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Town of Barnstable Building uil In g Permit'TPosU W stP heed meF Permit No. B-16-1781 Applicant Name: Mike McMahon Map/Lot:' 188-061 Date Issued: 07/05/2016 Current Use: Zoning District: RD-1 Permit Type: Insulation Expiration Date: 01/05/2017 Contractor Name: MICHAEL T MCMAHON Location: 46CROSBY CIRCLE,CENTERVILLE Est Project Cost: $ 2,100.00 Contractor License: CS-068111 Owner on Record: MCDONALD,NANCY M Permlt Fee $85.00 _ Address: 46 CROSBY CIRCLE i 0� ' I Fee Parcl $ CENTERVILLE, MA 02632 i `Date.' ;r 7/5/2016 _ Description: Weatherization,air sealing,weather stripping,blown cellulose Project Review Req Weatherization,air sealing,weatherstripping, blown cellulose Building Official This permit shall be deemed abandoned and invalid unless the work authorized by thi permit commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and�the'approvved construction document for which this permit has been granted. All construction,alterations and changes of use'of any building and structures shall tie!"in'compliance-with the loca1yz Irig by laws and codes. This permit.shall be displayed in a location clearly visible from access street or road and shall be maintained open fob publics nspection for the entire duration of the work until the completion of the same. 'U1, %Z1 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: 1 Foundation or.Footing 2.Sheathing Inspection -� 3.All Fireplaces must be inspected at the throat level before firest flue li i is'1 11ed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) $ , 6.Insulation 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. - Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). � a S€�'T 7���� Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel..` Application # Health Division - �� Date Issued 04 Conservation Division Application Fee Planning Dept. Permit Fee, Date Definitive Plan.Approved by Planning Board Historic - OKH =Preservation / Hyannis Project Street Address Village ALU Owner L'\ l n1� 5 Wrrlo Address Telephone Permit Request V III JLrO .i JA Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay kProject Valuation 10 ,000 Construction Type _A C) Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .❑ Two Family ❑ Multi-Family(# units) = _3 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: �0 Yes,n0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other `= x . Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) I Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial F q Yes- _-O-No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 'k 6Name-� ��" I �� � � �X�S Telephone Number �' v� ��� 0 p Address CAS License # t�� , "\�• Od�b��` Home Improvement Contractor# Worker's Compensation # %CL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ —,DATE--' l r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION i FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. � a i �y Y The.Comrnoiiwealth of Massach usetts t`:• Department of Industrial Accidents Office of Investigations x 600 }Washington Street c Boston, MA 02111 i y-y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r Please Print Lebbly Name (Business/Organization/Individual); L�x15 4� Address: e2j� Ci /State/Zi I�R� I�N_ b b-a Phone ty p. Are you an employer? Check the appropriate box: Type of project(required): l.❑ I am a employer with am a general contractor and I em to ees full and/or art-time .*' . 6. ❑New`construction have hired the sub-contractors - '. listed on the attached sheet:., 47. ❑ Remodeling 2.❑ I am a sole proprietor.or partner ship and have no employees These sub-contractors have;ti 18. ,Q Demolition working for mein any capacity- `. employees and have workers' 9 Building addition, [No workers comp. insurance. comp.insurance.t 5.,Q .We area corporation and its, 10.❑ Electrical repairs or additions required.] - 3 I am a homeowner doing all work V officers have exercised their I I.[]Plumbing repairs or additions right of exemption per MGL myself. o workers comp. 12E Roof repairs c.``152, 1(4), and'we have no insuran required.] t` § 13:0 Other' employees. [No workers' . 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have , employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing•workers"compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: _ Policy#or Self-ins. Lic.'#: "' ti' ^Eicpira on Date: Job Site Address: City/State/Zip: Attach a copy of the workers'°compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152.can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as�well as civil penalties in.the form of a STOP WORK ORDER and a fne of up to$250.00 a day against the violator. Be advised that a-copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification.. I do hereby certify u° r the pains a penalties of perj cry that he i ormaiion provided above is true and correct. .Si ature; f T -.--Date: I z ' L • E. Phone#: Official use only. Do not write in this area,.io be completed by"city or town officiaL City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instructxons 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." fined as "an individual,partnership, association,'corporation or other legal entity, or any two or more An employer is de of the foregoing engaged in a joint enterprise, and including the legal.representa.tives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the re than three apartments and who resides therein, or the occupant of the dwelling house Navin not more p , owner of a g g ce constntction or repair work on such dwelling house i do maintenance, P � dwelling house of another who employs persons o 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 t 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), addresses)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 Also be sure to sign and date the affidavit. The affidavit should Accidents for confirmation of insurance coverage, be reluined to the city or town that the.application for the pennit or license is being requested,not the Department of d to obtain a wo kers' in the law or if you are require d - Industrial Accidents: Should you have any questtons regarding y compensation policy,please call the Department at the number,listed below:'Self-insured companies should enter their self-insurance license number on the appropriate line. City or;Town Officials 1 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. sure to fill in the ermiUlicense number which will be used as a.reference number. In addition, an applicant Please be P that muss 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. Anew 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you,in advance'for your cooperation and should you have any questions, please do not hesitate to give us a call. ° _ " "'"-V The Department's address, telephone and fax number: j The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 x Tel. # 617-727-4900 ext 406 or 1-87.7-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: Site Ad'dres.s: . . Print Town: Applicant Phone: :s Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE AND,TWO-FAMILY BUILDINGS MAXIMUM MINIMUM z. Ceiling or Slab Option l: Basement Fenestration exposed Wall Floor - Perimeter' ;AFUE HSPF SEER ` Wall' U-factor floors R-Value -R-Value R-Value R'Value R-Value and Depth National Appliance Energy R'-10, Conservation Act(NAECA)of R .35 RL3:8 R-19 -19 R.10' 4 ft. 1987 as amended,minimums or greater as applicable, Note: This form is not required if you choose either.of the two versions of REScheck as listed below.`.- ❑ Option 2: 4 REScheck Version 4.1,2,or later variant software analysis must be completed 780 CMR 6107.3.2) REScheck-Web which can be accessed at htt-p•//www energ),codts.goy/rescheck/ a ADDITIONS OR ALTERATIONS,TO EXISTING BUILDINGS.OVER.5 YEARS OLD *Buildings under 5 years old must use option#1.or#2 in New Construction section above.. ` Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b - a) SF 100 x - _ % of glazing {b) Glazing area equals" SF 6 a If glazing is:<_ 40% use the chart below .If glazing is > 40.% roceed to'"SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING N` LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM. MINIMUM ` Ceilin and Slab Perimeter `Fenestration g Wall' Floor Basement Wall R-Value U-factor' Exposed floors R-Value R-value R-Value R-Value and Depth w.3 9 � - .R-3 7 a R-13 R-19 ' R-1-0 R-10, 4 feet a R-30 ceiling insulation may used in place of R-37 if the insulation achieves the full R-value over,,the entire ceiling area(i.e.not compressed over exterior walls,and including any access openings). SUNROOM An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the cornbiried gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120,P) Purchase and Sales Agreement :. PURCHASE AND SALE AGREEMENT- This vk day of 9A4- 1 PARTIES T'Ulyo ;I-Oro AND MAILING ADDRESSES GJ770J e,.J 14 ryn K U hereinafter called the SELLER,agrees to SELL and A-l�e t5 f`finkv s hereinafter called the BUYER or PURCHASER,agrees to BUY,upon the terms hereinafter set forth,the 2..DESCRIPTION following described premises: L e n d ci v d i i'M r 4 I (q�-C d ct� eto4ery ���e Y4 �alo3�. �/ 3 BUILDINGS. Included in the sale as a part of said premises are the buildings,structures,and Improvements now STRUCTURES. thereon,and the fixtures belonging to the SELLER and used in connection therewith including,If any,all IMPROVEMENTS, wall-to-wall carpeting,drapery rods. automatic garage door,openers,venetian blinds,window shades, FIXTURES screens,screen doors,storm windows and doors. awnings,shutters,furnaces,heaters,heating equipment, stoves.ranges,oil and gas burners and fixtures appurtenant thereto,hot water heaters,plumbing and bathroom fixtures,garbage disposers,electric and other lighting fixtures,mantels,outside television antennas,fences.gates,trees,shrubs,plants,and. On day of Offer,refrigerators. air conditioning equipment,ventilators,dishwashers.washing machines and dryers if present. 4 TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER, or to the (fill in) nominee designated by the BUYER by written riotice to the SELLER at least seven days before the deed is Include here by'specific to be delivered as herein provided. and said deed shall convey a good and clear record and marketable title reference any restric- thereto,free from encumbrances,except tions,easements,rights (a) Provisions of existing building and zoning laws; and obligations in party (b) Existing rights.and obligations in party walls which are not the subject of written agreement; walls not Included in(b), (c) Such taxes for the then current year as are not due and payable on the date of the delivery of such leases,municipal and such deed; { other liens,other encum- (d) Any liens for municipal betterments assessed after the date of this agreement; brances,and make pro- (e) Easements,restrictions and reservations of record, if any, so long as the same do not prohibit vision to protect SELLER or materially interfere with the current use of said premises; against BUYER's (f) none breach of SELLER's covenants in leases, where necessary. 5.PLANS If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver such plan with the deed In form adequate for recording or registration. 6. REGISTERED In addition to the foregoing, if the title to said premises is registered. said deed shall be in form sufficient TITLE to entitle the BUYER to a Certificate of Title'of said premises,and the SELLER shall deliver with said deed all instruments,if any,necessary to enable the BUYER to obtain such Certificate of Title. 7. PURCHASE PRICE The agreed purchase price for said premises is wJl^,J k06, (fill in);space is ($ O.0,01 8O-e dollars,of which. , allowed to write out the amounts,, $ have been paid as a-deposit this.day and If desired $ .���,e`a.�` are to be paid at the time of delivery of the deed in cash,or by certified, cashier's,treasurer's or bank check(s) $ ofd4,00, TOTAL A 8.TIME FOR Such deed is to be delivered at N`W W on the d� fa)y o .&Ijk�9)ot the Barnstable County PERFORMANCE; Registry of Deeds,unless otherwise, agreed upon in writing. It is agreed that time is of the essence of this DELIVERY OF agreement. DEED(fill in) 9. POSSESSION AND Full possession of said premises,except as herein provided, is to be CONDITION OF delivered at the time of the delivery of the deed,said premises to be then(a)in the same condition as PREMISE. they now are,reasonable use and wear thereof excepted,and(b)not in violation of said building and (attach a list of zoning laws,and(c)in compliance with provisions of any instrument referred to in clause 4 hereof.The exceptions, if any) BUYER shall be entitled personally to inspect said premises prior to the delivery of the deed in order to determine whether the condition thereof complies with the terms of this clause. MEXTENSION TO If the SELLER shall be unable to give title or to make conveyance,or to deliver possession of the premises PERFECT TITLE all as herein stipulated,or if at the time of the delivery of the deed the premises do not conform with the OR MAKE provisions hereof,then the SELLER shall use reasonable efforts to remove any defects in title,or to (Change period of deliver,possession as provided herein,or to make the said premises conform to the provisions hereof,as time if desired)- the case may be, in which event the SELLER shall give written notice thereof to the BUYER at or before the time for performance hereunder,and thereupon the time for performance hereof shall be extended for a period of thirty. 30 „ days. 11.FAILURE TO If at the expiration of the extended time the SELLER shall have failed so to remove any defects in title, PERFECT TITLE deliver possession,or make the premises conform,as the case may be,all as herein agreed,or if at any OR MAKE time during the period of this agreement or any extension thereof,the holder of a mortgage on said pre- PREMISES mises shall refuse to permit the insurance proceeds, if any,to be.used for such purposes,then any pay CONFORM. etc. ments made under this agreement shall be forthwith refunded and all other obligations of the parties hereto shall cease and this agreement shall be void without recourse to the parties hereto. 12.BUYER's The BUYER shall have the election,at either theoriginal or any extended time for performance,to accept ELECTION TO such title as the SELLER can deliver to the said premises,in their then condition and to pay therefore the ACCEPT TITLE purchase price without deduction. In which case the SELLER shall convey such title,except that in the event of such conveyance in accord with the provisions of this clause,if the said premises shall have been damaged by fire or casualty insured against,then the SELLER shall,unless the SELLER has previously restored the premises to their former condition,either (a) pay over or assign to the BUYER,on delivery of the deed,all amounts recovered or recoverable on account of such insurance,less any amounts reasonably expended by the SELLER for an partial y restoration;or (b)if a holder of a mortgage on said premises,shall not permit the-insurance proceeds or a part thereof to be used to restore the said premises to their former condition or to be so paid over or assigned,give to the BUYER a credit against the purchase price,on delivery of the deed,equal to said amounts so recovered or recoverable and retained by the holder of the said mortgage less any amounts reasonably expended by the SELLER for any partial restoration.And this shall be Buyer's Sole remedy at law and in equity. 13. ACCEPTANCE The acceptance of a deed by the.BUYER,or his nominee as the case may be,shall be deemed to be a full OF DEED performance and discharge of every agreement and obligation herein contained or expressed,except such as are,by the terms hereof,to be performed after the delivery of said deed. 14.USE OF To enable the SELLER to make conveyance as herein provided,the SELLER may,at the time of delivery MONEY TO of the deed,use the purchase money or any portion thereof to clear the title of any or all encumbrances or CLEAR TITLE interests,provided that all instruments so procured are recorded simultaneously with the delivery of said deed. 15. INSURANCEk i Until the delivery of the deed,the SELLER shall maintain Insurance on said premises as follows; *Insert amount Type of Insurance Amount of Coverage (list additional types of insurance (a)Fire and Extended Coverage *$As Presently Insured end amounts as (b) l agreed) 16.ADJUSTMENTS Water and sewer use charges,rental payments (list operating ex- and taxes for the then current fiscal year,shall be apportioned and fuel value shall be adjusted, penses, if any,or as of the day of performance of this agreement and the net amount thereof shall be added to or attach schedule) deducted from,as the case may be,thepurchase price payable by the BUYER at the time of delivery of the deed. 17.ADJUSTMENT If the amount of said taxes is not known at the time of the delivery of the deed,they shall be apportioned OF UNASSESSED on the basis of the taxes assessed for the preceding fiscal year,with a reapportionment as soon as the AND new tax rate and valuation can be ascertained;and,if the taxes whichnare to be apportioned shall there- ABATED TAXES after be reduced by abatement,the amount of such abatement, less the reasonable cost of obtaining the same,shall be apportioned between the parties,provided that neither party shall be obligated to institute or prosecute proceedings for an abatement unless herein otherwise agreed.' 20.DEPOSIT All deposits made hereunder shall be held in escrow by John Creney Esq. 86 Willow Street,Yarmouthport ,MA as escrow agent subject to the terms of this agreement and shall be duly accounted for at the time for performance of this agreement. In the event of any disagreement between the parties,the escrow agent may retain all deposits made under this agreement pending instructions mutually given by the SELLER and the BUYER. In a Non-Interest account. 2 LBUYER's If the BUYER shall fail to fulfill the BUYER's agreements herein,all deposits made hereunder by the DEFAULT; BUYER shall be retained by the SELLER as liquidated damages and•this the " DAMAGES for performance of this agreement or any extension hereof,the SELLER otherwise notifies the BUYER In writing. , 23.BROKER AS e B k r( Ind herein join(s)in this agreement and become(s)a party hereto,insofar as any provi- PARTY sio of th gr `fit expressly'apply to the Broker(s),and to any amendments or modifications of such pro is ns t whi h the Broker(s)agree(s)in writing. 24.LIABILITY OF If the SELLER or BUYER'executes this agreement in a representative or fiduciary capacity,only the TRUSTEE, principal or the estate represented shall be.bound,and neither the SELLER or BUYER so executing,nor, SHAREHOLDER, any shareholder or beneficiary of any trust, shall be personally liable for any obligation,express or BENEFICIARY,etc. implied,hereunder. , 25.WARRANTIES AND The BUYER acknowledges that the BUYER has not been influenced to enter into this transaction nor has REPRESENTATIONS he relied upon any warranties or representations not set forth or incorporated in this agreement or pre- (fill in); if none, viously made in writing;except for the following additional warranties and representations,if any,made state"none"; by either the SELLER or the Broker(s): See Rider attached hereto. 26.MORTGAGE In order to help finance the acquisition of said premises,the BUYER shall applyfor`a conventional bank a CONTINGENCY ,private.or other institutional mortgage.l,oan at prevailing rates,terms and conditions. If despite CLAUSE BUYER's diligent efforts a commitment for such loan cannot be obtained 30 days after execution of this agreement, (omit if not . the BUYER may terminate.this agreement by-written notice to the SELLER and/or the Broker(s),as provided for agent(s)for the SELLER,prior to the expiration of such time,.whereupon any payments made under this in Offer to agreement shall be forthwith refunded and all other obligations of the parties hereto"shall cease and this Purchase) agreement shall be void without recourse to the parties hereto. 2TCONSTRUCTION This instrument;'executed in"multiple counterparts,is to be construed as a Massachusetts contract, is to OF AGREEMENT take effect as a"sealed instrument,sets forth the entire contract between the parties,is binding upon and enures to the benefit of the parties hereto and their respective heirs,devisee,executors,administrators, successors and assigns,and may be canceled,modified or amended only by a written instrument executed . by both the SELLER and the BUYER. If two,or more persons are named herein as BUYER their obligations hereunder shall be joint and several.The captionsand marginal,notes are usedonly as a matter of convenience and are not to be considered a part of this agreement or to be used in determining" -the intent.of the parties to it: p 28.LEAD PAINT The parties acknowledge that,under Massachusetts law,whenever a child or children under six years of LAW age resides in any residential premises in which any paint,plaster or other accessible material contains AH { dangerous levels of lead,the owner of said premises must remove or cover said paint,plaster or other material so as to make it inaccessible to children under six years of age. 29.SMOKE The SELLER shall,at the time of the delivery of the deed,deliver a certificate from the fire department of DETECTORS the city or town in which said premises are located stating that said premises have been equipped with approved smoke detectors in conformity with applicable law. 30.ADDITIONAL The initialed riders, if any,attached hereto,are incorporated herein by reference. PROVISIONS FOR RESIDENTIAL PROPERTY CONSTRUCTED PRIOR TO 1978,BUYER MUST ALSO HAVE SIGNED LEAD PAINT"PROPERTY TRANSFER NOTIFICATION CERTIFICATION" The memorandum executed by the parties hereto,entitled "Offer to Purchase Real Estate" Is hereby superceded and shall have no further force or effect. t NOTICE: This is a legal document that creates binding obligations. If not unders ood,consult an attorney. By: Y(A�- - - , SEL R r SEL L(f BUYER BUYER AA) Broker(s) I r A Town of Barnstable of1HVE ram, s ". o Regulatory Services x r F swxxsTwat.E. Thomas F.Geiler'Director ' Mwss. r 9� �639. ��� Building Division , pTfD MA't A _ Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnktable.ma.u§ Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATEA{is f Iy JOB_LOCATION: t number / street 4 village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 mitumurn inspection procedures and.requirements d that he/she will comply with said procedures and requirem _ r Si re of meowner V ' Approval of Building Official Y 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 se6tion(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 i quire,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 caret amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeciempt.DOC = oFVET 'Town of Barnstable Regulatory Services BARNSresi.a, :) r nsnss. Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us T a , Office: 508-862-4038 Fax: 508-790-6230 4. y Property Owner Must Complete and Sign This Section If Using A Builder 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 s Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverseside. QTORMS:OWNERPERMISSION t. r hh , , Yy , I � I , i 4 i j I 4ff I. I 1` I I Ql- I I , i I _ • I I f ( , , 1 , I I ,� I I i` i L .. 1 .._ 1. I..:._.:, _:.,._ r 1 {I_. _ i'r i... I i. I k _ i _ ! ,.� �,�'� T'i� 'i•�k,,:: "s�t A _ I .. E -,.. i_.... i I f I i , I I ! ;. : �m--.•._--�".^�-^^J.�.o..... --'a..—...e,.' '� ....wc,�-.lam r z�v.r .ax. a, I .c„aw-. i 1 I r•-- .�':.:.r,-1a-tea^..-:f-.z..,.» ny.,'rµ�. -: : it 14 I 1 : I I ' t i i I i I .tii J� .q� j I t _._ AST A i • f , ` ' I- . „- + i I _i_ y r I I , t I � t i f Ai i r y I ? � �. 3�.i � +�.. � 1 wtM.... +.._m.v,.�u-1 1 v..+,su- Sx..s.•at -. 1.. -�:a� �e,�M1a , , L t} rM , i I I r : A- i , , r z , I t , a , i , g I I � ' - I I I ll 1 I I , I , I I I � I I I + � I � I 1'R 1 (IJ I � x�� , + t I ! I i V 1 , 47 I ... �_ : � I , : I i1\ ' I ... : - { i V I ; ! I I Assessor's map and lot number .6 .0............................. SAT S age Permit number .................................... ............. �. R��/Tq % e as T LE Housenumber ........................................................................ — . 14% 66 � CB TOWN :OF BARNSTABLE BUILDING '11SPECT011- APPLICATION FOR PERMIT TO ... ................... .. ... ........ .............. . .............. TYPE OF CONSTRUCTION ..... ...... ..... .................... .................. 19 TO.THE INSPECTOR OF BUILDINGS: The und,prsigned hereby applies for a permit according to the following information: Location .......K............... ................... t ................................................................................................................................... ProposedUse ... .......CiA,.J.2-ex........................................................ ........................................................ ZoningDistrict ......4L................................. .yq. ............Fire District ......... ........... .................................................... 11� Name of Owner ... 14� ....................... .... Address ....... ...... .........& , ('.... ... .... .................................. Address ..../ 4 /J 414aName of Builder ... ................................................................................................ Nameof Architect ..................................................................Address ...... ........................................................................... Numberof Rooms ...................................................................Foundation .............................................................................. Exlerior .....................................................................................Roofing ..............................................I...................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Piumbing ......................................... ..................................... ......................................... Fireplace ...................................................................................Approximate Cost .Y .... 4�,:��, ......................................................... .Definitive Plan Approved by Planning Board --------------------------------19--------- Area ................................ Diagram of Lot and Building with Dimensions Fee .. ......................................... SUBJECT TO.APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r /L �jla^l-lp�� Name .. ................... ... ... .. ................... ...................... McCloskey, Helen ' � . > No 2O820 Permit for mnoIooe.���~^".. �' ^ / ' ' < ----^--.--.�-�.—.�------------. ^ . ' Location ---46.-Crno.-���y...--CircIa--....................... h Certerville '�--------'---'----^---''~�---'' B�lmo ' Owner --------.���������?------_ frame � Type of Construction -------------- . ` .----.-.-------.---.. ---------.. ' 'Plot ---------. �t ................................ ` ~ ' ~ Permit Granted -..SePtamber-28--..lq ?8 D, ote of Inspection --- -- .......... P /~ A ~ . Dote Completed ��/ /"��� �^�� lg ~^ � . -'_ t'^'^/'—'�---' ' . PERMIT REFUSED . , ....... 19 '-'^'--'~--''-----'r—'—^`~-~'---'' ' - ` -'--~-^~''^--^`~^-^----'--''r---' . . . . .-.--.-~.---',...---...--..-.--.-... ' ^ . -------.-.......-.~.....,-..,...---^..�. / ' . ' . lV '. ~rr~`~~ ---'' ----------'' ` ' -------.--_---.,..--..-..--.---- ---.----'`---''-----'--~^''~^^^^�^' | | 1 �/4 Assessor's map and lot number ............................................ /! �OF TH E T0� Sewage Permit number ........................................................ Z BAWSTADLE, i House number ......................... 90 M6 a O 39• �0 0 up"I p TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... —!�^ C � o� TYPE OF CONSTRUCTION ................................r :......::..........`..... ...f:.. ..f ..f.. ............ ...........................`...... ....19 �. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �f r� "`....`........ ........�...r......... .. ................................I............ .............................. U / ProposedUse ..... ...� ................ . ?..:r..................:.............................. 4... ......................I......................... ZoningDistrict fr (...........................................................Fire Districtf... ............................................................. Name of Owner ............. a �fosAddress . f� .......................................... ............................. Name of Builder ..%. � f ^'�� � ....Address ` ll............. ............................................................................. 2-�.. Nameof Architect ..................................................................Address ...................................................................................... Number of Rooms .........:.......................................................Foundation ............................................................................ i Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ..........................j.......................................................... Fireplace ..................................................................................Approximate Cost / Definitive Plan Approved by Planning Board ------------------------- A .---____19______--. Area Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH a I hereby agree to conform•to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name . ........................' f' a McCloskey, Hele , tz A=188-61 r s No ........2062EPermit for ..... ............................................................................... Location ......46.Cro.O ..C.a-rr.IQ....................... .....................Center.V111.Q.................................. Owner ........Helen McCloskey Type of Construction .fr.aMe....................... ................................................................................ Plot ............................ Lot ................................ - - Permit Granted ..._September 28 1978 .............. Date of Inspection ....................................19 Date Completed ......................................19 'i PERMI EFUSED ...................... 19 } I. . . .� .......... Approved .......................................:........ 19 ............................................................................... ............................................................................... Assessor's offioe (1st floor):, TN¢T Assessor's map and lot number ......�.. .. ...... ............. �' ' `ire I) l ( r��U k;t Q••�� °�`j N w W o Board of Health (3rd floor): - z LED ON COMPLIANCZ- Sewage Permit number .. ..(J..�: 3................................... MTN TITLE 5 = 33AUSTAILE, . Engineering Department ((3rd floor): /-// n,,,i. ,n� � �y ��g�L `.®®� � � 00�0 AY-a\e� House number ............ ................... . ..... ... .. i/l oC% TOWN REGULATIONS APPL'ICAtIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only x� TOWN OF BARNSTABLE '1 BUILDING INSPECTOR APPLIC TION •FOR PERMIT TO .........fi�s.lGl ��1r 1 �, .......................................................................................................... r TYPEOF CONSTRUCTION .............Ff'fL-hif. ...............................' .... ....................n.......................................... .............. ...... !` ..z 7i..7--........194, r TO THE INSPECTOR OFjBUILDINGS: :.. I The undersigned hereby applies for a permit according to the following information: ........... .� Location �r..l.[ .2.. .... 1................................................................... Proposed Use ..... N.e- r�c.�......( r� v� �.� �"� �" s�. ............................................. .rS...C�. .. s... .�..:.. .. ..... :.. ..u.....1.............................................Fire District ........�' Zoning District ............ . .................................................................... Name of Owner ....!!`lt.- s �ZY ,�"c.li' YGfC�zrrc��J y..?...... /�US �cr...�l.�.G.IL�.. .....�'.:... Y:..... . P.. ....... ......�.:.. ..Gz:............................ ....Address ..... Name of Builder .......... ....fGk:g ....11. ....................Address .....�1..1..�j..4 .. i�+�. t....l. ... < ez.`� x'!!?.. 1.J , NamelofArchitect ...............5C?..Ane......................................Address .................................................................................... Number of Rooms ................ ...............................................Foundation ....1/0.K.o...1.�c.... .1!rc ................................. `Exterior ..........S.h('I- PS....................................................Roofing ..........C� �1�`�-( a.................................................. Floors ...............................InteriorllhCL�I�.� J ." ,.......................................... Heating ���.:7-hc s=..................................................Plumbing E?...S. ( ... Fireplace ................... .:...............................................Approximate Cost Z 00 0 ....................................................... Definitive Plan Approved by Planning Board ------------------------_-------19 Diagram of Lot and Building with Dimensions Fee .:. .. .c. .:.�.................... SUBJECT TO APPROVAL OF BOARD OF HEALTH _ R L;ot e ;b �t t 4 �( s e 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 ...D.�..c� !,�. ........•••.• . . , No jO.872... Permit for Build Addition Sincr�e *Faihilv Dwell ' � . Type of."Construction '.F.ra.m.e--------' . --------------------------' � - Mu* ............................. Lot ----------' June l6 87 Permit Granted ------'—'�----'lV DoK* of Inspection ------------lP Dote Completed ------------'lg � . � � ` . . . � ^, ^ p mw � � ' ~' ^ ` ' Assessor's offioe (1st floor): y ( . (f. t OFTNEtO Assessor's map and lot number ....../...... .... .o. !,.......... Board of Health (3rd- floor): D o Sewage Permit number 7- 3/2- •9 L)......................._.................,.... t BARISTOBLE, Engineering Department Ord floor): ////// 4 (� 1 'oo rb39, House number ................................ .?tv.t...�..1?.c/fi�. a` APPLICATIONS PROCESSED 8:30-9:30 A.M. and j1:00-2:00.P.M.'only TOWN OF BARNSTABLE BUILD'IHG INSPECTOR APPLICATION FOR PERMIT TO .........�1 lam!(� f'. ............................ ...................................... TYPEOF CONSTRUCTION .............. ��. o�............................. .,.....,..............,.............................................. P TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............!..b.... �.@.5 .. C��C/p...�..[...1.�'�.'f.��1.. t°............................................................................................. Ue ........ r � q *Proposed �............................................. j...Zoning District ............^...®.. .� Fire District ........�. ..�.......................................................... 4''jF. s fi�j... ...!!!!+c�or4 �Cl Address yb �(r(/SL vc lso �P Name of� Owner ........../........ / .................. .....,........................��L...../..........r..,,:)... Name of Builder �rChl�v. ... �?. j....................Address ll�n G✓. icvhs. :.......... ......... Name of Architect ...............Sk.�?!.(°.....................................Address .................................................................................... ..... 4 Number of Rooms ..................Z..............................................Foundation .....1!(nQk,pl r �c...r�./ . .......... Exier for 54�.r.�t ..��'5......................................... �? Sl �'7[` Roofing ................. ... Floors ...........ra.�� .. ...vl.h.'1. I. .Interior ............11'(!°k� .v0C ............................................ Heating . a g C (�� P S�io+.vc. q...1�� �. ....................................................................Plumbin ................... ............................. Fireplace ................... —.................................................Approximate Cost 0 .J..................................................... Definitive Plan Approved by Planning Board ________________________________19-------- , Area .......�i�S �� ' Diagram of Lot and Building with Dimensions Fee ` ? t�..Ji - Fl SUBJECT TO APPROVAL OF BOARD OF HEALTH l . � E v.t 13 --.. t Y 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. //ff y' Name ......... d'... Construction Supervisor's License ....�PYk.7."j.............. No ...30.8.7.2.. Permit for ...B--i—I—d'—A—ddi—tion — -- ~ �Siu le fa-In l� Dwellin g --- -- — _.. ___ ____ Location ........46_C�!�obv .C�i���.Ie_____ _______. ni.11�_________. . . . Owner ___J���}x �cD.�o�ld — ----. — ---------. Type of Construction ---Ir�����-----_. ^ `-------------------------' Plot ............................ Lot ................................ . ^ June 16 ^ 87 PermitG,on�yd -------'�-----]V ~ DoK» of Inspection ------------lP Dote Completed ------------'lV , . ' , � . � - — xm/, 0/0«�~-~�~ Assessors map and lot number ...eo...�0.�.. .. E/' o Ad ofTHEr t re n Sewage Permit number ....... °:.... S hr......... ....`.`...... ' Z EAEBSTAXLE, i House number NAM-q 94p i639. e00 ,ems s •ED Mix pr� TOWN 'OF BAR.NSTABLE BUILDING '-,.INSPECTOR 1�NSPECTOR t . APPLICATION FOR PERMIT TO J`� / ai4/-F. �� j ..........` ................................... ................... :.. f� ., y f TYPE OF CONSTRUCTION ............... ��........ ......... ...........................: :.......... ............................ ................19.78 TO THE INSPECTOR OF BUIL The undersigned hereby applies for a /p�ermitt�according to the following information: Location ....... 6....... ® }!... ..d.�:.11g .....................................................:........:... ProposedUse ......../? ......../ .... ........ 's.' y.................................................. .................................. n Zoning District ..........ff l..df ..................Fire District �,...... .......................... �-, /1 /T/ •C DS Address �` d.�� ..... Nameof Owner .. ............. ....................................... .�� ...... .............�............r. .... ... Name of Builder Address.. .. � ............... .. .......................................................J ��0�1�� W . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation .......�r�r g� .............:........:.................:..........:................................................................. Exterior ..... ...........................................Roofing ......... ................. Floors ........ 4....................................................:................Interior .........................................:.......................................... Heating ..........................................................:.......................Plumbing ...........................................................................:...... Fireplace .......................................................... ...................Approximate Cost .... o�J :. .V................................... ti Definitive Plan Approved by Planning Board -----------—-------------------19 -—--• Area Ty .... :. Diagram of Lot and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH L4 V3 a Ric / nl ( .R Ali �b m I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................... � McCloakey, Helen . � No -- Permit for�—� ---ad—d tn..��— -- .. - ) ` ' _�°............................."^' ---~'--------'' > Location ....... . ...................... . / ----.--..(���tt��ill�----------- � . . Owner ---.�Ql.QA.]MCC.1osk.ev-------' ~ ' k Type of Construction ----'ftame.................. ----.----.—.`----.----------. . . Plot ,� ` Lot ..----' —'--- ---'':'-----� . . . 0ova�bor l4 78 Permit Granted _--------..r--.lP Dote of Inspection .......................... ---l9 . ' Dote Completed —.'(�Y.������'----..lq . . . ^ . ' . ` . ` | ' PERMIT REFUSED ' ,_---.------.---..---..--.. lQ AN i __________. ............. ^--^^—^^'~—^—r_^-----~^^_--_—^�''' �` ..—,—^—..--....----..—..--..�.—...—.—.. . ,` . ............................ ..............................�................... Approved ' ,_ ---------.---.. lA ` |i '--'----''''.--^----^~^—`—~—^''c—^' / ^ ---'r------^------'--^'—'--^^'' . � Assessor's map and lot number jj........ !. ... *THE t Q Sewage Permit number ........!.........`.........:.........`........ ...... '" Z 33AHBSTAB E. i Housenumber ......................................................................... °o M639 ON a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........'.I-1. L e- '7-G i-A 'T� C--` 1= - ............................. ....................................................................... TYPE OF CONSTRUCTION .............�pt!r... `� '� '"��``i- ................................................................................................................. ........'...::..........c,.................19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... ..............f.r> F� ►...........:........ ..:........................................................................... ........................... ProposedUse .........f 1:.. ........f...... .. ........!.'. ,i .`N ! .....................................................n................................. Zoning District .......... ....1... l.............................................Fire District ....... ...." .!'?.......,..••Iro► 2.�r,� Name of Owner ` ' � ,y .. -�` .........{{......................................../...................Address ............,.......................................................................... r� Name of Builder ►^�'..... .. f, .....,-.... ....Address .2..)..`.7.G'.....0.......1.A/;t......1.......... ..............�-" .z . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation Exterior Roofing '_..r �^ �" ,......../ l l a.: r?.....' ................. ......................................... .............................. . ..... Floors ......................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost J'✓�• z, .� - —-- .. ....................................................... Definitive Plan Approved by Planning Board --------------------------------19--------. Area `.'''"1 :��..�-.................... :.. Diagram of Lot and Building with Dimensions Fee ...........................................`. R SUBJECT TO APPROVAL OF BOARD OF HEALTH b(; �jft" sh 1 I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....:.... �'`........... .� ...... .... .:`..... .t::.................... McCloskey, Helei� A=188-61 No .......2.081.5 Permit for ..... ............................................................................... Location .......46 Crosbv ZINXXiCircle ............. ... ........................................ Cente4ville ............................................................................... Hel.'R.Mc.C.losk.(�Y....... .......... Owner .....................I.. .... . ........ Type of Construction�...........XXN.....frame....... ................................................................................ Plot ............................ Lo\t ............................. November 14 78 Permit Granted ..........................................19 .Date of Inspection ....I., .............................19 Date Completed ........\........................19 PERMIT REFUSED 19.......................................... ............I...... ................... ... .. . . . . . ......... ................. .... ............ ........................................ ............................................................................... . ............................................................................... Approved ................................................ 19 . ............................................................................... ............................................................................... PE 7 ---ilp Parcel Permit# /11 House#> �� Date Issued Board of Health(3rd floor)(8:15'-9:30/1:00-*3 ff) Fee. 0 Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) INE►p;~ DefinSP�an 'd by Planning Board 19 - BAR11 ABLE. MA r 039. TOWN OF BARNSTABLEBuilding Permit Application Projess Village , r n 0a, �, J � Owner 04 q -4- o m . ►I,,�r!L° �q4T Address 0a,c 6Fi i vf C' 0q ; - 1 Telephone Permit Request — t1-00 v, 0 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 3�d© .C)0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes p�No If yes, site plan review# Current Use Proposed Use Builder Information Name V tqtn C�l Telephone Number llpd -- Address I D D R ,-i4 e- 6/ia le,,u it License# 0 S_7 r/0 Home Improvement Contractor# /Q(os�Za 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 Ot- M 0 l ci SIGNATURE DATE / BUILDING PERMIT DENIE OR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY y PERMIT NO. - c DATE ISSUED _ ]5_AP/PARCEL NO. � P ADDRESS t VILLAGE, OWNER ' DATE OF.INSPECTION: FOUNDATION FRAME c ? INSULATION FIREPLACE - f ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL' - t i FINAL BUILDING , DATE CLOSED OUT ASSOCIATION PLAN NO. - ;,eta i-- �'Tr�vw,"r---`k'� a.r�&...,y�� Ir���y •,, , ,'tom } �5',�k°!, 'a{ ,y `' r S k •" � .... 't �� a r k Y ��i.M a r2'r ��•J>=w"�i �'s: ' ? -saCa .f.,k.-t as,r y V ,, "i'p '. 'x ,y:e `{ f4 r$ s 'x r J °� t`•c } +. q e d! ; �S•, ,�n A f. 314s` �� � i�'�k� tyk l' to a. 4� d� +'s�4 �`` 1.•�Ttv°�,h",� 6�t .i Ar'{'et»,a' - ;7i ,•!•). ,as'� i:1.,fi �?�e ,ii 4> l�' f�4 t,�.,k, }� !Ih � _ _ J^`c a °A'.�'i�'� }.r t�.R::, X�i+i�;.a�.�� r - t;'�•„�.'� }s&�l�tk t 1E r!M N.'( �.,.��l^r,.k:J'i"f n S� 11i�.�.{� �'r� Y�.`}� utva .4 t:;liC` T , *HO {IMPROVEMENTdCOIyTRACTORS REGISTRAT�YON ;f ` ..3.': 44. > , y ,. .� - 4r. ..Bgard of Building Regu'1a lgpt._fitl Standards a.. d°�' 4fi f carton°ctrPlace x :Ro'om1301 ' fps '� •k,�a`w - F t,', a'. � , .•^i5- n BOS:tOn,, Massachuse,t�`ts02•� u •k }pm4M t ,p.� ,�"t« t. .fi>} F M i.�. '§ �'^ A. 1 ].:. k; 4.•. ...a•. .. .:, 51 .�,. -,.,� •S` R, t i. - a+, �s }''t«'t' :.,. k r ...:�-w�,, :t !'�s ;:�.�` !� $�'.d '�dr ,.,«.,, 4 4 P+.•''x,t t.... h*-. y.f ? +: ,t` V y.;hi ,?.. , F y W ,Y-c i• 'c: F }Y: �,s•+ :a Sim 5. "N"D7. 4�n�d�t r'+�°N r E .�S-M tfe :X M FK I" ter '" — `J`•k. R-'�. — — — -- k HOME ';?'IMPRQVEMENT,tCONTf2ACT:OR ..• d:` t.. RegiStrationYe"1'06566 ;'L,� � Exparataon07/24/.98 �5 E •te, d t�?{"'SJ',.'L+' e"a..g.s.r, t�i4.�tyk :xvk �a�v,%bj y�.�.h€ •.h.° an. ,+,yA�,7 I h "; �.�i1F,aN - TYPe r'y rf ,}:x. �s l �+NONEr IMP ROVERENTfCONTRACTOR 2j 1 4 f r t X tt w y77J *k<i��s zt �V tJy Mi k i•~:t r'k.! t , .t57.'R .t.�# t� m ? °'��'r' >.4•j �.;• ,3y SFf t, -°"x:° wf. a , gstration :,106566 . {��',• _ . t N a,F. M1rk} Y' sf Nf' ! L$J^ Y ''g epl :r T ,y .,w•.. BR IAIV CL IFFORD ; "T. (,�rian 'D Clifford EzpiTat ion= *,07/24/98 , . 't• Goff. ✓i`�' �' w r .t o C.:+�`� S "3` a 7`k �ro,t s r��k51x.ep, t •'t tt�-�,� a ` '� �-: - R< r < t ,+3 rr� �S I '� «s ,:10 'Goff.� Ter s. r•_.:, r �� � ii.:. n,��t�i���l.h�rt w t,t�,.� � a� � .41� � � ' �q;'c�k� ,�+ {Centerville•'MA,'020'2:: ±� k �w. ` ' .� ', , + : BRIANt"CLIFFORD ;:•41j nwD.:CLifford T t� + I ADMINISTRATOR 0 6off, Ter", < A rf r r4n le M 9/,3. J Pn THBr, �.w i,: . . : . The Town of Barnstable Department.of Health Safety and Environmental Services Eo Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along withhlother requirements. Type of Work: �[P—"d'�" Est.Cost 3,FV6 Address of Work: '1 Owner's Name V 4.(' C1 Date of Permit Application: Z I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit 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 her by ap ly for a permit as'the nt of th wn � G ,i9 /d0 7v,/ ate Cont r or Name Registration No. OR Date Owner's Name w _ Tile Cl,nrrnrtpttll'ealtlt of.4fassachusettr Department of Industrial Accidents F olflc�a��ayesygatlons x_' .i 600 111ashingtun Street �•��a- �'� Busuur.,1 fuss. (1Z111 Workers' Compensation Insurance Affidavit Alililirint information•' - Plcnse PRINT1e:•j4 nnmc• ,�n'i.�A� �� ` ,� mhone if [J I am a homeowner performing all work mvselr .ter r I am a sole proprietor and have no one working_ in any capacity .__—..__._.�...�.....�.,.•------ _ _--s------•---. .---•.. [� I am an employer providing workers compensation for my employees working on this job. conmlm n•imc• ltldresr • Phone Of- incur-incc ro nolirt a [j I am-a sole proprietor. general contractor. or homeowner(circle one)and have hired the contractors listed beiow who rzi the `ollowin2 wori:m compensation polices: comn�n�• nitnc• 1t1(I tree• cit- phone tt• incurincr rn Poiic� a 'r_ _ .__ �.�... __ � 'ram— �- -iT•'�^.��y. ._ �.T.:.- .�._.—...-_ cmmninv nnmrr nddrrcc- tin nhnne r: incurinee co Policy t! _ Attach additio_nai sheet if necess ary Failure nr secure co•crace as required under section 3A of.%IGL 151 can lead to the imposition of criminal penalties of a lineup to S1S0U.UU andiur unc y cars'imprisonment as well as cit•ii penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a dap against me. I understand that a cope of this statement mai be forwarded to the ottice of Investiutions of the DLA for coeraee verification. I do herehr cerrif ndcr the pis ana saxes of perjun•that the information prodded above is true wr carte Si_.nature Date -3 ZPrint name Tt" c Phones: olrtciai use unlw do not write in this area to be completed by cite or town official city or town: permit/license it Mudding Department [ ❑Licensing Huard C t Cl checf:if immediate response is required OJeicetmen•s Ofricr t �. C311-1111 Department phone*: rlOthcr. contact person: j'. • t , Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers comp rtisation for:;,. employees. As quoted from the "fa++".an empluree is d ' ined as every person in the scrvice of another under any contract ofhire. express or implied. oral or++rinen. An cnrplarer is defined as an individual_ partnership. association. corporation or other legal enter►, or anv two or m: the furcuoina cnanued in a joint enterprise.and including the legal representatives of a deceased employer. or the recei►•er or trustee of an individual . partnership. association or other legal entity, employing employees. Ho►►•e►er owner of a dwe.fling, house having not more than three apartments and who resides therein. or the occupant of the d►►c1lin% house of another who employs persons to do maintenance, construction or repair wort: on such dwelling or oil the_-rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio. MGL chapter 152 section 25 also states that eo•cry state or local licensing agency slrall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in tire commonwealth for any applicant ,who iris not produced acceptable evidence of compliance with the insurance covers;e required. Additionall+•_ neither the commonwealth nor any of its political subdivisions shall enter into any contract for tite performance forance of public wort: until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contractive authority. Appliczas Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and suppiyim, company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sibn and date the affidavit. 'I'Iie affidavit diould tie returned to the cite-or town that tite application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "taw"or if you are reeuir: to obtain a workers* compensation policy. please call the Department at the number listed below. Cin• or'I owns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botton: the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding tite applicant. P'. be sure to fill in the permitilicense number which will be used as a reference number. 71e afldavits may be returnee the Department by mail or FAX unless other arrangements have been made. The Office of Iut+•esti=ations would like to thank you in advance for you cooperation and should you have any questic please do not liesitate to _give us a cell. Tlie Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents _. Officer of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone `: (6I7) 727-4900 ext. 406. 409 or375 TOWN OF BARNSTABL MASS CSETTS HU `VDil a�T A-188.061 DATE May 17 19 95 PERMIT NO. N9 -977 72 APPLICANT Andrew R. TarFebelli ADDRESS P.C. Bnx 123 9 MaIgh,Paa .09101A (N0.) (STREET) (C ON7 S LICENSE) NUMBER OF PERMIT TO Build deck ( ) STORY Sinn-r1 fami,�,n cap1�4�+o DWELLING UNITS (TYPE OF IMPROVEMENT) �.. NO.. (PROPOSED USE) AT (LOCATION) 46 Crosby Circle. Centerville D ISTR CT— IN0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION �{ f (TYPE) REMARKS: Sewage #8 -392 AREA OR PERMIT VOLUME 216 sq. ft. ESTIMATED COST $ i,im,on FEE 5�I1 (CUBIC/SQUARE FEET) OWNER John & Nancv McDonald ADDRESS SameBUILDING T. BY i" � `"n"/'`-rt•7�-�a'�..{`'ir?s�/3$�'+.7�'"�'�.�'�,.rr�"''`+q.,�� 1�''d�+t��`''�`�,��":lrtice�.l�^�{"�, �� ^- � a , ! TOW OF BARNSTABLE, MASSA�CHUSETTS BUILDING PIERWRT A=i84_061 May 17 95 9 '_9 779 DATE 19 PERMIT NO. APPLICANT Andrew Ro. Tar8belli ADDRESS P•0. :Box 1237, !Mashpee 0423€35 - (NO.) (STREET) ICONTR'S LICENSE) Build deck NUMBER OF PERMIT'TO (_) STORY Single family dwelliri '�DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 46 Crosby Circle Centerville ZONING AT (LOCATION) � � DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT.MN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #87-392 AREA OR PER VOLUME 216 6q• ft. ESTIMATED COST $ 1,320.00 FEEMIT $50.00 i (CUBIC/SQUARE FEET) OWNER 'John &, Nancy McDonald , Same BUILDING D PT, ADDRESS BY ' a x THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE•JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOTBE OCCUPIED UNTIL MINAL INSPECTION TI TO EFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 2 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. BU .ILDING PERMIT ' 4t /o9a L Mv� : Q _ -PC rmit # c ^n ---''•�'u _�`"Ii��.L4•th flnn�^ �.�ro �l'1�- Dat I ued / 7 4S' '11"27 3o ir f3r(i�floc�t r' �)ePt }rd��xa�o H.;rts _ rq,vt PI trn S-h(o I Admin. Bldg.): SYST if ter^i�. �p� ove i�ianinn Qoard ' M 19 INSTALLED IN E F � , WITH Anf�I�CcI �Cf"4a LS ?l7 �}:�0 a•m. �4c 1:80 2 60 D.IIl1) { r. — — — h h;< ENVIRONMENTAL CODE AND. e' T®Vi/N REGULATIONS G ' 'TOWN ®F BARNSTABLE -!Building Permit Applicationcp � W Pr���ect_Strcct Address � ,I Fir Di Address � �(✓ Per�ni��Za t 7;,f�i Di,arict �-_ -_ Florxi Plain _'Water Protection C_ i Size Grandfathered tr,� 7_.crii_g1-Lioarc►�;r'APy _als .4irtliorira[ion r ReCOrd�Sl j Co rent !Ise t o Proposed Use c; ,r Existing Information 3-4 — t " 5alr�_,1e� mily Two family Multi-family - 'tire61 Basement ,44 Finished ` (_K.in� jaht�'ay.�—_ _ Unfinished nfini 4F r �f I; No of— Bedrooms : Cc tal :cote Count ln�t including baths) h, ; - First Floor- �i, E t ��.. �--- Central Aii _ FireplacVN es ra-'C nt 13Gi1Pli _ -- Other Detached Structures ` Pool .' i .& � Barn t,Dt fY''Sheds Other ' Builder Information a �:c �TelenhoneVnutLicense# nber t G��_� y� Horne Impro 'm n on'ra to { -5N.ork�r's Const;ori # � -'—�— t - ... ..': i° :i.. , p .per t F� e „�" •r-. -..: -:.1 t�' .�.3 - hr' " "�vS�?�L•CT"Oi� OR ADDITIONS FWQUIRE A. SITE,PLAN (AS�BUILT) SHOWING EXISTING, AS. WELL AS . ,A:r i,C:E?Nb'Tcl'C I at'ItT DEBRIS RESULTING FRO14 THIS PROJECT WILL BE TAKEN TO rglectCOSt �/3 Fe DATE_- 1 Z, S y� BUILDING PErAff DENIED FOR THE FOLLOWING REASONS) ` 4 BPEO.4 T 5/17/95 3-7" 188.061 ' 46 Crosby Circle Centerville Owner: John & Nancy McDonald t r r w $ �;w�u T� �c �'Or n "�` ,I The Town ®f R Mnrrsr,� _ ' 'stabile k"S& Department of Health Safety and Environmental Services ibjp. �e ° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 RaIQh crossen Pia Date -_ AFMAVIT. HOME IMPROVEMENT CONTRACPORIAW SUPPLEMENT TO PERMITAPFUCAMON fi MGL c. 142A requires that the-reconstruction,alter ±oas,reaovatioa,zt moduaz�tioa,conversion, improvement,, remcnal, demolition, or coruttua ion of an addition to aay pr'edstiag auvaer.00arpied building containing at least one but not more than four dwelling units ar.to ,Ptactm rs which arc adjacent to such residence or building be done by registered contractors,with cc:taia ezaepfions along with other requirements. T}pe of Work Est.Cosrj2aa_6tY- Addressof'Work:_ (� i G lY ) Omer Name: Date of Permit Application: I hereby cerrifv that: Registration is not required for the following rcason(s): Work excluded by law Job under SI,000 Building not owner-oxupied ;►.ncr pulling own permit Noiic-,is here,,'gii'mr,t:-.a:: OWNTERS FULLTNG THEIR OWN PERMJT OR DEALING IVMI UA'REGISIERID CON'7RACTORS FOR AjrFT ICAFLE �h0NE rI TRO%re,E-.TT WORK DO NOT HAVE ACCESS TO TIE !Gi c. 3<2A SIGINED UNDER PENALTIES OF PERJURY I herebN'2Pp1,•for 2 ferric as the agent of the owner: A �..� �c, 4&Wl' D2ie Contractor name Registration No_ OR 1?: c 0--ner's n.r,e OETA=MEN"r-OF MDUSTPIALACCIDENTS' 600 WASHIN N_ GTO STAEET- •nes.: Car-ccel; BOSTON, MASSACHU=02111-. Zor'"'ssscae• : WORICFRS'.COMPEN SATION INSURANCM AFFIDAVTI (Iianseei p erttti tree) with a principal place of businesslresidencr at: (Cory/StstclZip) do hercbv cerd' under the pains and penalrie: of perjut•J, that: 1 am an employe:providing the following workers' compensation coverage for my employers working on This ;gib. - cc) JD lnsur-.ncc Company P — olies Number (� I am a sole proprietor and have no one working for me () I am a sole proprietor general contractor r homeowner (circle one) and have hired the contractors listed bc.: xx who have the iollowing wo ' n insurance policies: Name of Contractor n Insurance Company/Policy Number Dame of Contractor Insurance CompanyMoliey Number Dame of Contractor Insurance CompanyMoliey Number 0 1 am a homeowner performing all the work myseE NOTI Please be awue that while homeowners who employ persons to do tasintenaaec.constrnaion or repair work on a . dweiiinz of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally consiecrec to be emploven under the Workers' Cornperation Act(GL C 152.sea. 10)).application by a homeowner for n lieease or perrnit rnav evidcaee the lcrO status of an employer under the Workas Comoeasation Act,. I e-dcr.:sad --hat a copy of tisis statesent will be forwarded t6 the Departa=t of Industrial Aecdeaa'Office of Insurance for cmverzzc Vt!%:Ic::;or and that failure to secure coverage as reeuired under Section 25A of%iGL 152 an lead to the imposition of c.:-irw oe:::i::_ consiszne of:tine of up to SI 500.00 and/or imprisonment of up to one year.aac aril penalci=in the:o.as of aStop waric Grdc: of s100.00.a day against me. Sicr-d N this day•f � l�f Lic:nsorMc.mirror THE FOLLOWING. IS/ARE THE BEST IMAGES. FROM POOR ,- QUALITY ORIGINALS) IA� L�lr_ll-c m L DATA . . C— TOWN OF BARNSTAB Edlwath sdPFa Barry �tHE Tq� LOCATION r : aA""km AHM� Town of Barnstable a VILLAGE Ili ASSESSOR'S HeaINSTALLER'S NAME & PHONE NO.42 e y 367 M Department 7 Office Hours: 367 Main Sireet,Hyannis,MA WWI 830-9:30 a.m. (508)790-6265 / 12:45-2:00 p.m. FAX(508)775-3344 SEP'i'IC'TANK CAPACITY /oc o C:o LEACHING FACILITY:(type) ?::)/ r (size) / a o G.9 NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER, R OWNER DATE PERMIT ISSUED: 3 C, 7 DATE .'' OMPLIANCE ISSUED: O 7 VARIANCE GRANTED: Yes No (,/ c A 6P�p saR) � -', i �:. � � r, i .'. i � � i 1 ._..__........__._.__.�_.....� � !t _ � � � ��I ,� .�,w � .. �� I. . i I I 7 f -� COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON, MA 02108 LICENSE C CAUTION EXPIRATION DATE CONSTR. J U P E R V I S O R u 5/2b/ 1 99 C EFFECTIVE DATE SIC-NO. OR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB N 0 N E _09/30/1993 0423 PRINT INAPPROPRIATE A,NDREW 3 T.'ARABELL; t SS :�15-52-7r4w ASHP c1237r 49 ' B GOPE TORS HOTG iBLASTING OPR CNl"1 � 0 EC 3 _2 2 i99 `Sy NOT VALID UNTIL SIGNED BY LICENSEE AND CFFICiAiI'/ f t HEIGHT: STAMPED OR SIGNATURE CF THE- - OOMMISSIOf+ER ` J I DOB: i 'j— f �/q /��/J/ / } � s 4 0 � 7H DOCUMENT pnUST SE a�.' „! 1 r SIGN NAME IN FULL TARRIEDON THE PERSONOF „j1O�► �- SIGNATURE OF LICENSEE F THE H.OLCER :THEN EN- j7 OTHERS-PIGHT T'H.UMB PRINT 1 GAGEDIN THISCCCUPATION. r•< „�. II I NER 1 J T I !7:�1 i * PHOTO i.Bu$TINc OPR ONLY) FEE: y• NOT VALID UNTIL SIGNED BY LICENSEEAND OFFICIALLY I SIGN NAME IN FULL-ABOVE SIGNATURE LINE HEIGHT: $TAMPED OR SIGNATURE OF THE COMMISSIONER GOB: THIS DocuMENT Musr BE SIGN NAME IN FULL-ABOVE SIGNATURE LINE € CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE F� THE HOLDER ''WHEN ENGAG. .p M OTHERS RIGHT THUMB?RINT ED IN THIS OCCUPATION COMMISSIONER C1S-52--?1344 AJtjP P� 17 � • PLE', SE f�OTE EEE INCREASE — w FEE: F NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY ^ - z. HEIGHT: STAMPED -OR SIGNATURE OF THE COMMISSIONER' GOB: lhli SIGN NAME IN FULL-ABOVE SIGNATURE LINE ISDOCUMENT MUSS" BE SIGNATURE.OF LICENSEECARRIED ON HE PERSONiOFTHE HOLDER NhFN FNGAG- +' ED In rH13 OC:.UPA FIJn I COMMISSIONER t } , E (9t k t 1 17 P HOME IMPROVEMENT CONTRACTORS REGISTRA,T ' - Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston . Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 106687 Expiration 07124i96 Type - INDIVIDUAL HOME !MPROVEMEaVT CONTRACTOR Registration 106687 Type - INDIVIDUAL Andrew R . Tarabelli r Expiration 07/24/96 62 Twin Hill East Falmouth MA 02649 Andrew R. Tarabelli _ 62 Twin Hill h &-rt,;ast Falmouth MA 02649 ADMINISTRATOR i1QreW i 3Y3+ e--- 1-,w2e }1 f ' f