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I �, .; , 'I, . , � ,j's, 'I �,,F`i, A ,. ,"', I , I'll" 11� ,�"�i � ,� Mal-V� 01 ., �L�.- 5�m ,I I ', -, I 11 I , "111.1� ,,,, �,� � -, 1.�;; ,Y�PXW,� In- !�L; , - - - SUBJECT TO APPROVAL OF BOARD ,OF HEALTH 7 G � aJQ ex bU>r2 (��t-TI 0 Assessors Office 1st floor Ma �7-9 Lot f-2 Permit# ` 37S t aQ3 °l� Conservation Office 4th floor Date Issued d S Board of Health 3rd floor)!Ij t&A Tw Engineering Dept. Ord floor House# R "StpTIC. ST BE Plannin�Dept. (1st floor/School Admin. Bldg.): =TALLLIANCE Definitive Plan Approved by Planning Board 19 A lications processed 8:30-9:30 a.m.& 1:00-2:00 .m. ENVIRON160DE��® TOWN REGULATIONS TOWN OF BARNSTABLE Building Permit Application, Project Street Address 7 �4 e ,J>Q1 9 Village —i-67p�1/a E 1 _ Fire Duct V- YO M Owner T?° �TomJ `tYJ^ tL _ Address 7 � /V 6 4 -' 1. r/ Telephone — -/cq Permit Request: ILI I Ll I'-,EEC K 0 e R I S T//JG e6�1 I 10 /4at-X 2 8 X 2 f J T IUT -36 Zoning District Flood Plain - Water Protection Lot Size Grandfathered l Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Eaistinz Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old Kings Highway Unfinished Number of Baths No. of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel Central Air Fireplaces f Garage: Detached Other Detached Structures: Pool Attached Barn •�J None Sheds Other Builder Information Name Telephone number Address License# Home Improvement Contractor# i 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 Project Cost Fee SIGNATURE DATE_ BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 3/3 0/9 5 r��o� FOR OFFICE USE ONLY 229.042 74 Herring Run Drive (Lot 7) Centerville ADDRESS _ _- VILLAGE Richard H. ' Teel -- OWNER - DATE OF INSPECTION: j } FOUNDATION - FRAME INSULATION ~a FIREPLACE (' . y _ - ELECTRICAL: ROUGH FINAL k PLUMBING: ROUGH FINAL-'> GAS: . " ROUGH FINAL FINAL BUILDING: - kY DATE CLOSED OUT:! * t": • :� .. ..bz '_j '• e ASSOCIATE PLAN NO, r � TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION ------------------ Please print. DATE JOB LOCATION Numb r Street address Section of town "HOMEOWNER" Name Hom hone Work phone PRESENT � LING 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes .responsibility for compliance with the Stat c Building Code and other applicable odes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department m' imum ction procedures and requirements and that he/she will comply wi sai procedures and requirements. HOMEOWNER'S SIGNATURE l APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. • w HOME OWNER' S EXEMPTION .hk re The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section Section( 109. 1. 1 - Licensing of Construction Supervisors) , Provided that if -Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home ,Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations. for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. .-- In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner- actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her res onsibilities . man communities require, as P ', q part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 11'OZ'9 1 17:02 $617727 7122 DEPT ITT ACCID l�001 ov �.0?�1 -/ nii;Cf7!f12 n� 1'/n_�!irxC�rc�l�tb 0���V dJaPRrLIIiCRt o��nLiu�cr[Q.t�GGLQ•6� 600 UV uknyton.Jte.ef James J.Campbell &ton, //laaacAiwstt� 02f f f> Commissioner -. Workers' Compensation Insurance Affidavit -: with a principal place of business at: ((=yisrswzfP) do hereby certify under the pains and penalties of perjury, that: O I am an employer provi(ft workers' compensation coverage for my employees.working on this job. Insurance Company Policy Humber (� I arr !7^10 mmnricornr and have no onp wnririno fnr mA ;n any capacity. () I am a sale proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers` compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number I am a homeowner performing all the work myself. . ...c ` -- ccz:-j rf&�:s S_ uzerit wii to fer,.—rccc tc v—..e Of icc,cf fnvest7fcLons of&.e IJiA(Or e0\'ercge verificzion zn6 thz f', iit3nre to Sec-— Cc".7r;�e`s rEC:.':.-EC Cncer SCcLon 25A of MGL i 52 c:i:iuc.to L.�e Impcsition 6 mmiml per,21�es consign¢of a fine of up to S 1,500.00 anC/cr C'E yE�:S' iIT7prLC ^En; well.7S Crvll pET2ItiES in the fc:7 cf STOP WORK ORDER and a fine of,S 100.00 a day against me. Signed this day of � 19 / Licen/see/Pe ii ee Building Department Licensing Board SeIectmens Office Health Department fi TO VERIFY COVERAGE INFOR1,-',A1ION CALL: 617-727-4900 X403, 404, 4a5, 409, 375 T01%T BUILDING PERMIT ;i �7J^, 91 " ,,,"....The Town of Barnstable KASS. peg Department of Health Safety and Environmental Services 59. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,"removal, demolition, or construction of an addition to any preexisting 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: ,� — Est.Cost / ! 1 Address of Work: Owner Name: C2 Date of Permit Application: f:3 U 1 I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S 1,000 Building not owneroccupied 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 hercbv apphv for a permit as the agent of the owner: Date Contractor name Registration No. OR Date Owner's name mommummomill m m No MEM11� itI MINE i 1 s i r I � I •� i � 01- . ' I I i - l t1 , ! ti _ J 1 '_l_ ail y , a', `'(.. .� { j.� f:. ''s". 4 - /„'tom. _ }} - F \, "` z a.. Ss. .^ " ! `�' \' Q 'tit r t t I T} F ^un 't. t -n a ., -I 2, ..1 .a�``. J E a �,� i,, s14 �,. : -,. .4 L' ,# Y ` I. t , 7 j.. - ! II a + ,4 ,, J , I. ,. 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' r \/ }\ 34 '" �. /�3 J I . z - /I 30 ,. ` `tin a- tiTT�.. t `. a", �i t t ���-� 6 ..i' wait n w�;,�,,.:tv P` 4'.�• x,� " Tr3a z r+r �% `e�, : '.w i', 7 n,ad'! d}a vtrwR� � ,t 3t F$ N' W,3 LL //�f(,J Assessors map and lot number ..< .. ......... . . FYNEt Sewage Permit number .� .........�.....,*:xt�: ,...�... ....... BAWSTADLE, i House number .................... ......:.......... ........................... o Me 9 \� - � ! �0 YPY Or• TOWN OF .BARNSTABLE BUILD,IHG1- INSPECTOR" ,. APPLICATION FOR PERMIT TO .... 6�........................................ . TYPE:OF CONSTRUCTION ......... ( T./. �r�.................................................................................................... .19g� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per/m-', according to the following information: 70 Location �j1 / �/U .....� dJ....� � .................................... .L! ............................................ ProposedUse ....:L/..........G...........��.......t�V� �J. 7 ..%.......................................................................... Zoning District .................. .....I ......... .....................Fire District ............ .......� � ......... .........!. � 1 .. <..� -��.. .Address ../�7 ....�..... ... A ................. Name of Owner ................................................... ...... ... .......... ... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms / Foundation ... .. ............. ....� ...................................................... Exterior .... !. 7 ........................................................Roofing ........... ............................................... Floors %........ .... . . .... ..................................Interior ...... C!C............................................... Heating _ ....Plumbing ....C' ........................................................................... T!�....CC�f¢ � .............. Fireplace .......!QQ...................................................................Approximate. Cost .....................................................+................ Definitive Plan Approved by Planning Board ________________________________19________. Area -° .1......................... Diagram of Lot and Building with Dimensions Fee ...... ®'. .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 70 �t r=� \ w L-x d iti� O � lw= OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS '. I hereby agree to conform to all the Rules and Regulations of the Town.of Barnstabi' regarding the above construction. ��` �/ J / . _ Name � ... .................................................................. Construction Supervisor's License ..................... TEEL, RICHARD. H. A=229-042 25734 BUILD ADDITION No ................. Permit for .................................... Dwelling ................................................ Location ...7.4...Herring. . . ...Run...bri.ve........... .. .. .... .. .... .. ........ ....... .... Centerville ............................................................................... Owner ...Richard...H......Tee ........................... . ....... .. Type of Construction ...............Frame........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....j�ovember 4.......19 83 .......................... Date of Inspection ....................................19 Date Completed .......................................19 Ell, ;, , . ..., .,;,;. ,, .� ���. ,. �� ,ram• ti..„;,�-�-� t. � . Assessors map and lot number ..4-1.. .. .7. �oF'If HE TOE t Sewage Permit numberX.e Z SAUSTADLE, i Housenumber ....................71�.�........... . ..........................: 9 rasa - Op 039. 60 0 MAY Ar. TaWN OF BARNSTABLE - DILDIG -INSPECTOR APPLICATION FOR PERMIT TO ' ! ......` " �............ TYPE OF CONSTRUCTION ....... 1 .................................................................................................... /'.. .....................Io� TO THE INSPECTOR OF BUILDINGS: The undersigned her y applies for a per actor ing to the foil ing information: Location ...../. .. ...... .............! ...../ f ...P.... ...................:.........l.:l!L�....................................... Proposed Use ..... � '!�`��% ................. ............................................................ I�� ..Fire District ........:... ........ 1. Zoning District .......... ..... ..... .......................... ................... 7. .................... r -e C. '�1. ....Address �1" 2' ............. Name of Owner ...... ......... ....Z. .. ............................................. ........... I'r 1 l Nameof Builder ...........................:........................................Address ................................:..........................`.................... Name of Architect ........................:.........................................Address ..............:...................................... ............................... Number of Rooms ...... ........ . ...... .�/�C...............Foundation � .............................. . . Exterior .... .:.:....................................................Roofing ..........&e'r.4ft.................................................... Floors S s ............................................... ...... ......�.•.... .....�....... ...........................Interior ...... b/ Heating ......... ..����/.. T ..................................................Plumbing ....v.................................:........................................ left Fireplace .......! Q...................................................................Approximate Cost ... .......... Definitive Plan Approved by Planning Board -------____________:___--------19__n_____. Area t...;2":W Diagram of Lot and Building with Dimensions Fee . .......�`.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH \T07 0 3S_+ �- �. p- ty OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of tWTowBarn regarding the above construction. Name ................. ...... ................................ . ...... ...................... F Construction'Supervisor's. License .........�..`....... TEEL, 'RICH.ARD H. 25734 BUILD ADDITION No ..... Permit for .................................... Sin le Famil .. .......... pnellin.v............ Location 74 Herring Run Drive................................................... .......... Centerville................................. ......................... r Owner Aic.h.ar.d...H......Teel .. .. .1....................... . .... .. .... .. .. . .. .... .. ' IKmeTyp f Construction truction-- • Plot .......e?.................. Lot ................................ 'November..4,1........119 83 Permit'Gran ..led ....................... ....... IT "-f I 1W D6te,o Inspection .....................................19 Date Completed ..... I L-.19 00,