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0114 UNCLE WILLIES WAY
11 A� r r,11 i� "A Ik" t Town '�of:Raranstable 9 >. Y ��,?r_F ,. .,..m°�.2�",hxy,n Buldin ., �a w :.. �,, d7P ans.Must-be Retained dn.lob ara_d_this hard=1N6i5t�ee t, - ost This Ca d S �Fhat.tt is,itasible Fromr#fae reef. A rove,.- I t ....,. [ is _ 161 .. ..� osted�Unt�l Final.ln ., ° .-,=.> r ;C .�fic �. ,a .. e sir, such•Builslm .shall Not be:Occu ied:until a�Final Ins ectiorlpfi�s^tteen�made ._,;, Whe e a ert ate of Occupancy�s R � � g p ,.P 63 Applicant Name Carl Rebello :.,Perm] , c',; B-..17,1960 Approvals _. Current Use :< .... Structure Date Issued 09/18/2017 Permiffy.pe:---Building=insulation-Residential Expiration Date :;''03/18/2018 o , ;, ,. Foundati n•. ; Location: 114 UNCLE WILLIES WAY, HYANNIS Map/Lot 292-003 013 Zoning District: RB Sheathing t § g Owner on Record: DUPONT, ELFREDA v Contractor ame: Carl J Rebello Framing: 1 N Address: 114 UNCLE WILLIES WAY . Contractor License $�CS-084358 2 HYANNIS, MA 02601 _ fst Project Cost: $3,544.00 Chimney: Description: . linsulation PerrnatFee: $85.00 Insulation: :Project Review Re linsulation I r Fee Pa►d` $85.00 4 E Final: _. Date 9/18/2017 3 Plumbing/Gas 19 rb �� Rough Plumbing: &_ - Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authon Le by this permit is commenced within soamonths after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and theapproved construction documents for wh ch tt%permit has been granted. All construction,alterations and changes of use of any building and structures shall tie 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 publ c inspection for the entire duration of the work until the completion of the same. ��� k Electrical � - Jy The Certificate of Occupancy will not be issued until all_applicable signatures by the Building and Fire Officials are provWed- thispermit. Service: Minimum of Five Call Inspections Required for All Construction WorkARP " 1.Foundation or Footing y Rough: 2.Sheathing Inspection w. 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 z ,!. . 'in:MGL c142A . .Persons contract<ng with,wnregstered,,contractors,do,not have access to the guaranty fund.-.(asset_forth J e Fire Depertm nt „ Building plans are to>be available on site Final: ; All:Permit.Cards.are the property.of the APPLICANT-'ISSUED RECIPIENT- jjNLS > The Town of f- arnstable moo, %6�1 Inspection Del-, irtment Cry 367 Main Street, Hyan. �s, MA 02601 508-790-6227 ' Joseph D. DaLuz Building Commissioner , Y Marc] 9, 1993 ` Bret Madeline C/O Boston Five Cents Savings Bank Asset Management - Second "loor 10 school Street Boston, MA 02108 Re: 114 Uncle Willies Way Hyannis, MA A=292.003.013 Dear Property Owner: '? hys'1`L This office has received a complaint alleging a basement apartment -M located at the above referenced address. As Town Of Barnstable zoning prohibits such a use, please contact this office immediately. Verytruly y yours, L.�> � r ��t,"-,? Richard R. Bearse 14 ' r�.F Buil(ling Inspector 't 0 T RRB/km tt ;. T v8 t+`a L930309C W" tr A ✓ �� to® AV -I- 721 -e 29i 003.013 COC'0114 UNCLE WILLIES WAY CTY 07 TVs 400 NY KEY 201999 ----MAILING ADDRESS------- PCA 1011 PCs 00 YR 00 PARENT 0 nARCCLIUE, BRET MA.?-y AREA 621:4C 3V MTG 2001 % BOSTON 5 CENTS SVGS BANK Sli SP2 sp-3 ASSET MGNT - 2ND FLOOR UTI UT2 .34 SQ FT 1104 10 SCHOOL STREET AYO 1984 EYB 1984 OBS CONST BOSTON MA 02108 LAND 19300 IMF 59600 OTHER ----LEGAL DESCRIPTION---- TRUE MNT 78900 REA CLASSIFIED &AND i 19,300 A END 19300 ASO IMF 59600 ASO OTH #BLV0(S)-CARD-! 1 59,600 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE OFL 04 UNCLE WILLIES WAY TAX ,EXEMPT ODE LOT 13 RESIDENT'L 78900 78900 7890f) #RR 1752 0115 OPEN SPACE COMMERCIAL INDUSTRIAL EXENFTiONS SALE 051S9 PRICE 1 ORB 67271333 AFD I A LAST ACTIVITY 02104193 PCR Y ---------- ------------ - --- --- - --------- ------ - - -- ,:n77 lot 14 ' 12157 , • ►/.rr 106uow Lot 13 = 1.+,670 s. no.114 Ro6otkaft �--� ,story d�we�,ttn9 12'7.5T � '• . 6t t2 8491 Zr.7 .fj00&�aru�: 250001 oo05G f 00di B0rLit Cl ♦ OF ref y c �o PAUL' s� hereby certify ttI6 in tlon was arac�,,�. T. • v Cents Sav Bank, -1.ou>s V.Sorgl,�r.8rI�,e. i a rigs sho►Nn, hQc� m d0 � in,a,special. o�Xj d�eUa`rag s ha2x%4, carets;wttK an of�ective love of 8 -t9-85 and.rite 10catt0n. OF. the dwellin�'does m the loud$onirag 6y-laws irs•e{lect� atthe tune oF=Utr xbm with. MWc;ttD hor iA6ntal dirner�s'iona� scale: 1' = 30' Setback a7 or is = pr ViO�.a I1 M Mf O* 1'1'1�e Me W Date; 4.2 -93 dCtL m under JI'1 w- Ge"raL I aWs Chap{W 40 X-3ecttorV 7. File No_ 196 993 PLEASE NOTE: the structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments. if any exist. either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used ovarinm or bs ildin fences plan purposes. This plan must not be used to locate property lines. Verification of building locations. property i or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown. hereon. Please note that this is 'NOT A BOUNDARY SURVEY' and is 'FOR MORTGAGE PURPOSES ONLY-. COLONIAL LAND SURVEYING COMPANY , INC. 269 Hanover Street Hanover, Mass. 02339 - Phone: 617-826-7186 - Fax: 617-826-4823. �,b TOWN OF BARNSTABLE 26525 Permit No. - -----------------------=— Builog Irisp`ector n,un.m 'Cash s o . o... OCCUPANCY PERMIT Bond =- X '� Issued`to Pepnl '& son Bujlders InC Address Lot 13, 114. Uh le`Willias Waa. TIvarmis Wiring p Ins ector > �� — Ins ction date' r� G . �i/.l irides � f Plumbing In. Inspection date ' i ' V. Gas Inspector N ♦'K7 r ,Inspection date .Engineering Department Inspection date. Board,of Health : : Inspection,date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE. OCCUPIED UNTIL , SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN'ACCORDANCE WITH SECTION 119.0 OF.THE MASSACHUSETTS STATE BUILDING CODE. ........ �.......4.... .....:.. 19. 4� ................................................ ....... r. ............................ ..................... Building Inspector FROM I ott�-- TOWN OF BARNSTABLE j BUILDING DEPARTMENT Mr. Francis Iahteine 367 MAIN STREET HYANNIS, MA 02601 �'`a 8rc,r-E.r R'.e ve ieay i�r:w+f iM�.r'rt Town Clerk , ; . a _ � Phone; 776-1120 SUBJECT: FOLD HERE DATE - - - MESSAGE F {9:E�N!E'yF iD Ri'»s;iiMax 2' ".`rsW a Work haswbeen.canpleeted under Fermit�#2652 Petroni C & Son Builders Inc tfq d, - � r <.R•.�. .�. x _. �.�� . '. leats`e*i;,6leC��; r,...�q.+� i—o-...,...w - - - ��M.a:n�+*1.,..:e.rrwNeu Fmx..a•-r'a« - - SIGNED' • _.�'t ICi r i } DATE REPLY SIGNED Ne7•RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER:.SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. Assessor's map and lot number .................. ............. .... ... .. oFtNEto� Sewage Permit number ...................f�..... ..... .. .... . .SEPTIC w House number !0VS� g TE IWU. BAsasTADLL l ......�.D ............................. -A E y �A NAM �. i CIV TOWN OF BAR 1639. N�� A'BLE= ry BUILDING INSPECTOR APPLICATION FOR PERMIT TOr7.O. (... �f -725 . .. ...��fi . ,(� !.. ..... .. .........1..................... TYPE OF CONSTRUCTION JQ&.. �sk .......�.2..................191 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according yt�o�t/he jfollowing information: Location .... .(.....mod..../... ............. .(.Y. L. .......Y..vl.Ll-°. �5....:. CL� .y......A*,V� #VX�................... ProposedUse ....... ............................ ................. Zoning District ...ki. — ....................................................Fire District .. /7 <.Y...,: ............................................. Name of Name of Address 1)PAC P..l, R...... NtxIYZ.�7 Name of Architect ...Address . .�................................. //Number of Rooms .............�..............................................Foundation /..d.I./.....(...�....f�. �.... ,s. . .. . ...r:.�. Exterior ..... ,1!Q�D.........5.71J`)JI/ .............................Roofing ...Ac.�t!!.�/`f'�.� .......................................... Floors .. .....T-4...d.......� .l ..........................Interior ....611,ccr .Q. ....................................... Heating ... .Lz 74t—z. .1,C A.......................................Plumbing ...... .. .... .!`!'.f..lT. ..................................... Fireplace ................. ........................................................Approximate Cost ... .1..�,t.. � .....�.. ,.. Definitive Plan Approved by Planning Boa �......19 Area ...�.�. .. .... . ................... Diagram of Lot and Building with Dimensions Fee .... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I 1 y. 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 .. Construction Supervisor's License . �PfTRONI & SON BUILDERS, INC. � 1 N� 26525...•• Permit for ...One Story............ Single„Family Dwelling Location Lot 13,, 114.Tvhlp e Will �S..WAY r .......... ..Hya11T?IS.............................................. r Pe troni & Son B rs In Owner ....................................1 �4��....�.......G.... 4 r Type-of Construction ..... aC .............:............ Y",� ,�. r. ~► �. i �. �".........: . ..: ...................... .............................. /T • �.,.. .. ,�, ,�• Plot ........................... Lot Permit'Granted ...,June..l'...........`'� '�-,1,9 84 Date-of,-Inspection ........................: . .....-19 -Date-Completed 'P f..... �� .....19�±5 / (w•r'� � �' - 'ter'. .'7!✓ t ry� v.! 1 � �y. � w� \ - � ' - '.s � ry , .�► `Assessor's map and lot number ✓� � - ,�/ .......... ......�``'�.-.--,-..;� �•jE• THE (� / G/(1 ?a(t ltP�JF G �o�Q ♦� Sewage Permit number ...................:...............:..........y.........: , , , Z BARNSTABLE, i rasa House number ..............................�.. .....R................... _............. oo i639 0� pN a\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO !'r l�.�. 4 ... �����' ;V.4 e:. TYPE OF CONSTRUCTION d N4..... .if'e�at,�,�7..... ......�!.�..5..����°.��.. tIZ.......I./I..................19.1; TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �/ � � Location ....+�-� � �....�. ....... I.e. ....... .Jt»:�i.......1!.A. .........4 V/ �;/.��`�................... ProposedUse ..(,y! .��..... 1 /, ..... ! /!?! -. ........................................................................................ Zoning District ... A.'..t�.....................................................Fire District .. X1.4 ....1............................................ ,r r o . A �.�}/ �, jl� /1/�Address / 1�v ' /�>f'� ��?t. !r. ✓ 5 Name of Owne (..... ...��.............� ....... .rf.......�,..,. ..... ....,... ,�.,. _ ......... *. Name of Builde°rA./... .PYIA;54M,81J.dt� Address Name of Architect d 11,j �!.?1. ..141 �. r ...Address . $1.6.��.-0 .4....�?..!.�,��................................. Number-of.rRooms .............N5 ..............................................Foundation �r.. .0 1 ! Exterior ......Wool)........ � ..............................Roofing ...�.��.�!�'.�.�: ......................................... Floorsf. ... f. .r :....... `. �.........................Interior ....��..?,�T ....................................... HeatingT ..... 1 r 3........... ...........................Plumbing ..................... ..................................... Fireplace .................,/.V ......... ?............. ............................Approximate Cost ........ .!...................................... Definitive Plan Approved by Planning Board ____19 _. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 60 TS ;� -f,3ADRaor�j .© t �� ra AT.4 S o N ��k - .o4Ne,H �V �i 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 .. 1/��,� /1,✓ Y/l, {a '',•C> �Construction Supervisor's License ...-... 1.....0.0 ............. I { PETRONI & SON BUILDERS, INC. A 292-3-13 - � � aga� 3- �3 No 26525 Permit for .One Story Single Family Dwelling ............................................................................... Location Lot 13, 114 Uncle Willies Way .. ..................................... Hyannis ............................................................. Owner Petroni & Son Builders, Inc. ...................................................... Type of Construction Frame................................ ............................................................................... Plot ............................ Lot ................................ 4 Permit Granted .....tTl] e..l.F....................19 84 Date of Inspection ....................................19 Date Completed ......................................19 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ®0.3®/ ` Application#0 o oc D f Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee 50 a0 Planning Dept. PermiE:1 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address UnC e- t lIII�S 00AA Village .2 Owner f �'-`�Gi f ��i t�J Address �Cym Telephone �� p , Permit Request 0 (V,Oy-e- 4I'r`2� rr off, ul rem oi/ec o'er vI L)V S O LAJ En o/V .��'l,G b Jo-c- ion -e-, S �C �v �I t n D s y J)PO Square feet: 1 st floor:existing 1(� 00 proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations -Construction Type Lot Size 4 3'1 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure -2-9-- Historic House: ❑Yes ik<o' On Old King's Highway: ❑Yes 91101, Basement Type: d"Full ❑Crawl L' alkout ❑Other Basement Finished Area(sq.ft.) Ctboy l_ j i QQQ. Basement Unfinished Area(sq.ft) �-- Number of Baths: Full:existing 19, 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: 0as ❑Oil ❑Electric ❑Other Central Air: ❑Yes U<o Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No `l Detached garage:❑existing 0 new size Pool:❑existing ❑new size Barn:IJ existing 0 new size Attached garage:0 existing ❑new size Shed:[sting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No if yes, site plan re vieil Current Use I Proposed Use DER INFORMATION Name—r'JVe d i�° �,El,) '` .�D 7 Z �o2.y�0 d Telephone Number- _Address- .�I L4 dt, CJ6 l .LO # Cl n yyli s 1W Home Improvement Contractor# Worker's Compensation_# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE`- --�--DATES, j (2,6 .+r FOR OFFICIAL USE ONLY ,,PERMIT NO. DATE ISSUED MAP/PARCEL NO. " ADDRESS VILLAGE OWNER - DATE OF INSPECTION: ` FOUNDATION E FRAME f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING A t DATE CLOSED OUT r ASSOCIATION PLAN NO. ' r f The Commonwealth ofMassachusetts JLN Department oflndustrial Accidents Office of Investigadons 600 Washington,Street Boston, MA 02111 y ' www.mas&gov/dia' Workers, Compensation Insurance Affidavit: Buflders/Contractors/Electridans/Plumbers _Applicant Information Please Print Legibly Nam ess/Organizatioa/IndividuaD.' I U 1 I LI t, C4— t)4 f (1 � Lj Gail k' / e/Zip: Gi,f'1 .� 01 PhOne#: y 9> 7 7 -'-� _ Are you an employer? Check the•appropriate boa; Type of project'(required): 1,❑ I am a employer with 4. ❑I am a general contractor and I 6' ❑New construction employees(fall and/or part-time).* have hired the sorb-contractors �• ❑ Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet # ship and have no employees These sub-contractors have 8s ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition (No workers Qomp.insurance ' S• ❑We are a eorpe.ration and its • ] officers have exercised their 10.❑ Electrical repairs or additions t of e$ on per MGL 11.❑ Pbambmg repairs or additions � �� � c. 152 1 4 and we have no �3- - I am a homeowner dog=all�wark� T� � aryself,(No worker_mpg_ ( )� li[3 Roof repairs msnraaee requaad:]=t . employees.(No workers' 13.❑ Offer can*.insurance required.] *Any applicant that checks box#1 must also M out the section below showing their workers'oompensation polieyfafomsa#ioa: ' t$emeownen who submit this affidavit indicating they ara doing all work andthen hire outside mb ctors must submit anew affidavit indicating such 2Con h actors that check this box must attached an additional sheat showing the name of the sub.coatmdon cad their workers'comp.poHay information• ram an employer that is providing workers'compensation insurance for.my employees. Below Is the poltcjp and job sits lnformadion Insurance Company Name: per,#or Sties.Lin..: P Daft: • ' Job Site Address: City/state*.- Attach a copy of the workers' compensation poicy declaration page(showing the policy number and expiration date). Faibure to secure.coverage as required under Section 25A of MGL c. 152 cani Lead to the imposition of enitnr"al penalties of a fie up to$1,500,.00 and/or one-year imprisonment,as well as civil penalties in the.farm of a STOP WORK ORDER and a f5he of up to$250.00 a day against the violator, Be advised that a copy of this stateme i may be forwarded to the Office of j Investigations of the DIA for insurance coverage verification. I do hereby cc fy under the pains and pZJU�% f pedury that the information provided above is true and correct i Phone* c ik,usi ono. Do f W X- ftE ir,this arm,to U completei#ct,or City or Town- P erm!VLI cense# Issues Authority(drele one); 11.Board of Health 2.Building Department. 3.Cityfliowa Clerk 4.Electrical Inspector 3.Plumbing Inspector l 6. Other i Con+�act Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensationfortbeir 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 dr 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, eotstruction w repair work m such dwzlling house or on The grounds or building appurtenant thereto shall not because of such employment be deemed tobe 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 perms 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 ofpublic work until acceptable evidence of cam liance 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),addresses)and phone numbers)along with their certificate(S)of insurance. Limited Liability Companies(LLC)or Limited LiabiIzty Partnerships(LLP)with no employees other than the members or p artners, 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 co fu=ti.on of insurance coverage: Also be sure to sign and date the affidavit. The-affidavit should be returned to The*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' e . co cuter compcnsatianpohcy,�please call nu the Department at the anber hstedb low Self-insured mpaaies she kild 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. oft.afdayit for you to till=in the eyed the Office of Investigations has to contact you regarding the applicant - Please be sure to fill in the permait/lieense number which will be used as a reference number. In addition,an applicant That must subnitmnitiple permitllicen3e applications in any given year,need only submit one affidavit indicating m=ent 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 o�cialYy stamped or markedby the city or town may be provided to the applicant as proof that•a valid aidavit 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 (le, a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Mce of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not Hesitate to give 0 a call. The Department's address,telephone and fax amber: The Co=onwea of Massa setts Dgwtment of Industrial Accidents Office of Inveeftsfim 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1 077-NM SAFE ' Fax #617-727_7749 Revised 5-26-05 WwTrr m255.gOV/dta Town of Barnstable Regulatory Services BAMSrABM ' Thomas F.Geiler,Director MASS Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 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. T-tl Oc-k up j �,�h;$ o,ike— Type of Work: (z e.ry►�/ �� G�NR'�L� � (- SrtpVg Estimated Costz - 00 12- w Address of Work: I �- 0-nn,!& Owner's Name Date of Application: 51 11 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 Ej]B ding not owner-occupied • Pv+'ner�'t 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 PEMIRY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. R ®5 1 Date � _ is Name =_ QSormslomeaffidav Town of Barnstable P��FTHE 1p�� y o� Regulatory Services •AxxsTABr E Thomas F.Geiler,Director 9 MASS. 059• A.� Building Division lfc � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79076230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: - / JOB LOCATION: �/ ' 1 C/1 e— l�J 6 l C"J L Qkj, (f Cv 1 rltS "LA number / / street /villa "HOMEOWNER 1 v e �.i 0� L,2(.�t S �JC�� 7 name home phone# work phone# CURRENT MAILING ADDRESS: e-- t city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable,to the Building Official,that he/she shall be responsible for all such work performed under the building,permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,.rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proced es and requirements and that he/she will comply with said procedures and eq ' men , gnatur omeowner�-�' Approval of Building,Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forrmhomeexempt a xRX � i ,e j L r 3w13 lot ,-r1i 19 III �r A .. _��� �� ._+. �.___._�� �, � two-�-� - •ice ..4����.� if y .� ..� __....ems-_ _-_-��.�..^ �- - �...__._. ti t r y .• .. � �.� i � � ,. _r. .. a PJ I I I ; 10 Sam boo M } _ � L- i JI V� . . ` _ �Jr ' , i � ,. �w � 7 y �, � � � 4 .. � _ �. _ ' .. ��. ..r. ,. � s _ ` :� Y L � _ ., i Health Complaints 15-May-06 Time: 10:30:00 AM Date: 5/15/2006 Complaint Number: 18809 Referred To: THOMAS MCKEAN Taken By: THOMAS MCKEAN Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 114 Street: UNCLE WILLIE'S WAY Village: HYANNIS Assessors Map_Parcel: Complainant's Name: DAN SIZEMORE Address: Telephone Number: 508-778-5646 Complaint Description: ILLEGAL BASEMENT APARTMENT; PEOPLE WORKING IN BASEMENT NOW WITH NO PERMITS FOR WORK. Actions Taken/Results: REFERRED TO BUILDING DEPARTMENT Investigation Date: Investigation Time: 1 Town of Barnstable Aplproygd Regulatory Servicesd� Fee Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Horne Occupation Registration Date: 1? Name: TO�I fX�AAayUk Phone#: 5 O ' -2 I Address:�L U✓`Gl[ w;J i e_) bo;ft-i Village: i-r (k n n +S Name of Business: ,�� -e sc-V e- Type of Business: U QV Y _ P4-( �Z_ Map/Lot:,_29,�_) & INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: aA Cka-'J Date: `t t b)- o Homeoc.doc 6-eo6a5&,-P e71,3 ngineering Dept.(3rd floor) Map - Parcel AqA-_OU 013 Permit# (?�!o House# I Ig w ate Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 00 Conservation Office(4th floor)(8:30- 9:30/1:00, 2:00) ' T BE Planning Dept.(1st floor/School Admin. Bldg.) �'t'F^ �� ��T� t � LLEID IN � CE "in ve Plan Approved by Planning Board 19 WITH R ND TOWN OF BARNSTABLIP��� h—G Building Permit Application &)Jecttreet Address It . UY\('l UJ; tj I �S _ t)A:�' t ' 1 , Village 'STY I (i �J1 S +-Owner S tQ, �c Address V,in G wt, Telephone Permit Request elt N ov Tolj 10,A'S+Tlh I (, 6 r ZS' r. 1 L,� 26x43 k First FloorL, F square feet Second Floor square feet Construction Type I e S /► CJfC v?i b 2 (t / ( i ,P o (J iJ ri Estimated Project Cost $ mo Zoning District Flood Plain Water Protection Lot Size - 3q A-LK S Grandfathered ❑Yes ❑No Dwelling Type: Single Family 42 Two Family ❑ Multi-Family(#units) Age of Existing Structure I5 Ks Historic House ❑Yes t,8 o On Old King's Highway ❑Yes t No Basement Type: ❑Full ❑Crawl Q4alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) X Q I I Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: CO'Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes UJIN'o Fireplaces: Existing New Existing wood/coal stove ❑Yes Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) , ❑Attached(size) ❑Barn(size) one d..(size) X 1-2- ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PE MIT DENIED FOR THE FOLLAVING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - - DATE ISSUED lzz MAP/PARCEL NO. ADDRESS .VILLAGE OWNER - DATE OF INSPECTION: 1 _ FOUNDATION FRAME INSULATION , FIREPLACE _ ELECTRICAL: ROUG3-1' FINAL - PLUMBING: ROUGH FINAL GAS: : r ROUGH FINAL FINAL BUILDINGrsj DATE CLOSED .uctr f; - cv ! _ ASSOCIATIONLT NC oFn+e t� The Town of Barnstable • asRrt AMA • ""JW �' Department of Health Safety and Environmental Services �M;►`° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: For office use only Permit no. Date `f-30-91f 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: ,eS v1'v�t✓tit �' Est.Cost , Address of Work: Owner's Name �a�A Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,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: e Contractor Name Registration No. Dat OR v Da Owners Name Z"�` The Commonwealth of Massachusetts FEW : Department of Industrial Accidents ..... 01=9 8f1,7lyesZfff2Z ans = _ - 600 Washington Street ;. Boston,Mass. 02111 Workers Compensation Insurance Affidavit Im name � ft- � G t' llocation city hone# �Ok- 7 7�-I`N` I am a omeowner performing all work myself. ❑ I am a sole rietor and have no one working in any capacity ❑ I am an employer providing workers compensation for my employees working on this job. com nnv name: address: city phone#: insurance ca. poliev# //aiaiia/sari///////a/ate////a/a////////ai/i///Dili///alai//oi/a/a/i/ail/iiiiai/iii////ail///////%oi////i//i///ail//////a//a////i//i///a/a////////////////////a///////// ❑ I am a sole proprietor, general contractor. or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: com any name: address- city -phone insurnnce co. oiicv# •.: ,:>:.•:::: ,.::�::i..;",;.:.:.:. cam anv name: address• city- phone#: .: _, olicv# insurance co. 10 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Wte up to S1,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMCe of Investigations of the DIA for coverage verification. I do herebv certify under the p 'ns and pen ies of perjury that the information provided above is tlru�o and correct. Signature Date ! 3� Print name Phone# ofncial use only do not write in this area to be completed by city or town otIIcial city or town: permit/license# OBuilding DeE ent ❑Llcensmg Bo ❑check if immediate response is required ❑Sdectrtten'a e ❑Health Department contact person phone#• ❑Other�� (remea*95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the 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 Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number which will be used as a reference mum_ber. The affidavits may be return it the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents w Me of InYestlgatloas 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE 7 D I , JOB LOCATION Number Street address Se tion of town "HOMEOWNER" S Yf"®V ,c Iftme Home phone Work phone - PRESENT MAILING ADDRESS / 7 11�1e,4 n 04 a ity town State Zip code The current exemption for "homeowners" was extended to include owner-occupied 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 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 Offici� on a form acceptable to the Building Official, that he/she shall be resnonsib: for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stz Building Code and other applicable codes, by-laws, 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 sa ' pro dures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to 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 a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owne shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarene 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 " wner acti as supervisor is ultimately responsible. , To ensure that the Home Owner is fully aware of his/Ater responsibilities, ma: communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 1. Assessor's Office(1st floor Map j Lot -Permit# `7 Conservation Office(4th floor) Date Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00) Fee Engineering Dept..(3rd floor) House(#1 t ._ 13�T�l,LE®llr9 Planning Dept.(ls /School Admin. Bldg.) `ea® ITH Ea14 F,7FZ'G`bY6�i i��i�''`�BARN$FABLE :� Ir.��.,aJ 9. Definitive an pr ved by Planning Board 193 ,ED,a.+'� TOWN OF-BARNSTABLE Building Permit Application Project treet Addres r4 (�►�C,�,� LA) ��t C.8 (, A-4 Village Owner _ S it A L_. beN Address �.¢.. Telephone (5--Ow) �- u —(q-15- Permit Request ID �jU LY Ql s (Q Total 1 Story Area(include 1 story garages&decks) square feet a Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ vvtd V- i 000 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type - Commercial Residential Dwelling Type: Single Family I/ Two Family Multi-Family Age of Existing Structure { ifs Basement Type: Finished Historic House Unfinished Old King's Highway 4 Number of Baths ( ��7s No.of Bedrooms 3 Total Room Count(not including baths) First Floor Heat Type and Fuel MCA _S Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNA DATE BUILDIN PERMIT DENIED FOR THE FOLLO G REASON(S) . FOR OFFICIAL USE ONLY PERMIT NO. 9740 DATE ISSUED 8/15/9 5 MAP/PARCEL NO. -' 292 003 013 ADDRESS 114 Uncle Willies' Way VILLAGE Hyannis OWNER Susan M. Berger DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION FIREPLACE- ELECTRICAL: ROUGH FINAL µ P PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING , DATE`C.LOSED OUT ASSOCIATION PLAN NO. • TOWN OF BARNSTABLE BUILDING. DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. r ' DATE 5 JOB. LOCATION Number Street address Section of to n "HOMEOWNER" L1/S` -7 3 9--4o 3��r Name Home phone Work phone ° PRESENT MAILING ADDRESS ( - ) - ""• City own State Zip code The current exemption for "homeowners" was extended to include owner-occupied 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: Person(sY 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 to six 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 h"homeowner" shall submit to 'the Building Off icia on a form acgp-ptable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Sta Building Code and other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER' S EXEMPTION The code' 'st"ate that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes 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 '•dwner- actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a . form/certification for use in your community. : The Town of Barnstable KAM• a►wvsrestE. • �e� Department of Health Safety and Environmental Services 116 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 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: &Uj G L8/'& U h A Est. Cost L OAA-✓$I, 606 Address of Work: N UACL W r 1 f(3 (-t " 1 an ; h" + 01 Owner.Name: : 1, S�A t ,� ''r Date of Permit Application: I herein certifv that: Registration is not required for the following reason(s): Work excluded by law Job under SI,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 Contractor name Registration No. 0 ff l �k D to /A Owner's name I 11%02'94 17,02 '$8177277122 DEPT IIA'D ACCID �0 =y (/olyunvizitlea Lit O &Jaclza6ethl ' �C.1a�artmertf o���Eria[�ccrdantd 600 W.J..fton.,�t,+ l James J.Campbell &Ion, / .M.ci.0 fe 02f f 1 Commissioner Workers' Compensation Insurance Affidavit i, c irr--i' with a principal place of a �— e�yisr:e� 1 do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this lob. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, genera( contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contr or Insurance Company/Policy Number I am a homeowner performing ail the work myself. I w,d_rscand test a copy of&is sltement will be forwarded to the Office of Investigations of the 01A for coverage verification and that failure to secu. cv a-age s rec i;ed under Section 25A of MGL 1:2 can lead to the imposition of criminal penalties eonsistin¢of 2 fine of up to s 1,500.00 and/or years' imprisco.r -tent as well as civil penalties in the forin of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed is day day of ® _ 14 Lice see/Permnittee Building Department 1 Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 t :,•ii 1 . r 1 Gf � S A:5p 1 [ i s (ow 16 E Terms r l SOLID WHITE PINE _ These Features at Introducing C E DAR SHEDS Tongue & Groove No Additional Cost! Quality, Workmanship & Price Tongue & Groove Construction Heavy Duty 40" Double Door Long Lasting, Naturally Rot and Insect T- 1 1 1 Models • Functional Window Repellent, Pleasant Smelling, Will Rugged, Long Lasting, & Economical • Asphalt Shingles - Choice of White, Withstand the Most Severe Weather. Black or Brown __ • All Galvanized as - _-- --�� - i;y • 5/8" _Plywood Flooring & Roof 4 ;r LNI • Concrete Blocks `P i, �i 4 • Window Boxes & Shutters r �� �� l • 8' x 12' & Larger. Models with 2 Windows • All Hardware Included 8 X 8 8 X 10 • Ramp Included CEDAR (Shown in Texture 111) SIZE PRICE SIZE PRICE QUALITY WORKMANSHIP 8 x 8 $1299 1 o'x 10 $1749 & MATERIALS 8 x 10 $1439 10 x 12 $2079 _..8 x._12......._..$1679 10 x 14...._ $2349 8 x 14 $1925 10 x 16 $2699_ 4 ^ =119 Skilled Craftsmen x 16 $2149 - Completely Assemble 8 x 12 Building on. Your Properly OPTIONAL FEATURES L-------------------------J (Shown in Pine) ' Installation Requirements: • 26" Single Door 4° 11. Permits are the responsibility of • 54" Double Door owner - check with you local City or Town. • Extra Window Includes `; = 2. Level, clear site required. Shutters & Window Box 3 ft. clear.area required around perimeter of shed. Vents. • Pressure Treated Sills and Floor 3. Owner must be on premises i on delivery date. Joists Single door as shown is optional 4. Sheds USA must be notified of • Window Screens 10 X 16 any changes. • Pressure Treated Ramp 3/95A (Shown in Pine) Prices Effective March 1, 1995 SOLID PINE ' SCREEN ® STO N HOUSES SIZES PINE T-111 HOUSE ILL D4D SCREE 8 x 8 $1099 $999 $1199 111 - I "z8 fq-. 10 0 9 k 8 x 10 $1349 $1199 $1399 8 x 12 $1499 $1419 , $1569 • _ 8 x 14 $1749 $1619 $1869 I' DENNISPORT•W.HARWICH•W.YARMOUTH•PLYMOUTH 8 x 16 $1999 $1819 $2119 NEW BEDFORD•CANTON•FALL RIVER,MA•NASHUA,NH 10 x 10 $1549 $1429 $1899 3 � I y 7 10 x 12 $1999 $1669 $209SHIRDS 9 10 x 14 $2099 $1919 $2299 10 x 16 $2399 $2139 $2499 OPTIONS 8 X 14 Extra Single Door, 26" $70 b ' Exchange Standard Double Door for 53"Double Door $50Window _ SHEDS & BUILDINGS I Extra withShutters&Window Box $60 t' b Completely Assembled Vents 40 Double Door $ 0 on your property. " 3 pair Additional Ramp $50 Throughout New England Window Screens $15 ea. ,; •; � I All prices subject to sales tax where applicable. ' Inquire for details. FOR PRESSURE TREATED JOISTS ADD: + 8 x 8 $30.00 10 x 10 $55.00 • - — - a 8 x 10 $30.00 10 x 12 $60.00 00% Satisfaction Guaranteed " 8 x 12 $40.00 10 x 14 $70.00 8 x 14 $40.00 10 x 16 $75.00 8 x 16 $50.00 v LIMITED WARRANTY Sheds USA, Inc. warranties labor, materials and Widest Variety ' structural soundness for 10 YEARS, with proper maintenance. This Warranty does not include Solid Construction FACTORY DIRECT windows, doors, alterations, natural disasters, fire, flood, windstorm or neglect. Customer must stain / preserve building within 60 days of • Factory Prices TO YOU delivery. • All Prices Subject to „a Roof shingles are guaranteed for 15 years. No � � j by ""Sheds USA other guarantee is expressed or implied by any3��Change' employee or.Sales Agent. ! ; t _ �� �tea; `•. `f r./ i �� ✓y�err .... ;q M 5M �t�., 'x rI` t1l I 1 : f- �) a l' y r 5 r +s •t, .A•. i r h 114 Uncle Willies Way, Hyannis 5/22/07 2Laid\ . »> .:> . »y f `.a e�. '1 y_- } 114 llnrle WilliP,; Wav HvanniS 5/2?/07 i Mt •, '�''' kl�x ii�' �jd k ..4 y ,� �. �., RR � y' '� I � �:'�. ., r� � P .tee ���c. r �1� ��, '1r,�� � � 4 q,� - � � � • �� �:: .. � �� �,;� - �. :� .� i� 1 ��- .. z, J ��� ..,. - mrwti.�... � ._ N ...�� �. � , _ _�'. ... `� _ ,. , ��- -_-_. ,.� I ���'�°�! "tea„ x:.:_ �. r li U� �� ,� - ,y- �w I � � , r , -�.F � ;����:;t✓ �� a ::"r � i Agm- 114 Uncle Willies Way, Hyannis 5/22/07 Assessors map and lot number !/ fr i y0F 711 E y Sewage Permit numbers ff 6�o e+► i BAW TABLE i House number ............................. .........................., '°o MAB 0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 1 11f 1.. .. ?.��.:r :; .....- .................. TYPE OF CONSTRUCTION T........��#.................19..E J TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ��/•••„••„ Pe i f w/kG leS' YrY. k .WW& ProposedUse .... * ........d!"...ZF � *. ................................................................................ Zoning District ..... .' ......................................................Fire District . l7/ ��rf............................................ Name of Ownerp4l, a� �l l I,�////�iE)'a���5.� 'Address ,f. .. .P.M., ,4.il?......: Name of Builde f(/��..5� 1,�!I"! 1 � . .!f�� ...Address 14A ® ....(.ZA:....... Name of Architect t..�/NJ�/L /// ...., Q/ ., .....Address .fi,. ' vl! :r.....,. P.. !.................................. t Number of Rooms ...........N,1�...............................................Foundation . . /�..1. :d. t ...... ..:.. � • '�;ar ExteriorfQ. .. ... 5.!.. . ..1..�'I Roofing 4,.. , ........ g ...� l .! laf ... ... Floors ..el.......... RI !.....................Interior .... C,6.,r, �/f ,................................... Heating .. .. F/ ..�. . ..................................Plumbing .... . . .... 1+ .. .a ................................... Fireplace ............. .e?.A/ ...........................................................Approximate Cost . .d �A ,!. Definitive Plan Approved by Planning Boards f � __� 19 I_��__. Area' ........... ............... ......... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �t .,rAlG V!) i LL 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 j construction. Name ... :':fa;AE�:...�':1�.- �. ,. 1!a'/ ��✓ J + Construction Supervisor's License PEI'RONI & SON BUILDERS, INC. AF=2 9 2—2—3-14 aq�- `3- )q No .26526 Permit for One Story ................ Single Family Dwelling ............................................................................... Location Lot 14, 104 Uncle Willie's Way ........................................... ......... .Hyannis.............................. Owner PETIONI &...SON. ..BUILDERS.. .... .. ............................. Type of Construction .... i........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..June 1, 19 84 Date of Inspection. ....................................19 Date Completed ......................................19 725, k i I�� I P L A /V VIEW Oil SCALE : 'AA ilF 13 14) 2-0' G4L TA,� T4*4 3�'--- 05' 44d 146 3,t-sal PLAN VIEW SCALE i ev a f B L07 /3 ! � ' Mod '" S �.._.� Tip ►o ' � � � ` � �� F vNX�ATt,c>N fir, G ►. t EL V �1 1, 5 f' r• 4 E I I 4 f