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HomeMy WebLinkAbout306B LONG BEACH ROAD 1 ,85 - Da�- OP 3 o ° �e l_ Property Locat on:; H 306 LONG.BEAC ROAD WAPID: 185/024/OOB// Vision 1D:12468 v -Other.ID: PORTLEDGE BY THE SEA Bldg#: 1 Card 1 of 1 Print Date: 04/29/2003 13 �.., � A _ ..,... . ..,._ � .�.-..�� � �..._,..� 2 � ., : ; .. ,,r a.�. <,.xz .. .�•. -� ` ,t. ,mot,. .ate r, Element escrepteon CommercialData emen s SM e ype C on omm um; Element Description Model 1 esidential" Heat Grade B Custom Grade Frame Type Stories 1 1 Story Baths/Plumbing ccupancy 00Ceiling/Wall ooms/Prtns Exterior Wall 1 14 ood Shingle /o Common Wall 2 Wall Height Roof Structure 3 able/Hip Roof Cover 3. sph/F GIs/Cmp Interior Wall 1 5 Drywall �,. ?r�. VILEAH ,, 2 Element ode Description 1,actor , Interior Flooromplex Mur—PTIRTLEDGE 1; 2 0 Typical FloorAdj 100 Unit Location 135 NL4, 235 Heating Fuel 3 Gas Heating Type 9 Typical Number of Units C Type 1 None Number of Levels /o Ownership 1 Bedrooms 02 2 Bedrooms? Bathrooms 1.5 1 1/2 Bathrms „ 11 j 1 Full+1H nadj.Base Rate 70.00 Total Rooms Rooms Size Adj.Factor 1.25366 ath Type Grade(Q)Index 1.23 Kitchen Style Adj.Base Rate 253.66 Bldg.Value New 207,748 Year Built 1920 ff.Year Built (A)1975 rml Physcl Dep 25 uncnlObslnc 0 con Obslnc 0 Code Description ercenta a peel.Cond.Code da on omm►u pecl Cond% 10 Overall%Cond. 85 eprec.Bldg Value 176,600 x r `" - Code Description LIB Units net Price r. p t '/oCnd Apr. a ue e F o e Description LivingArea UrossArea Ejj.Area Unit Cost Undeprec. Value First oor, 207,748 t. Gross LivlLease Area g a Property Location*._-306 LONG BEACH ROAD MAP ID: 185/024/00W/ Vision 4D:-124-6-8 '61her,ID: PORTLEDGE BY THE SEA Bldg#: 1 Card 1 of 1 Print Date:04/29/2003 13:52 t-pp JlAbbL 1 1,JL16A A Description Code Appraised Value Assessed a ue %BIELING,LISA A- RESIDN I L --TU2U— 176,600 176,6011 801 6 HANCOCK RD HINGRAM,MA 02043 S UPPLLM,1-77YUI�� Barnstable 2002,MA ccount 3JI51CM Plan Ref. Tax Dist. 300 Land Ct# Per.Prop. #SR Life Estate #DL I UNIT 2 Notes: VISION #DL 2 GISID: 185024CND I otal I 176,611t) w g'[" Im iwaVS,-AS MV 11 .44 "S A U7/15/19N -71- Yr. Code Assessed Value Yr. Go de 4yyeysed Vatue Ir. (-ode Assessed Value KIBORT,ANNE& 7225/034 07/15/1990 U I I A 7UH T02T I76,-WZUUU IU2U 131,2utivogg 1020 131, KIBORT,ANNE& 4793/297 12/15/1985 Q 1 140,000 LAWRY,GORDON B&SHIRLEY B 2944/157 Q 0 F--Y-oTaT, 176,T0UF---To-TaT-. 13172 —-TofiaT-1— 131,20U This signature acknowledges a visit py avata collec or or ssessor qg rear 7ypelvescription Amount Code Description Number Amount Comm.Int. -fN Appraised Bldg.Value(Card) 176,600 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 0 To tad I Appraised Land Value(Bldg) 0 X Special Land Value J Total Appraised Card Value 176,600 Total Appraised Parcel Value 176,600 Valuation Method: Cost/Market Valuation Net'l otal Appraised Parcel Value a f IV �K_ fta. Permit ID Issue Date IjvPe Description Amount Insp.Date Yo Comp. Date Comp. omments ate urpose esult I I I I I f 3-k 11 21'1'11f�'1F1101*1P w 0 I w -'AT1UJV' T 5�7 A VALU 4 A A W H# Use Code Description one D Trontage Depth units nit rice L P actor N.J. C.Tdctor Nbhd. otes- pecia ricing unit Price -T----T02V—Cor!uorn 0.01 SY 0.00 T.UU-5-- LOU u2ul 1.1JU SFUL(OU)N-ofes: 0.U0 U J.VWA-C -T- Total Card an Units 0.0Uj ACI Parcel Total ana�frrea. T67.7 Ea n d Ta U r J 4 TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION. Map- r _ /� Parcel d 0 Application # o Health,Division - Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ;nu Date Definitive Plan,Approved by Planning Board yfk Historic OKH Preservation/Hyannis Project Street Address D (o Z-0 4!) -ec c L Village r�yP ✓' t e 1 e- Owner fi &Sr, Addresses Telephone Permit Request iol� j/S ndsl,P1a Clpr k )i' arc, .�71 l Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 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 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 t Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/ceoal stove ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑sexisting O new:.; size A — Attached garage: ❑ existing ❑ new size _Shed: ❑ �existing ❑ new size — Other: �' CD Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ cx-r Commercial ❑Yes ❑ No If yes, site plan review # o M Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name L M 444&aLZ Telephone Number 7z-/- 7 -BelS/® Address I ��,k- 4 • License# t✓ a 902 ao Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S r- 1 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 1 } MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION - FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Ilk&10919, i DATE CLOSED OUT 't ASSOCIATION PLAN NO. c J The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 0111 :V www.mass.gov/dia Workers., Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,/ / 7P-lease Print LeLyibly Narne (Business/Organization/Individual): &t�'TL� s t ptiQ /4 ,Loa -•TnC Address: (2- t cbv 9c) City/State/Zip: jet 660 3. Phone #: Are you an employer? C eck the appropriate box: Type of project(required): 1.❑ 1 am a employer with- 4. ❑ I am a general contractor and I � yer w 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P t}'• 9. ❑ Building addition [No workers' comp.-msurance comp. insurance. required.] 5. e are a corporation and its 1.0.❑ Electrical repairs or additions officers have exercised their I L Plumbing repairs or additions 3.❑ I am a homeowner doing all work ❑ g P myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required_] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. rContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whcthcr or not those entities have employees. If the sub-contractors have employees,they must pro-vide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information: Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration 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 fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to,the Office of Investigations of the!)IA for insurance coverage verification. I do hereby cer4o n r the ins d nalties of perjury that the information provided above is true and correct Signature: Date: Phone# /- 7 0 — G OX6 Official use only. Do not write in this area, to be completed by city or town offtciaL City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health Z.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions :. Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuanf 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." hi association, corporation.or other legal entity,or any two or more individual, artaers n, rP An employer is defined as "an m 1,p p, of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the ation or other legal entity, employing employees. However the receiver or trustee of an individual,partnership, associ owner-of a dwelling house having not more than three apartments and who resides therein, or the.occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance witb 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 vzth the insurance . requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary, supply sub-contractors)name(s), address(es) and phone number(s) along with their certificates) 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_ De advised that this affidavit may be.submitted to the Department of Industrial Accidents'for confirmation of insurance coverage. Also be sure too sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to.obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition; an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write."all locations in (city or town)."A copy of the affidavit that has been officially stamped.or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related fo 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. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 604 Washington Street_ Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 .evised 11-22-06 www.rnass..gov/dia . " t t .k 100] FFg - P DEPARTMENT' OF,MUNIC,IPg LICENSES& INS PECTfpM v 4®ATI,O IMPIROMSPAEN CONTRACTOR t i ease or reg40660rr v371d foir, Regsl r �q,. 142560 laefore the ex in �Hr(tlwrd�ul use only /2010 Tr# 27.6.17.7 P ration date If fjD.und retuttr,to; Board of Building R'egu!latrons an to Corporation One Ashburton Fla e, 5 d Stagda}fds 4( Boston Ma.02'10$ SOUTH SHDR!E $ ..i . I M1t;HAEL KNOL: E 13 ROCK'WOOD b F' ,�1 t .H'fNGHAM.VA 0204 Administrator . . . z � Not va4id s i — w�thout ignature , The Commonwealth of Massachusetts Wi11 a c Galuua- .., :-http://corp.sec.state.im.us/-coref_corpsearcWCorpSearchSummary.asp... �ry 1,-� �£ The Commonwealth of Massachusetts- q !William -Francis Calvin 46 4 Secretary of the Commonwealth, Corporations Division, One Ashburton Place, 17th-floor s Boston, MA 02108-1512 Telephone: (617) 727-9640. SOUTH SHORE HANDYMAN INC. Summary Screen p =- r FZegI�PSt�3 E�F'EI�1G&te�� � The exact name of the Domestic Profit Corporation: SOUTH SHORE HANDYMAN, INC. - ` ritity Type: Domestic.Profit Corporation Identification Number: 000858099 Date of organization in Massachusetts: 01/09/2004 Current=Fiscal Montivt Day: 12/ 31 The location of its principal office; No..and Street: 13 ROCKWOOD RD. City oc Town: HINGHAM State: MA Zip: 02043 Country:USI If the business entity is organized wholly to do business outside Massachusetts, the location of that of No. and Street: City or Town: State.: Zip: Country: Name and address of the Registered Agent, Name: MICHAEL T. KNOLL No.:and Street: 13 ROCKWOOD RD. City or Town: HINGHAM State: MA Zip- 02043 Country:USA The officers and all of'the directors of'the corporation: Title Individual Name Address(no PO Box) E First,Middle,Last,Suffix- Address,City or Town,State,Zip Code PRESIDENT MICHAEL T.KNOLL 1,3,ROCKWOOD RD,. HINGHAM,MA 02043 USA TREASURER MICHAEL T.KNOLL 13 ROCKwobD RD. HINGHAM,NIA 020,43.USA 1 oft 11/21/2008 7:34 AM A The Commonwealtb.of Massachusetts William Francis Galvin-Publi... -.http:/cort).sec.state.ma.us/corp/corpsearch/.CorpSearchStunmary.asp... SECRETARY RICHARD P MARCARELLI 382 PLEASANT-ST WEYMOUTH,MA02190 U.S DIRECTOR RICHARD P MARCARELLI 382 PLEASANT ST WEYMOUTH,MA02190 US DIRECTOR MICHAEL T.KNOLL 11 ROCKWOOD RD.. HIND-AM;fiAA`0204a.USA business entity stock is pufilicly traded: The total number of shares and par value, if any, of each class of stock which the business entity is au issuer Par Value Per Share Total Authorized by Articles. Total Class-of-Stock Enter 0 if-no-Par - -of-Organization or-Amendments - and Out Num of Shares Total Par Value Num o) ---CNP $0.00000 -200 000 '$0:00 Consent- _' Manufacturer _ Confidential Data --Does'Not-Require-Annual R( —,-Partnership-:- _ Resident Agent _ For .Profit _ Merger Allowed Select.a type=of filireg-frorn below to.view:this business'entityfilings: ALL-FiLINGS AdministraWl eZissolutioft ` Annual Report - IApplication For Revival Articles_of.Amendment E View FllmgS New Search Comments n 2001--2008 Commonwealth-of Massachusetts All Rights-Reserved r 2 of 2 11/21/2008 7:34 AM w ' � ,t� s*F-� i��. :;:y}.y� :.x.^:�:r. .'vb .�,':�Y'•'••'r', rY t - .r,.,`. .°:� ..�..'yv u':C.�,?•' :�.5i•.y'r �••.`�\��.�:�., .,7-.,. :.4� .'i> •:::'''s r • arc Y !��ss,,�;��. .';,•=i :sr;: .4a >t; „r`..:V v� s- 7M :..r >.. .A.�.,:°r}:•''.i i.' �;7' .�.yn `yt,r';t''4 ..?+ #R `F.>.\�. y SSi4:e.::;�+ �r\^..4#h asi i� ;re• �77. i k y.�':`�s\rea q•A,,, .s.",. s?t' �.��..�'•' t V ..s •'''�' � •-s c !•:V:�' � C i """ r ,: i .� i,= � Q t4 :3�§i' ?ldlk aSs rs6+9xr_, dr, rtt•.�3 ,r .\•,:4rh3\.s titc -r .a..' #�T.p� :i t s S'4,r,' a:.'..c...:`x#�, k�`-'sf- p - .,¢i\t s 4✓r .4. •f# S � `� rv:t '.�.r_;. 't.rs's :,�` :a '''#'3. il4''+h. +�..' ra' :s s,# 3^ ��i�is iil2..•^''. r1!�y, ssy'�*c%l s: t^..lhh'�: t4 4 yi`e�'✓1,�1 the Commonwealth of Massachusetts. r _ ! aYGt�I u e G♦ NUMBER �.,, . . - SHARES it 'tJr slUi•. ski t r j wrP 11I�f;T1�H .ensue /j9i r- o t{ N = _ _ = - = - _= =_ - sRsi�A#t art#°•Kiii. ------------------- >• y e - 4a ,[�afisdllf e JU tL ° f�i�J#r giN4t6j: 9 04t e-b is the o t}y ��fpw 41r: i7"Irly Registered Holder of 420 Shares of the Capital Stock of South Shore Handyman Inc Fully Paid and Non-Assessable ;t eyfZ�brlt > - Transferable only on the books of the Corporation by the holder hereof in r tMEjo person or by Attorney upon surrender of this Certificate properly endorsed. CCA � 1i:1, t4 t tare - t{rt- t#. o _ - fit rid t*�1r In Witness Whereof, the said Corporation has caused this Certificate to be signed < a e t ° by its duly authorized officers and -its Corporate Seal to be hereunto affixed this day of ,�i�?1� A.D. '�}�� a�yttk�fit��_;•�4�G Y PRESIDENT '� b ro o o' ° - o'd o 6 b d'6 d o d•o o d d d b o d O d d•d d b"o O o o d 0'b•b•d'O b d' •o.0 'd.d•d o`• ro-0 a 0 ''d ti 6•b'd•b d'b•b d•b•d �Y!^ •.�• t.•s �,e• .. WR %_.^+:'•+e S� ->`*e ....r .•+,w d d•b d'd o 0'b d 6bbd b.dbbb ss .. .- >"+re♦•'i. �r .:,, " '>••'.,,w«'. .t.r •u , 'i > f .+'Vw y"r, S .•y .y,...'yX 1 d f a .rtr "y F ♦r C J t` <#•:. � y f%�)• t •1.-. y�.�:.1 P e,T�.�• s's' ;if.$d' .;fr. %ts3f'¢r'e�;-'.'ca'.' :t. .;r, 'q 4;r a.... ''th}:' J S f�yi�•ti'}ty i3FF '.�:.«�:�"•,'�.1: i 1•' 'sh+ �,t .sit{ +�SY.>�'•`" �' t\'�Gthh���' �'r. I..JIi ks.�. ;:L.,y f<'.1 s), y ' #.S-w ..v"sli b...Yr 'i � - xt.r ♦,. t .{ri['��, i1`� i4�1\. 2 1�-'�*',is.� :.?�s4k'' t�lr' �5�•. ....•'�#q ,,.fj �rS,. .,V�Y.•-?.. .C.. .rt s _ t s s. ,�a!< S tt t ..k^',:•V .a.^ s'4 r`d ..'r �%.S 5.'•.ss%f.tihh .h$.a {... ���j} t. ,ti}.f t: .;A 'yydt _ sk A?• s:�tr• .a` .dSE< .hrt ?�5�. s.#! AJ. .fty .F..e.. ,.$. v'.•ayy .,.9ati .Ci+--r. e b`+rca•.. Asa: ,;�.: �'�- ? ..�:::'t t' '':r� �, �y.4. ... .- s .a'ti:1, s:r ®2000,Beaulieu Industries,Inc. rcc-t.0 , Y r f• 4 '.d •5 a mot'•• � ...:,' .•st ''` .�.n Ms:..3- - 4•] r r..,` i3'r`;CC;:�:, x' ... i /f•,i s'� PC' ,4'•{Q�Sis .,4j:\ '1`'.i" '`;;.p tits :'{` .:;.t i .�•R A.r; _ "i� � ,�,•�+q}4.. ram..�� .`�•.. 7, l,it•.•. . a'4 tr•� K.r "": as � a + ,}� :.s:`,'a, `�a �:' � '%� jl,` :s�"" ,, .i >` � t ...t � � = r��l rti. 4 ��. }i+''�`~`�s.�.,. t' �.vi t}:: ilv ,/n„ s'';•. a ease.o.e.e.eeeeeeeeee eo eeeee sees `4 Incorporated Under the Laws of eoee. ,.o.o o.wo:o.oeeeeo o.e. .o .eoo,o.eota+,'ot .e the Commonwealth of.Massachusetts,, oe u�tit'' rt�g, rldYi#n rrt 1Fl� NUMBER SHARES e41AF �•i °B rJ s T ram-1 � �u _-- — — — — __----- ---_-- -- —__---_-- a{fr jti +rditt, o = _ _ _ - - - - _ — -- Mfg dt,•,� r F N t .. r t�tar�{j ii :ai'ta'. /'/l G�elC�. !1® I 1 is the Registered Holder of 1510 Shares of the d / 2•yW F o Capital Stock of South Shore Handyman Inc Fully Paid and Non-Assessable z(' Transferable only on the books of the Corporation by the holder hereof in { s "t person or by Attorney upon surrender of this Certificate properly endorsed. -In Witness Whereof, the said Corporation has caused this Certificate to be signed . :; e by its duly authorized officers and its Corporate Seal to be hereunto affixed . e this day of A,7 0'i / A.D. 00S z r 4+{t'si r1r rA ,'s e r i ta6J x r#{i�i sI.1 �F F r flt� y3s4t'•� 4",,3 5 PRESIDENT �' o•do d ebo•boob•e eeo6ob a6•a•o b•oao �� e•0.0• .bb- ova •b:a b•o`•e•o ob b •b•606•d•b d•6:ddb. 6•b. b bbbe b.dbdbbd•d d'6o +' , , o- .' •o `4 * •y�i..� t "''y` xr •;r{y. •'a k q ..a,:,..•. SA_ - :�;�• -h:w =• j�" A :. i'. ('. _ ��; u..erf t';t..`, 4}sAY/i;. 7,�)r �f. `�..V.•_Ge aa-w�_ rL; 'rt .'.,es„t,,. '; t R� .i,x� •.fl'1"r, _ i '.r.'-• t ..r ,s .eF 5. ', tf=r.: � ae� .r: r� a G, �_ ,y J5 ;.r,. - +at.�. "•:�::�; �. /��q" F. .> r %s,a'•.s i•.. L' _ •r' '`s;S`tSs vRr aarE '?s. .e r :�-i, - xh} � ;:�'r'•. s+ { �'' / ,\.4�i.�� � �,rNr� �..: '�'�:a�'rh)..r�,.d�e`� 'i-' ..•!skts^yS"tQl.Yi'halli �� ',! l..ds +�1'x,.,...::i;, ..�•.',ia. ;'ati7Cg'�`•`�' r:' -Jf-,'i�. �h'�?�i':••. .....�1sss�;i\.n ;.f, di. h �w�:91 :TrSS` i+%' ':i� 'tr'r'". ems•. L:i:. i �'�D'i>. .�,t. i a H+ -3. Y .A. .F +A.s4.t^rt 'h'.. Y.?;•``r.\_t t%•• ••s •�<A ,�. •,.'. ate. -'l4 r. �\. sr :.�; ®2000,Beaulieu Industries,Inc. TCC-1G Town of Barnstable * + IPiMMBLE, Regulatory Services pTED►��A Thomas F. Geiler,Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable;ma.us Office: 508-862-4038 t Fax: 508-790-6230 Property O wne><Mus t Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize Z, �' /,�� '�G=.�.�1,�,��„�. to act on my behalf, in all matters relative to work authorized by this building permit application for. . C�� (Address of Job) )ignature of Owner Date ?rint Name ):\WPFILES\FORMS\building permit forms\EXPRESS.doc Cevise020108 Town of Barnstable Regulatory Services " Thomas F.Geiler,Director « lARNSTABLE, * - - hSA.99. Building Division Tom Perry,Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: / number street village 1 "HOMEOWNER": 1 name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"%.was extended to inclu/ecWr1cr-occupicd dwellings of six units or less and to allow homeowners to engage an individual for hire who does riot possess a license,Provided that the owner acts as supervisor. t t )DE,FINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she reside or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or'detached s f res accessory to such use and/or farm structures. A person who constructs more than one home in'•'a two-year eriod shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a f rm acceptable to the Building Official, that he/she shall be • e for all such work performed under the builcli, ermit. (Section 109.1.1) res onsibl s Y 1 The undersigned"homeowner" assumes responsibi4ity for compliance with the State Building Code and other \j applicable codes,bylaws, rules and regulations. . The undersigned"homeowner"certifies that he/sale understands the Town of Barnstable Building Department and that he/she will comply with said procedures and minimum inspection procedures and requirements requirements. Signature of Homeowner i a � Approval of Building Official Note: Three-family dwellings chntaining 35,000 cubic feet ors larger will be required to comply with the State Building Code Section 127.0 Construction Control. X i HOMEOWNER'S EXEMPTION\ The Code states that: "Any homeownIer 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 the liomeovmer engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. Many \\ Many homeowners who use.this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Constructiok 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 licensed 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 require,as part of the permit applicatiori, 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 care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC t To': Town of Barnstable From: Portledge By The Sea Condominium This letter is to confirm that all trustees of Portledge By The Sea Condominium located at 306 Long Beach Road, Centerville, MA, agree to allow the Bieling's, owners of 306 Long Beach Road, Unit#2, Centerville, MA, to proceed with the following: Modify the current common area"Laundry Room Space"to become part of Unit#2. Build a staircase to the back lawn off of Unit#4's back deck. Please sign_below that you agree to the above. A Aaron Green, Trustee Lisa Bieling, Trustee Peter Ruddick, Trustee Dick Rogeau, Trustee To: Town of Barnstable From: Portledge By The Sea Condominium This letter is to confine that all trustees of Portledge By The Sea Condominium located at 306 Long Beach Road, Centerville,MA, agree to allow the Bieling's, owners of 306 Long Beach Road,Unit#2, Centerville, MA, to proceed with the following: Modify the current common area"Laundry Room Space"to become part of Unit 42. Build a staircase to the back lawn off of Unit#4's back deck. Please sign below that you agree to the above. Aaron Green, Trustee Lisa Bieling,Trustee Peter Ruddick, Trustee Dick Rogeau,Trustee To: Town of Barnstable From: Portledge By The Sea Condominium This letter is to confirm that all trustees of Portledge By The Sea Condominium located at 306 Long Beach Road, Centerville, MA, agree to allow the Bieling's, owners of 306 Long Beach Road, Unit#2, Centerville,MA,to proceed with the following: Modify the current common area"Laundry Room Space"to become part of Unit#2. Build a staircase to the back lawn off of Unit#4's back deck. Please sign below that you agree to the above. i . Aaron Green, Trustee Lisa Bieling, Trustee Y1• Peter Ruddick,Trustee Dick Rogeau, Trustee `i l x 4 II w �Gy 4-t rr 4 �TU K cJ • LL All IL 411. ram'' + ' � ..t,,,' r- ~,,y•_�._•..,� `v `.' l.. ;� � .. . �_" � � '� Nit.��Qv�3�. Tftt9►Jc,.�.4 (�,�y. J� �. I' � � ;'.' t � ' --- ( �,.- 0 E { �t -is - � ..c Jo l ec << -7 o- X/a �.-,'�-, -,z:-rS O "! S �j ; P Oppa/,for c � �c1< R cp 1, VI �Q o a4v �a; l a ,( a rP7 &11 sler .0r ct�. a 8 7 e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel � o� (�� \ Application# R 7/10 ff 20 Health Division 6UG` Conservation Division Permit# Tax Collector S I�6 ®� C Date IssuedIva Treasurer LQ Application Fee ®� 1 Planning Dept. Permit Fee 60 Date Definitive Plan Approved by Planning Board 0�9 4/&/67 Historic-OKH Preservation/Hyannis Project Street Address -q66 kona Beack Rd- LA %A4-die* Village C?n*�- V r he Owner Address Devon �6 .4e SW Bose, Telephone 617 0SO l o W Permit Request 8041,001ll tic Ma e 1 Square feet: 1st floor:existing !,Sri proposed 1, 1-00 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1SO 000. 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes a- o On Old King's Highway: ❑Yes ❑ No Basement Type: YFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing —S- 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: ffGas ❑Oil ❑ Electric ❑Other Central Air: && ❑No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes O'Ro Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existin ❑ne*t;size— Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: g R^. to Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ cry Commercial-0 Yes &<o s_If.yes,..site,plan review# �. co i Current Use l tvlm C aC Proposed Use Lt S c - '- BUILDER INFORMATION Name 1 lo? ae) ya i Telephone Number 92f 660 7?c�,3 Address 1R 96 LE-1 m 5 License# d 13 d 9 ),eoYn1175*i, , InA C 3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C05e/la `huck"4 y SIGNATUR DATE 9-do 0 r FOR OFFICIAL USE ONLY ` PERMIT NO. DATE ISSUED MAP/PAvRCEL NO. j f ADDRESS VILLAGE i r OWNER DATE OF INSPECTION: s v FOUNDATION FRAME V167 Pete►.. i INSULATION- FIREPLACE ELECTRICAL: ROUGH FINAL f. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. i f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . + a ' 600 Washington Street Boston,.MA 02111' ,y. www.mass.govldia ' Workers' Compensation Insurance Affidavit: Bualders/Contractors/Electricians/Plumbers Applicant Information �' / .Please Print Legibly Name(13u- /In mess/Organizationdividual): M Ic a e) ,A.* A• Ur'pl •Ad3ress: fa96 VM c S4- City/State/Ziplro m o� .� Pone.#: S73 d3 Are you an employer?Check the appropriate boa: :Type of project(required):. 1.❑ I am a employer with 4, [] I am a general contractor and I employees (full and/or part-time),* • have hired the sub'contractors 6. []New construction . 2, I am a'sole proprietor or partner- listed on the-attached sheet. 7.,%Remodeling : ship and have no employees These sub-contractors have g• E]Demolition 'working for me in any capacity. employees and have workers' comp,insurance.$' 9, ❑Building addition [No workers comp,insurance p' required.] 5. C1 We are a corporation and its 10.❑•Blectrical repairs or additions 3.❑ I am a homeowner doing ill•work . officers have exercised their 11.❑Plumbing repairs or additions myself. o workers'co right 6f exemption per MGL y [N n?P• • 12.❑Roof repairs insurance,required.]t c, 152, §1(4), and we have no employees, [No workers' 13.❑ Other comp,insurance required,] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornotthose.entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an' mployer that is providing workers'compensation insurance for my employees. Below is.the policy and job site, information. Insurance Company Name: Policy#or Self--ins.Lie.#: Expiration 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 ine up to$1,500.00 and/or one-year imprisonment,as well as civilpenalties inthe form of a STOP V"ORK•ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of Ibis statement maybe forwarded to the Office of LvestizaEons of the IDIA for insurance coverage verification, I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct. Suture: Date: —9'ap0'() _ F�one 9 2�- 660 "roOV Ofzcial use only. Do not write in this area; to be completed by ci y or town official. ICity or Town,. ' .Perre_t/License# Issuing Authority(circle one): r 1.Board of wealth 2.Building Department 3, City/Town Clerk .Electrical Inspector 5,Plmbing T spector 6.Other Contact Person: Phone m: iniormanonana ins-crucuuns 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 ofhrre, express or implied, oral or written." An employer is defined as "an individual,partlriership,'association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or fne receiver or trustea.-of an individual,p&-t ership,association or other legal entity,employing employees. However the ow11.er of a d. elhno,house having not maze than three apartments and who resides therein;or the occupant of.the d-,,mlling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building apprrtenanttizereto shallnotbecause of such employment be deemedto be an employer." MI CTL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced:acceptable evidence of compliance with the insurance coverage required. Additionally,MGL chapter-.152, §25C(7)states`Neither the commonwealth nor any of:its political subdivisions shall . " rmance of public- acce table evidence-of�co • ..liaaZe with:tlie instance. eater into an contract for,the erro p mP Pam. requirements of this chapter have been presentecf 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-cont>actor(s)name(s),address(es)and phone number(s)along with their certificates)of iance. Limited Liability'Companies(LLC)or Limited Liability Partnerships(LLP)with no employees oth er th an nsur the members*or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law-or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below; Self-insured companies should enter their self-insurance license number on the appropriate1ine. City or Town Officials Please be sure that the affidavit is complete*and printed legibly. The Department has provided a space at the bottom of the-affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city'or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant.as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to born 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. The Department's address,telephone•and fax number:.' The Commonwwi&Of MasSwhusids D? pax cut of Ind-astdal A.cozdcmts ' Offe Of Investigations Fax#617-727-7749 Revised 11-22-06 www.masa.gov/dia r FROM a '-'M XC PHONE NO. 7817402739 -May. 10, 2007 05:36PM P2 To: Town of Barnstable Frozen: Pordedge By The Sea Condominium This letter is to confim that all trustees of Portledge By The Sea Condominium located at 306 Long Beach Road,Centerville,mA,agree to allow Aaron Cl=co,owner of 306 Long Beach Road,Unit 94,Cvdm illc,MA,to witb the following: Bathroom renovations Please sign below that you agree to the above. 407 —00 I let, L A U Lisa Bieling,Tristee Peter Ruddick—,stee Dick Rogeau,Trestee s- • s BOARD OF BUILDING REGULATIONS .B 1 License: CONSTRUCTION SUPERVISOR Number.C._ 013278 BirhdateT109f947 i Ez� ire 1/09/ 007 p — ,-, Tr. no: 8263.0 Restricted., f i MICHAEL A VAILL' TTE �; 3 1296 ELM ST . y� r i LEOMINSTER, MA 01453 '�-f C i Commissioner fee�anvrreo�zcueczll� o��ac�iccaelrfa Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registraf o, :11.1216 ExptratLR 121,9/2008 Tr# 124903 - �� Type ©Bq�i'� M.A. VAILLETYE 4 MICHAEL VAILLETTE �r 1296 ELM ST LEOMINSTER, MA 01453 Administrator I { TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map , Parcel 6,a VQ2 Application# � �7 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee �a Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address so (A &rtc4 G Village I(V//k Owner `w L e/�a Address o�� ®eP /q.�-Q Telephone Permit Request /19 Y7A 6 gro T ®P U�� 04/'N c' 4-0,M l C i maj (v jeoo m-1 4m et n d C49 u m ,�i' �J Bed 1-0041 4'n4.1'/ la60m �/ / H.S "aUI�- Square feet: l st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation oo Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 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 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 r, r Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/_7 I stove: Yes ❑No �etached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:A sting LRew s e Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: II FJ c� rn Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _ Commercial ❑Yes -❑No-- If yes, site,plan review# Current Use Proposed Use BUILDER INFORMATION r� eel/ Name �21& �AtAP w�Y Pf"M J-0c. Telephone Number �7z/Q—D`1`/6 79rf Address f3 License# � �j,�0 4,?oV3 Home Improvement Contractor# Worker's Compensation# .0 n ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Loa FOR OFFICIAL USE ONLY r PERMIT ...:ri•'j Owl r" .. DATE ISSUED' MAP/PARCEL NO. ADDRESS: VILLAGE OWNER` DATE OF INSPECTION: - FOUNDATION FRAME -0 -7 Y INSULATION FIREPLACE X ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT y r l -. ASSOCIATION PLAN NO.' ' ' The Commonwealth of Massachusetts Department of Industrial accidents Office of Investigations 600 Washington Street Boston,MA. 02111' www.mass.govldia ' Workers-`Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): U ;SAWAP z Address: go( )c City/State/Zip: 4a0q3 Phone.#• ?2) —'6S�S�C� Are you an employer?dheck the appropriate bog: :Type of piroject(required):. 1.❑ I am a employer with 4. [] I am a general contractor and I 6. ❑New construction . employees (full and/or part time).* • have hired the sub contractors 2.❑ I am a'sole proprietor or partner- These onthe•attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition 'Dworkin for me in an capacity. employees and have workers' g Y P tY• $. 9• ❑Building addition [No workers' comp,insurance comp, insurance. We are a corporation and its 10.[]Electrical repairs or additions required.] . 3.❑ I am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions ' myself.[No workers'comp. right bf exemption per MGL 12•[]Roof repairs insurance,required.]t c. 152, §1(4), and we have no 13.❑ 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 anew affidavit indicating such. $Contractors 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 provids their workers'comp.policy number. lam an employer that 1s providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy.declaration page'(showing the policy number and expiration date). Failirre•to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this'statement maybe forwarded to the-Office of _Investigations of the INA.for insuranee coverage verification I do hereby cert"Y-unae th ains penaId of perjury that the information provided above is true and correct, Si tore: • Date• a r'� ® _ • Phone#• �7Boa�d nly. Do not write in this area, to,be completed by.city or town officiab Town: ' .Permit/License# ority(circle one): ealth 2•Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Contact Person: Phone#: Information d instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of Hie, express or implied,oral or written." An employer is defined as "an individual,partnership;association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or,the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not producedtacceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter-152,§25C(7)states"Neither the commonavealthnor any of its political subdivisions shall enter into any contract for.the performance of public-work untii aomptabla evi:d=e-af•compl%a*vwiith:t3ie insurance- requirements of this chapter have been presentedto 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-confractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability'Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the . members'or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pemiit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self innumiCe license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the-affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit. :The Office of Investigations would like to thank you-in advance for your cooperation and should you have any questions, please' o not hesitate to give us a call The Department's address,telephone-and fax number:. The Co.mmonwealth QfMusa►rh=tts D%wtment of JtdasftiW A.cddmts offt" of InvesdPflo'ns 600 Washing Street B-0sto3 1A 02111 - . TO.#617-727-400 ext 406 or 1-977 MASSAFE Fax#617-727-7749 Revised 11-22,06 www.m=.gov/dia b .� Town of Barnstable Regulatory Services NAM Thomas F.Geller,Director '�,�,i6,�' •� Building Division. Tom Perry, Building Commissioner 200 Main Street, $yannis,MA b2601 www.town.b arnstabl ema.us Tice: 508-862-403 9 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as•Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bytU building Permit application for, . (Adire.ss of Job) � a2S Signature of Owner ate Print Name Q:FORMS:oWNWERMMS10W To: Town of Barnstable From: Portledge By The Sea Condominium This letter is to confirm that all trustees of Portledge By The Sea Condominium located at 306 Long Beach Road, Centerville, MA, agree to allow the Bieling's, owners of 306 Long Beach Road, Unit#2, Centerville, MA, to proceed with the following: Modify the current common area"Laundry Room Space"to become part of Unit#2. Build a staircase to the back lawn off of Unit#4's back deck. Please sign below that you agree to the above. Aaron Green, Trustee Lisa Bieling, Trustee F Peter Ruddick, Trustee Dick Rogeau, Trustee 1 To: Town of Barnstable From: Portledge By The Sea Condominium This letter is to confirm that all trustees of Portledge By The Sea Condominium located at 306 Long Beach Road, Centerville, MA, agree to allow the Bieling's, owners of 306 Long Beach Road, Unit#2, Centerville,MA,to proceed with the following: Modify the current common area"Laundry Room Space"to become.part of Unit#2. Build a staircase to the back lawn off of Unit#4's back deck. Please sign below that you agree to the above. r Aaron Green, Trustee Lisa Bieling, Trustee G G . 0 Peter Ruddick, Trustee Dick Rogeau, Trustee 1 To: Town of Barnstable From: Portledge By The Sea Condominium This letter is to confirni that all trustees of Portledge By The Sea Condominium located at 306 Long Beach Road, Centerville,MA, agree to allow the Bieling's,owners of 306 Long Beach Road,Unit 92, Centerville, MA, to proceed with the following: Modify the current common area"Laundry Room Space"to become part of Unit#2. Build a staircase to the back lawn off of Unit#4's back deck. Please sign below that you agree to the above. Aaron Green., Trustee Lisa Bieling,Trustee Peter Ruddick, Trustee Dick Rogeau,Trustee 7 R �� 1681 FEB DEPARTMENfiPUI , i:ICEHSES& fM.SP�CT'f��S N f � �.�; E� 3 Z• �" C"A° Sri'. .. _ ✓/re �amimaruuealC�i o�,,/�/f,���,pb Board of Building Regiaartioiis and Standards License or registration valid for individul use only HOME RA"ROVEMENT CONTRACTOR- b'efore.fhe expiration date.`If found return to: Re�tstcatron 1a2560 • : Board of Building Regulations and Standards i IT E0rat R -Vgi2008 One Ashburton Placc Rm 1301 R date Corporation . ;Boston,Ma.02108 w SgUTH'SHORE�dAt l (2 MLCIAEI, .KNOLL °fL i 13 Roltk WOOD F6 HINGHA-M,MA 02043 13c0uty Administrator , L ot.yalid wpthout signature f - EXISTI G BEDROOM—Li ExisTiNG umNG / / VERIFY WALL ROOM ( z— —UM1 NSIONS ONCE 1 — — — CTURE IS II EXPOSED, WALLS TO BE REMOVED — 1 CONTRACTOR TO _ 6d4DATE AND BUILT IN SHELVES r— — VEF IFY EXISTING (DESIGN BY OWNER) I STROCTURE IN FMIRROR WALL CLOSET o - iI � EXISTING I 1 O ► I I a o OCKET DO �NE NE DOOR PLUMBING WALL _ NEW BEDROOM 2 3" X 1 -6" Q 0RQni-1 F-L _ X)o I D�rs LF EXISTING FAMILY WINDOW SEAT Roo 11 NE ANDERSON DOUBLE HUNG WINDOWS ALIGN ( WITH WINDOWS ABOVE CENTERED) FRONT DOOR PART PLAN CONDO, UNIT 2 SCALE 1/4' 1 —0" ACQUIRED 'NEW SPACE PROPOSED- LAYOUT DATE: DRAWN BY: RryE 9/7/06 SJF BIELING SUMMER RESIDENCE 1Mf00REN81NEERINOLLO In UHEWURFTWAY,SURE,O, SKI 306 Long Beach Road #2 SC ITUATE,MASSACHUSETTS 02066 PROJECT NO.: Centerville, MA 02632 ° TEL(781)544-2646 /� E M4o°°TEL FAX:(781)S44-TT29 H 06-129 -The-Commonwealth-o£Massachusetts_William_Erancis-Galvin-Publ..�. http:/-/corp..sec.state.ma usleorp/-corpsearch/Curp.SearchSummary-.as-,- The Commonwealth of Massachusetts William Francis Galvin 4 Secretary of the Commonwealth,Corporations Division One Ashburton Place, 17th floor �, oa Boston,MA 02108-1512 Telephone:(617)727-9640 SOUTH SHORE HANDYMAN, INC. Summary Screen 0 Help with this form Request a Certificate The exact name of the Domestic Profit Corporation:SOUTH SHORE HANDYMAN,INC. EntityType: Domestic Profit Corporation Identification Number: 000858099 Date of Organization in Massachusetts: 01/09/2004 Current Fiscal Month/Day: 12/31 The location of its principal office in Massachusetts: No.and Street: 13 ROCKWOOD RD. City or Town: HINGHAM State:MA Zip:02043 Country:USA If the business entity is organized wholly to.do business outside Massachusetts,the location of.that office: No.and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: Name: MIC1 AEL T.KNOLL No. and Street: 13 ROCKWOOD RD. - City or Town: HINGHAM State:MA Zip:02043 Country:USA The officers and all of the directors of the corporation: Title Individual Name Address(no PO Box) Expiration First,Middle,Last,Suffix Address,City or Town,State,Zip Code of Term PRESIDENT MICHAEL T.KNOLL 13 ROCKWOOD RD. NONE HINGHAM,MA 02043 USA TREASURER MICHAEL T.KNOLL 13 ROCKWOOD RD. NONE HINGHAM,MA 02043 USA SECRETARY RICHARD P MARCARELLI 382 PLEASANT ST WEYMOUTH,MA 02190 US DIRECTOR RICHARD P MARCARELLI 382 PLEASANT ST WEYMOUTH,MA 02190 US I.of 2 a 5/4/2047 7:37 AM The Commonwealth of Massachusetts William Francis Galvin-Pubi... http://corp.see:state.ma:us/corp/corpsearch/CorpSearchSummarv.as... DIRECTOR- MICHAEL T.KNOLL 13 ROCKWOOD RD. NONE HINGHAM,MA 02043 USA business entity stock is publicly traded: _ The total number of shares and par value,if any,of each class of stock which the business entity is authorized to issue: Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares CNP $0.00000 200,000 $0.00 0 _ Consent _ Manufacturer _ Confidential Data _ Does Not Require Annual Report Partnership _ Resident Agent For Profit _ Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS Administrative Dissolution Annual Report Application for Reinstatement Application For Revival View Filings New.Search Comments �- ©2001-2007 Commonwealth of Massachusetts All Rights Reserved Ham. 2 of 2 5/4/2007 7:37 AM r •r'--midi.► �. . . SMOKE DEFECTORS REVIEWED A A BUILDING DEPT. 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