HomeMy WebLinkAbout0339 SEA STREET � � ��� �
9
r ; * Town' of Barnstable
Regulatory Services
Richard V. Scali,Director
" BA MASS. Building Division
�FD59.
.� Tom Perry,Building Commissioner }
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
• on
Office: 508-862-4038 Fax: .508-79U16230
C� r
PERMIT# <-� � > ( t FEE: $3S.00
SHED REGISTRATION
RESIDENTIAL ONLY
---- -'Si � ' - 200 square feet or
Location of shed(address) 'Village
Property owner's name Telephon umber
Size of She Map/Parcel#
L
ignature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required) lv
Sign off hours for Conservation 8:00-9:30&3:30-4:30 `
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
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EApplication nu er .8.. ...l. v......
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Fee................ . .... .............................�
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NAM ram` ` e Building Inspectors Initials... .AbAQ4
Ma PP QQ
Date Issued...�l........ .!.. .!....1...
Map/Parcel............ti/......................... ...................
TOWN OF BARNSTABLE -
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: °-� / -S � STD �4 y4N'-J
NUMBER STREET VILLAGE
:Owner's Name: - Phorie Number
-Email Address: 04A/s1CC T�ESa-AJ E Cell Phone Number
.Project cost$ 9 (o 391 O° Check one Residential .r ✓ Commercial'
�--OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK--
Q Siding U Windows (no header change)# El Insulation/Weatherization j
0 Doors(no header change)# Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to AWOL 7 , �9 .
CONTRACTOR'S INFORMATION
C.Contractor's name
(Home Improvement Contractors Registration(if applicable)# l a,9 S 9 + - (attach copy)
Construction Supervisor's # CS S 4- /0
0/S (attach copy)
Tmail of Contractor -/'li lfe 01/1 i AV 7>4CC7-, C6/v) 7 Phone number-o ' 776 -2 4,13
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER............................................................
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X. X 9 X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent
Fuel source being used LP tank 20 lbs. or>Yes No , if yes, a gas permit is required.
Natural Gas Yes No ,if yes,a gas permit is required.
If food is being served at.your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
Signature Date ' 3° 9
All permit applications are subject to a building official's approval prior to issuance.
. Town of Barnstable Building
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
}� Posted Until Final Inspection Has Been Made.
rmd Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit
Permit No. B-19-1800 Applicant Name: MICHAEL HUNTER Approvals
Date Issued: 05/31/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/30/2019 Foundation:
Location: 339 SEA STREET,HYANNIS Map/Lot: 306-049 Zoning District: RB Sheathing:
Owner on Record: JAMESON,DARRYL M&CHRISTEL Contractor Name: MICHAEL HUNTER Framing: 1
Address: 145 MILE SLIP RD Contractor License: 168999 2
MILFORD, NH 03055 Est. Project Cost: $19,639.00 Chimney:
Description: replace windows Permit Fee: $250.32
Insulation:
Project Review Req: Fee Paid: $250.32
Date: 5/31/2019 Final:
crn Lam_ 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.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
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.
Minimum of Five Call inspections Required for All Construction Work: Service:
1.Foundation or Footing
2.Sheathing Inspection Rough:
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 Final:
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lezibly ,
Name(Business/Organization/Individual): !971C,`4 e c J 9&L
Address:
City/State/Zip: l0'04-7— �� a-2 6?5'Phone#: s'4 8 . 776' 3� 3
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.QrI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees - These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers' comp.insurance comp.insurance.:
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.El I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13.❑ Other
comp:insurance required.]
'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.
#Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
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 fine
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 hereby certify under the pains and penalties of perjury that the information provided above is
is true and correct .
Signature: � Date- �Q�� 9 '
Phone#• S'Off, -770 ' 3A /3
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building.Department 3. City/Town Clerk-4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
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 enter 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 in 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:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington.Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax##617-727-7749
www.mass.gov/dia
FORM B — BUILDING Assessor's Number USGS Quad Area(s) Form Number
0 2323
MASSACHUSETTS HISTORICAL COMMISSION 306049 AA
MASSACHUSETTS ARCHIVES BUILDING
220 MORRISSEY BOULEVARD Town: Barnstable
BOSTON,MASSACHUSETTS 02125 Place: (neighborhood or village)
Hyannis
Photograph
Address: 339 Sea Street
Historic Name: Herbert and Lillian Eldridge House
Uses: Present: Single-Family Residential
Original: Single-Family Residential
Date of Construction: c 1910
Source: Historic Maps, Style,and Deeds
Style/Form: Colonial Revival Four-Square
.¢' Architect/Builder: Unknown
Exterior.Material-
Foundation: Brick
Wall/Trim: Wood Shingles
Topographic or Assessor's Map Roof: Asphalt Shingles
311M - .3D6241 CND .. - ..
55 R19 306o 2 M3,6 Outbuildings/Secondary Structures:
0311
�+ 306051 _ ANGELL ROAD
Major Alterations (with dates):
308050
30620301-^'�
3De049 . 283om '.` Condition: Good
3NO4861 3D629 '13
"- 306252. m„ Moved: no x yes Date
3062030D3. ..
9342 . . Acreage: .34 acres. _
4091 0D4 Setting: The building faces east and is setback
approximately twenty-five feet from the sidewalk. A wood
'081DB002 `" picket fence separates the property from the road.
0" 0-Fe .359
., 306044
A4
SOM106E DAW' ,.1363 3°5111:.
RECEIVED
Recorded by: Geoffrey E Melhuish,ttl-architects
Organization: Town of Barnstable MAY 05 2011
Date(month/year): August 2009 MASS.HIST:COMM.
Follow Massachusetts Historical Commission Survey Manual instructions for completing this form.
INVENTORY FORM B CONTINUATION SHEET - BARNSTABLE 339 Sea Street
MASSACHUSETTS HISTORICAL COMMISSION Area(s) Form No.2323
220 MORRISSEY BOULEVARD,BOSTON,MASSACHUSETTS 02125
� a,
Recommended for listing m the National Register:ofHistoric Place c € �x `k €_ ' ' `
w x
s
If checked you must attach a completed National Regcster Crcter`a Statement fol rim
Use as much space as necessary to complete the following entries, allowing text to flow onto additional continuation sheets.
ARCHITECTURAL DESCRIPTION:
Describe architectural features. Evaluate the characteristics of this building in terms of other buildings within'the community.
339 Sea Street(BRN-2323)is a two-story wood-frame Colonial Revival Four-Square. The three-by-three bay building faces
east and is setback approximately twenty-five feet from the sidewalk. A wood picket fence separates the property from the road.
The residence adopts an irregular plan on a brick foundation. The building`terminates in a hipped roof sheathed with asphalt
shingles. A hipped roof dormer is centered on the east roof plane and an interior brick chimney pierces the south plane. The
residence is clad with wood shingles. A wrap-around porch is featured on the east fagade. The roof of the porch is supported by
wood posts resting on a shingled knee wall. Access is provided by a door at the south end of the fagade. A one-story bay
projects from the southwest corner of the residence. A secondary entrance is located on the bay. 339 Sea Street maintains the
form and details of a modest Colonial Revival Four-Square constructed in Hyannis during the mid twentieth century.
HISTORICAL NARRATIVE
Discuss the history of the building. Explain its associations with local(or state)history: Include uses of the building, and the
role(s) the owners/occupants played within the community.
According to tax assessor's records,the house at 339 Sea Street(BRN-2323)was built in 1880;however the Colonial Revival
Four Square was constructed typically from mid 1890s to the early 1920s. Deed research indicates that the lot was purchased
by Herbert and Lillian Eldridge in 1908 from Samual Snow. Herbert(B 1882)is listed as a carpenter in the 1920 census. The
property remained in the Eldrige family until 1948 when it was sold to Pearle F.Hogue. Since the 1950's the property was sold
to numerous individuals who often quickly sold the property to others. In 2005,the property was purchased by the current,,
owners Robert and Jill Walsh:
BIBLIOGRAPHY and/or REFERENCES
Barnstable County Registry of Deeds.
FamilySearch
Map of Barnstable. Published by G.H. Walker&Co. With inset details of Hyannis Village, 1880. available online at
historicmapworks
Map of Barnstable.Published by Walker Lithograph and Publishing Company, 1905. With inset details of Hyannis Village.
available online at historicmapworks
Map of Barnstable.Published by Walker.Lithograph and Publishing Company, 1910. With inset details of Hyannis Village.
available online at historicmapworks
Sanborn Fire Insurance Maps.May 1901; January 1906; September 1912; September 1919;November 1924;October 1932;
1949. available online at sanborn.umi.com
Town of Barnstable. Assessors Records.
U.S. Commerce Dept.Census Bureau, 1840-1930.
Continuation sheet I
INVENTORY FORM B CONTINUATION SHEET BARNSTABLE 339 Sea Street
MASSACHUSETTS HISTORICAL COMMISSION' Area(s) Form No.2323
220 MORRISSEY BOULEVARD,BOSTON,MASSACHUSETTS 02125
AA
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Continuation sheet 2
YOUR ORDER March 9, 2019
-
Mike Hunter's Phone 508-776-3613
Window Remodelers
35 SHELTERED HOLLOW LANE
YARMOUTHPORT, MA 02675 E-mail•mike@mikedirect.com
CHRISTEL JAMESON 339 SEA STREET
145 MILE SLIP ROAD HYANNIS, MA
MILFORD. NH 03055-3320
+ fi
Phone: 207-838-3601
THIS ORDER INCLUDES REMOVING AND DISCARDING OLD WINDOWS AND INSTALLING NEW WINDOWS WITH AZEK EXTERIOR
CASINGS AND PRIMED PINE MATCHING INTERIOR CASINGS.
•:�Qe�cc• iAia::;:•::•:•:•::.:.:.:.:.:.;.•.•.•:.;.;.;:.•:.•.•.•.•.•.•.•• :::��;:;':.. �:�io�a�bo'ti:�•�:�:�:�:�:�:�'�•��• ::::Q�.
PELLA PROLINE SERIES CLAD DOUBLE HUNG WINDOWS WHITE 1 St Floor 5
Glass: Insulated Low E Advanced Argon Gas 2nd Floor 11
Grilles: 7/8"ILT(2W1 H/OWOH)
Hardware: Brown
Screens: Half Screens InView
Options: Pre-Finished White Interior
O tions 7 Additional Brown Window Locks
TOTAL INSTALLED: $19,639.00
DEPOSIT UPON ORDERING: $7000.00 (PAID 3/8/2019) .
DEPOSIT UPON DELIVERY: $7000.00
BALANCE UPON COMPLETION: $5,639.00
i
v Q�
r`d Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Ma, �?usetts 02116.
Home Improvemehp tractor Registration
Type: Individual
MICHAEL HUNTER Registration: 168999
35 SHELTERED HOLLOW LN _ Expiration: 07/30/2019
b
YARMOUTHPORT,MA 02675 o
f r
Update Address and return card. Mark reason for change.
SCA 1 Co 20M-05/11 - - -
_. ._ [I n'1.�re¢S � Qsas�ev_•al._rl_Fsr±Dlsvj!�eat (�I�,�c*f`ar.{I
����/IYUI77AI7.L!{�d�LfZ 2��%I�GLYiJ6C�LCl/Je�d . i - ..• •.` .. ._ .
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Individual before the expiration date. If found return to
Registration Expiration Office of Consumer Affairs and Business Regulation
1 99 07/30/2019 10 Park Plaza-Suite 5170
MICHAEL HUNK ! ' Boston,MA 02116 ,
MICHAEL HUNTERS i / �1? GGQv�— -
35 SHELTERED HOLL01A/LN' -
YARMOUTHPORT,MA`0675 Not valid Without signature
Undersecretary
Commonwealth of Massachusetts
i Division.of Professional Licensure.-
Board of:Building Regulations and Standards' "
.Constructy S*114�i/isgr,SF,�eci ty
CSSL-100159 - � �i es: 08/09/2019
MICHAEL P HUNT_R
J
NE
35 SHELTERED HOLLOW •A. V.
YARMOUTHPOIT.MA02675'
10
Commissioner CI
el -
77
TOYX
CA&[P)[E (ZtM 3* 28
378 Route 1 VISION
Sandwich,MA 02563
PH:774-205-2001•844-90-AUDIT
Permit Affidavit
1
Permit
I`T+
I,Craig Bishop,confirm that the weatherization and air sealing work completed atLbia n n
has been completed in accordance with 780 CMR.
1
Signature: Date: .
FJ'
T
d
Town of Barnstable it ing
ostThis Card So That itbis Visible From`the Street ,Approved iPlans Must"be Retained on Job and'th�s Cartl Must be Kept
a Po"sted Until.Final lnspectiori Hes Been,IVlade 4
Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a F,mal Inspection has been ma`tle- k
Permit
Permit No. B-19-115 Applicant Name: Craig Bishop Approvals
Date Issued: 01/14/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 07/14/2019 Foundation:
Location: 339 B SEA STREET, HYANNIS Map on
Map/Lot: 306-048 001 Zoning District: RB Sheathing:
Owner on Record: LAUBE, MARCUS 1& KRISTIN D TRS '7777Ctractor Name:: Craig P Bishop Framing: 1
Address: 339B SEA ST Contractor License: 15101 2
HYANNIS, MA 02601 - " Est. Project Cost: $3,825.00 Chimney:
y'
Description: Air Sealing and Weatheriiation Permit Fee:: $85.00
Insulation:
Project Review Req: Fee Paidaj $85.00
w :Date. 1/14/2019 Final:
~ Plumbing/Gas
Rough Plumbing:
g
'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.
All construction,alterations and changes of use of any building and structures,shall be in compliance with the local zoning by-laws and codes. -Final Gas
This permit shall be displayed in a location,clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. % M' F
�� --- Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thispermit. Service:
Minimum of Five Call Inspections Required for All Construction Work:] -
1.Foundation or Footing - Rough:
2.Sheathing Inspection _-
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
r�r•�fir—» `7�^�.�,✓�r-'4�ti �'��'
3
A!'^.essor's map and lot number ...............
SEPTIC SYESZTEMI HE Tod
INSli"AL D IN C0'-,_
Sewage Permit number ... ..............
TIT'
BARNSTLBLE.
Housenumber. .......................................................................... W
2639
TOWN Of BARNST ' BLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............C V.4 r........... ..... .. ......................
--TYPE OF CONSTRUCTION ................................ . .................................... nit;;...... ....Aq............
..................
............. ... .1.1........19.%
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........:.....✓.. ..I . Ad . >......... . ................................ ......... ..... ..........
ProposedUse .......... .......................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ..... PJ,'V..... Address ....52�51. .............
Name of Builder Address ............
Nameof Architect .........�Y.l..................................................Address ....................................................................................
Number of Rooms ...........q...................................................Foundation .......................
Exterior ...... C A t—
V .Tg,-
...........................................Roofing ......... ....................................................
Floors .............. ..............Interior ............ ]C-k�.....................................
Heating ................... 11.!4 ......................................Plumbing ........ .1-4.....................................................I...........
00 J
5 .............................................. Jel...?................................................
...... ....
Fireplace .............. ..t?-.k,5�n 195�— ......Approximate Cost eq-00 iw
Definitive Plan Approved by Planning Board ----------------—-----------19--------- Area ........ ...... -z
Diagram of Lot and Building with Dimensions Fee ........ 51415.,a.............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
71 T M
TF
g�
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
-Name . . . ... . .. ... ..........
Constructi n Supervisor's License ......... .. ...... ..............
�sT,)Ff NNING, RONALD
14- 2J911 ADDITION
(
1 .............. Permit for ............................. ......
2nd Floor/ Single Famiy
....................................................... .......
Et
Location .339A Sea...S.t��e.et
..................... . .......................
Hyannis
Owner ........o.nal.d...P.f e..n)a;'.]R.g............... .....
Type'-of Construction ......FIZZLMe........................
.......... .......................................
Plot :r......................... Lot ................................
2
Permit Granted .... .........2..,
................19 83
Date of Inspe6ion ......................................19
Date Completed -n ...
KiTCHEN PLANNING SHEET
ADDi2ESS PHONE:----'--
-HEE TS
INDUSTRIES,
INC. BY r --------
ADRIAN. MICH. 49221
2 4 6 10 12 14 16 18 20
0
Lie
-rAoV
4
6m-p,7�
_
.�b
3� 5T
-A kJ' AJ 1,17
12
114
SCALE ;%z" _ 1'0" (EACH SQUARE = Yj
NOTE: AT CORNERS CHECK BOTH CABINETS AND APPLIANCES FOR CLEARANCE OF DOORS AND DRAWERS. P752.1
Assessor's map and lot number. ........................................... . cf THE ro
Se%yage Permit number ... r......../
...... ......
IX
Ad-e v, I� I BARISTABLL
KAGL
House number ................... 1639.
A
TOWN OF BARNSTABLE , '
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............6��t�-A rz-..W,,.- ........ !,.,I:R........ .......................
TYPEOF CONSTRUCTION ..............................�./. ..............................................................................................
.............. .......1.1........I 9.z�t
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit ac6irding to the following information:
Location ..............
............ ..........
ProposedUse ......... ...........................................................................................................................................
ZoningDistrict ........................................................................Fire District .......................... ...................................................
Name of Owner .... 7�0'o.)�4.Z2........P t,., .......Address .... ............. R...........................
Name of Builder IVA-vj";Jtr.-e Address ..2-P....... rlinl. ..................
Nameof Architect ..............I.............11 ..................................Address .......:.............................................................................
Number of Rooms ............. .........................
.....................................................Foundation J u.:,a?.... . ..
-A
............................
. ..........
Exterior ...... ....................................Roofing .......A� I .................j
Floors .............. C-R e,-�.............Interior ............::t?z,
............ ...... ...........................................
Heating ....................4-/
...............................................................Plumbing .........&M.................................................................
00
Fireplace ............. :.............................................Approximate Cost ...............j....................................................
Definitive Plan Approved by Planning Board ------------------------------ Area ... .... ...................
Diagram of Lot and Building with Dimensions Fee ................v,27 529
.....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
low Ar L-
7p,-f
ryl
%
!V
X
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLW'GS
I hereby agree to conform to all the Rules-and Regulations of the Town of Barnsi!ab ard�ing tl e above
construction.
Na e . . . . . ..
....... r
..........m . . .. . .. . .. . . ...................
Construction Superv'/isor's License ................... .............
PFEmmI06 RONALD ^^ ~~"
�
�
��
|�ll ~ Permit
^
2ND
�: �� ����ym ............... '
. '
Location — . ................... '
Byaurzio
--.--.----,—.----..— . ........................ -
Owner ..........�o!Ald... .................
.
Type of Construction —.Fxaoz��.
;
------~---'--------^------'
�
^
Plot .......................... Lot ................................
'
'
~ .
Permit Granted ......P!�.- ----..lp 83
^ -
Dote of | ----------'—]g
'
Date Como�te6 ---.--_....................
�
^
�
.. '
'
. - .
- . .
/ ~~~�
����
/
' _ '
`
. `
'
'
0\ IJ
.Assessor's map and lot number .... 0. ... .C�........ . .�
THE TO�y
Sewage` Permit number .........................................................
i BARISTAMLE, i
House number :....................................... 9 M6 a
........... ..................
O 39• �0
�D YPy a•
!' TOWN OF BARNSTABLE
BUILDING INSPECTOR
. �
APPLICATION FOR PERMIT TO ......................................»... ................� .1��.........................:........................
�/
TYPE OF CONSTRUCTION / �:
..........8 1.......19. 7
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......... l... .. - ... „ ................................... .........
ProposedUse ......... ,... ........................ . ... .. ...... . ...............................................
Zoning District Fire District ,....
................... .. �` ......................... .............. .y.. �- ... .....................
Name of Owner ........Address ....... ... .. . ...............
Nameof Builder .............:......................................................Address .................................................................................... �•. 4
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..................................................................Foundation
Exierior ....................................................................................Roofing ....................................................................................
Floors ..............................................................Interior ....................................................................................
Heating ............................................................................... Plumbing .....................f.............................................................
Fireplace .............................................................Approximate. Cost ..............5 i.`.....................................
Definitive Plan Approved by Planning Board -------------------_-----------19______ . ' Area .............. .............
Diagram of Lot and Building with Dimensions Fee � .........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
4,
v
1
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
hereb a ree to conform to all the Rules and Re ulations of the Town ofZ—
Istable re ardin the a vY 9 9regarding bo e
construction.
' % "!/C_ � '
Name . ........... ...
Construction Supervisor's.License
....................................
COaKF IASIATT H. A=306-48
No .2.6517..... Permit for ..Install .P001.......
Singlej� ................................... ........
i�St
Location .............339 ......... .Sea ..-.......ree.t................................ ......................................
Owner ....Iasiah H. Cook
..............................................................
Type of Construction. ..FrarlO..............................
...............................................................................
Plot ............................ Lot ................................
Permit Granted .......May..31.,..................19 84
Date of Inspection ....................................19
Date Completed ......................................19
AJ6
r.
Assessor's.map. and lot number ,,.
THE
Sewage •Perris i number . .: :.
' ' 4
B9HB4TdDLE, i
House number' ... ..... .... ..'... ...t ... .... 90 063
9 •
-T.OWN Of . BARNSTABLE
BUILDING INSPECTOR
r
N. APPLICATION FOR PER TO ... ... J../' 1C ?` .:.. L...` ,...
TYPE OF CONSTRUCTION
{ .i ................ .... ............... ...............................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for " permit according.to the following information:
Location ...................... 7 �.. ... , 4-.tc:... .. ......:.................:..........`..� ..... .......... :.........
Proposed'Use ............�...@. a{l.. ... . _ ...: ::
' tZoning District .. ...................... ...... .. ..... .Fire ADistrict .................. .. ............................
Name of Owner ..... 41�.... � .Address ...... .. ................
Nameof Builder-............ ...p............................ ........Address ......... ........................................................................
Nome of Architect ..Address ................ ..........
Number. of Rooms .....:...Foundation
r
Exierior ......Roofing .............................................
... ......................... .ry .... ....... ....... _ ....... ...... .. .....
Floors ................:.......:............:............................................;. .Interior .... ............
' -Heating ...................... ............. ...............................
Fireplace ... ....................... ......................... .. .Approximate Cost ........`.. ..........................................
Definitive Plan Approved by Planning Board _�.' ____19 _______. Area ............
Diagram of Lo e g t and Building with Dimensions Fee f
SUBJECT TO APPROVAL OF BOARD OF 'HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW 'DWELLINGS
I hereby' agree to `conform to all the Rules and Regulations of the Town ''a ,Barnstable regarding the ove
construction.
Name .': ............................,�.
Construction Supervisor's License
�. - .
COOK, TASIAH H.
n No 26517 -. Permit for .Inst h..P ..1........
~ .... ..Single'Family...Dwelling.......................
h" Location ...339,Sea.5 � ................ �� � _ I `• - r
r .................. .......................................
Owner ... sScl:. -...GS?OX...............
Type of Construction' Frame..............................
. .yPlot ............................. Lot.
,Permit Granted ..............19 84
I' / R
'Date of.Inspection. 19
%Date Completed .....................
`
C f�.j'
+ . : '
01
FIKE A Town.of Barnstable *Permit# 03 DSO
Expires 6 months from issue date
• Regulatory Services Fee
BAMMBLL
v MAss. Z Thomas F.Geiler,Director
i639' ��
QED,39 Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner 1O
367 Main Street, Hyannis,MA 02601w /v >*
��1 OF �Q 001
Office: 508-862-4038 IvV SRN
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION
Not Valid without Red X-Press Imprint
Map/parcel Number
c
P
ro ty Address S
OR ❑Commercial Value of Work
Owner's Name&Address Se.o X►
CY
/1 r� Telephone C_e)a ex
Contractor's Name ���,� hone Number� � - p
Home Improvement Contractor License#(if applicable) s
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 ���� �evt-P� � '14C<
Workman's Comp.Policy
Permit Request(check box),
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
S-Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc.
Signature
expmtrg
-a
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 6 65o Parcel-6 ., _a::Application # 0 C
Health Division Date Issued
Conservation Division '-Application Fe
Planning Dept. Permit Fee. ..
Date Definitive Plan Approved by Planning Board
Historic ' OKH _ Preservation/ Hyannis
Projec�St e�t Address
Village \_\v
elepho e��ST
T
,P—ermit.Request—L f �� l� 4
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new `
Zoning District Flood Plain Groundwater Overlay
Project Valuation^' Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ,❑ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King''s"Highway:Ll Yes ❑ No
a ems„, e�
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
kAd
Cn
Basement Finished Area(sq.ft.) Basement Unfinished Area (sqt)
Number of Baths: Full: existing new Half: existing new --u
Number of Bedrooms: existing _new �-
- v7
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
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
-� C.•�lc.v� ��� TelephonefNumber �� �1ad��'i
�Narne �T,
Address. C,� License #
Home Improvement Contractor#
Worker's Compensation #
RESULTING FROM THIS PROJECT WILL BE TAKEN TO ALL CONSTRUCTION DEBRIS R
SIGNATURE_ K-DATE7 "
1
4
s FOR OFFICIAL USE ONLY
Y 3
:'!APPLICATION#
--DATE ISSUED
MAP/PARCEL N0:•_::. -
-ADDRESS.-' VILLAGE
i OWNER
if
F
DATE OHNSPECTION:
FOUNDATION =
? FRAME
INSULATION t
FIREPLACE
ELECTRICAL: ROUGH FINAL
i �
I PLUMBING: ROUGH FINAL
GA:, le rts'-,ROUGH FINAL
r.. ,Ft.NAL BU:I_LDINGz :;r�wf ':mU
"� .DATE CLOSED,OUT .' 0-
ASSOCIATION PLAN NO.
� r ,
s _
The Commonwealth ofMdssacbllsetts,
De artment of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
sy www mass.gov/dia
Workers' Compensation Insurance Affidavit:,Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legib�
Name (Business/Organization/Individual): M(nJ C V
4
5 W)r
City/State/-Zip.;
'Are you an employer? heck the appropriate b.ox: Type of project(required):-
I.❑ I am a employer with 4`C]I am a general contractor and I 6 El New construction
* have`hired the sub-contractors .
employees(full and/or part-time}. listed on the attached sheet: 7. El Remodeling
---
2:❑ I am a sole proprietor.or partner
ship and have no employees These sub-contractors have g, ]:Demolition
employees and have workers'
working for me in any capacity. 9.:[] Building addition
[No workers' comp:insurance comp. insurance.' i
5. � We are a corporation and its 10.[] Electrical repairs or additions
(required.] work- f -
3� 1 am a homeowner doing all oficers have exercised their -1 1.[ Plumbing repairs or additions
�✓ right of exemption per MGL
myself. [No workers comp. 12.[] Roof repairs
insutrance required.]t c §1(4);and we have no
. 1'52
employees. [No workers' 13:D Other
comp. insurance required,]
*Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy,information.
t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors crust submit anew affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those anti ties have
employees. If the sub-contractors have employees,they must provide their workers'comp:policy number.
I am an employer that is providing workers' compensation insurance for my employees 'Below is the policy and job site
information ..
- -Insurance Corrtpany Name: —
.
Policy # or Self-ins.Lic.'#: . �. Expiration Date:
• e , - ,
Job Site Address: City/State/Zip:
Attach a copy of the workers', compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under.Section 25A of MGL c. 152 can lead to the impositiori.ofcriminal 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 fine
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 hereby certify tinder the pains and alties of perjury that the infortriation provided above is trite and correct.
S.i. .nature— Date:
Phone#:
Official use only. Do not write in this area, to be completed by city•or town official
City or Town: Permit/License#'
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector
6. Other
Contact Person: Phone#:
information. and fnstructiODS
e workers' com ensalion for their employees.
Massachusetts General Laws chapter 152 requires all employers to proved P.
Pursuant to this statute, an einplo)jee 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 in partnership, association,
legal rPores'on or other entatives of legal deceased empl yer, ootheore
of the foregoing engaged in ajointentelPrise, and including g P
receiver or trustee of an individual, partnership, association o-other legal entity, employing employees. However the
owner of a dwelling house having not more than fhree apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, oonstruction 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 �n 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."
"Neither thnor any of its
shall
Additionally, MOL chapter 152, §25C(7) states e conunon able t evid political
ns
ence of co pliance withd,th�e,ionsurance
enter into any contract for the performance of pubbc.work tintil accep
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 sihiation and, if
necessary,supply sub-contractors)name(s), addresses) and phone numbers)along with their certificates) 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,e to sisnbandted data the the affidavitnl of The affidavit should
Accidents for confirmation of insurance coverage. Also be Sur g
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,
ainsured companiee,required to s should enter their
compensation policy,please call the Department at the number lasted below,
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 a> to fill out in the event the Office of Investigations has to contact you regarding the applicant.
he affidavit for you be sure to fill in the,permiUlicense number which will be used as a.reference number. In addition, an applicant
that muss submit multiple permit/license applications in any given year, need only submit one affidavit indicating (current yo
Policy information (if necessary)and under"Job Site Address" the applicant should write "alJ locations in
town),"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
be
applicant as proof that a valid affidavit is on file for future permts or licenses. A ffidavit must m filled out each
new a
year. Where a home r
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 lnvestigalions would like to thank you in 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:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Inyestigatio.ns
600 Washington Street'
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617427-7749
Revised 4-24-07 www.inass.gov/d)'a
Town of Barnstable
�pQ THE rp�y
Regulatory Services
s
a�rtsrwsr� I Thomas F.Geiler,Director =
►atiss
94, tb q. ,�� Building Division
AlFD ru'�a Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
k'Ww.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508'790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print `
�D�A—T p
�JOBTLACAIION: J Cn
number street village
(WHOM-EOWNER,": �CA�C.yS �Ce��l W
name' home phone# work phone#
�CURRENIT M___._ AILS ADDRESS: s
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)
,. " compliance with the State.Building Code and other `
The undersigned `homeowner assumes responsibility for comph n wl g
applicable codes, bylaws,rules and regulations:
The undersigned "homeowner?"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and '
requirements.
Signature-of Homeowner:
Approval of Building Official a
f
Note: Three-family dwellings containi ig 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control. t
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeownerperfonning work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Lic
ensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this txemption 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 awartness often results in serious problems,particularly
when the homeowner hirrs unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To cnsure'that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that hc1she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by.
several towns. You may cats t amend and adopt such a fornrtcertification for use in your community.
�oFTHE roy� Town of Barnstable
�^ Regulatory Services
w t
g` KALS& Thomas F. Geiler,Director
Haas. $ .�
`bpTfo ,ca` Building Division
Tom Perry,Building Comn-dssioner.
200 Main Street,Hyannis,MA 02604
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-623Q
Property Ow her-Must
Complete and-Sign This Section
If UsinA Builder
as Owner of the subject property
hereby authorize..- s to act on my behalf,
in all matters relative to work audrized by this buil k permit application for.
(Address.of Job)
'Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on th. rse -s-i-de
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