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HomeMy WebLinkAbout0198 FIVE CORNERS ROAD /,CTIVE J f �I T®wn.Of Barnstable' Regulatory Services ti Richard V.Scali,Director ? STAX1Z Building Division iM63S. �� Tom Perry,Building Commissioner. eo�Mt 200 Main Street;Hyannis,MA 02601 - ca ca www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Pee, Permit#• v71� 7 1 HOME OCCUPATION REGISTRATION , Date: Name; / old� G Z cac,l �' Phone 9: Ir Address: �/ ' /✓ �.�t✓a^Grf � Village: Name of Business: (l' ��C 2ea� G� o. �y. '0J . e Type of Business: o l �/1/ Map/I of E%T EN'T: 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 ti-afc 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 are 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. m• No person shall be employed in the Customary Home.Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have 'a agre with the above restric ons`for my home occupation I am regis g- Applicant Date: . Homeoc.doc Rev.103113 YOU WISH TO OPEN A BUSINESS? 'For Your Information:. Business Certificates cost$40.00 for 4: years.-A Business' Certificate 0,N' LY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate).: You must firsUobtain the necessary signatures on this form`at'200 Main St:; Hyannis. Take the completed form toAhe Torn Clerk's`Gffice, 15k.Fl., 367.I ain:St:, Hyannis, � MA 02601(Town Hall) and'get the Business Certificate that is required by law. DATE Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME Gl h1 is : c_a—z_eGll l k n irYo -BUSINESS TYPE: P L le kit Vv-U01 : . BUSINESS YOUR HOME ADDRESS C�v1 CA I-CE 1= Vf:coy �-- -6 TELEPHONE # Home T le hone Number YS, mAME OF-NEW BUSINESS OR EIN: Have you been given approval f,r .m. the'buildin 'divisiori? YES NO ADDRESS OF.BUSINESS ;! �/ rS' ,>✓'�. �e�1 cre�_ / t I ' c'` ;C't n ✓ �Jf'�. 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 Barnstable.'.:This form-is intended to assist you in obtaining the information you may need. You MUST GO TO,200 Main St. -(corner,of Yar►nouth.Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate'yoiir.business in this town: BJ °DING COM ItSPIO ER's`OFFI *-JST CGft�1PLY WITH HOME OCCUPATION This individu I h4s n inform d f ny ermt requirements that pertain to this type of busil. AN REGULATIONS. FAILURE TO Iu orized ignature** COMPLY MAY RESULT IN FINES: COMMENT 2.' BOARD OF H AI_T�f This individual has been informed of the permit requirements that pertain to this type of business Authorized Signature**. COMMENTS'. 3. CONSUMER AFFAIRS (LICE NSI[dG AUTHORITY) ' This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3: . Pr �y TOWN OF BARNSTABLE _ -____-_ Permit No. ______________ Building Inspector Cash --------------- DNA,(" /✓ OCCUPANCY PERMIT Bond ----__-_-___ j�Y "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Knty ,v Travis Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ................................................... .. 19......». ............................................. ........................................................_._ Building Inspector map and lot";number .. �...�:lf� .`..:1 V.L.I. . Q�1 ' /) 1sl� SEPTIC SYSTEM MUST Be INSTALLED IN � b - t w Sewagel Permit number 2`S"O WITH COI�, LIANCE R ., RTICLE II STATE r ' SANITARY Coll F AND T "N 7NEtp�' H� ,� ' � TONN OF BARNS AARLs n °`V � � Z BAHBSTADJiB, 9�p AS 639• �g� Y BURDING ` INSPECTOR t �. 4_4 APPLICATION FOR PERMIT'TO .... -0li'S �.tZ OC,X ` I WIF;LL,i tVC� TYPEOF CONSTRUCTION ................. .. . ..... C..................................... .... . ............................... ......................m.4�... .......19... TO THE _INSPECTOR OF. BUILDINGS: _ r The undersigned hereby applies for a permit according to the following information: 4 Location ....... ,—p T..... '�..........�.�.�� .... :�� �� . ....:. 1C $j?......:.... .1`- ..................:..:........ ProposedUse .. t_. av ..Ink. .................................................................................................................................. g:kZoning District 1 .1 �l_ ............................Fire District ..... 1tr Name of Owner .. � . ....4—.T.:�:,. ....��c .�. .............Address .................................................................................... 4 � Name of Builder .................Address ... ��A T ............................................. Nameof Architect :`............................................. ............Address.... .................................................................................... Number of Rooms ..........: ...:.................................. Foundation ....:i' 1)�C-'� . ..:......... Exterior ........ .... ."'.A.!.........................................:............Roofing .......RS N.kkk .l................................................... Floors .......h"�?fv� .... b.... ................................Interior ..."D;?-q..W.Ru.-.................................................. Heating ©t 1. .Plumbin r '- ii i Fireplace ��h' ............................:............................Approximate Cost .......� �.............................. .......... .. .. .P...Definitive Plan Approved by Planning Board ________________________________19________ . Area � ................................. ... Diagram of Lot and Building with Dimensions Fee / J! SUBJECT TO APPROVAL OF BOARD OF HEALTHC�N�, k I hereby.agree to,conform to all -the Rules and Regulations of the Town of Barnstable regarding the above construction. Namea..o...�. ...................................... h h c Travis, Kathy '•20202 1 1 2 stor.. o .;............... Permit for ......................... ........ single family dwelling ............. ............................ Location k..., 198 Five Corners Road Centerville .+^..................._ ................... Kathy Travis Owner .................................................................. — Type of Construction frame........................ '5 ...................... ....................................... ........... Plot ............................ Lot ........#�................... �t - Permit Granted .....May ~11......................19 78 F R4 r... Date of Inspection 19 �- Date Completed ....l. ..�.0. ... �a......:..19 _ 4'' i PERMIT REFUSED ...................................................... :..,.... 19 .................................................... ...................... ram• " w.. — . ......................................... .................................. P ....... ........... ................. .............................. Approved ............................................................................... Assessor's map and lot number Sewage Permit number .......... ..............0............................ y�FTNET��y TOWN OF BARNSTABLE i 33AWSTADLS, i 9� 29ae�� BUILDING INSPECTOR APPLICATION FOR PERMIT TO C-Q�STZOC.T 1)Wr_-1.,.t._w ................................................... t � .......................................................................:.. TYPE OF CONSTRUCTION .......+, X?© rQM ............................................................................... ..................... .......19. �...: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 1 n T 4 - P 10T_ C�'off' P.r lac C Rneta.......... :t�T ,\II 1. . ............................... ProposedUse F:��L AT. �..�...�.( t ........................................................................................................I......................... Zoning District SI �� I �-...............................Fire District CENTE�� ��:.........:..................... ........................ ......................................... Name of Owner S, 4�'� H 4� � ;( 1�.�. .............Address .................................................................................... Name of Builder 3AMG S �h( , �M�7 .............Address 1r el�s � �............... r.............'............................................. Nameof Architect '"�'.............................................................Address .................................................................................... Number of Rooms .......... .......I..............................................C..'.....................................................................Foundation n ia b CC_ c Exierior k Vc)C Roofing .....................�.............................................................. ..,..� 1I...................................................... Floors �.sJl.l O l.e.�t1 ....................Interior �21�_lAl_i,._. .................. .................................. ............................................................. i Heating N W.....4> Q ... ..... ..� ......................................Plumbing .........'.. --............................................................... Fireplace �1!,11= ..................Approximate Cost 5,0c�C� ................................................ .......... Definitive Plan Approved by Planning Board ________________________________19________. Area � 7�"................................ Diagram of Lot and Building with Dimensions Fee ............1.47t..01 . ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �Ctr C i 4 0- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .....................Y...............r.......................................... Travis, Kathy A=168,, 10 120202 1 1/2 story 1 ...'(.............. Permit for .................................... jsingle family dwelling ............................................................................... Location ...:...198 Five Corners Road ........................................................ Centerville ............................................................................... Owner Kathy Travis ................................................................. frame Type of Construction .......................................... .............................................................. #4 Plot ............................ Lot ................................ May 11 78 Permit Granted .......... 19 Date of Inspection ........ ...............19 Date Completed 19....................... PE I REFU ED� ........... r�1 ... 19 ............................................... ........................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... ............................................................................... 5 .•t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I lvg 4 Parcel If 0 Permit# l F 1 Health Division 2 o Date Issued 1 "� Conservation Division r—,, S. < <I _. )/ ne Fee Tax Collector #�— '"� Treasurer" (_&XLtqk� 0,0/0-&D� SEPTIC SYSTEM MUST BE I INSTALLED IN COMPLIANCE Planning Dept. , , WITH TITLE 5 Date Definitive Plan Approved by Planning Board f ENVIRONMENTAL CODE AND SOWN REGULrVICN1S Historic-OKH Preservation/Hyannis - Project Street Address �� ? r c'o e C 01?7 P d.5 R Village C 'T Owner ��c��r� 5� � keiYla, C�Zea�.�TAddress Telephone t^I 8 Z Permit Request C-v-z®n- 31 1 !J elr� Square feet: 1st floor: existing proposed z 2nd floor: existing proposed Total new Valuation (O 9(�L Zoning District Flood Plain Groundwater Overlay Construction Type 6—au Lot Size 1 T 6 So Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. I 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 a'G awl Cl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing % new Half: existing new Number of Bedrooms: existing new C 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 J_ New -- Existing wood/coal stove: ❑Yes a-N-b_ Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: ❑existing Whew size . LA zZ Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use (� BUILDER INFORMATION Name F X,-,T , Telephone Number s0g SQQ' 7 V e Address /,3',77- License# 63 7(9y 8 rA �•7 P'y 0 2 3 2 2- Home Improvement Contractor# Worker's Compensation# tr✓ G 5 - 0 5 3 6 17 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO x4 SIGNATURE DATE /_�® 0 FOR OFFICIAL USE ONLY PERMIT,NO. - DATE ISSUED - MAP/PARCEL NO. ' ADDRESS_ , VILLAGE OWNER • DATE OF INSPECTION; FOUNDATION FRAME a INSULATION FIREPLACE "t ELECTRICAL: ROUGH,_ FINAL PLUMBING: ROUGH ' FINAL ' GAS: ROUGH _ --' FINAL FINAL BUILDING } DATE CLOSED OUT ASSOCIATION PLAN NO. 4 L / / I I '/ s FM 1/ 1 a,•1• • . .• . 1 . � .1 r. 111•./1 .11 • / • 11 /11• . _ • ... ,_ • 1 1 •. .•, 11 1 11 OrrrrrrrrrrrOrOrrOrrrrOOrrrrrODrrrrrrrrO�rrrrrrrrrrrrOrrrrrrrrrO�rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrOrrrrrrrrrrrrrrrrrrrrrrrr/rr�rrrrrrrrrrrrrrrrrrr�rrrrrrrrrrrrrrrrrrrrOrrrrOOrrrrrrrrrrrrrrrrOrrrr�/rrrrrrrrrrrrrOrrrOrr ■ 11 . • • • . - • ' :11 1 1 I M 1 • 1 ( 11 �1 1 YI / 1 • 1 1 �• 1 Y• I • . • �1 • • • ••I 1 1. •1 11 1 : 1 1 11 1 •1 1 • 1 I tl 1 orrrrrrrararrrrarrrrrrr�rrrrrrrarorrrrrrrrrrraararrrrrrrrarararrrrrrrrrrrrrarrirrrrrrrrrrrrrarrrraarrraaro�r�rrarrarorrrrarrrrrarrrrrr�rrrrrrrrrirrrrrrrrrairriarrrrarrrrr�orrrrrrrrrrrrorroarrrrrrrrrirrrrarrr�r 1 1 1 1 I I 1 1 1 1 III _ ai H ti - _ 11 11 - • Ir _ 1 11 A OnUW use only do notwrite in this area to be completed by city or town oMci2l •J• Department City or town: permit4leense ClAcensing Board clieckifIlUfflediatc response is required OSelectineWs •f1 DepartmentOHeslth contact persom phone#1 �:... _. . :11.1• • 1 • �• • •1/ I 1 %t I I 1 •1/�• - •.I •• 1 1 - • 1•go - Bill• 1 • • 1 J / / / • • 1�• / !• • • It - • • •M • all • •• • •1 • • 1 - • - 1 • • 1 • • • //• 1 • • • 1 • :1• �: • • 1 • /1 :111 �t • 1 / 1 • I • 1 !I: - • .•.�111Y• ■ :.� • 'at- -• �11 • • • • • *-iogim• • • 11 G I • • • •11 • • /:/ r L111■1 Min• • 11 • w•11• • • • :1 1 • • •:A • 1 • 1 • 1 • - • 1 • /• 1/• $pigs 1 • 811:o11 I 1 • 1 • • U • • 11 • 1 • • /• 1• /• /�1 • 1 • �1.11• • •:1 •1/ • •• /t 111 i/1 / •It ■ 1 M• 111 • • 1 • 1 9:40180"Ibleif Iwo • 1 • •• • •I/ 1• L • 1 • frelisf 1W.4• 1 -7TArr Z.•16/�/ • • .1/ .1111• • �1 / • � • •11 • ✓.1 � It .1 1 1 / 1 1 1 1 1 1 1 1 : 1 1 1 / 1 1 11 1 1 1 1 1 1 .+ 1 1 1 1 • 1 M; 1 /It i1I/I 1 11111 1 1 1 1 1 1 1 1 1 1 / 1 1 I 1 1 1 1 1 11 1 1 1 1 1 ( 1 r' 1 1 1 1 1 • •II t./11/�1 1 •Il/llt •11 • �= 1 / 1 •1 .11 • 1•. to 1• o•: • • Y •11 1 ti111./; 111 • .11 r•I/I• • 1 / • ••, 1 V • Y. • •:AI •I r•1.111 .11 r /1 11 11 11 .1•V �1 111 .i/I.111•. • •1 1 • 1.1 1 . ♦.•�11 • w�/tl �•off t •111• • :+, i 11 11 •• /. ./ r•I111•.10 w.l• •1/ •• 1 • i •I1111 �11' 1 • / .�11 • 11 •• 11 .1 .1• I �•. • • 11 YI11 .1••11 .Ii5/ 111 • 11 • •I/11• .11 1 .111 / •1 w .11 • • 11916i4f1 fell 0 I/1 ram/ ■1• w1/- • 11 11 .II r- 1 •• • •. 11 ®' 1 •II IIIII-o No 1974111 • 111 ••11 •Ii oral 6 •• . 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I j�jjjjjjjjjjjjjjj�jjj/�jjjjjj�j�j��/u 1 ' 1 • •11 w•1 •at w 1 • /•11 ills Y• 11 IU •.f 1 1 it 11 1 1 1 � 1 •. 1 � • . � 1 � 1 I Ir • - 1 1 1 JF17 1771 1 I 1 1 1 1 1 It 1 1'• 1 1 1 , I I I , • ' I I I I 1 ' • MCURAppeafti Tabla=11;(coadianaQ Ps an pare Padcaps for dam ead Two4amily RsddmeW BuildbW fleeced with F620if Fula NNAMIUM NYI>r1IN4I[1N41M (11 Wing well Floor Baaemcot Slab Am''cK) U � Rrvaiuec lyvdue� well Fla Mamc7, paefaae swofid NNwatuw 3"1 to Met[ D DmW Q 12y. 0.40 31 13 19 10 6 Noemai & 12% 032 30 19 19 10 6 Norma! 3 12%. 0.30 31 13 19 10 6 U AM T 15% 0.36 31 13 25 . WA WA Normal U 15% 0A6 31 19 19 10 6 Normal V 15% 1 0.44 31 13 2S N/A WA 1B AFZJE W 15% 032 30 19 19 10 6 S A M % 11Y. aM 31 13 2S WA WA Normal Y 18% 0.42 31 19 2S WA WA Normal t 18% 0.42 31 13 19 10 6 90 A M AA 11% d 50 30 19. 19 10 6 90 AFC 1. ADDRESS OF PROPERTY: 919 five ✓1 w-,s 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 6 sF 3. SQUARE FOOTAGE OF ALL GLAZING: Z r� 4. %GLAZING AREA(#3 DIVIDED BY#2): Q /b S. SELECT PACKAGE(Q—AA see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. • BUILDING INSPECTOR APPROVAL: , YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5Z.lb: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. =After January 1, 1999, glazing U-values must be tested and documented b� the manufacturer in accordance with Fenestration Rating Council C) test procedure, or taken from Table J1.5.3a. U-values are for the National �R g whole units:center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall. For example,as R 19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. 'If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: _ a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the,opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). J j ESTIMA TED PROJECT COST WORKSMEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= square feet X$9 6/s . foot= (above average construction) � q q (aVe�a^P��- ^—*'ctrn—_ ch^nl _ SQUSre ee s — . �(o�o GARAGE (UNFINISHED) °Z- 6 square feet X$25/sq. foot— OCR PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value , The Town of Barnstable ,m�' Regulatory Services '' Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 ! Fax: 508-790-6230 P Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost 2 d Address of Work: I v �zvle Owner's Name: i r-� ark l 2 L ela V Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑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. SIGNE UNDER PENALTIES OF PERJURY I hereby apply for a peryit as the a nt of the owner: l2ra0 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav 2`---- --—--moire Tpao�vrnonuea(de__.•✓�iaar:c/une�la HONE IMPROVEMENT CONTRACTOR 'Registration: Expiration: 04/13/2002 Type: OBR — II J.F. KEEFE SIDING & INSULA I — G� JOHN KEEFE '1 BRENTWOOD AVE. ADMINISTRATOR RVON . MA 02322 i ✓�ie t�anvnaoiaurea�i �,/ '• =:�'LCLdOCLC�IIJP� it a h= .: BOARD OF BUILDING REGULATIONS . +� License: CONSTRUCTION SUPERVISOR Number:.`CS 039848 I Expires: 12/09/2001 Tr.no: 3622 Restricted To:. 00 i - JOHN F KEEFE 7 BRENTWOOD AVE AVON, MA 02322 Administrator •• — — 1 TS .✓� Rl all 45 rl 10 \\ / +aZ r W Vt9 } t Trlx� f 1 ! t Aloe, Eiji G • 4„x�i Mm ' :� �� 1 J • J , e j Luj 1 ! I i LPoI. K 4. Ippp r �} i 1 t V l / V f ?t a i TEST H a'f: MARCH ;L? /9?f3 r 'PAUL,'MUR•RhY - MNSPECTOR F 4 ' D 40 , �- ?'EST - _4 /4 4 MEDIUM- 57" 14 HOLE 18+8 t !� /s+4 1 C,4,q S� ff�ll'!3 fz�S ERVF r i EYfSF/� .G 65'i . FOUND. co`',�r„� � i • �. D/ST ' PROP WATER j LINE �8,3 5FPTIC . : `� ELEK 6•9 , f I © TANK L CAC N /-7/T NO LJ,9T€R ENCouNrERED LOT 5 : . 'TOWN LSAT ER I S . AVA/L A 04� 15 u/4_D//n�G S ETC3.�IC� 2E�U/,e�MEoI/T� S GA L J . 30 Q F20N T _ � BE.D12OOMS SEPTIC 5 y5 TE M GON.S T2 UG T/�N Sf�A L L •CONF02M TO MS G AJ FL O-W � _ GAL �(��1 y ENV/�2ONMENTAL COOS. 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