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lic_s4essoes'61fic,@(1st Figor):
Assessor's map and lot number I a Q 13, SC_ tNc T
SEPTIC SYSTEM flA � �`•
Conservation(4th Floor): 'INSTALLED IN CO e„
Board of Health(3rd floovl WITH TITLE BA NITADL&
Sewage Permit number � ru.
ENVIRONMENTAL CoEngineering Department(3rd floor): /� / T�� Q� ��
House number v �,�ULA' ION
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
.BUI DING " INSPECTOR
APPLICATION FOR PERMIT TO
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TYPE OF CONSTRUCTION eCj 4 4&i4Z &QUAA9
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19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location l� Aft nc�
Proposed Use
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Zoning District Fire District
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Name of Owner Address ® �
Name of Builder f f Address 4 24 Y2"
Name of Architect Address
Number of Rooms Foundation
Exterior RoofingD
Floors Interior �i
Heating Plumbing oU, dD® c>d
J
Fireplace Approximate Cost
Area fv�
Diagram of Lot and Building with Dimensions Fee ®'
F
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.
-Construction Supervisor's License
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MAP A-192 043 ✓ s
PARSONS, ROSEMARIE A.
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' Now— Permit For ADDITION
Location 416 ANNABEL POINT ROAD
CENTERVILLE 'hr
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Owner ROSEMARIE A. PARSONS - f
Type,of Construction
Plot Lot
Permit Granted July 11, 19 94
Date of Inspection:
Frame Y 19
Insulation 19
Fireplace 19
Date Completed 19 ,
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Well
41
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TITGE ARCHITECT:
ROCKWOOD DESIGN ► .
92 Grandview Avenue
G,GOI.E G,NEE 1 7 7. Marshfield, MA 02050777
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1 4n ' SvNe 94 1. 1 OF I - (617) 83�4888 �.
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-FAX -7 7S', 39W
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TOWN OF BARNST ABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION ;
Please print.
DATE .
JOB LOCATION 1p /l/Y�{/C�i 'Ile Rd �Piyl.fZY ►/�f/�
Number Street Address S ctio Of Town
"HOMEOWNER" _ , ,71
77 /�, Work Phone eName dome Phone
PRESENT MAILING ADDRESS 26-:B6A ��7
en J-P-r v>L/L
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 such 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 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 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, by-laws, rules and
regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum inspection 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.
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HOME OWNER'S EXEMPTION
The code states that: "Any Home Owner performing work for which a building
Permit is required shall be exempt from the provisions of this section
r (Section 109r1. 1 - Licensing of Construction Supervisors
Home Owner engages a persons) for hire to do such work )tharovided that if
Owner shall act as supervisor. " t such Home
Many Home Owners who use this exemption are unaware that the ar
the responsibilities of a supervisor (see Appendix Rules a a a assuming
for Licensing Construction Supervisors, Section 2.15) nd Regulations
awareness often results in serious problems, particularlyhwhenatheoHome
-Owner hires unlicensed persons. In this case our Board cannot proceed
against the unlicensed person as it would with licensed supervisor. T
Home Owner acting as supervisor is ultimately responsible. he
To ensure that the Home Owner is fully aware of his/her responsibilities,
many communities require, as part of the permit P that the..es,
Owner certify that he/she understands the responsIbilitiesnoftaasutervHsme
On the last page of this issue is a form current3. u;- P or:
You may care to amend and adopt such a form/certificationyforvuselinoyour
community. your
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TOWN OF BUILDING. PERMIT
COMMONWEALTH OF ]A$SACHUS�_ T'TS
JF_I'AIr'-TCEETF OF L'�'DUSTR2'Ari►ACCIDIIN-IS '
600 WASHINGTON ST=
jarnes.: GamMei: BOSTON, MASSACHUS=02111
C or nrmssrone:
WOp> S'.COMPFNSATION NCE LKWAVIT
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(Iternsedpamttuc
With a principal place of businesdicsideaee at:do hereby cm*,under the pains and penalties ofpc* q,there
j J I am an employer providing the following workers'compensation coverage for my employees working on this
job.
lnsumnce Company Policy Numbs
(� 1 am a sole propriezor and have no one working for me
1 am a sole proprietor,general contmaor o homeowner cc one)and have hired the eonmaors listed below
who have the following workers'compensation a polices: - --
Name of Contraaor Insurance Company/Policy Numbs
Name of Contraoi Insurance Company/Policy Number
N2mc of Contractor Insurance Company/Policy Number
Q 1 :m: homeowner performing all =he work:myself.
A'OTD.Plcasc be aware iat wUIC bocaco-wMers woo CMD10v persom to 6 caintcz=cc.cosutructioa or mpairrwck on:
dweliint or not tMore teas:t rcc units is%"L;a tic homm-Mer vso resices or cc CC[rouacs appurtenant thereto arc sot t:taerzII%
consiccre2 to be c r=alovcrs a^ccr tic Comic rs'Corr Vc:satioa Ae.(G:_C 152.scc-- 10)).application by a boraeowaer for a IiGCCse
or permit rnav evicc-cc 6C Ict::1 status of a.a eraalowr uader toe Coders'Compensation Act_ ,
iorwrc;c to t:. ✓: .-c-.t oi.ncas:..:'Accdcnts' O(n«orinsur^c: (or mYc's=c
�•c- cet _.c - . ._. ._ , sr_:c ccVc—sc:.. rcc�i:cc L:cr. ✓c�c.-?�-.'ci�;C_ "= r per._! ._
o t'. i-position o. cri^s�=1
ccn!isc-t ci: i:nc c:cr tc S:�GG.GG: .c'o:iM::I:o-:n t of c- to crc%�:n. c�:i a:a i in tic Torn of:Stop Cori Ordr. �•c =
100.00:by:gains:nc.
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