Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0123 OAKVIEW TERRACE
3.i Town of Barnstable Il� I0 ' Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept • enxtvsreec& + I > KAS& Posted Until Final Inspection Has Been Made. Permit � tej' �� 1�ti..�.11 1111. 39. Where a Certificate of Occupancy is Requiredi such Building shall Not be Occupied until a-Final Inspection has been made: Permit No. B-20-989 Applicant Name: BRIAN DENNISON Approvals Date Issued: 04/10/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/10/2020 Foundation: Location: 123 OAKVIEW TERRACE, HYANNIS Map/Lot: 268-277 Zoning District: RB Sheathing: Owner on Record: OTOOLE, ROBERT W H N Contractor Name: SOUTHERN NEW ENGLAND Framing: 1 WINDOWS LLC , Address: 123 OAKVIEW TERR 2 -- Contractor License: 173245 HYANNIS, MA 02601 � Chimney: Description: INSTALL(4) REPLACEMENT WINDOWS Est. Project Cost: $6,803.00 NO STRUCTURAL Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid $35.00 Final: Date; 4/10/2020 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized 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 the approved construction documents for which this permit has been granted. k All construction,alterations and changes of use of any building and structures shall be*in compliance with the local zoningx 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. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not roceed until the Inspector has approved the various stages of construction. Final: "Per ons contractin ith 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 c �c�, q�e - ;1. .. , �. k .�.y - a t ti' i 'k. f A c„pr 4�j< ,r4 '' .. r 11, aa11 'D �g ' V t I t ! I t 1..' r f _ - ' r , _ I 't .. I ,,, L , P-«- s,fi, t I- x . , .ko I�, y .! 1 -I�ii y t,, I *j I . f t �: j'` I +lft r. yy , .-j: '� i' �. ` 6J•'. 1 �. '.. i ' ,, r ,+_ �'7?p ,/ I : ' µ s ...1.! T. 1•;i- 1 j k,- { y-w. iC y,... : }} �1� 4,,**_11.,_�,':., I �:I, I_:At I I ! , l . (E-1-4 1", I_ i I � , >t t .I. r { J {S t t I "i`S"� k },' `� v / . r , .I• f 44 ti E t i r a t�:_ li '� It sal �- i ;j -. a 't [ ! I'..J X x j;a - t ► ...-,,, -s , 1 a t {%_ ^y } r 1 t t ' i Pt"r 'L t;.k I r � i• t .- r� � ,.1, }. t its y +} L1 1,7 ' t JV. g r{ I �, i >I I l t ttvr r�.� I ��.. .I. y.. g + t k,y.'k,-. T'.f } t a. " .1 x F,.} s '\w �p1 .. t , C � �''./\ / -.� Tt X"f t iyt yy s �, j u ttry6,1 r .f 1, t "' '_ )k� 1 t -,.�Iq �- ;./ I� I '������� j --! � 1-�F I T'�s`rl [ r� 7 r '<t' r ,. R •-- I s 8 t:. t - A -'af r ,-�� ' i ,.t t y- / Y # f ..,. # a ^f .�'' a F' ['Is„P' . •s a '+, . [ `, -kt 1 k" : F i. t 7 r - Q, -.• .. 4 '� " - 45 j •. i ,`�,, aIII,'. } s „ ( t fi r..i - ! , ly,/ F / / eI r E" J '_ I S '.�4. ,p a - a* L. 1 {{ u.I.. I . � 't-L J.'°°`'Tf•... -"'� I fur a I Ti{-F s 1� r < , - I , ? t., } 'YI r5.r ( / g t i + `�T f. X yj "`/ ,l`t sa �. , G r �} C ] I f�. ! ZQ.}. \ ..�; y7� t 1�.�4•k / ' -.'Vr/ \ i k y .., " t �� f ""17�t4 1.1 , , t I t-,'< '*''-�--T� 'rl-. E Tr.�,� s 1 f _ , S y ! 1 - t { - Il, S t, { f <.. n "s. i•r -�. _ - r all { l , t ',, r ,' } , s ��r{ j /-t'�Jj"�41O Al. . `` � "I /,t. s :� % �n�w i` a 4 y n ' ' r + i �i? - S ft j-'.t t d i t f .d.:w[ Y� 'p "'r • r '_1 It .i,:. l 'l+'�S;yB..^J�'L w i 1 ` a .._. t f ,�,Iy`i y /IS M py ,, [ 7..� `,_ !I I gm. ,•G-,�Va `�"'- N e2 '�4 .� LL' �r - }. `t" ',0, e 43 x t)/��I `T ►►� ,i it w A .Q M - kr_ E 1 ± Y r.,t 4 f p; % _ ` /��t' :. �. .. -t 1 x'h�i 7[o , }. .y /*. -`Tn - U �. * 'y 1 ,.� `4 'r ' r a r[ t�.i..,;� • t b 4. ^I Y . • ' f a '•:: A� -'s I �Pal} t { I t f k,�--, , F T t@-^a' T% / r' ti f F. v `�.{+, Q1 Jk, t { r ' ,I �I `I t1 ,ti �'S �[�CW 41. .i�i'^ {;. I \ .� .r -f T. !, 0. 4 , i [ ' ,.r !.r I 4 § , y ._ ' �`IY v,J Z 1, .. 1:'�� Y ��1. - t. ' ..c. ;. ; :i %t' "�I $ (.... cs K; F ( 4 '� f , ' - �y t - ` rV .aZ a. i r { t , s k' a - M. Zm c t , t, y' a Jt--it, ., i h _h y ,: :Z"1. t 4 �� \�' �' aD ..r. i -1 y 1 I ` 4 [ r- `, .ir } 'f a°tF:r 1 t z , e t y -__ `. k t' i �� 1 [ �_ / .5 S t r.� t 1. > 1 r. 'Z �___4, _ , i-, i , s - i2.'s �3 -.1..1 r 't i,4�-' t.'oL. ! [ , r I `� T j [ a �n [ I N t F► , }. A rr Ill,,s a r;.: 1 +st / r t •.�9 w \ � a, .. I � P p 1.' f e t' t�, a ,f i '} .� 5 - G a. $ } q Ali , g i ,�, - r , 2 p C\ - _ I f e R.. ` a�,- , c " .. �T �:\J - i 1 t s !, t #x'f sit i t "�.`'` t , k. i - ig . ..� -- I . , a 1j�_I�/ � Al-A. :�°`' Z r� .i.,'. , �I-It . f °1. (µd I .�!t '' +_ '1 Z t...,t -,- { ` t. - x I Vim!/�•� S I f E i �'. J �'•}'�� �•.�f.} E 3•' ;i r � t .... G:t l' r » .t t L�Cit`�{�l� Q� li 4 TT .3 { 1 v s } -'I :3, t 'i ,ujJ j"_ � ,,: k ,, t + r 1.[ r t Il .t k 3.x ��_� "� t + r.t(�Ij ysr f t 3•.. t r� �, �Y ! t 'it vy-r. 1 r S� r a�11 } I. j j r 4 I ,a , k pd -{Z�1,�a t- .T';. "' g ,.�,w,,..``�. _� I V �I . x ..n.. I ' '""1ir•� � 1 t ,s r T?T ;�,t Y �. p $ tj ..i.,.. t4. --__-' '`-....t�,l vy.�.y.. t I '} j t 'n# 11. ,d °y<.T,: ? ,T n ' : '.4 ....'' ���`' !.�- t `'�'/ Y. F 1 I:'k aaxv yf s:,s 74',-tG rtr ,- t yy t ' ya I*,. a ..1. j r I t .t e r ! _ r ?' ti _ , C 3 i-*r' { 'C 3 I !t '� n,1"f . ¢ '`E ,I"rr {" ' I , jl `V.,�� A _r �f : t�j i 4���45 E1 ..etc1 t ;71� �"�": ( riA'' i.� srr.0 �ts 1' , h , Y t� N C I N. F f.1 . . oT_ G yl 1 '� O 4 I . ,- f F r F t I. t l ;. a °fi" 1-4 C_t j4ti> t "Ft1l �U1I�A ':�tS� r i 7 t ,t "z'.a ' 1 �'.1. t ,rJ 'S't, {. 4^ 1_d ,� t _ c td I s '. . ' t \ // I ht sw f d t'tt �"..,i�P't 1 br.. +, ,• } I �I aJ 1. f ACZ!i�J4 a S. t s I i,-{<J 4l i { j f }>4.`_ yy z. `' F.,_ t . .E } I5;�0; "r-' ¢I , 'r i I- ��s ( �ii;c4� la. cY".y aC 1.1 7 ,I -+ _ _' .!.__ _' ,..,.i.. -. __._..._ (. .._J. .N 1: !_ 1 4 -'45 t- v�t _ SKEE-'CH PLAN ®� L-AI®J® 11®1 L�xz_v4 a_y 4zii .� _1I - �I " f �3� , j 4�n3. _ - - e. , r• i 1 r - F"O R `.. r f s 4 ti' 1 : i ^f?;" tq�} 5. ; .Rc T ryy z• .- �� ,;� .�J� •�,�1t ', /�y ^�I �' ;«s� V t�' p 4�o-t �, DATE: I: SCALE �- U ,s, x $t-li:q(� `LET r" A-5 .,-'SNo�,,�.i 0y-�._/` Pi h w F 2ok��, _ - , -, t t �E � �' `� j{• `-ram; 7i�� ;.� �� . z� � �? , ,t� �0 __ °t=.B. �a gY to t < " SrR. BWEETSEFt DF "` .k - +- S ,y •r_. ENGINE E R"."t4 w u -- .-.�-. �P ►N M4.& - f b"r 7h ;` ', 97 SEA STREET ?4' l' t ` } rc,' T DENNISPORT "' MASS. � O ST _ G� _ z, z t �-. ' � . . - _ •RAY �-11 � :�/ r. NOTES .- o SW v1 a s 7,i,. g3i " , ,,;xr.�I`,z +{- , ELEVATIONS SHOWN 2"� . ARE FN FEET ABOVE , I. . . ,¢No: 2 �0� Y' w$1 5 `'q �,Zt'SYyf-/> ," I,�f F r, f ..': t, - 4. '.� -� ;i::r k tS' k '1,.,a,Ypa. 3 z ��w�t *i''' I _ - _ - - _ _ ._ - _ _ _ - - - _ _ _ _ __ �. g " <x F" a r t DATE AGENTS _I�.AP 5 aFSt aBOARD OF HEALTH , e .:, , , �--- r a".n 01. Fir hs >j I CEF?TIFY.,THAT THE Yout,1C7N>.o/71.I- •SHOWN SON THISs `: ' OF�4. 1 '' '�7 x !, t PLAN IS LOCATED ON THE GROUND AS SHOWN ,� r Cg ,%< 4 Lk; THEREON'ANO THAT IT CONFORMS TO THE. ZONING 9G y a: �` �{ +{`�y, SAND BUILDING LAWS OF .THE TOWN .OF i �TA�=!-� p, z y ,. IR 4 y 3. iC+ . ! h WHEN _CONSTRUCTED AND TO THE RESTRICTIONS ON RECORD y �ay'+• 1-11. ,t �' rJ,.- [ -a,•y r I.. `' y, I-`�� : e~� III'' 'n "3 �: r;r /1' `� X ^.;'. y..I jj� l T" ji-L pp_� 4 -- -- - - , ,\ � j t DATE .1 _k RFGIS_TEREI"_: L.AI`J,D,`�ItE�VEYQR t:'• t ; # I1 + } a 'HEFT 'I OF Z M.; fi 1 ,. f - C7 14� t' Town of Barnstable *Permit# 9!D Expires 6 m hs(**issue date X"PRESS PERMITRegulatory Services Fee MAR 1 6 2006 Thomas F.Geiler,Director Building Division TOWN OF BARNSTAaei perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number , / Property Address 3 ©� Y l �PiT"� - YLA__j eta (Residential Value of Work / 1 Minimum fee of$25. 0 for work under$6000.00 Owner's Name&Address � � �a 12 ©A4-t� Contractor's Name TT6f+t?i oT -� — C �% -�S Telephone Number �W Home Improvement Contractor License#(if applicable) l L Construction Supervisor's License#(if applicable) �orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑�am the Homeowner L( i have Worker's Compensation Ins ance r� Insurance Company Name Ws� Work man's Comp.Policy# l� / 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) Vside. . lacement Windows. U-Value d - 3 (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign ProDertV Owner Letter of Permission. H e rovement tract s L' ense is required. q SIGNATURE: Q:Forrnvexpmtrg Revise071405 r •- ✓ w Board of Building Regulations and Standards HOME IM OVEMENT CONTRACTOR Registrations 126893 �Exirafion 3l 006 -` yp ; :supplement Card vim,. I >N THE Home Depo 0 a X- WCHAEL BEDA 3200 COBB GALLS 1F1�� '#20 ALTANTA, GA 30339 Administrator I 4 ' a i The Commonwealth of*Massachusetts Department oflndustrial Accidents ®ice of Investigations Y 600 Washington Street Boston,M4 02111 M ° Bwww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le °bl Name (Business/Organization/Individual): Dep 0 Ar ^CAS Address: :�;q` sr 4vA-D � City/State/Zip: 3,0 303 Phone#: Ar . ®u an employer? Check the-appropriate box: Type of project(required): 1. am a employer with (0 4. ❑ I am a general contractor and I 6 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have & ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' romp.insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Phambing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs . insurance required.] t employees. (No workers' comp.insurance required.] 13. Other « *Any applicant that checks box#1 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 TContractors that check this box must attached an additional sheet showing the name ofthe sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: 3 0 Job Site Address:_ I a— _ U!P �� City/State/Zip: (,iiyclA✓CS Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration slate). 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 farce 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 her rti de the poi s nd nil 'es of perjury that the information provided above is true and correct Si afar Date: �� Phone#: �O Official use only. Igo not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Bo2Pd of Health ?.Building Denartmeat 3.CitylTown Clerk 4.Electricai Inspector 5.Plumbing taaspec or 6. Other Contact Verson: Fhone#: .f r ati®n and Instr di® s Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, 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, §25C(6)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,MGL chapter 152, §25C(7)states"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." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance;- If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should eater their self-insurance license number on the appropriate line. City or Town Officials . 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in. (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business'or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to_complete this affidavit The Office of Investigations would like to thank you i a advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: a ch The Commonwealth of Massachusetts usetts Department of Industrial Accidents Office of Investigations. 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax rt 617-727-7749 Revised 5-26-05 www.mzss.zov/dia � MAR-16-2006 04:30PM FROM-RVIA HONE SERVICES 5087569009 T-472 P.001/001 F-969 + Branch Name, 1,lv Sold Furnished and Installed by: ,— Date. (; THD At-Hurrie Services,Inc. d/b/a The Home Depot At-Home Services 345A Greenwood Street,Worcester,NIA 01607 Branch Number: 1 "y) Job 4: 7 .i LZ Tail Free(800)657-5182; Fax:508-756-2859 Federel ID B 75-2693460 Mr Lc H C 02439 R1 Cont.Lich 16427 y CT Lic a 565522: MA Home lmprovemcnt Contractor Reg.AI2681)3 Installation Address: State Zip Purchase r' Lad 4 Dl tr of Drily r,'Lic.k 8 Er ,Motyr: Work Phone: Nome Phot[e_ SAcic7 t�`Tit!�ir ( bC� 6 IY —1 Home Address: _. _ if different from Installation Address) -� City--�-� --State Lip E-mail Address(to receive updates and promotions from Tha Home Depot):�4' _ c t r tie I,Ve/You("Purchaser"),the owners of the property located at the above installation address,offer tc comract wn ome epot U.S.A.,Inc.("Ho{e a t')to fi;uTtish,deln�rand arrange for in.tailalinn ofail n2;erials as descr--bed on the atia.hed Spec Sheet#: � -�_�___,incorporated herein by reference sand made a pan:herecl. Iilonrie Depot reserves the right to cancel this contract if,upon m-inspection of the job.Home Depot detertnin::s chat it cannot perform its obligations due to a structural problern with the home,pricing errors or because work reyuirec!tar complete the Job wrt3 not included In the Spec Sheet or Contract. - —s UEPOS1T PAh7KENT opTION (Sabred to tltnd verification aniior crY9i[approval.) CONTRACT AMOUNT $ OS� 1. Chick,Cashiers Check or US postal Setvicc Money Order (Made payable to The Rime Dnm), ftLESS DEPOSrf $ t t tJ 2• Credit Card*and!or o1h:r oayment options-Cyr+9e One Bela% VIM MasteiCard Discover American Express BALANCE DUE ON COMPLETION $ �j� T'ne Nome Improv�cm2m Loan The Home Qepn Credit Cud 7 New Acaown 7 Edstlrg Armunt (Hit,&HOCC'ONLY) "Minitnrlm 25 io oCt;oatract Atncuat dare upon execution f this cantract. Available Credit:S (HiL&ItDCC U,Ll) Exp.Date'__..'.--__ Indicate Payment Method For I`IaGtte as it apPeors on card:.__--________ _ BALANCE DUE ON COMPLETION; -ay myrour uFaature below,CAVe agree to nliowHomr Qepr;t to charge:he alw+e referenced credit card for the deposit indicated l�tiK Cardkdder'sSignatu[e�Y.� _.-- -- Qatr------ F HIL or HDCC Authorization Codes ��-- Detrosh `i` I FiFin_al Pa ment i Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will execute a Completion Certificate and pay any Valance due. purchaser also agrees to be jointly and severally obligated and liable hereunder. iGndare",areemepi:This agreement and its auactunents,including arty financing agreemert,contain the comprlete agreement e ween re parties and cati not be amended or modified unless in writing in a seoaraie agreement signed by bo;,parties.. NOTICE TO PURCHASER Do not sign this contract before you read it, You are entitled to a coatpletcly filled-In cony of the contract at the time you sego. Keep It to protect your rights. Do not sign a Completion Certificate before this project is complete. Law prohibits home rappsill caneractors from requesting or accepting a Completion Certificate signed by the owner prior to the acteai cornpietion of the work to be performed under the contract. You may cancel this transaction at any time prior to mtdnieltt of the third business day after the dote of this contract. See Nortce sir"Cancellation for an explanation of this right. There wilt e a service charge equal to 29%of the mntrect amount if the joh�s cancelled by Purchaser AFfEli the third bushress day. BY 1MY/OUR SIGNATURE BELOW,VW E AGREE TO BE BOUND 3Y-1 HE TERMS OF THIS CONTRACT. U1VE ACKNOWLEDGE RECEiirr OF A COPY OF THIS CCNTRACT ANQ TWO COMPLETED CONES OF THE NOTICE OF C.1NCFI.LATICN. BY MY/OUR SIGNATL'RF,PELOW, 11WE UNDERSTAND 'CHAT. 714F AGRF.EMCC117 iS SUBJECT TO R;VIEW C.F My'rCAUR CR.F.Drf HISTORY AND 1/W%AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY;OUR CREDIT RECORD)WI'iH ;tN INDEPENDENT CREDIT TING AGENCY AND'RFT-FASE 1'llEN1 FROM ALL LiABrLITY INCURficL, INADVERTENT O. ISSIO S O RRORS. DO NOT SIGN THIS CONTRAC IF THERE ARE ANY BLANK SPACES. J Sales 'onsultaw ACCEPTED BY:_ Date. Date: Ftcwttowne: NOIWE:ADDITIOVAL'TEAMS.CONDITIONS A-NO WARRt.N"I jV.s ARE STATF:n ON THE REVERSC SIDE kNT ARF PART OF TITS CONTFLSCT Whim-Branch File Yc?tow-CLsmrtr Piui-!ilea f:ncsaban, 12.5.05 C-SC. i rn �, , Town of Barnstable *Permit#516 Expires 6 months from issue date Regulatory Services Fee .Z 7_ `7 0 Thomas F.Geiler,Director Building Division .Tom Perry,CBO, Building.Commissioner 200 Main Street,Hyannis,MA 02601 X-PRESS PERMIT www.town.bamstable.ma.us MAR-; _ p 6 Office: 508-862-4038 Fax: 'W790 b2�30 EXPRESS PERMIT APPLICATION - RESIDENTIAL OW OF BARNSTABLE c Not Valid without Red X-Press Imprint Map/parcel Number 0 Property Address [a t-t Ky n E W 7 E. (�R(c e "-W a� S it VResidential Value of Work ?�f Minimum fee of$25.00 for work under$6000.00 L ►'1 Owner's Name&Address�n bQ r-1 _ W � _ &e— Pd box -143 l nnis, poc+ MA- oac#y_7 Contractor's Name � ,,� l A ZE P A-u 1� Telephone Number Home Improvement Contractor License#(if applicable) l©3:1 Construction Supervisor's License#(if applicable) ),Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name \{6, rs JJ.S Workman's Comp.Policy# onq 5 5 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 Y��M o ❑Re-roof(not'stdpping. Going over existing layers of.roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) - *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Impr vement Contrac ors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. (Please return this form with your signed contract, thank you) l (Print) CJ e v f W J A; t T&C-1 as Owner of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. To act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) "Ve U, r N C Signature of Owner Date TWO q �� q — Board of Building Regulat'ons an tan ar� One Ashburton Place - Room 1301 Boston. Massachusetts 02109 Home Improvement-Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2006 PAUL J. CAZEAULT & SONS, INC Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for.chang Address Renewal 0 Employment Lost Card DPS-CAI Q SOM-04/04-GIO1216 ��LC ZO00!l91Nl�tClM.flLUL o�✓l�(.QddCLGKIEP.I.� _ .._ ... . Board or Buildiog Regulations and Standards _ —�- HOME IMPROVEMENT CONTRACTOR License or regWraliun valid for individial me total% RoOistratlor►:. 103714 before 111c expiration date. If found return lu: Board of lluilding Regulations and Standards Expiration:;10371 06 Unc�wilrurion 1'lace Ran 1301 :;Typo:`"Private Corporation Ilu,lun,pia.02I08 PAUL J.CAZEAU•LT;B.SONS,.INC:; Paul Cazeault 1031 MAIN ST p _� � I ✓/ie 1°om�na�z o�./i�aaaae/u�aetla i'I �---►74 BOARD OF BUILDING REGULATIONS OSTERVILLE,MA 02650 Administrator ;4;., License: CONSTRUCTION SUPERVISOR Number::CS 026325 Blrthdate, 10/20/1959 Expiresi;l0/20/2007 Tr.no: 7696.0 Restricted; 00`>: PAUL J CAZEAULT t j 1031 MAIN ST C OSTERVILLE, MA 02655�"' Commissioner , VJ I Cr*.V ILLt, IYI/1 ULODS — _ Administrator Board of Buildin egulations One Ashburton Pace, Rm 1301 Boston, Ma .02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/2007 Restricted To: 00 PAULJ CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 . Tr.no: 7696.0 Keep top for receipt and change of address notification. DPS-CA1 0 5OM-04105-PC8698 " C ' r Assessor's map and lot number ......�. ..Ot�.lJ�:.1i...... r Q�p*THE r 7 E l��y Sewage Permit number ,.... �.. � ...... .................... SEP'�1C SYSTEM House number /2- 3 �� INSTALLED IN CO } • ............................................... �i. Wf j� E 163q. \009 ENVIRONMENTAL CO a TOWN OF BA'RNSTAn EG-ULATIONS r4 BUILDING ; INSPECTOR APPLICATION FOR PERMIT TO C. -x` ./.-Ysr.......SL.!� l�- .................,.L`i7.... . .. ........... .. TYPE OF CONSTRUCTION ......................"l...... Y:al`'1.................................................................................... I........... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............�A. ........... -- 1.. . .. .... .. .. .-�.! ,............ �..�1.1^..y!�.s......:........:.......................................... Proposed Use ......... 6-q.t.�:1.t`..►�.. (................................. ................................................. . .. .... .. . V r Zoning District ................�..................................................Fire District ... ... :.ji /11�/ l ?............................................ Name of Owner �.�.... ![.�.. .. .� P!r:....5 . Ll1t.. .. .Sf ••� �Iv.: l� _p �1t.'!`.. ....... c ..........Address ..1 .. El...� . Name of Builder ....J-(L. 1:rt.'�.e.E ?.Q. �iLR.r-S..........Address/...I..... .b.� � "11..i..�Q.k1.Yl� S'.............. Name of Architect ..:�,�.�ra. 5........:?..eQ ...........Address .... .....t.TY.........E...... ............ AA Number of Rooms ...........<p....:..............................................Foundation ,e, . ti 1 _Q 1� I Exterior ......... .....0 ��?lc4.0...... .t."'1.,... �5....Roofing �3.......I....q'.5. . .1��.� 14 Floors \ � .I ..........q.. ... ...........................................� Heating ........... .. ..:......... ?1. .5........................: ..Plumbing. ...... ... .�..... .... . ..... .............. Fireplace ...��' ..............................................:......Approximate Cost ............. ...... .................................... .,........ Definitive Plan Approved by Planning Board ________________________________19________. Area ...., Q...O...S- . . ......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH O N �S n/-v Vo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , Name ....... ...... ................. PICCARILLO, GUIDO 23247 One Story -N!, a ................. Permit for .................................... Single Family Dwelling Lot 45 123 Oakview Terrace Location .................................................................. Hyannis ................................................................................ Guido Piccarillo Owner .................................................................. r Frame Type of Construction .......................................... • .................................................................................. Plot............................. Lot. ................................. r-> t June 30, 81 Permit Granted .............................. .•.....99 E6te of Inspection. :. ................. Date Corn ted f 1/zy� PERMIT REFUSED .......... 19 S -WPT.J FT ........ k j ..........M 73 Whittier Dr*' ............ ........... ............ W� �fid-lephone: 385=2900 03= ! :)I I...................... ..............; ......... �.. N" C.C. Kenvan ........... Gam` ................ Approve ...... .............................. ..... 19 ............ ........................................................... .............. ...................................................... -AP. CS Assessor's map and lot number E l��♦ 7 0 Sewage Permit number ............ ...... .................................. �� / " d � -� 111 t Z B9BHSTIIDLE, i House number ..: ...... ®2� 7 v Mara ........................................ �p i639. �' �Fo YAY aye TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...(.G1IS4 c7 „S {,hG„ TYPEOF CONSTRUCTION ........................... .. ............................................................................... . ......... ........... `...........19....El TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ .....!�. ..ate....................... �.. ..........H.M,.��..!!..�?!.............. . ................................... ' 0` 0 ProposedUse ...............jW.X... . .1.. ,. ?. .......................................................... ............................................................... Zoning District ...........12a........... ... .. ...............................Fire District ..../ ..,y itJ/t�l: .......................................... Name of Owner .�a.......R%.CC.4.tc...¢..1..!.4............Address .. �1.LS.„klee ..� Name of Builder ..... 2.0..!s.. 3.-R.rS..........Address ...�.a... 3 .................... Name of Architect ....!.�,�n.., w.S........: f'.A.........:.............Address !.:'Pv ��..�...T............ ��� ........... ......... Number of Rooms ........... -,...................................................Foundation ........ �) O)!YC� ! �?,.CVe.1t....................... . .... ..................... 'L 1 Exterior W �, � ....C...e ..t^....... ' s..''1G... p.S.....Roofing ... Z. 3.` ...... ................................ Floors 6 ......Interior ...........l,C+.:.........O.Q.. ............................................ Heating �. .............:... ..a.c...................... . .#." "Plumbing .......r�� .........�1.. .. ......................................... Fireplace ..... .1. . .......................6..............Approximate Cost .... ...�.p CJ...d. ... . .. Definitive Plan Approved by Planning Board ________________________________19--------. Area ................. .... Diagram of Lot and Building with Dimensions Fee ....... S.............. . ..................... -SUBJECT TO APPROVAL OF BOARD .OF HEALTH a s i i V .1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... �.................................................... �PICL-LO, GUIDC ' A=2G8�277 No .. 3 4�.. Permit for One„Story............. Single...F'amilY...P.W�.�. g............. Location .Lot...'5...123„Oa .Y.i.eki...Texrace Hyannis ............................................................................... Owner Guido Piccarillo Type of Construction Frame • ................................ ................................................................................ Plot .................:..... Lot. ............ . ................. June 30, Permit Granted .......... ..............:19 81 a Date of Inspection ....................................19 Date Completed ......................................19 ri PERMIT REFUSED ............................................ ................. 19 .............................�. ........................................ ` 'Approved .................................. „�'"”'• -- Permit No. -------- TOWN.OF BARNSTABLE -------. :-" Building Inspector Cash ------- -— °"'Y� OCCUPANCY -PERMIT ` -Bond No building nor structure shall be erected, and no land, building or structure shall be t used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be,occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Guido riecarillo f Address lot 1,15` 123 tw ee. Tzr ce, VWrrmis Wiring Inspector E R Inspection date Plumbing inspector Inspection date Gas Inspector - f' az�i • Inspection date a � F •I Engineering Department �iJi'�— f/�-� Inspection date THIS PERMIT WILL NOT BE VALIDI/AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR, UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Building.Inspector v 0 ® SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3apd4. Put your address in the"RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you.The return receipt fee will provide you the name of the person delivered to and the date of deliver . For additional fees the following services are available. Consult postmaster for fees and check box(es)for additional service(s) requested. 1. ❑e-.Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery (Extra charge) (Extra charge) M3. Article Addressed to: 4. Article Number P 650 798 559 Mr. Guido G. Piccirillo Type of Service: 10 Janvrin Road ❑ Registered ❑ Insured Hampton, N. H. 03842 ❑ Certified ❑ coo P ElExpress Mail ❑ Return Receipt for Merchandise r Always obtain signature of addressee or agent and DATE DELIVERED. 5.i . Si;gnat re — Addressee 8. Addressee's Address (ONLY if Xirequested and fee paid) 6."S—igbillture — Agent X 7. Date of Delivery, PS Form 3811, Apr. 1989 *U.S.G.RO.1989-238-815 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address and ZIP Code in the space below. • Complete items 1,2,3,and 4 on the U reverse. • Attach to front of article if space permits, otherwise affix to back of article. PENALTY FOR PRIVATE • Endorse article "Return Receipt USE, $300 Requested"adjacent to number. RETURN Print Sender's name, address, and ZIP Code in the space belowt TO Mr. Richard R. Bearse, Building Inspector TOWN OF BARNSTABLE 367 Main Street Hyannis, MA 02601 P :650 798 S58 Certified Mail Receipt No Insurance goverage Provided oL Do n6t use for'iinternational Mail UNrlED STATES POSTAL _,, (See Reverse) SE Sent to Mr. Guido G. Piccirillo Street&No. 10 Janvrin Road P.O.,State&ZIP Code Hampton, N. H. 03842 Postage Certified Fee Special Delivery Fee Restricted Delivery Fee O Return Receipt Showing to Whom&Date Delivered 01 Return Receipt Showing to Whom, Date,&Address of Delivery C TOTAL Postage p &Fees Co Postmark or Date M E O LL a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front).y, 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). y I ar 2.If you do not want this receipt postmarked,stick the gummed stub to the right of the return m address of the article,date,detach and retain the receipt,and mail the article. ;—. 0 3.If you want a return receipt,write the certified mail number and your name and address on a rn return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to the back of article.Endorse front of article RE1;*tN c RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, p endorse RESTRICTED DELIVERY on the front of the article. 00 cl) 5.Enter fees for the services requested in the appropriate spaces on the front of this receipt.If E return receipt is requested,check the applicable blocks in item 1 of Form 3811. ri 6.Save this receipt and present it if you make inquiry. t u.S.G.P.o.1990-270.153 a , Z-17 you Txc ro` - ' The Town of Barnstable '""'r""' ' Inspection Department eon i670. �a �a MOR�� 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner December 11, 199.1 Mr. Guido G. Piccirillo 10 Janvrin Road Hampton, N. H. 03842 RE: A=268-277 123 Oakview Terrace, Hyannis Dear Mr. Piccirillo: This office -is in receipt of an inquiry re your property located at 123 Oakview Terrace, Hyannis. It. appears that the single family dwelling has been converted to a two family dwelling in an area zoned for single family dwellings. Please .contact this office immediately re the above matter. Very -truly yours; Richard R. Bearse Building Inspector RRB/gr cam" cc: . Town Manager Certified mail: 2 650, 798 558 R.R.R. JfF268 277. LOCjbl23 OAKVIEW TERRACE CTYJ07 TIDS1 400 HY KEY .172814 ----MAILING ADDRESS------- FCA]1011 YR 100 PARENT 0 FICCIRILLO, GUIDO 6 nAP] AREA 55BC JVJ34.3402 nT610000 PICCIRILLO', FRANCES SPI] SP3, 10 JANVRIN* RD UTIJ UT2 .27 SQ FT 1244 HAMPTON NH 010842 AYB71981 EPHR 19,811 OBSJ CLST� 0000 LAND 57600 IMF 83600 OTHE ----LEGAL DESCRIPTION---- TRUE MKT 141.200 PEA CLASSIFIED #LAND , 1 57.,600 ASO LND 57600 ASO IMP 83600 ASO OTH #BLDG(S)-CARD-1 1 83,600 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL IZ-3 OARVIEW TERRACE* TAX EXEMPT #DL LOT LOT5 RESIDENT'L 141200 141200 141200 #RR 111,26 0132 1543 0092 OPEN SPACE #SR STRAIGHTWAY COMMERCIAL INDUSTRIAL EXEMPTIONS SAL EJ00100 FRICE-Y ORS12953120.1 AFDJ LAST ACTIVITY]04J101'9.1 P CA,J y III AFFRAI .-S.' AL D A T A KEY 172814 PlccjRILLO, GUIDO c-, LAND ELD.IFEATURES SUILDINGS '�,NIJMBER ZNIFL=R8 .3 o o 85,306, 1 117,300 B_M&'T 84,700 By W/ LAY 1/00 C-INCOME FCA.--:1 011 FCS=OCl SIZE= 1244 JUST-VALr LEV=400� CONST-C 0 TO CONTROL AREA 556C ---------------------------------- NEIGHBORHOOD I`55BC HYANNIS PARCEL CONTROL AREA TREND STANDARD ]oil 10 LAND-TYPE 320001 LAND-MEAN 117300.1 73020 IMPROVED-MEAN +17% 25%' 7 FRONT-FT J I J DEFTHIACRES TABLE 02 100%.] LOCATION-ADJ APPLY-VAL-STAT I LNR7LPND LFTlItIPJADJSISBIFEAT STRISTRUCTURE ARR7AREA-MEASUREM8NTS NORINOTES COMIMARKET INC INCOME FMR]PERnITS GERiGRAFRIC FUNCTION-[ STRUCTURE-CARD NO-['000.1 DATA-f XmTf?j F.NTJ ACTIONfRj CARD'-000] KEY 172814 00000000] PERMIT-NO nO YR TYPE VALUE CK-BY M0 YR %(,-'NP NERIDEMO COMMENT j f j f f j r j f i f A. f } f I f i f } f } f i } f I f } f i I I I E I i f i f 1 .7 f Jj f f ir f i f I f f,f I f J r i j r f f j r } f } f i if i I 1 ..7 } f I f, I i f J f .1 f } } 1 f J I i I i f f i f J f J, Lr I f f f f I } f J, R268 277 e A R E A C A L is U L A T I 0 M fCALJ KEY 17204 CARD j 11 ACTION f U 1 F'LO7°—NQ 00CrC>000 ] 14 SASE f 1244Jf � FFCC JI 364?f ' FUD i J f 13 If J JJ if I f ;T if -------20------ ---1 y---*26--------- ---------2 --------- j f JJ if Fury J I JJ if ; ? JJ if ! a4 14 J f JJ JEU! ,i E E , f JJ if ; 1 j f jJ if, 28 BASE 26 J ! fit•_.____ u -- J f J if 1 if � f � if j q i I ii if f J J if --------24------------m. 1 f JJ Jf J f if _I S 000142411 XMTf?J { The Town of Barnstable i HAH[]TAHLL rur. Inspection Department � ,, O Hill A� 367 Main Street,Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner December 11, 1991 Mr. Guido G. Piccirillo 10 Janvrin Road Hamrtcn', .11. H. 0384.2 RE: A=268-277 123 Oakview Terrace, Hyannis Dear Mr. Piccirillo: This office is in receipt of an inquiry re your property located at 123 Oakview Terrace, Hyannis. It appears that the single family dwelling has been converted to a two family dwelling in an area zoned for single family dwellings. Please contact this office immediately re the above matter. Very truly yours, Richard R. Bearse Building Inspector RRB/gr cc: Town Manager Certified mail: P 650 798 558 R.R.R. i The Town of Barnstable °Ftneroy,e Department of Health Safety and Environmental Services ' Building Division BAMSPABM ' 367 Main Street,Hyannis MA 02601 - MASS. 1639. �ArED MA'1� Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: �1\9(�� `, C3 JOB LOCATION:�1 Q--nk\j number T street ^� village "HOMEOWNER":_&, __C • 1("1 2Q name home phone# work phone# CURRENT MAILING ADDRESS: C� A c5i" ' y, zz) city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings 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"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (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 requir t Signatu a of Homeowner 1 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. f 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:FORMS:EXEMPTN TOWN-OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ;�-77 C�°i S) Permit# CEO a ' Health Division Date Issued , Conservation Diuj5,ion Fee Tax Collector Treasurer "/Qy/0-0 ll Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ( 3 Y-W F-LW 7G-ry Y, Village 1`ry,4K)K)Lstoo2-7 Owner b f 1 b014, Address P-3 . ' Q"y tF_(A) -f�rr Telephone A Permit Re nest [ L _ n UV dyz- o s C_ a.( Ct al5 v lue, 0. 3 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation %',56, 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) y 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:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name PevV, b -r Telephone Number Address t rvemw-j License# f Home Improvement Contractor# 3 Worker's Compensation# -20A,;WC,&tm'Z 3S3 av� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ''� Qy K9S � SIGNATURE DATE l _ or FOR OFFICIAL USE ONLY PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE t , f t • 1 , OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL. ` GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I CF tME The Town of Barnstable _ 1ARNSTAMM � 9� MASS, Regulatory Services 1659. Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 } Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT 1 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 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. f� Type of Work: . 0>4II V(W f4taaweN� Yy)N f Estimated Cost Address of Work: (a-3 oA Lutr,u) -4X— i s � Owner's Name: 13�, Date of Application: �` r�Q'6 D 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 wner: 71 `r cS y Aia d�1 U/cof d�JJ?3 Date Contractor Name Registration No. OR Date Owner's Name g1orms:Affidav =-- The Commonwealth of'Massachusetts ..�'-__ :::::-:- =- -- Department of Industrial Accidents �' + �� -" , _-* • ON=of/aYesdoodoos 600 Washington Street -:�., Boston,Mass. 02111 Workers' Compensation Insurance Affidavit i I�,i�i �i�y�����/��/�/ram///// name: I o J y f ' I Ob I e,-- . location: 03 N-V-V/I r�--yV J21-1aG4e- citv4 (S 6;. • RA- - (91 PO hone# ❑ I am a hom er performing all work myself. I am an emplover providing workers' compensation for my employees working on this job. � . /� cambifiV. antek.*i 4. D P ..' h 6Ab ......- � 1&4 ,:.: :: -................'...- ::... . address.... b:�.��.-i Ai*.�.!b.*.*�i".�..j.�.t."&..j..�.:.i.,4.�i.��.!..i�:..:i.�:� �. €�. _.... ..... . .. .... . _:.. ....I...... _. _ :><:::>::<- .�.:?.�6.���i-�.��::..���:.�:.��i:..�.::.�:�'.��I.�i.�'���I.':.':P:�.-� ..... »:>:::::>>>: taus:.;. - ..�..:. : ?:......::.::...: ahane.#:: ..,. : Imo: L : ". ..........: ..: ;:::. Insuranct:co: t, � �...� v :; GI cv#.: :--- . . . . /� ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have . the following workers' compe%nsation polices: ..... :.:::.:.::::.... ::. comoanyname. :<»»:.... ....... ... .... ...... ..... ..: .::::.: . ....... ... ..... ::::.......I. .:.::... ....... ....:... ::.: .::::::.;;:---i;.:.;.::.:::::.....:.;:.::;::.:;:..::.:.::::.:.::... :.:::.::::.:... ....::::.:.:>:::........:. fit,::. :•:+;:;i:'.:;:;:};:;:iii:i i�:�i::ii:i;::i::�:?:;i:;:::;i%%!?:•::i::ii::i:% '.:: s s�::?:-..-. }'>C-.-.-.:ji:�:�:�:�':�'$�;:�:�?}:; ::: i:.:ti;::.:;:;is�ii{?is�:�i:;<:}i?j�:}:};: r y.:'.,j.:;.::.:.:�.;:::;,::.?"..:..::....:::::::::::::•:: ;:::;:!;i!:.....}i�^�:�:.: :.:i:::::i::.: adilcss :::::. :.........::.:. ...:....:::.:.:..: ...::::.:..: :........ ... :.:...... <::<:; >:: ............................................................. ....................::::........:::::::::::•:::::::•::::::.::. :................................................ ............ :.,..............................:........................:...............................:..:......,....................>...:::.::, ..::....... ....... ..... .. .drys`'`.'z:*..:;.. <>.>:» ::<:>::i:>>:>:.:x- <;:.1:.%>:>>:>:; . >? `>...':..<<<.>< <<.;.`>.>'.>' ' :>?' <><. ><'n hone:#; > < ':. <':. <`:>>>< >;' ><': ..... l << ............ .. .........:....... :. .................... ::::..:::.::.........................................................::::.......:.,.. ::::::.::::::::::.:.: ..................................................................................................................................................................................................... :>K >> > ...................................... ,:.:::.::::::::::.;.;..;:::::::.:::::::. .. ... ... :::: :.::.... .....................:...::::.:::....:..................,.:::......... ,..:::.;::.::::.:::.::::::.;:: ........ .......................:.::................. ............................................................................... {.<.. ........+....... ...... ...................................... .:.:. :: :....:..................................... t;:;.::,.�.:;>.:>;:;<,;•::1.:.;:.:.;:.: hkarance-CM..:::. ......:::::..:.::.::.:•,.:::.:.:...:..::::.;.::.,..::.:::.:• ,...::...:.. ,...:.... :.::,.:::. oi'iev# :::.;:::.::.::.::•:.:.:.:.:.:.;::.:.::....::;:.:,::.... . . . U//,l//////%G,: ...........:. :::;::.;::;.-.'.. :>::.;:::.:::;.;:.;.::.."'.;.:.;:.....::::..::.: ........... X. ::;.;::;;::..;: address.: >;<::...I;:::. A. »::::>::>:>::»;::;:.;>:;:::;;.>::;::.::;: ................:::.: .:::...:.::. . ::::::::: 7. �t .............. + Wto<"; 011ev T1]u 711t . Fafinre to aecros coverage as required under Section 25A of MGL 152 cam lead to the imposition of criminal penalties of a fine up to$1400.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 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 certify the pains and enaldes of perjury that the information provided above is trw tntd tarred Sigaawre �1' I�DV 210 Date I f-o �- Print name K C k a e 1 `1�DA-k3 Phase# A 7 3 g I ( `l d l official use only do not write in this area to be completed by city or town official city or town: penrdt/IIcense# [3Building Department . ❑Licensing Board ❑checicifimmediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revund 9/95 PJN l 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 contacting authority. }.Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and ��.`�,. an names,address and hone numbers along with a certificate of insurance as all affidavits maybe PP y�c�P Y '' 'y l to the D artment of Industrial Acadents for camfim�tion of in�,rce coverage. Also be sure to sign and ;,submitted eP 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' compeusatic a 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 hivwtigations has to contact you regarding the applicant. Please be sure to fill in the permrt/license number which wM be used as a refercnce number. The affidavits may be redrziid io 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of lovestl9atlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 do Boa of Building Regutstio ns and Stadrd, HOME IMPROVEMENT CONTRACTOR Re9181ratlow, 126893 Ei Oratfont 08/03/2002 fSrP9: SuppOment Card Home Depot At-Home Services ` MIKE BEDARD 3200 COBB GALLERIA PKWY#2% ALTANTA,GA 30339 adminsdrator . t ,