,4 V. 1 A i Tcyeg TA/. Telephone Permit Request 3d-00r4CJ _01CoA (94-H, (2edocP-e I s4_V T/nS 74/0sT First Floor le(��/ square feet Second Floor square feet Construction Type (S)09 Estimated Project Cost $ 6 o d Zoning District Flood Plain Water Protection Lot Size © /Z A- Grandfathered ❑Yes ❑No Dwelling Type: Single Family f Two Family ❑ Multi-Family(# nits) Age of Existing Structure Historic House ❑Yes io On Old King's Highway ❑Yes 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 No. of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: 2YG"'as ❑Oil ❑Electric ❑Other Central Air ❑Yes p No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: etached(size) Other Detached Structures: ❑Pool(size) ttached(size) 10.5/4�{' q1 ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name &I-64/1les LDS/oS Telephone Number 77/- ��lU Address License# (QQ a(®,!r3 a;Z 6 3 tL— Home Improvement Contractor# 11,116 `/'/ Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �rl� SIGNATURE DATE BUILDING PE MIT DENIED FOR FOLLOWING REASON(S) i t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL. O ADDRESS t VILLAGE OWNER " k DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING• �" E Z 3`OS DATE CLOSED OUT ' ASSOCIATION PLAN NO. l , i a . ��✓'FW fXRMf C.w,.L C r3 V•T4!uygPct -JkWVE 1`/! I �+r�a mes'N:•6L 1 4 i r i fVMe3 AeT MAr7-,YEWS 1'83 LONGVIEW DRIVE Q�] 22,N�/�f3 Sr. r-,rfv,J, . ■ PALTSIOS CENTERVILLE, MA. 02632 SOLE w AVMOVEDBY: DH�WHBY:(/�1 TSUJ O�TE: %iy ( NENSED 771-1410 L ' & REIRMIODELUNG LICENSE # 006653 ITAnvR^f oo�roee DA.w,HD� aEA Hfwer+^^m xEvnocxwr�Ksasu�mrro. �'� j 1� ThTown of Barnstable e 1 Services � �' Department of Health Safety and Environmental ie1¢ Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner 'Fax: 508-790-6230 For office use only Permit no. Date AFFIDAVIT HOME IIVII'ROVEM ETE�rRCCATIONW SUPPLEMENT requires that the "reconstraction, alterations, renovation, repair, modernization, MGL c. 142Ay re-existin conversion, improvement, removal, demolition, or construction t taottmoref than dfouro dwelling units or to owner occupied building containing at least on contractors, with structures which are adjacent to such requirements. residence or building be done by registered certain exceptions,along with other Est.Cost 'type of Work: ✓ s Address of Work: ,/ ,4 Owner's Name � 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 Notice is hereby given that: OWN PERMIT OR DEALING WITH UNREGISTERED OWNERS PULLING DO CONTRACTORS LE SOME ROVEMEFUND O 142A DER MGL T HAVE CO FOR APPLICAB PROGRAM OR GUARANTY ACCESS TO THE ARBITRATION SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a ent o e e Registration No. Contractor Date OR. Owner's Name L nate :. . p� GTlie C�o�nmzo��uea o��/ aollauae%la Restricted To: 00 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE i 00 - None 8uaber: _`_ Expires: 1G - 1 & 2 Family Nome; Restricted.To: 00 Failure to possess a ce Massachusetts State Bui CHANCES G PALTSI05 is cause for revocation M"= 483 LONGVIEW DR CENTERVILL, NA 02632 rd$ � • � 3 ,Il1RR©VEItEN�C�t1RACTOR t gIARLES PALS t05 BL,Dfi �G.REMOD °ate^ Y ...:... t, 't ^}IEW a°hs M. ' ENTERVIIIEk # r. tMP}ri K r The Commonwealth of Afassachusetts _ •.__...I;_ Department of Indrlstrial.4cciticnts •= 1_ ;� _ �� O�ceolluvestlgat/oas 600 fl'asGinrton Street Bosun,Alas. (12111 Workers' Compensation Insurance Affidavit ®•Heart information• ,��1'Iease PRi1VT le:ihly =,� a m e /64e 14- Incition• • , �P T/'d�71� 0 Z6 5•Z- nhone77�lc/lG �1 homeowner perfo ing all work myself. lb't am a sole proprietor and have no one working in any capacity :+�w.ty-.'.^'?*r';-r.�3•-.-+ael�*�rq.. ,..-r.i�1y.�r—;+*.s•uswao7 �-...r^•* - ...•.!.B■,sr+....w^.�'.+..-�t+�-�•--••4•<... I am an empIover providing workers' compensation for my employees working on this job. company name: address: - nhone#: insurance co polic}•!� I am a sole proprietor, general contractor, or homeownex(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comliinv name- •t(idress• city phone#: insur•tnce co policy# �- , ... - _.. vrutr:: •:ryt--•�-:•:•:--rR-�f:-+Rrj3=._----irr•.-••+*�-�;,T�•. .�.::ic-'�•,. 7. ,•�!En.a,.arc;+'.--� mmmm•name: -- •tddress• - - - city phone#• insur•tnce co policy# :Attach addititiital sheet if tiecessat��•;::"iy``_`�;�l:"^t�r+.'f'Ri ,,v,,� ���r,:1 ^`':.r.,r-m-,, Fuilurc to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 andiur one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that n cop)•of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ' !do here=zernd pen 'un•that the information prodded above is true and correct. Sianatu Date zz2a� elf Print name '� O Phone# a official Ilse univ do not write in this area to be completed by city or town official � city or town: permit/license# rlBuilding Department C3Liccnsing Board check if immediate response is required C3Sclectmen's Office C311calth Department contact person: phone#• r•IOther I revised 3;95 PJA 1 a Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' conipv-nsation for the employees. As quoted irom the "law", an enrpft ree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplt rer is def incd as an individual, partnership, association. corporation or other legal entity, or ally two or mcr the foregoing enuaged in ajoint enterprise, and including the le-al representatives of deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However th owner of a dwelling_ house having not more than three apartments and who resides therein, or the occupant of the dA+,ellin``g- house of another who employs persons to do maintenance , construction or repair work on such dwelling.: he or on the `:rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe MGL chanter 152 section 25 also states that every state or local licensing ngenc-, 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 Nyho 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 been presented to the contracting authority. -77 M v7 37777 Applicants Please full in the workers' compensation affidavit completely, by checking the box that applies to your situation and Supplying company names. address and phone numbers 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: Tate. 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 volt have any questions regarding the "law"or if you are require- to obtain a workers' compensation policy, please call the Department at the number listed below. Cit." or-romms Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o- the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple_ be sure to full in the permit/license number which will be used as a reference number. The affidavits may be returned 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 question. please do not hesitate to give us a call. . The Department's address. telephone and fax number. s€x The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 nhone -9- (617) 727-4900 ext. 406. 409 or 375 _