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0020 WOODLAND ROAD
46 Town of Barnstable Building ard .Post This C So�That;rt rs Visible,,From'the;Street ,A�pprovedaPlans Must be,Retamedon Job and this CarcJ Must be Ke t �� *- BARKfTCA6l.E. ` Po Permit r 6 sted Until'Finallnspection "$ �a Where a Certificate of OccupanisRequ�red,swch BuIdmgshIlNotbe O�ccped unt�IRa,Final Inspect onus been made maser," Permit No. B-18-4165 Applicant Name: RICHARD D LAURIA` Approvals Date Issued: 12/31/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/30/2019 Foundation: Residential Map/Lot: 265-006 Zoning District: RF-1 Sheathing: Location: 20 WOODLAND ROAD, HYANNIS Contr#tor Nab' MULTISTATE RESTORATION CAPE Framing: 1 Owner on Record: SQUAW ISLAND LLC 4 COD DIVISION INC. 2' Address: 1717 COLLINS AVENUE Contractor Lcense; 140427 �' m Chimney: MIAMI BEACH, FL 33139 Est Project Cost: $6,800.00 Description: REMOVE FLOORING IN (2)SECOND FLOOR BE®ROOMS REMOVE F Permit Fe'e: $85.00 Insulation: SUBFLOOR IN (2) 2ND FLOOR BEDROOMS DUET(O WATER DAMAGE ` � Fee Paid: $85.00 Final: FROM BURS HEATER PIPE ` �° Date.- $ 12/31/2018 Project Review Req: '� - Plumbing/Gas at Rough Plumbing: 40 Final Plumbing: At g Building Official Rough Gas: 40 x Final Gas: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within slz months afteer ssuance. All work authorized by this permit shall conform to the approved application and the approved construction documents;for whicWthis permit has been granted. Electrical All construction,alterations and changes of use of any building and structures shall be r compll nce wlth�he local zoning';by laws a'nd codes. This permit shall be displayed in a location clearly visible from access sfrd t or road andshall betmaintained openfor public mspection forthe entire duration of the Service: work until the completion of the same. Rough:. 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: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage 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 Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Health 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department 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). 1 � p Application Number < Y! L... l. � l * BARNBTASI.F, C> J MAS& Permit Fee........................................Other Fee........................ TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by..... .......���........on.. ��...�d?.. BUILDING PERNUT MaP..... . ...............................Parce1... Q. ........................ .. APPLICATION Section 1 — Owner's Information and Project Location - Project Addressv2b CDOD L Village `llu! Owners Name_ 'go 6 e-ax $igI— e /3 rze_ 13kA-01WG 0,EP� Owners Legal Address -Slim ®EC 2120�� • . TOWN OF gAP�NST �►- City State Zip Owners Cell# sD V 'o1-Y(5r y E-mail- Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 - Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm - Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify. P&,H oye— /?e1 t?at m s, Section 4 - Work Description Re,7� "oye- SAE1cJaa-/`^/JJ t���-�(,� N� � �d C��� Tu �,v/►-tC/� Fito Last updated. 11/152018 Application Number.................................................... Section 5-Detail Cost of Proposed Constructions 6 Syu — Square Footage of Project .5YY' Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) ' 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors [] Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom i Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ y Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required * Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018,. .. . . ..... . . . . .. Application Number.......................*..................... Section 9- Construction Supervisor Name R l C jt A g-d L A u 6z 1 A Telephone Number '7$ -_5Z 7 3 Address I LG-A q -,Dw_ City jPc.K1/1►1 State /44— Zip '),4 3 7,2 License Number CS�A-6SJi 4V License Type pAw Expiration Date -/-11F , Contractors Email AC�2 (A a-12(2 115 P o co 4q Cell # 7? x�(-5z q4 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 MR and the T anstable.Attach a copy of your license. Signature Date Section 10=Home Improvement Contractor -. Name !Z t crr,►tJ t,461,44 Telephone Number Address l ¢ o-r City �„��,� State�vr Zip Registration Number b Lfa Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your H.LC... Signature Date E Section 11 —Home Owners License Exemption Home Owners 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 SIGNATURE Signature Date -��- Print Name list k', Telephone Number 7 a G y S6 �- E-mail permit to: S 1,)MG 1-19 u2 eA `1Sn) ,«,01 Last updated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ - Historic District ❑ Site Plan Review(if required) ❑ Fire Department 0 Conservation ❑ For commercial work,please take your plans directly to the fire department for approval, S Section 13—Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name X i I Last updated: 11/152018 r i � V fLP V/Q'/97/IJLO%llliBOA.�,I2 O�Ul/GQ,dd�LCLdCGL6 Office of Consumer Affairs&Business Regulation (HOME IMPROVEMENT CONTRACTOR TYPE Supplement Card, Regisfration Expiration 14042 l0/14/2019, MULTISTATE REST0,RMION-CAPE COD�DIVISION;INC. RICHARD LAURIA 21 PEQUOT RD i MASPHEE,MA 02649 Undersecfetary`= Massachusetts Department of Public Safe Board of Building Regulations and Standards License: CSFA-051784 Congfuction Supervisor 1 & 2 Familly RICHARD D LAURIA 1 LEAH DR ' ROCKLAND MA 02370 Expiration: - R; Commissioner 04/0114�9 MULTI-STATE"RESTORATION, INC. FIRE* FLOOD*WIND* SMOKE*HURRICANE*VANDALISM Fed ID#050515889 CONTRACTORS REGISTRATION#140427 AUTHORIZATION TO PERFORM SERVICES AND DIRECTION ff PAYMENT OLTI-STATE herein referred to as "Customer",authorizes RESTORATION,INC.,herein referred to as "MULTI-STATE",to perform any nd all ec s yIctnin�alld c truction services i��C�u�stq ers'property �- +L Telephone: f�� a d with re pect to items that need to be:cleaned remote location,to remove and clean such items as necessary. l �, Customer authorizes U�t w. Insurance Company,herein referred to as "Insuran Company",to dire ly and solely.pay MULTI-STATE. If for any reason the check should come to be or be made payable to the Customer, Customer then.agrees to pay MULTI-STATE immediately upon receipt of the check from the insurance company. In.order to expedite payment to MULTI-STATE, Customer hereby appoints MULTI-STATE as attorney-in-fact,authorizing MULTI- STATE,to endorse Customers' name,and to deposit Insurance Company checks.-or drafts for MULTI-STATE services. ustomer agrees to pay Customers' deductible in the amount of$ S S ;u that applies to this claim. If the loss is not covered by insurance;Customer a ees to- t otal am punt to MULTI-STATE u on receipt of theinvoice.- k / Signature Owner R It is my understanding that the services to be performed.by`MULTI-STATE•will be limited to those,which are authorized by my Insurance Company. Insurance Company Name Policy Number Customer agrees.that MULTI-STATE is working for the Customer°and not the Insurance Company or agent/adjuster: Additional remarks: 's doc t d compl y and s d and a s. signa a Date (5*,zc� -A- art •Printed Name � Rvt�"�`Q 'P.0. BOX 2210•MASHPEE, MA 02 49 .866-921-9111,•FAX A6 L@ CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD'Y`YYY) 12/10/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO.RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies.may require an endorsement. A statement on . this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: STARKWEATHER&SHEPLEY INSURANCE BROKERAGE INC. PHONE - FAX ........ wc._No. 60 CATAMORE BLVD J�......_..........._................................_...................................:..._...............................:..( c.N41'..........,............_... E-MAIL .................................... .---. East Providence, RI 02914 ADDRESS: INSURER(S)AFFORDING COVERAGE . NAIC# INSURERA: A-GUARD Insurance Company - - 42390 INSURED - - MULTI STATE RESTORATION CAPE COD DIVISION INC INsuREg6: INSURER C: ..—_.._._ ._ .. ..... ....... -- --- -- .......... 68 NICHOLETTAS WAY UNIT G lNsuRERb: 1 --...........__...---................—......._....... -.....__.....- N MASHPEE, MA 02649 SURERE:. INSURER F: - COVERAGES CERTIFICATE NUMBER: . REVISION NUMBER: F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR[ ADOLSU BR! POLICY EFF POLICY EXP LTR k TYPE OF INSURANCE - 4 POLICY NUMBER - MMIDDIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 0 -( i CLAIMS-MADE ;OCCUR OAMAGETORENTEO••F 0 PREMISES Ea occurrence $ MED EXP(Any on,pwwn) $ lff PERSONAL&ADV INJURY $ ....._ —..:._ -- —..... _ ..........__ ......... ------- .._..... ....0 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ PRO POLICY n JEGT _.....)LOC PRODUCTS-COMP/OP AGG $ 0 OTHER ....._._. ......___ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ --; _(Ea-pgidenf) ..W I :ANY AUTO - - BODILY INJURY(Per person) $ OWNED SCHEDULED i i AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ I HIRED NON-OWNED ..... ......................... .... ;AUTOS ONLY . _ AUTOS ONLY . - PROPERTY DAMAGE $ - (Per accident.- _- .......... - _. ._ .....--- - -$ ........ ----- UMBRELLA LIAB OCCUR EACH OCCURRENCE $ ........ !{ i EXCESS LIAB CLAIMS-MADE - AGGREGATE $ I I DED { RETENTION S- -. I$ - - WORKERS COMPENSATION i !PER -OTH- , AND EMPLOYERS LIABILITY - Y 1 N - €STATUTE- - ER i ANYPROPRIETOR/PARTNER/EXECUTIVE A OFFICER/MEMBER EXCLUDED? NIA; -R2WC942723 07/16/2018 07/16/2019 .EL..EACH ACCIDENT $ 50O_............... __.. (Mandatory In NH) ' LL C. E.L.DISEASE:EA EMPLOYEE $500,000 If yes,describe under - .......-. ....... ........ .......... ... DESCRIPTION OF OPERATIONS below- - - E.L.DISEASE-POLICY LIMIT $ 500 OO.O I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PRESCRIPTION OF OPERATIONS/JOB: 20 Woodland Rd., Hyannisport, MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE / Town'of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE f� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunibers Applicant Information Please Print Legibly Name(Business/Orgm&.adon/individual): �lLT1 S 1�. 7�G2Q�7 DN Address: a-( peg tk OT- (� City/State/Zip: M /)bS e 2e M q Phone#: Are you an employer?Check the appropriate box: .Type of project(required): 1.® I am a employer with- q 4. ❑I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, [E Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers'comp.insurance comp.insurance.: required S. ❑ We are a corporation and its 10.❑Electrical repairs or additions ] 3.❑ I am a homeowner doing all work . officers have exercised their 11.❑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-contractor;and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. . Insurance Company Name: m G u Policy#or Self-ins.Lie.#: J C j 2--1 a 3 Expiration Date: 7-46—f? Job Site Address: 1na,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 and the rs andpena/ties ofperjury that the information provided above is true and correct. Si ature: Date: f 'd, Phone#: 7?l 6 V` S—Z, 7 7 Official use only. Do not write in this area,to be completed by city or town offidal 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 fine. 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 hike 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 Aecidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSME Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia t3e4 • 1 ILA ' I .- P)e a�3 Val-, is o vL—r Mol �� ; 263 P-S _, { IX- TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSL EXEMPTION Please, print. DATE I JOB,. LOCATION �. er Str eet t o'. '• r Cc:ss ection of own.. �• "HOMEOWNER" L r 011ie ome p one or x6o �e PRESENT'MAILING ADDRESS - � I� ity own . St:ate a}v i p co e The •current exemption for "homeowners" wa s ext ended nd ed to inc u 1 de ow dwe hings. Of six units .or ess an o allow such• homeowners to engage oanuin- hire who, does not possess a license acts as- su as- supervisor. provided that the owner p (State Building Code Section . 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 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 "homeowner" shall submit to the Building Official ; on,a. form acceptable to the Building Official , that he/she shall be responsible for, al'l: such work performed under the building per ec ion . The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. e The undersigned "homeowner" certifie the%she understands the T Barnstable Building Department mini i pection procedure nd require of: s and ,that he/she will comply wit said procedure and req i ement / HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFIC L Note: Three family dwellings 35,000 cubic feet,' or larger, will to comply with State Building Code Section 127.0, Construction Control . V 8 HOME OWNER'S EXEMPTION The'. Code state that : "Any Home Owner ng ' permit Is required shalt be exam torfrG-Grnlnthoork for which a nbull•ding (Sectlon 109.1 .1 — L,Icensing of Construction Supervisors) ; -provvided provisions of ithat cIf0a .Home Owner engages a persons) for hire to do such work, that such ttome Owner shall act as supervisor . ' " Many.,-Home Owners who ,use this exemption are unaware. that they aro assuming the responsibilitlos of a supervisor (see Appendix Q, Rules and Regulations for• Licensing Construction Supervis of ten .results In serious probleors, Section 2.15) . This lack of awareness ms, particularly when the Home Owner hires unlicensed persons. in this case our Board cannot ,unllcensed proceed against ,,the person as It would with Ilconsed Supervlsor.. The Home Owner 'acting a s ,s.U�ervisor Is ultimately res.ponslbte. To ensure that the Home Owner is fully award of his/her responslbllitles, man communities require, as part of the permit applicatlon, that the i-lomo Owner certify that he/she understands the responsibilitlos of a suporvlso On the las_P21ge of this Issue is a form currently used by several' towns. care 16 amend and adopt such a form/cortlflcatlon for use In You may, Your CGIP:MUn I ty. v r Assessor's map and lot number ... ................................. Ql� /� 2'�/; ��- - C D �•<Oir��-si ,U,�v�� v��ti�/� - Q�oFT ero�� N Swage Permit number e G...,.� /dif/D!c 7"d, pcviiY`�� s • .ce LlpfOu> = BAWSTADLE, i House number Y� �/ f/��Gvi dGGu�i� M6 a ....................................... .............................. ,S ysrewi <if� /i c� T� '�0 1 39. \0� ~C ov,1-,VAozj �U /rL' - Tvu lc c�/= �ji9 4�sr� �May ffc�cT h TOWN OF BARNSTABLE �� SEPTIC SYSTEM MUST IuSTA��®"����`�����,BUILDING INSPECTOR r ` ENVIRONMENTAL CODE AND v��! eL z>e f/C I t C��D!ATtl� t APPLICATION FOR PERMIT TO ............................................. ............:....:................................. ........................ TYPE OF CONSTRUCTION ......LJOc� a...........�.�.<.................................... ........................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..................................................'�...................... v 4 .......... ......::`..:........................................................... Proposed Use C Zoning District ........................................................................Fire District .. t ...... y...`1(Q 1 Jam........... Name of Owner ""�� "mil�,g �O`�.......Address' G»cJO I�v7d7 / ci�tr!®�n s' ........ Name of Builder ��d� ���'• .�o'.....Address �SS.. nv�f�i�UJ�> Name of Architect ... ..... .,. ...... ...................Address ..................... ...........:....... Number of Rooms .......................... ...... .... ...... ..... .Foundation . . ...... ........ Ezierior ....................................................................................Roofing ..................................... ....... .................... Floors ......................................................................................Interior .................................,..................... .,_. .. ..Heating g . ..................................................... Fireplace ...................................................................................Approximate Cost ....... Definitive Plan Approved by Planning Board __________________________ ------1 9--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee ........ /.r--... y� SUBJECT TO APPROVAL OF BOARD'OF HEALTH n CVpO� f /C,-7 - 1 / 1 w _ o I / 61 CIO Co�--�c ion I hereby ag a to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construc ion. Nam .. ............... .... t t BALZABRE, ANTHONY 398 ° No 23 ' Permit for ADD DECK Sin le Famil Dwel in .................y............... ......1. ............. ! - Woodland Hyannisport ............_.............................................. ......... Owner Anthony Balzabre a ' Type of Construction. ............Fr........me........................ - f ................. .................................................. t ' e Plot ................... ...... Lot ................................ v I August 21 fM ' ' Permit Granted, ........................................19 81 a Date of Inspection Date Completed . il...:-../.. ...0 ....19 G . PERMIT REFUSED ............................ ............................... 19 .............................. ...................................... :......... . .............................r .. r i * ...................................... '......................... # � (� r y • .�- - f `i` e _ • _ _ r, .y " , . Approved ...... . ........ :' 'z6. 191-- IT2 ,'. ...................................... ............................ _ ..................................... ..�.. ............................ j• Assessor's office st i `Assessor's map anld lotlnumber �(� SEPTIC SVSTE s{Z 4'? <+'e%a EE �l Board of Health(3rd floor): =' INSTALLED IN COMPLIANCE Sewage Permit number .-elp o WITH TITLE 5 ENVIRONMENTAL CODE AND o= o"Hd9yo L� Engineering Department(3rd floor): s House number ` TOWN REGULATIONS "�� � sica � Definitive Plan Approved by Planning Board � t9 4 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only $aiastable Conservat. TOWN OF . BARNST � Cate BU OING INSPECTOR si e� APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION — �(PJDXAAM 19Z. TO THE INSPECTOR OF BUILDIN The undersigned hereby ap ies for a permit according to th following informatio Location ' Proposed Use ")696 cc- y- Z L2 FZ� k(f Essol*e)l {� J Zoning District Fire District4�A;1,5 Name of Owner % y &4?j4Ft_4 0—Address L cl Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior (Ah 0,0 -61A CkE_� Roofing i5 7`°19ave Floors �L/� �T !A/©40 Interior ,bd Heating EL E cm/c, Plumbing Idom- Fireplace Approximate Cost 0 Area S Diagram of Lot and Building with Dimensions Feed/ i i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r gar ng th abov c n uc' Name v Construction Supervi or's License a- � BALZI BRE; -AN'?HONY t' No 33984 Permit For Build Garage Accessory to Dwelling Location�Woo:dland Road Hyannisport . h Owner Anthony Balzebre i Type of Construction Frame Plot Lot - Permit Granted i Sept. 24, - j19 go f Date of Inspection 19 ' Date Comted i19 - 14 Wr I ny �:_ �;w' •ems � F.. � * } �/'F .. .. ' - �'/ Teo-. *, � : � t i.S ' I , • • a •I i ^ f. ._ ' fix!§ ' ` • ,r -. .. d ! r � ' Town of Barnstable THE.p� Regulatory Services CF Thomas F.Geiler,Director Building Division • EARNSTAELE. v g Tom Perry,Building Commissioner .16.39. `e �ArfD s 2.00 Main Street, Hyannis,MA 026Qtj;, '� . 20 www.town.barnstable.ma.us Office: 508-862-4038 - "--"""} } ; Fax: 508-790-6230 Approved: 0 Fee: �s Permit#: �Z® © 6 © 7s`9-> HOME OCCUPATION REGISTRATION Date:,5—d-3 0 Phone#: -60. ?4 5 443,' Address: o2D ujooDL4my —Fr + Village: Z�r _ �rtic�9 Name of Business: vo)c—AJ LAC 151-00 R Type of Business: QJoD9 , ZODP, Map/Lot: 0 0 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 perso e e ed. the ustomary Home Occupation who is not a permanent resident of the dwe ' unit I,the undersigned, ve read and a ee with above restrictions for my home occupation I. am registering. Applicant: Date: o� r Homeoc.doc Rev.5/30/03 k S YOU WISH TO.OP EN A BUSINESS? For Your information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME.in town(which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Cierk s Office, 1 FL.,367 Main Street,Hyannis,MA 02601 (Town Hall) G O 5 � 0 3 DATE. Fill in lease: N APPLICANTS YOUR NAME: BUSINESS YOUR HOME ADDRESS: LVaoa AVC &AnrM S rn A oZAP _ TELEPHONE # Home Telephone Number 'v-f --8_15� NAME OF NEW BUSINESS # � .f��+E Erttc A F Loc R TYPE O�BIJ.SINESS��Af� �lJJaoD >✓bOd� � IS THlS A:HOME OCCI)PA►TION? AYES:. NC9 _ Have ydu been given approval'tt6m the building.division.. YEE NO I, ADDRESS OF QUSINESS � �. � MAP/PARCEL NUMBER When starting a new business there are several.things you must do in order to be in compliance with the rules and regulations of the Town of a need. You MUST GO TO 200 Main St. - corner of Yarmouth table. This form is intended to as sist you in obtainin the information you m ( . Barns Y 9 Y Y Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFF IC This individual has be i rmed o any permit requirements that pertain to this type of business. FOLLOW HOME Authorized Signature** OCCUPATION RULES COMMENTS: 2. BOARD OF HEALTH This individual has been.informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER-AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. .A� **, z� Authorized Signature COMMENTS: Iq oFTMe� _ Town of Barnstable y *Permit Lys' 0 E xpires 6 month"isme yT Regulatory Services Fee * &ALRNSTMM v� zMASS, ,�' Thomas F.Geiler,Director '°rEu t IT Building Division Tom Perry,CBO, Building Commissioner AUG 1 2014 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 TOWNOF BAR19190-6230 EXPRESS PERMIT APPLICATION. RESIDENTIAL ONLY ��-` O Not Valid without Red X-Press Imprint Map/parcel Number T7 Property Address -20❑ ��/i wo o-o L ry p R.b , Nt y/i jt/JV 1 S p PST Residential Value of Work *lap 00 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address A/UTHQ AI X TS /'L Z R R Z=_ 13 5— UdA h E— A)DRA D Pam R/4 L GARz-L— 1-z_ 3,Isy. Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) /' 7,;) 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 l e— Workman's Comp.Policy# ? 0 `' �� 7 g t S � 77 Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box)Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to In oU TY 00 ill ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows . ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 .• ... " ' . - III Massachusetts -Department of Public Safety ards Board of.Building Regulations•and Stand Construction supervisor License: CSr104076��' MARK M MULLI1 'r 7 CONIVE WA West Yarmouth NIA 02 w Expiration Commissioner 09/07/2015 rcraJac/iiJeC�d T(70 N!/9L092lUCaltll o�� ,ucss Regulation License or registration valid for i ividul use only bft�oc o�C'an�amcr pfa�rs&Bas TESR before the expiration dnte. if fou 'd return to: I ,_ P� M CDMtjft�J>�` TyISe: Office of Consumer, ffairs and usiness Regulation 10 Park Piaza.7 Suite 5170 i xpiration 8/30I� Dl3A o f Boston,MA 02116 , 1 MIILLIN RbpFING A( Oe �D SIDING:- i MARK M,YLIIN 1 7 CONNEMP\RA VAY - without signature tar valid w g c cre Not -valid r s Y • •�.W,`'VARMQUTH, MA 026'� ,;n� . ;�U�dc ) , ® - - DATE(MMIDDIYYYY) 1/16/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER- _ - CONTACT _ - Margaret J Grassi Ins Agency PHONE FAX (50B) 295-2007 AI 11: (508) 291-1707 1188 Main Street E-0MIL ADDRESS: debmjgins@comcast_net West Wareham, MA 02576 INSURERS)AFFORDING COVERAGE NAIC# .. .. _.._.. ------------- INSURER A:Colony Insurance Agency. INSURED INSURER B:Zurich Insurance Mark M Mullin INSURER C: 7 Connemara Way INSURER D West Yarmouth, MA 02673 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS.SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR; -ADDLSUBRI POLICY EFF I POUCY EXP LTR! TYPE OF INSURANCE INSR WVD' POUCY NUMBER MM/DD/YYYY MMIDD/YYYY - LIMITS A GENERAL LIABILITY. GL4101007 - 1/5/141 1/5/15 EACH OCCURRENCE - $. 1,000 000 COMMERCIAL GENERAL LIABILITY - DAMAGE 1,RENTED -: $ 100,000 --- PREMISES .- _ PREPAISES(Ea occurrence) .. . CLAIMS-F4ADE I OCCUR ANEDEXP Arryoepesal) $ PERSONAL&ADV INJURY $ 1 000 000 — -- --- GENERAL AGGREGATE ._ S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER - - - - - PRODU17S-COMP/OP AGG $ 2,000>000 POLICY P O LOC — $AUTOMOBILE LIABILITY - - ._ COMBINED SINGLE L Wri . fE a:accil(I l ANY AUTO - BODILY INJURY(Pet person) $ - A O SCHEDULED AUUTOSS AUTOS - - BODILY INJURY(Per accident) $ � � � � - NON-0'JMED - - PROPERTY DAMAGE $ -HIRED AUTOS _ AUTOS - � � UMBRELLALIAB _.. 00CUR ` I EACH OCCURRENCE $ EXCESS LIAR - - I ' _ - CLAIMS-MADE AGGREGATE $ - - DED RETENTIONS I -- $ B WORKERS COMPENSATION ;6ZZUB-5B76154-7-14 1/18/14 ,1/18/15i vdC STAI-U- 01 H - I AND EMPLOYERS'LIABILITY _ - Y/N ._TORY LIPAITS: ER . . ANY PROPRIE':ORIPARTNER!E XECUTIVE ; ELEACH ACGDEM $_ 1,066,606 OFFICE R9JiE MBER EXCLl10ED? NIA. i - - ------ i (Mandatory in NH) - - EL.DIS6\SE-EA EfvIPLOYEE: $ 1,000,000 Eyes descr ice under - - - --. . DESCRIPTION OF OPERATIONS belo°.v E.L.DISEASE-POLICY LIMIT $ 1,000,006 i i DESCRIPTION OF OPERATIONS I LOCATIONS-I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regui red) - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN f , ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Debra Martin ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(201 0/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: Ae Commonwealth of Massachusetts Department oflnuduustrial Accidents ` Office of Investigafions t 600 Washington Street Boston,4 02111 wit mmass.gov/dia Workers' Compensation Insurance Affidmit: Builders/Contractois/Electricians/Plumbers Applicant Information �j Please Print Le gib Name.(Businesi/Orgauizatioulliadi%idual): �6 Address: 7ir.�t Ci iJtatelZi �'� Y .z.r,� ©2�7� 7_ ty p: � �.�` Phone� Are you n employer"Check the appropriate box: Type of project(required): 1.L�I am a employer with 1 ❑ I am a Qeneral contractor and I employees(full and:'orpgrt-time).• have hired the sub-contractors 6. Q New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ;- ❑Remodeling ship and have no employees These sub-contractors bare S. Q Demolition working for me in any capacity. employees and have workers' % 9. Q Building addition [No workers' comp.insurance comp-insurance.= required.) 5. Q We are a corporation and its 10.❑Electrical repairs or additions 3.Q I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. yself.[No workers' comp. right of exemption per MGL c. 152. •3 c 1 ere have no 12.0 Roof repairs insurance required.] . (')-and employees. (No workers' 13.0 Other comp-insurance required.] •.any apphcart that cuecls box=1 must also fill out the SE—C belon'shouiuz:heir porkers'compensation policy informatioo_liomeon.mers wto submit this affidavit indicaune they are doins all noex and then tire outside contractors crust submit a nets affidavit indicatine such. =C ontractors that check this box must attached in additional sheet showma the name of the sub-coetra;torS and state whether or not those?woe:have employees. If the sub-contractors have employees,they must provide their workers'coup.policy number. I am an etirpiot•er tltat is providing frorkers'co►rtpeitsatioit irrsttrance for nit•ettiplol•ees. Beloit-is the policy and job site inforutation. Insurance Company Name: 2 y 1 C I<1 Police#or Self-ins.Lic.#: 2 C/ — 5 63 7 5 >14 Expiration Date: �o w o0 iDL P\D �YA-iv/U t-S l' r Job Site Address: /9>(J f City.'State'Zip: Attach a copy-of the workers*compensation policy declaration page(shon-ing clue polio-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 free up to S1.500.00 and'or one-year imprisonment.as well as civil penalties in the form of a STOP ytrORli ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this.statement may be for.varded to the Office of Investigations of the DLL for insurance coverage verification. I do herebt•certify under thepains and penalties of peijun'drat the iufonttation protided above is true a►id correct Signature: cG/ �24if:/L-� Date: Phone Official ttse oirly. Do not+Trite in this area,to be completed br cih•or tott•rr official Cite-or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.Cityrrown Clerk a.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 i a ' MULLIN ROOFING & SIDING 1NC. CONSTRUCTION CQNTRACT This'Construction,Contract:(the "Contract°) is made:and entered into as.of 7=:17 14 (Date);by and .n between Anthony Batzebre (Name, hereinafter.called the"Customer'':)and Mark M. Mullir ,.DBA Mullin'Roofing and Siding, Inc, having its pnncipal:office at•7 Connemara Way,W.Yarmouth MA 02673 (hereafter called the"Contractor'') ` e_ Property Location 20 Woodland,rd..Hyannisport, MA ` In consideration of the mutual.'promises hereafter,set forth and intending to be bound hereby, the partles hereto"agree asfollows: Contractor's Obligations. Contractor shall complete the following.Project herein described in and shall provide supervision necessary to commence and finish:the.Project expeditiously, in a . workmaniike manner, in accordance with;the"all applicable codes, laws ordinances, rules; regulations and orders. Description of"Work". Contractor shall do-all.the work in.accordanbe with the terms of this . Contract, as described: ` Remove existing roofing materials from'the roof while protecting the home and landscape �- Inspect the roof deckinet for rofted ordamacied decking: Replace.up'to fifty square feet of YiN. decking if necessary included: Nail down any looseA6cking to ensure a'solid roof deck Install ice and water shield on'all eaves rakes .around the chimney vatleys'plies that penetrate`the roof low sloped'areas,-a id'cheek walls. The remaining area of.the roof will be covered with:a high performance synthetic'undertayment. Install new white drip edges:on.al[roof edges.. _ Install starter shingles on all�roof edges Install new Certainteed Landmark.Pro architectural s, roofing shingles usmg six nails<pershingle and install to factory'specificatians. The ridge wi{I, be'capped with'shadow`ridge caps by Cerfainteed` Remove and replace the'.tead flashings around the chimneythat-is inruse: RemoV6�the chiimney that is not in use iustbelow.the roof line and'cap with`btuestone Re shingle the wall behind where:the chimney was'with white fi cedar shingles Remove existing rubber roof sections install new insulation board;and adhere a new rubber membrane over`the ins i lationboard.'I warranty my work for ten years.after completion ofithework, Certainteedwarranties their roofing for'fifty_years .I will register the warranty with Certainteed after completion of the roof. RPI (the rubbermembrane' r; manufacturer) warranties their rubber membranes for forty years, I will`register that warranty after completion of.the.r."oof.as-well Contract Sum Inconsideration of the:performance by Contractor of its'duties and obligations, a ' hereunder;Customer shalt a to contractor the sum of$16,000 py ` Payment'schedule Owner.shatl pay.the contractor 0% of the contractsum.upon signing the ,} contract, 50% upon start of fhe described work,.,and the remaining 50%a upon completion.of the. contract;work: w .._ s. _. Contractor's-Responsibility. Contractor is an.independent,Contractor for allWork:to be. performed hereunder. The detailed.manner and method of doing the Work shall be under the control of the Contractor..All erriployees of the Contractor performing Work underthis Contract shall be:and remain the Contractor's employees: a. The Contractor shall;supervise and direct the Work,using its best skills. Job Safety. Contractor shall be.responsible for initiating,maintaining and supervising all safety, precautions in connection with,the Work. Permits, Fees and Notices. The Contractor shall secure and pay for all permits and.. d inspections necessa ryfor the P`ro er execution andgovernmentalfees licenses an completion of the.Work.Such permits and licenses shall:be the property of the Customer and shall be delivered to the Customer upon request. The Contractor shall give all notices and. comply with all applicable.codes, laws, ordinances, rules, regulations and orders of any public . authority in connection with the.performance of the Work and the;Contractoes.obligations hereunder: •�. Insurance. Contractor,acknowledges and agrees that Customer or Owner shall not,be obligated to carry:any, insurance in connection.with:the Work for the benefit of`the Contractor. Contractor.'s'lnsurance: Contractor shall at:ali times maintain and keep,in full force and effect, at its expense, any and all insurance coverage which is prudent; necessary or desirable forthe protection of the interests of Contractor. Contractor shall furnisl -to Customer certificates of insurance for the following:types of insurance. a. Commercial General liability insurance; b. Workers Compensatbn.lnsurance to cover full liability, underthe Workers Compensation Laws,. - IN WITNES WHEREOF, the parties hereto have executed this Contract as of the day and year first above wri ' Custo Contractor Company Print: Anthony alzebre. Mark Mullin Mullin Roofing & Siding;,iric 7 Connemara Way,W: Yarmouth MA. 02673 5.08 221'8591 Address: 135 Leucadendra drCoral Gables; FL 33156 Date. 7717-14" Date: 7=17-14 Phone number: 305 318-4755 j License No..104076 Email address g6r6n40@bel}south:net Email address mullinroofing@gmail com ram► 1 YOU WISH TO OPEN A BUSINESS? For Your Information: Business. Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Busines Certificate that is required by law. rTMxs Fill in please: Date: 13 0 ;4RKg' APPLICANT'S NAME: YOUR HOME ADDRESS: d _ . � BUSINESS TELEPHONE # HOME TELELPHONE#: NAME OF CORPORATION. NAME'OF NEW BUSINESS �cXC< L:-- 5' S TYPE"OF BUSINESS IS THIS A HOME OCCUPATION? YE, NO = ADDRESS OF BUSINESS O MAP/PARCEL NUMBERa63- 006 (Assessing) When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally opY a e�r business in town. 1. BUILDING CO ISSI ER'S OFFI MUST COMPLY WITH HOME OCCUPATION This individ al A e n-tnf ed o y,permit requirements that pertain to this type of businesCULES AND REGULATIONS. FAILURE TO COMPLY MAY . NTS6jAuthorize Si na re** ) -iv 1 L I)d 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. a Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Town of Barnstable Regulatory Services ~o Thomas F.Geiler,Director Building Division sAMSUBLE, y� mess g Tom Perry,Building Commissioner 1659. 1°tFp ►tee 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 aaj: 08-790-6230 Approve Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name:• �4e—J\AV3 V\ 5\\A Phone#:, '50% Address: aC) WIn' LANb Villager STP Name of Business: �kC � ������ Type of Business:C�1J�1r��Nes�. Cy� �l Map/Lot: Il.4TENT: 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 riot involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects. , r 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-tr.uek•not-to,exceed,one.ton:capacity,and one trailer not to exceed 20 feet in length and not to exc-ced 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. 0 No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit . I,the undersigned,have and with the above restrictions for my home occupation I am registering. 1 .'Applicant: � Date: ® C Homeoc.doc Rev.5/30/03 P� ...... ;.74 0--W I* n 'T� K" 1.,1, ,-- I . :� - -1- v __1 m wl_ vk�� 4- 4z Pe- tow -V4- _V*1 JAr '4, -STA t:, t___1A 5 �WTH ' 111114 71 14 ,14 rb T I - - - - - - - - - . _ . - - __ _.. _ ..c' - - _ - .r _ . - _ -' ..r, - _ . - .. _ . .. :.,i. _ .j,•, _ - - '-I:' - - .: _ -. �. - ., , .. •...- - k " k _ �» - a » . :. - -:s _ r : -a . . ._. _ .. a ..s }.. .. -t. f : - ,' ky: , _ . - t. - - r 1 - ♦ _ , l , s 1. • ti - w .� s. a __ _ ,r- :..�',. - ait. - ? -- v. :_ems- -.n. , y'. - r- , _ ,. - e .. - .. _., - �,, - _ _ - �.y T.` 'k . _ - F y . � _ - •�:'- _ +. .''.fit.' ['r •.. _ - , _ r. :, .. - - - - _ y l�� _ 2 - , a - . -y.T a i y .- - _ _ _ _ , - - _ - - r_, _ ti. -. - > w. 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