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�� ��'_�- v�� f ' i g 13199 9 i b TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION - F -Mum—, itU1 s!o.•Ti A-p0keP.S - U[�,F.Sf Map 3�� ' Parcel � I `��S• � : Permit# �� "��• 'Deaf n Nd' �? r J�, Date Issued Conservation Division Fee Tax Collector Treasurer O i Planning Dept. + , Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ` Village y 1 .Owner 14 M 6ca, x6ii AddressI Lytli0VC lot K'1 Telephone 1 U.I-'71 1-ILI i f- 13 0 .��'�_I T' X_2;Y— 7 9e r -7 d - Permit Request 4 K oV:0 ���w �t•-e�t,��c�-•[ 1 . 2 U� L 4y.S ce:��f-'(.t�f�i`, _(�l.e w �'� �e�e� �'GGI • Square feet: 1 st floor:existing 3 00 proposed 2nd floor:existing � proposed . G 'Total.new d. j' Estimated Project Cost /,D a c -Zoning District M Flood Plain Groundwater Overlay Construction Type GW-r)cA Pt Lot Size o 3 a. A-c_ Grandfathered: .4Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) w Age of Existing Structure 9'"3 Historic House--' ouse:' ❑Yes .rNo On Old King's Highway: ❑Yes Ja'No Basement Type: ❑ Full `;,�rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing J new 4 Half:existing 0 new .Q Number of Bedrooms: existing_ new L� Total Room Count(not including baths): existing 3 new o First Floor Room Count 'Z, Heat Type and Fuel: fdGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes. ,E NO Detached garage:❑existing ❑new size Pool:❑existing ❑new size +Barn:❑existing ❑new size Attached garage:❑existing ❑new size w Shed:❑existing ❑new size Other: h Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial (3 Yes 1�No If yes,site plan review# Current Use S't t-C y IV wl,[l� ct W,-i, i m Proposed Use BUILDER INFORMATION , Name 4-Cf..gJ4 S�. ko Telephone Number'719 y 1 -71 7 ZC> i Address phie he License# III)la ,A-K O!ELI I` Home Improvement Contractor# 30 N Al c.,r Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S 2:� ✓ r0 tic T ea--t'k CL C"c� SIGNATURE cx DATE 1 FOR OFFICIAL USE ONLY • r - _. t PERMIT NO. DATE ISSUED 49t ;t MAP/PARCEL NO: ADDRESS _ *; ra-.VILL"AGE f ? OWNER * .6 �' r . �. , � - i. _ 1 _. _.;r •,. _ T } `+ _ _ DATE OF INSPECTION FOUNDATION FRAME g 6 INSULATION FIREPLACE ELECTRICAL: ROUGH { FINAL • + t r , PLUMBING: ROUGH FINAL` GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED-OUT ASSOCIATION PLAN NO. �VME Ig he Town of Barnstable • �►ar►sr� • Department of Health Safety and Environmental Services 'OrEo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT 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. Type of Work: -6 mN ay a-1 Est.Cost Address of Work: S=e! "F Owner's Name �L 4 4 k —I& A,4 Date of Permit Application: 1 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 owner. Date ,e i ? Contractor Name Registration No. r OR Date Owner's Name �1 _"'�_"�__ The Commonwealth of Massachusetts " - - Department o Industrial Accidents Myceol/firesdommoos 600 Washington Street - - Boston,Mass 02111 Workers' Com�ensation Insurance Affidavit 71Tnf name: [.4 qg 4 51 . 1;-::�8 r,k J3-/4- t .location:_ T!3 S-04 . ci hone# , 'to l 7.f` IS I am'a homeowner performing all work myself ❑ I am a sole proprietor and have no one working In �pacitq ///%%/%%%%%/%%f%% ////lllll//%/zllzlA//wlll/%%///G/G/.Gm% ,w'�/IlAig ;//!Gl11"//O%%%//O%%%%G////%///O�%O%�%////////%%111zll%%%�%�%%%/////IIIIZIlll/lIZI,Illl,fi,. ❑ I am an employer providing workers'compensation for my employees working on this job. coaanv n m . ::::::..:.::::. ::::::::::::::.::::.::::::.:::.:.::.:::::::::.:::::::::::::::...................::.;..........;. ... ::.:.......... .........................................:.:::.::.:::::::::::.:::.:::. ::::::.::::::.:::::.....::::.......:....................:.:............:... address.......: ....................::::.:.:::.:::::::.:::::.:................. >::>::>:::: :::: hose':::: ...::.:.::::...........::.:::::.:::::.::.:.::......................... :.:;::.:::.:::.;:.:.:::: :.:::::•:.::.::::::.::::::... ..,:.:. . :... .............:......:,:............... . ..................::::.::::.:.:::::: .. . . . ... :....::..... .. . . ..... . insure me`* ....>: '` >> <<' >< <: <`:s< >» ''<'':<# '• >: ` <<>`I..,".......>>> :::>: 'ol 2==:==contractor, omeowner ' cle one)and have hired the contractors listed below who have _ .. . . . the folloing. orr '.. opnaon polices:rti s :mw : wmyanv name• t: f '� cif _ - Sr:::::::i::::;<i ::::::i'':i:;:::;: :::::::::: :::;::r:::::::#:::::::::i;:? :;:;':i::::::::::::::::y{:?::::: `::::::::=is i::i:: s2::::::: ::::;::::::: ;;: ;:;:;:;:;:;:;:;:Si!::is:<::::::::i:::::::::x:`.`::: ::::-::::::::i::is:S:: :`: :±:::::: ::::::i;::: :: is;i:i: address... f r'r"i k <;N:.: .....,......,...:.::::::•:::::::::•.::.::::::.�:::::::+•::c/..o.,•::::::::.:::::.t•5..,..,:�v.....,..:....:.......................................................::•:::::-:::::::...........::.....,..:...wi:......%..............'... ':.v::�••'. �t�, ::::>:::s::::: :::>::> >:% %s :.... tnie .::.:>;>: :: ::::z..:.:.::z:•�.:: ee. ......................................... :..................... :.::......:.:........................:... `i. s ::;:........ ...................................... .:::•:::::::::•:::::•:::.::::..::::•:::• .... ::............................... r............ ..... {..,:. z:................... :... :.... .:.c•. ....,.�.,..::::::::::::........ �a :•:.. ::.. . ::.::.:- .....:...............::....... :::.:•:::..........::.::.:::::::::..X- -:::•:.:•:.:: v:name:«<::::::.>: ::::>::::::::::>:::>::::::>:::?:::::>:>::::<::::::;:>:: >:;:;<::::::>:::::::.::....,.. :::....:•.:•.:•..::::::•.::::::..." :::::;,•:•:;•. -.: •::: :. addre3si:.::::< :.»............ .......:............:.:::.::.:...::•;•'*""'*:.:""""::::::..::....:.::.:::.:::::. ....;....::...::;.:;.:.::.::.:.;..:..:.:.:..::::.......:::::......::.:::::::. ........ cftd' ........ n bne. ::: ::::,.. >a ;' }> : <: :..::. :insnrance:eo:::::.....:. ... ..XX:::. ::.: ::.:,:.:............ olicv#............ .... . ------ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the impoddon of criminal penalties of a Ste up to$1,M.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me 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 verfficatiom I do hereby certify under the pains and pen�a[ldes of perjury that the information provided above is truo and correct Signature ✓ "1 Date �[� Y� 5P �T _ Print name f�-(,l eh1 S l�n && A0 Phone# '7e?e.l 1 7 �4 7dn nly do not write in this area to be completed by city or town official town: permiNicense# []Building Department 11 . ❑Licensing Board immediate response is required ❑Selectmen's Office ❑Health Department on: phone#; ❑Other O—W 9/9s p» o Information and Instructions Massachusetts General Laws 152 section 25 all to to provide workers' compensation for their Massac chapter requires employers p employees. As quoted from the"law",an employee is defined as every person in the service of another under any coract 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 requires of this chapter have been presented to the contracting authority. ,- - Applicants Please fill in the workers'-compensation:af'idavit;completely,_by checking.the box that-applies.toy your.situation and_ supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of lndusabl Accidents for canfirnation 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' compensatiaapolicy,please caIl the Department afthe number listed below: '" ilalwx 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 permii/liceose number which wall be used as a reference number. The affidavits may be rehrniedte the Department by mare or FAX unless other anang®ants have been made. - The Office of Investigations would lace to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a.ca1L The Department's address,telephone and fax number. The Commonwealth Of Massachusetts .Department of Industrial Accidents Me of Iwesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 • lip C 4R Appenft 1 Table JS=b(condaaed) Prescriptive Packages for One and Two-Family ResidentW Buildings Heated with Fond Fuds MAJCIMUM MINIMUM Glazing Glazing Ceiling Wail Floor I Basement Slab Heating/Cooling Ana'(%) U-valuer R value' R value' R value' Wall Perimeter am;== Efficiency' Pie R value` R Wui' 5"1 to 6500 Heating Degree Days' Q 1 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 SS AFUE X 18% 032 38 13 25 N/A WA Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 181/4 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:- - --= 3. SQUARE FOOTAGE OF ALL GLAZING: - - 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 7 780 CMR Appendix J Footnotes to Table J5.LM ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft2 of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. TF.e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned must be included..with the.other;_glazing. Basement aorxmust meet-the..door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest - - efficieneymust meet or exceed the efficiency-required=by the-selected package. ---- —.------.- For Heating Degree-Day-requirements of the closest city or town see-Table J5.2.1a NOTES: --a)Glazing areas and U-values are maximum acceptable levels..Insulation R values are minimum acceptable levels. - -. R-value requirements are for insulation only and do not.include_structural.components. :..:.:°. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 TOWN OF BARNSTABLE _ BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION .Please print. . DATEu JOB. LOCATION Number Street address Section of town "HOMEOWNER" t—�-L2cr �� --P /�01 !��� /To M 4 gg .. . Name 7 Home phone Work phone PRESENT MAILING ADDRESS1 3o S-eA f t, 4 Pa RA A ss City town State , Zip code The current exemption for "homeowners" was extended to include owner-occuvi� dwellings of six units •or less and to allow such homeowners to engage an in. dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to rE side, 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 structure: 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 Offic n a form acceptable to the Building Official, that he/she shall be respons for all such work performed under the building permit. (Section 109.1. 1) he undersigned "homeowner" assumes responsibility for compliance with the S uilding Code and other.'applicable codes, by-laws, rules and regulations. he undersigned "homeowner certifies that he/she understands the Town of arnstable Building Department minimum inspection procedures and requirement. nd that he/she will comply with said procedures and requirements. HOMEOWNER S SIGNATURE %.���,yte1 _ LPPROVAL OF BUILDING OFFICIAL ote. Three family dwellings 35_, 000 cubic feet, or larger, will be required ro comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which-&-lbuildin Permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a persons) for hire to do such work, that such Home 0i shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuminc the responsibilities of a supervisor (see Appendix 0, Rules and Regulatior. for . licensing Construction' Supervisors, Section 2. 15) . This lack of awarE often results in serious problems, particularly when the Home Owner hires Unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home " weer ac as supervisor is ultimately responsible. _. .,. To ensure that the Home Owner is fully aware of his/Her responsibilities , ,!'.amunities require, as part of the permit application, that the Home Owne_ -.rtify that he/she understands the responsibilities of a supervisor. On - ' .:ist page of this issue is a form currently used by several towns. You ma, ' care to amend and adopt such a form/certification for use in your communit: w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- Map 3� ' Parcel' fru Permit# �P G� Baal Acc� Weeft#rBt'disien - Date Issued Conservation Division :,_-.J(31 Fee ` 5 0� /b Tax Collecto 71Y Treasurer CJ Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Addressll Village' 1�9 Owner H gg 14 ' NA A A k f-o M A« Address�3 L-e►aaK 6�(• �� s�r�t.YT S�FY Telephone Permit Request t� t�aU'P i u- q Tit ✓f p I TER YA F are hn t� l cl ��,f u 0 K IS r '4400 N e iii k1ii K clO UiS 0—O. � Square feet: 1 st floor: existing a-S7 proposed_C• 2nd floor:existing 5)cy proposed O Total newer V Estimated Project Cost 5�; r ^Zoning District Flood Plain ,` Groundwater.Overlay Construction Type U!i oc� ►.et-e Lot Size 3 2AC Grandfathered: , Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 2r Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 !7o Historic House: ❑Yes 2No On Old King's Highway: ❑Yes 21 o Basement Type:.0full O Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) O 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 �S' new First Floor Room Count 3 Heat Type and Fuel: ZGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes., ZNo Fireplaces: Existing NO New Existing wood/coal stove: '❑Yes alo Detached garage;Zexisting ❑new size/M17. Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' Commercial ❑Yes ❑No If yes, site plan review# Current Use S'I './.t t �_ � )VI 1,t- c�r��L�tip a Proposed Use �,�� BUILDER INFORMATION - Name 44-U tit, AA Telephone Number Q� - A 1 Z go 5��t �s Address !�L_j L-,e Nc d_ Ja License# KA Sce,, to to rq Home Improvement Contractor# �1'. J±k:�A N N i r Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CA-0 S'`T fA Y C o kt T A t titw y SIGNATURE DATE f s i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED _ r� MAP/PARCEL NO. ADDRESS - - - 1 VILLAGES OWNER rtf� f r F a t DATE OF INSPECTION' 17 FOUNDATION FRAME ' ��o'!2 90'q INSULATION _ FIREPLACE - ' ELECTRICAL: ROUGH FINAL' . - PLUMBING: ROUGH FINAL t•i .. Y GAS: ROUGH FINAL` FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. '- /'• �oFt1WE TOy� Town of Barnstable *Permit# y 0, Expires 6months-from issue date + lARNSfABLE s Regulatory Services Fee s 1639'� ♦� Thomas F.Geiler,Director A�ED MA'S p, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 �/ Office: 508-862-4038 I-PRESS PERMIT Fax: 508-790-6230 JUN 2 5 2002 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY t Valid without Red X-Press Imprint /parcel Number �0 70 1P�-r TOWN OF BARNS )erty Address tesidential Value of Work �� d ier's Name&Address tractor's Name Telephone Number 7Z ae Improvement Contractor License#(if applicable) struction Supervisor's License#(if applicable) q �. Vorkman's Compensation Insurance gpehone: ❑ I am a sole proprietor v cyst ❑ I am the Homeowner o ❑ I have Worker's Compensation Insurance ranee Company Name �o�- r— kman's Comp.Policy r S .� 5 D 5 iit Request(check box) e-roof(stripping old shingles) All construction debris will be taken to s�. ❑Re-roof(not stripping. Going over existing layers of roof) . ❑ Re-side ❑ Replacement Windows. U-Value (maxiinum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 3ture ms:expmtrg °F me r, The Town of Barnstable 9�A ' Department of Health Safety and Environmental Services 179. rEo ' Building Division j 367 Main Street,Hyannis MA 02601 ' Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 ! Building Commissioner For office use only Permit no. Date AFFIDAVIT 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. ni S tell. Ae t, uq >`t.dc 4& Type of Work: &P ui.v Y r, h-A 4'lw-i t�e -Y Est.Cost S� coo, .Address of Work: � � S�e� �' � V�I IG`!r� M N 1'1` Owner's Name 910/A Slke, AA A 4 Date of Permit Application: ai 0 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 wner 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 owner. f� f Date `lam , ( Contractor Name Registration No. OR q ,':1r1A y A Date Owner's Name o �''" �_ The Commonwealth of Massachusetts =- Y Department of Industrial Accidents ON=olfinestfoo ew — 600 Washington Street . Boston,Mass. 02111 Workers' Compensation Insurance Affidavit location: el 3 s i S'i; . ci f hone# 'I qO 1 7 I am a homeowner performing all work myself. . 7 . I am a sole rietor and have no one worku in achy //%%%%/////%% %//%/%/%/////////////%/%/%/O//%/////%/o/,0//%%//%//%/ '/////D/%/G/////////////%/%%%%//%/%////////%%//G%/%%///%///%////%%/%%/%//%%%%%%%%%%/////%%//%%%%//. ❑ I am an employer prwitimg workers' compensation for my employees_working.on thus job. contaaev n m . ::::.:::::... ........ ::..::.::.:::.:::::::.::..;...:::::::::....:......::::.:: ;.;:.:. >;;;:;.;..: :;:;:::;;:.;;;;:.;:.;:::.::..::::::.:::::..:.:..::::::::.:::..::...:. .:.::::...::::::.:. :.;:.:.;::.::.::::.::.::.:::.;;:;:..;:.;;;:.:;;.;;: :.::.::.;:.:::.:;;:.;:.;.;:::.:}::.::::.:;.;;:;.:.;;; cites::. ..I.....::::.....:..........:..,....:.................. % ; :::::>x.::_>::>:>::::>;: ::::::;:;::;::;::::::;::<:: ::::.;:;.::;:::;>:::>>:::::>:: :....:........:::.:::>:::<:>.> ::>:.>:s:.:;:;::::>::<:>:::;:s::> >:<:»::>:::>:::::.:<:>::;: ahem# ....:Init . .. ._.. . %/ ❑ I am a sole proprietor,general contractor, r homeowner ele one)and have hired the contractors listed below who have . . . . . .. the following workers' compensation polices. comnanvname• i j f i ?f' " ........ :>>>.....::....::::::: ::.::..:::::::.::.:::.:: >`' . ::::.::::.:::::.::::::::::::.::::..... :.............. �...::.: :.::::::::::::::.:..............................:.:..:.:::.:.:..:::::.::.:::::.::.::::::::::::.::::::..:::::::::::::.:::::::.:::::::::.:::.:: :::.:..:::.:.:.. .... ...:::. :::...:::..::. �::::.::::::: ::.::::::::.:::.:...............:.::::. :::. hone.#. ::::.. . :,:::::::.:::..::.::::::::::.::::::::::::.:::.:::::.:::.:::::;.:;:.::::. s3ty:<.: l � � _ _ h.::::..>.. .. :..d:::::::::. ................:........................:..........:...................................:....................... :::.... . .:::::.::::::::::::.. inanranee:ea;:, ma`s:;: >s ::,.>: ;:.;:.;;..i �j .. s. ,;.. .:::,..:..::.:.::.: 6 rcV#;:.::.;:: :... ::,:::.;:.;:.;.:::;;:.:;:.:: i. i. mames::.:<i? ;:;:?i53::ii2::.::::::i>.:i;:'•iY:% F:^>:::<;;is:::;;:;; ....... ........ Cdt11pi& ...... ... :. aditresr.� .:..� ...I.: . 222M t► n ..... 22M ,- ............... ;:- .. -, .................,........................... .:::::.: ..... .:::::::.:':::::::::::.}:•:}:}:{:::::.�:::::::::::::::.�.�:n�:::•:::•:::.�:::::::.�.:�.: :::::.�.�::.;•.�::v: .....R:tjf•:'3^:jj:::;::..'., :. ::::::::::v.}:w:.}:�:.�:::::::::•:v:•::•:::wn:v::::.�:::n�:Yv;::::•:::.:.................... ......... .r .. ..,.. ....... .. ................................................:........ ..............................n..�•}}:i4:vi:^:ice};•?:ii}:{.}}:.}.}:..}::i•::• }:i}}::::i::jjj:>::1:}:y; �TL1II14tIICCa' ::;:•:.::.....:. .:i ;..::::.:.:..:::.;.:.,:..,::.:.:, .::. �I�CV .:.,...:.:..:.:.:. :.:.. _ .. i- to secure coverage as required wider Section 25A of MGL 152 eon lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civfi 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 certify wider the pains aa"nd penalties of perjury that the infoe enadon provided above is&w.and coned Signature �J�AA.• i- M C66n:cM Date jd Sra&- — Print name 44 Lit 14 ii �'CO KA A.�- Phone# q[ - L o - official we only do not write in this area to be completed by city or town official . city or town: permit/license# ❑Building Department ❑Licensing Board • CO check if immediate response is required ❑Selectmen's Office ❑Health Department contact person• phone#; - ❑Other . (rovind 9195 PW o 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 budding 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 contracting authority. _ Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,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 Acc idents. Should you have any questions regarding the_"law"or if you , .� - at the numbhsted be .� a� ��, - -sire req�ured to obtain a workers' compensation policy plc�se caYl'the Dcpartai� per' 1`o�v. „ - 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 pe_nmt/license number which will be used as a reference number. The affidavits may be ret®Rib the Departtneimt by'maiil 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 Office of Imlesugauans 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 Y M CMR Appeedk i ' Table J&Llb(eoutinned) ' Preseriptive Packages for One and Two-Fam*Residential Buildings Hated with Feud Fueb MAXIMUM MIMMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Ata'(y) U-valttee' R-value' R value R value' Wall Perimeter Equipment Efficiency' Pie R value R value' 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 95 AFUE X 19% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A WA Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA I SOK 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: -- 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ` Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ftZ of glazing area. 2 after January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall: For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air rnust-meet the ceiling requirements. T):e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements.must be included.,with the other_glazu►g. Basement doors must-meet the door,U-value requirement ^ _ ._.. d;scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package -- --- 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be,excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATES-t JOB. LOCATION S'-P A, S1� Number Street address Section of town "HOMEOWNER" j-�- �d 1'�1 I��t [o V� 7 l c [ 7 S � S� -P Name Home phone Work phone . PRESENT MAILING ADDRESS 3 a s-ea S'�C City town State Zip code The current exemption for "homeowners" was extended to include owner-occunL dwellings of six units 'or less and to allow such homeowners to engage an in dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to rE side, 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 structure; 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 Offic on a form acceptable to the Building Official, that he/she shall be resoonsl for all such work performed under the building permit. (Section 109. 1. 1) he undersigned "homeowner" assumes responsibility for compliance with the S uilding Code and other applicable codes, by-laws, rules and regulations. he undersigned "homeowner certifies that he/she understands the Town of arnstable Building Department minimum inspection procedures and requirement nd that he/she will comply with said procedures and requirements. OMEOWNER'S SIGNATURE kPPROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35, 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 01 Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which...,a�=buildin permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a persons) for hire to do such work, that such Home 0• shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuminc the responsibilities of a supervisor (see Appendix Q, Rules and Regulation for .licensing Construction' Supervisors, Section 2. 15) . This lack of awarE often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home Owner ac as supervisor is ultimately responsible. _. .,. To ensure that the Home Owner is fully aware of his/Hier responsibilities, ^-=Unities require, as part of the permit application, that the Home Owne. . .rtify that he/she understands the responsibilities of a supervisor. On ..ist page of this issue is a form currently used by several towns. You ma: care to amend and adopt such a form/certification for use in your communit. 1\L.JiLiLl�I Ul-u ADDITIONS OR ALTERATIONS If loca ed: orth of Route 6- any work visible from outside- needs approval from OKH In Hyannis -If work visible from outside- Check to see if it's included in the Hyannis Historic Waterfront District-if so it needs approval from them APPLICATION PACKAGE MUST INCLUDE: ❑ Map/parcel number Approval Sign-offs from: ❑ Health [� Conservation(if exterior work) Tax Collector ( Treasurer ❑ If ZB lief(Special Permit or Variance is required for project: opy of ZBA Decision ❑ cumentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date. [� Street address [� Owner's name&address [� Permit request-full description of proposed project(u-value of replacement windows if applicable) (� Square footage -proposed project [� Estimated project cost Complete Dwelling information for Assessor's Office Builder's information Signature Plot plan 4 sets of reduced (8.5"x 11: or 8.5"x 14'�plans with cross section, framing schedule & smokes (r. Home Improvement Contractor's Affidavit [� Worker's Comp form must include: Insurance company's name & Worker's Comp policy number ✓u�. V�Zr�1� ©� u_3+ ��ou�.�S Energy Compliance Form ❑ Copy of Construction Supervisor's License & Home Improvement Specialist's License OR❑'Homeowner's License Exemption Form. ❑ Fee CHIMNEYS ❑ Need Home Improvement License ❑ No plot plan required PIERS & DOCKS ❑Need Construction Super Iicense AND Home Improvement License OvVher cannot pull own permit g4orms-PERMUS 1 l Rcv3/5/99 TOWN OF BA NSTABLE REPO UPPLEMENTABY/CONTIim LWION REPORT Ka\) NAME (LAST, FIRST, MIDDLE) DIVISION /DNPJ v NOTE DETAILS i OSSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS jfTc. 2-o „ \ 1 2 S:Ao CAA SUBMITTED BY PAGE t � i vii• ......::.::..... ................:................................ �`> `:�..� :.�•. :::>: B ILDIN ERVI ........ 14 97307 . NG <x€ ..:..:::.:......: .....::............ � :.. S .........::::.:...:. Z NI :.::: .::: :..... ............ ............ ^vv G PPP'?P. :::::.:::................. l 7 } a s h � vxlss dam• >» ......:::...v'.:: ii:'tiimiw:G:•: ............... ...............::. i::::v+vii;v;vi•:ii• SEARCH <> LlY ADDRESS ' I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBMD KEY NO. 5093 SEA STREET 07 RB 400 MY 01104/96 1 ana By LANDIOTRERFEATURESDE SCRIDmION on ADJUSTMENT FACTORS V UNIT ADJ'D.UNIT ACRES/UNITS VALUE NACKLEY. ISABEL I MAP- CD. FFD wlAcr.s P PRICE PRICE D 1 23,100 CARDS IN ACCOUNT - LOC.lYR.SPEC.CLASS ADJ. Cij 0 1BLDG.SIT 1 X .3 =10 2 ?.95 72099.9 .32 23100 G(S)-CARD-1 1 ` 53.500 01 OF 02 #OTHER FEATURE 1 1.700 COST ATHS 1.1 U X C= 100 6000.0 6000.00 1.00 6000 d OBLDG(S)-CARD-2 1 14.900 MARKET 112000 IREPLACE U X C= 100 3100.010 3100.00 1.00 3100 d NPL 93 SEA ST HYANNIS INCOME NO HEAT S X C= 100 2.35 2.35 420 1000-8 MRR 1447 0100 0963 0124 USE NO BSMT S 20 X 28 C= 100 7.8 7.85 560 4400-8 #SR MAPLE AVE APPRAISED VALUE G1 DETGAR S 18 X 20 1940 C= 24 19.3C 4.63 360 1700 F A 93.200 ARCEL SUMMARY AND 23100 LOGS 6840C -IMPS 1700 OTAL 93200 CNST DEED REFERENC Ty. DATE R.c - PRIOR YEAR VALU Boo. P.9. m,l. MO, Tr.D B.In Prig A N D 23100 3063/69 /00 SLOGS 7010C TOTAL 9320C SUILOING PERMIT HEATED BY FLOOR N.mwr D.I. T_ Amw.l FURNACE VENTS I LAND LAND-ADJ INC ME SE SP-SLOS FEATURES BLD-AOJS UNITS CEILING........ 23100 1700 3700 Class Cons,. Total Base Rale el Rate Suul Age No,m OO.V. CND. Loc. %P.G. Reol.Cost New I epl Value Slon KeipM Rooms Rm.B.tA. .fis. PulywW F.c. Units Unns AV$Ir 11 Depr Conti. 1C 000 100 100 61.00 61.00 70 75 19 80 90 70 76412 53500 1.5 5 2 1.1 6.0 Oesc r�popn Raw Square Feel epi Lost MKT.INDEX. 1.00 IMP,BYIDATE: ML 4/88 SCALE: 1/00.54 ELEMENTS- CODE CONSTRUCTION DETAIL BAS 100 61.00 560 R34160 REA SINGLE FAMILY DMELLIN CNST GP: FOP 35 21.35 320 6832 *--14--+ STYLE ID OLD STYLE_ 0.0 S FEP 65 39.65 123 5075 ! FSF ! ESIGN ADJMT 00 6. FSF 90 54.90 224 12293 16 16 XiER.%ALLS LU 06AR/VINYL 0.0 815 42 25.62 560 14347 ! ! EATIAC TYPE _16 ALL/FLR FURN 0.10 *-8--*--14--*--* NTER.FIN(SH __08 LASTER/PANEL___ 0.0 lFEP ! B15 ! NTER.LAYOUT 12 VER.%-----NORMAL 0.- 0 ! ! ! - ---------- AlNTER.3UALTY 02 AM_E AS EXTER._ 0.0 16 16 ! FLOOR STRUCT 02 D JOIST%BE_A_R _ GO U ! 28 BASE 28 E LOOK COVER 01 AR6Y060 0.0 --------------- --- ------- -------- -.1 Al- Au,. 448 R.s.. 784 ! ! ! OOF TYPE 01 ABLE-ASPH SH 0.0 _ BUILDING DIMENSIONS t-8--# 0.LECTRICAL _01 VERAGE 0� i3AS Y20 FOP E20 S08 Y28 N20 E08 ! 12 ! OUNDATION 02 Od2RETE BLOCK 99._ 'S12 .. SAS N28 FEP Y08 516 E08 ! ! -------------- --- ---------------------- N16 FSF 3AS E20 S28 N16 815 N28 Y2D S28 20 +----20---8 NEIGHBORHOOD 6LANDHYANNITOTAL MARKET E20 .. ! FOP ! PARCEL 23100 93200 *------28------* AREA 2848 VARIANCE ♦0 +3172 STANDARD 25 V ADDRESS I- TA TATE CEL IDENTIFICATION NU ZONING (DISTRICT CODE SP-DIS7S.I DATE PRINTED I C S LASS I PCS NBHD KEV NO. 093 SEA LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS r UNIT ADJ'D.UNIT _,na er,D... s.e Dmenaon ACRES/UNITS VALUE NACKLEY, ISABEL I MAP— C D- FF-De mlAc�es IOC./VR.SPEC.CLASS ADJ. CO' P PRICE PRICE CARDS IN ACCOUNT - ATHS 1.0 U x C= 100 35OO.00 3500.00 1.00 3500 8 02 OF 02 NO 8SMT S x' I C= 100 7.85 7.85 324 2500—e COST 9 MARKET 112000 INCOME USE PPRAISED VALUE A 93.200 PARCEL SUMMARY AND 23100 LOGS 6840C 0—IMPS 1700. TOTAL 93200 IN CNST DEED REFERENC True DATE R-- PRIOR YEAR BookVAlU Page In" Mo. r,.p LAND D 2 31 D C SLOGS 7010C TOTAL 9320C BUILDING PERMIT NumEer De. Type Amwnl LAND LAND—ADJ INCOME SE SP—BLDS FEATURES BLD—ADJS UNITS 1000 Cansl Tolal Baze Rale I ale rear Buill Age rm OOSV. CND. Lac. ee R.G. Real.Cosl New qdl.Real Velue Slwiea Hegnl Pme B.ma I Fia. P.Iy,n Fr. :' unns unaa A4; 119 oaP cone. 10 000 100 100 49.05 49.05 30 70 24 74 90 64n 23309 14900 1.4 3 1 1.0 4.0 Ocscr�Plwn Square Feel Reol.Co MKT.INDEX: 1.00 IMP,Br/DATE: ML 4/88 SCALE: 1/01.00 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 49.a05 324 15892 GROSS AREA 648 SINGLE FAMILY DWELLING CNST GP:00 FOP 35 17.17 96 1648 •------18-----* STYLE 09COTTAGE 0. - ---------------------- 814 30 14.72 324 4769 ! 614 ! ESIGN ADJMT 00 0. ------ 12C ------ R- 0. ! ! EAT/AC TYPE 16YALL/FLR FURN O. --- ---09VOTTY PINE INiER.FINISH 09KNOTTY PINE _____0._ 18 BASE 18 INTER.LAYOUT 12AVER./NORMAL 0. INTER.'JUALTT 02SAME AS EXTER. _0. ! ! FLOUR STRUCT_ _02Y0 JOIST/BEAM 0. Y ! ! EFL06R 20VER 32141:0EBOAR6 0. -- ------------ - ABLk;------------- -- al,lA—, qa.. 96 eaae. 324 _ ! ! ROOF TYPE _01GABLE—AS_PHS_H _ BUILDING DIMENSIONS *------16------*x ELECiRICAI_ _01 3AS Y01 FOP S06 Y16 N06 E16 .. ! ! FOUN6ATION 02CONCRETE 9LOCK 99. 3AS 417 N18 E18 S18 .. 814 NIB 6 6 - d18 S18 E18 .. ! FOP ! --------------- --- ---------------------- *--- 16------* LAND TOTAL MARKET PARCEL AREA VARIANCE *0 •0 STANDARD l RESIDENTIAL PROPERTY MAPt"NO. LOT NO. FIRE DISTRICT SUMMARY 307 81 STREET 93 IM02 Sea St. Hyannis H 73 LAND � BLDGS. OWNER /(7t�1 �,.� /l -0. .. t .. -- TOTAL LAND RECORD OF TRANSFER DATE BK. PG I.R.S. REMARKS:. _ � BLDGS. _ TOTAL LAND Probate Nackley, Isabel I. . �I / 9 �, BLDGS. S / 'b G D a - TOTAL 02 - YO Cl LAND -- /S�ey 50 m BLDGS. - TOTAL LAND BLDGS. 01 TOTAL LAND O) ' BLDGS. - TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: rn BLDGS. / 1 TOTAL DATE: LAND - ACREAGE COMPUTATIONS Ol BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL rJ.�O ��� 0 LAND HOUSE LOT �p CLEARED FRONT BLDGS. REAR TOTAL WOODS 8-SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND li BLDGS. TOTAL all LAND IL V BLDGS. -.._. 01 LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.-PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND I Q p ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. ----'----- LAND CU61 Cone.Walla in.Bsmt.Area A Bath Room / Base i BLDG. COST Cone.Blk.Walla tl Bsmt,i.e.Room St. Shower Bath Bsmt. So U PURCH. DATE � z Cone.Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE. �. . Brick Walls Attic Fl.&Stairs it Zr- Toilet Room Roof - RENT Stone,Walls Fim.Attic Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. ' F 1 2 3 Sink / S.. 3 2 V rZ S Plaster Water Clo. Extra Attie �• EXTERIOR WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing Bsmt.Fin. Single Siding Plasterboard Int.Fin. —' Shingles TILING Cone. Blk. G F P Bath Fl. Face Brk.On Int.Layout r/ Bath Fl.&Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl.&Walls Fireplace !A Com.Brk.On HEATING Toilet Rm.Fl. plumbing g Solid LW.Brk. Hot Air Toilet Rm.Fl.&Wains. /L ' Steam Toilet Rm.Fl.&Walls Tiling Blanke ns. Hot Water' St. Shower r Roof Ins. Air Cond. Tub Area Total � . 8 Floor Furn. ROOFING COMPUTATIONS ' AsDh.Shingle Pipeless Furn. G' s� p S.F. Wood Shingle No Heat /9 Z S. F. �/," O a� 9 3 Asbs.Shingle Oil Burner S.F. p J ?, U Slate Coal Stoker 3, S.F. ,4 S U -7 1� U Tile Gas S. F. OUTBUILDINGS ROOF TYPE Electric Gable Flat S. F. 1 2 3 4 5 6 7 8 9 10 1 2131 4 5 6 7 8 9 10 MEASURI Hip Mansard FIREPLACES S. F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. / O..H.Door LISTEI. FLOOR Fireplace Sgle.Sdg. Roll Roofing Cone. LIGHTING Dble.Sdg. Shingle Roof - Earth No Elect. DATE Shingle Walls Plumbing — Pine 3 Hard I ROOMS Cement Blk. Electric Asph Bsmt. 1st TOTAL a 7 '1 Brick Int.Finish PRICEC'• Single 2nd }-8 3rd FACTOR REPLACEMENT L ; OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phhy`.Dep. PHYS. VALUE Funct.Dep• ACTUAL VAL. DWLG. y S r.. S �r f Ot !` a/77� 7 1,3610 /-2-V0_0 .. ' -- 2 3 4 5 6 7 8 9 10 TOTAL RESIDENTIAL PROPERTY MAP.NO.i LOT NO. FIRE DISTRICT STREET —92M 99 Sea St. SUMMARY H 73 LAND OWNER 01 BLDGS. OOC:%--.. 307 81 TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. Neekley, Maryt B TOTAL CC (] LAND Nackl ey, Isabel 1. 1-21-80 Probate #:7 829 BLDGS. TOTAL LAND BLDGS. -- TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAN D INTERIOR INSPECTED: 0) BLDGS. TOTAL DATE: �/,?/7/ / Sillw,f CT�. Uv/AI�JE LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT LAND mw CLEARED FRONT - BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND 7 0) BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER 0) BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. FOUNDATION 135M 1 tk A I I It, LAND COST . Cone.Walla Fin. Bsmt.Area Bath Room / Base 1 U EILDG. COST Cone.Bak.Walls Bsmt.Rec.Room St. Shower Bath Bsmt. 630 ' PURCH. DATE Conc. Slab Bsmt.Garage St. Shower Ext. Walls ,5 b PURCH.PRICE. Brick Walls Attic Fl.&Stairs Toilet Room Roof RENT Stone Wells Fin.Attic Two Fixt. Bath Floors D iert INTERIOR FINISH Lavatory Extra Bsmt. F '1' 2 3 Sink Plaster Water Cie.Extra Attie .F p j EXTERIOR WALLS Knotty Pine Water Only ouble Siding Plywood No Plumbing Bsmt. Fin. Ingle Siding Plasterboard Int. Fin. Shingles TILING onc.Blk. G F P Bath Fl. Heat , ace Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit Veneer Int.Cond. "e Bath Fl.&Walls Fireplace \` om.Brk.On HEATING Toilet Rm.Fl. Plumbing �R , olid Con Hot Air Toilet Rm.Fl.&Wains. Tiling Steam Toilet Rm.FI.&Walls (g Blanket Ins. Hot Water St.Shower 6 oof Ins. Air Cond. Tub Area Total y , Floor Furn. ROOFING COMPUTATIONS Asph.Shingle Pipeless Furn. 3a S. F. o� � O Wood Shingle No Heat ` S.F. 5_3 0 0 Asbs.Shingle Oil Burner S. F. ' Slate Coal Stoker S. F. Tile Gas S. F. OUTBUILDINGS ROOF TYPE Electric S. F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED Gable Flat - Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0. H.Door > LISTED FLobRs Fireplace Sgie.Sdg. Roll Roofing V_ Cone. LIGHTING Dble.Sdg. Shingle Roof — Earth No Elect. DATE Shingle Walls Plumbing Pine - Hardwood ROOMS Cement Blk. Electric , Asph.THAW Bsmt. 1st :� TOTAL r Brick Int.Finish PRICED Singlb 2nd 2 3rd FACTOR i y REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Oep• PHYS. VALUE funct.Dep. .ACTUAL VAL. DWLG. C O 'L - �-}a SA� G.� 1 2 --' 3 4 S I�I g _ 1 7 f3 9 10 TOTAL ] [R307 081 . , ] LOC] 0093 SEA STREET CTY] 07 TDS] 400 HY KEY] 217740 ----MAILING ADDRESS------- PCA] 1091 PCS] 00 YR] 00 PARENT] 0 NACKLEY, ISABEL I MAP] AREA] 61AC JV] MTG] 0000 93 SEA ST SP1] SP21 SP31 UT11 UT21 . 32 SQ FT] 1344 HYANNIS MA 02601 AYB] 1870 EYB] 1975 OBS] CONST] 0000 LAND 23100 IMP 68400 OTHER 1700 ----LEGAL DESCRIPTION---- TRUE MKT 93200 REA CLASSIFIED #LAND 1 23 , 100 ASD LND 23100 ASD IMP 68400 ASD OTH 1700 #BLDG(S) -CARD-1 1 53 , 500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1, 700 TAX EXEMPT #BLDG (S) -CARD-2 1 14, 900 RESIDENT' L 93200 93200 93200 #PL 93 SEA ST HYANNIS OPEN SPACE #RR 1447 0100 0963 0124 COMMERCIAL #SR MAPLE AVE INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] 3063/69 AFD] LAST ACTIVITY] 09/03/92 PCR] Y R307 081 . •P P R A I S A L D A T A KEY 217740 NACKLEY, ISABEL I LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 23 , 100 1, 700 68, 400 2 A-COST 93 , 200 B-MKT 112, 000 BY 00/ BY ML 4/88 C-INCOME PCA=1091 PCS=00 SIZE= 1344 JUST-VAL 93 , 200 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 61AC -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 231001 LAND-MEAN +0% 932001 74880 IMPROVED-MEAN -90 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] it �R307 081 . P E R M I T [PMT] ACTO[R] CARD [000] KEY 217740 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT I Message Page 1 of 1 Anderson, Robin q3 6tAl � From: Anderson, Robin f Sent: Tuesday, July 16, 2013 10:35 AM Zj To: Police Chief; Tamash Craig Subject: 93 Sea Street Hyannis- Incident Good Morning, I received a call transferred from the town manager's office concerning a recent incident at 93 Sea St. Apparently, over the previous week-end a call came in for a fight at a yard sale. Two men were arguing and fighting on the lawn at the subject location. One party was identified as Raghbir Mehta. Wayne Price, who hosted the yard sale stated he left the location -crossed the street and called 911. I am informed that the responding officer advised Mr. Price that his sale items and set-up were too close to the road. The officer checked to see if he had secured a permit. (He did in fact have a valid yard sale permit). At this point, Mr. Price wants to confirm what the regulations are for the placement of his sale items so he does not inadvertently re-offend. I am unaware of set back requirements and can only speculate that the issue might be one of creating a a hazard with parking, creating a distraction or otherwise impeding site distance. Can you check with the responding officer and let me know what the issue is in order that I may inform Mr. Price, please? Any other pertinent information would be welcome as well. Thank you. 4p6in Robin C. Anderson Zoning Enforcement Officer Town of Barnstable 200 Main Street Hyannis, NA 026oi 5o8-862-4027 t 7/16/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 'Parcel Permit# Health Division Date Issued Conservation Division Feed`s Tax Collector VAL Treasurer �Oz� APPL.TCANTrfir,ST❑❑63miAT♦♦iv]�A,7SEWER THRI Planning Dept. DIvil%ux P916R;'P0 CQh' iilt^.tp�lVV1 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 9 Project Street Address S-e A •_S T- Village RKA bi ft " < Owner It UQ_A S 0 Kf\ A R Address Telephone -7 1 D 17 �(o Permit Request s A.P,4 / f� Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost 5VO, Zoning District ?0 Flood Plain Groundwater Overlay Construction Type WcU -off Lot Size 3, (e 31 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ , Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new. size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name (p t W-Q 14 tk ,-G,� Y Sly-PJ CC Telephone Number � � o �"o® � Address iI g YA r Mo uT14 License# /0 Cy I q Lf /-1 �l4�1 f•�c f AA A, Home Improvement Contractor# CGS n, _e rcc A-- At tQ a.s du a— Worker's Compensation# H ( _70 3G i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO M6a-C )jcJPEsa-1 AY- PI'd, bo(e 70 ;l-14 etL.0 SIGNATURE Q)k DATE 1 �p FOR OFFICIAL.USE ONLY PERMIT NO:It i E DATE ISSUED t c MAP/PARCEL NO. 'aa v ADDRESS :- . VILLAGE ` OWNER '' _.� •�,«fix DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL _ r - ` PLUMBING: ROUGH FINAL GAS: ROUGH' FINAL FINAL BUILDING' v Q } DATE CLOSED OUT z ASSOCIATIO'N PLAN NO. I, MAPLE AVENUE concrete bound found 11461' oliw 1.4f 40.5'f GARAGE (y / o- W 0 GRACE o � Z LOT AREA rn DONOVAN I 0 w 13,632 SFt in c0i w o / =3 EXISTING DWELLING 125' — DEED 24.97' concrete 99.96' bound found N/F ROSE MALOOF JOB # 99-077 CER ?'II'IED PL 0 T PLAN LOCATION : SEA STREET HYANNIS, MA PREPARED FOR: SCALE : 1" = 30' DATE : APRIL 5, 1999 REFERENCE : n DEED BOOK 1339 PAGE 504 HUGH MAR I HEREBY CERTIFY THAT THE STRUCTURE -�NOFMq SHOWN ON THIS PLAN IS LOCATED ON THE �c�,A� SSgc GROUND AS SHOWN HEREON. TIMOTHY off 508-362-4541 COVELL fox 508 382-98ao 0 y I 3 No.38035 down cape engineering, inc. r �'] Cep•G� � CIVIL ENGINEERS ---J ` l 1 ----- s •z LAND SURVEYORS 7`--- --- 939 main sL Yarmouth, ma 02675 DATE REG LAND RVEYOR Board of Building"Regulations One Ashburton Place, Rm 1301 ' Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 03/14/1970 Number: CS 073865 Expires:03/1412002 Restricted To: 1G DAMES R MCGRATH 50 WINTERGREEN LANE BREWSTER. MA 02631 Tr.no: 73865 Keep top for receipt and change of address notification. ' HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards O.ne Ashburton Place - Room 1301 .Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 109374 Expiration 09/11/00 Tvpe - PRIVATE CORPORATION PINE HARBOR BUILDING CO —INC . - J AMEN. D_ MCGRATH 259 CIUEENANNE RD_ HARWICH MA 02645 0 r Thc• CtJnttt1011 T111tlt of;lltu uc•hutcttc Dupartnicnt of lu hatrial Ac•citlents 1' . 600 1 •ashin„ton Street Bawon, A9a.u. 02111 ` Workers' Compensation Insurance Affidavit DO Incalion: .57-e A SST, ' 6a,ty-7 0 ( / �w I am a homeowner performing all work myself. I n 1 am a sole proprietor and have no one working in any capacity .�:_ a...a.n"•Z`i'-'-s'`-1-____.._ .: ...._.....-.:....�..;.::-----_.-=.._. ..._,:-- _ ,_.r"a1'lc,�+_•'±>••j-,..-.-'�7t•v-4,.�-`'.`�'�"�:�_ - I am an employer providinb workers' compensation for my employees working tin this job..} cmm�ans•nantt•: � _�`�6 C..1 l � ��cJ��CJ�-�1�? `,���U��l tLil � � / Yormoolh �'I �j � (p �ddr : J rci ��1 D(1C���� C q�+ cite: �YN n t /�� r /� �hnncft / ! ! �i JCOTV-M- -�t�', insurance co. C.bfnfYk ( 7C�C>li V60o 1 � / / D lamas proprietor,beneral contractor,or homeowner(circle one) and hav_'hired the contractors listed below who have the following workers compensation polices: romnany name: address: its•: . - - -- - phnnc#• insurance co. policy ..—_a_._.... ...�...._..�._._.. ._at_ 1•___w_..7-..iTi:L-L:iY' vWtr--_ — L___w•1'•_ __ .LYiIW 1t.:i.:i�.�a��ut��..a. ::imnanr name: address: ritx-: phone P: inur;r--to- policy 9 - ,Atttich-auditio_nal sheet if firccisar} -_- _ _ s y,tr '`'.''.:r:: 'C ':itt5..`.�s'F';µ-ih1�i.' _'E`er " ,r _•.c` -3�� - •t'a!lure to srcurc corcra,•-••e as required under Section•2iA of\IGL I52 can lead to the imposition t•`criminal penalties of a fine up to Sl 500.t10 andior one rears'imprison mcut I%dell as civil penalties in the form of a STOP WORK ORDER and n fate of SI00.00 a day against nle. I understand that:1 cony of this statement may he fornarded to Ole Office of Investigations or the DIA for coverage rt_-iliealion. i do hcrehr c iltihr under to ii�sA;Wd Dena! ' t Dj rat the irtforfnatiarr prnt ider!eiot a is trice tent!correct Stgnaturc—•- - /��1 i"_te Print name �G ^..ice..1.. c official use unh du not..rite in this area to be completed b}•city or loan official cite or tusrn: permit/license N -Ituildinr Department E- DUcrnsin;: Board riig D chuck if inuncdiatc respuasc i..required 0SOCcuueo's 0Nice t r' �Ilcalth Drpartmcnt f contact persnn: phone tt• dither 1 Suggested Affidavit for Home Improvement Contractor Permit Application For OMce Use only NAME OF CITY/TOWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGLc.142Arequires that the"reconstruction,alteration,renovation,repair,modernization,conversion,inprovement,removal demolition or construction of an addition to any pre-existing owneroccupied building containing at least one but not more than four dwelling units or to structures which are adiacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. / Type of Work: Con, I5fTy 6 Pm fi 13e_4y) i Est. Cost Address of Work`/ T v S--eA- f �' f��64 d l 11 f J Owner Name'✓ S L O ty\- A[1 • Date of Permit Application: A4 ,4y .®� 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 TJ 7 1197 S Date Cantractor NaiVe Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name . CONSTRUCTION SUPERVISOR FORM PLEkSE PRINT: DATE JOB LOCATION PROPERTY OWNER CONSTRUCTION SUPERVISOR LICEITSE NUMBER C" a 3 ADDRESS j �. .............PONE LICENSED DESIGNEE (IF ANY) 2 . 15 Responsibility of each license holder: 2 . 15 . 1 The license r responsible r holder shall be full Lor all work for which he is superV sing a compietel�� responsible for seeing- that all work is done He sha 11 Buildi_nc Code and the drawings as approved Suant to the State Offi cial. by the Buildinc 2 . 15 . 2 The license holder shall - construction , be responsible e� recons `ruction alteration to supervise the c-:t,o_i t2.on i rlvolvi alt,._ation, repair, re=�oVa_s``1C`ury ng the struc�ura1 el i or s only pursuant to t, e L e:rents of buildings a�pl_c�' `� S�.a-e Building ^c �p-e Laws of the Corru-nonweal�' Code and all otter holder, is not the ; :- �n even though he, the license contractor to the permit holQe�lder but only - r Y a subcontractor or 2 . 15 . 3 The license holder shallinured; �oveTPdl in writing of the discover of any notif;� the building by the building permit . Y any violations which are 2 . 15 . a Any licensee who shall willfully violate 2 • -^ • 1 , 2 . 15 . 2 or 2 . 15 . 3 or anv .other sections of theses ie�slat_ons and anv procedures ses rules as amended shall and re`'°C:-ton or suspension of the license by the Board. :7a1_ be subs ec to J 2 . 16 amnllc" i _gla t-�re and building permit �t ors shall is nse number of the construction contain the name, to supervise - supe_whose engaged in const� Visor who ;s repair, removal -uct.:on, reconstrucp_on of the or demoli-, on as regulated b =au such A Code an these rules and-re Y Section licensee , is no longer s.uDervi gulat ors . In the even- immediately s=all immediately until - s Qng said persons cease a suc,.� I the work,substituted on the records of the building license holder is g depart ment. I have read and under ; e�. s `and my respo s ' re ulations for n n 1bili:.ies under ''he r1 W4 Seczion 10g 1�ce_.si nc constr�1ction '-jiso rules and supe_ rs . 1 . 1 or the State ; i =� accordance construct Bu--aing Code . on inspection procedur .. I understand the ca-'ed for by the building offices 1 nQ `"ne specific ; nspect�or_s a �a s LICENSED CONSTRUCTION SUPERVISOR L j I� a � II r � o .� z r ' ` i C o - - - z n m oNN (h M -r_ v�- - n x_ . r• %e_ = L 24 7 9) Sh a p Xm ��... �.. . _. . .ter N ..�. . . ... _. .._ ..._ ._.. _�Z. �. O U o N ----.._.. - --P`-- - -- --v — ------ ----- — -- _.. _..- -- -- - J ; 0 �v_ 79 StDiNC� � I��b I `CONCRETE:. BLOCK* ' 6 50 I l2 PJC3TE (�« VJ00b IS FULL 2�XN 2AFTE1zS i i i I I i i II - A r✓L 5►�E�s NAVE i � G�eCE END LOU I(ERS116S , Cnr�T S►tvw N) `f X 4 Tv P Pi r�T� (jLo�KiNG I I 2X4" QdKLi W.S i I 2X la FI:DO,C JOB Sf�j j i ( -ZX I i� t (f �p�• .� i