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HomeMy WebLinkAbout0611 MAIN STREET (CENT.) _ . ; u � �. . a ., o � � , o 6 i � a. V .. - .. r �i � -. � ,. ., - e -" ... .. 8 .. e � .. � - � .. .: _ r. 9 i� h Barrows, Debi From: Barrows, Debi Sent: Thursday, May 03, 2018 10:20 AM To: nancyo.artdesign@gmail.com' Subject: FW: Returned Check for REFER to MAKER Attachments: Otero #337.tif From: Pacino, Ann Sent: Thursday, May 03, 2018 10:03 AM To: Barrows, Debi Subject: Returned Check for REFER to MAKER Good Morning Debi, This check for Otero was returned to us today. Please send me the codes for reversal. Would you like me to send them a letter? When payment is made please attach a copy of this letter with your payover. Thank you, Qfta J aC t Staff Auditor Treasurer's Office 230 South St. Hyannis, MA 02601 508-862-4745 Ann.Pacino(cDtovvn.barnstable.ma.us 1 All YOU WIS14 TO OPEN A BUSINESS? For Your Information: Business certificates (cost E1340.00 for 4 years). A businass certificate ONLY REGISTERS YOUR NAME in town (which you must do.by M.G.L.-it does.not give you.permission to operate.] You must first obtain the.necessary signatures on this form at 200 Main St., Hyannis. Take the Completed.form to.the Town Clerk's Office,1 st Ff., 367 Main St., Hyannis, M-A 026.01 (Town Hall) and get the Business Certificate that is required by law. DATE::---L� Fill in please: =��a3i1 ?'��{;'ie�;1d ..,r,•,^:.; YOUR NAME n a. Jit!�eiu'.P�'?r't 'Jr �{�,. tx I. APPLICANT'S /5 �'. i ` ''I' 't�"• •j> �' nth:.; U INESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number E—MAIL: a •t'vtit_EJL4iOVA '�' , S� m.ir �.a s;u.wat•r E I N #: :ff — S— NAME OF CORPORATION: NAME OF-NEW BUSINESS U UCJS TYPE OF BUSINESS 15 THIS A HOME OCCUPATION? ES NO rr � `` Assessin ADDRESS OF BUSINESS- AP/PARCEL NUMBER V ( g) When starting a new business these are several thin.gs'you must do in order to be In compliance with the rules and regulations of the Town of Barnstable. This form is•intendod to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - [corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permlts and licerfses required to legally operate your business in this town. I. BUILDING COM 1S5ID E 'S OFFI MUST COMPLY WITH HOME OCCUPATION. This individu I he e inoT d ny perm. rsqui a Brits that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULTIN FINES. ut on Si netu e** �� MMEN I ✓'_' _ Qf1-Lire. or 2. BOARD OF H TH This individual has been informed of the permit requirements that peFtaln to this.type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 1 uwn u uarnsi.ame E . Building Department Services dFSHE Tpyy Brian Florence,CBO Building Commissioner " t RARNSTA . 200 Main Street,Hyannis,MA 02601 MASS www.town.barnstable.ma.us �prf ��k • Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: l HOME OCCUPATION REGISTRATION Date: Name: 01 0 v Q 1,S Phone 9 a c) Address: 1- O ( U 'e Village: Name of Business: / Type of Business: &0&5w&e P Map/Lot INTENT: 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 carved 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 residentiat buildings,and there is no outside evidence of such use. • No traffic 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,i a 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 • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwe g unit L the ini ersigne have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: 7 Homeoc.doc Rev.06&0116 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map w Parcel Permit# -4 � 1 2 Health Division y 3"Z 3?_44' Date Issued h �l Conservation Division � Fee u�2 5' Tax Collector Application Feel ° Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address L2 Village 1E/�/ �1�I Z-.1.,� Owner AA) Addres I C � k✓JIC�/ Telephone (P Permit Request r �( Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation ��®® � Zoning District Flood Plain Groundwater Overlay 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 d rcAA , Historic House: ❑Yes YNo On,Old King's Highway: ❑Yes VNo Basement Type: ❑ Full 0 Crawl ❑Walkout Cl 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 L Heat Type and Fuel: ❑Gas ❑Oil 0 Electric Cl Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:0 existing 0 new size Pool:❑existing ❑new size Barn: 0 existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No _If yes, site plan review# Current Use Proposed Use �B)UILDER INFORMATION Name 1///fin I ,����/�— � /77V Telephone Number Address v �— {��CQ 1 License# y J43 1 Home Improvement Contractor# _ Worker's Compensation# - ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t Y FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL-NO. ADDRESS J VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL :. PLUMBING: ROUGH FINAL r• c GAS: ROUGH FINAL 3 FINAL BUILDING DATE CLOSED OUT- ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents i • Office of Investigations < 600 Washington Street, 7`h Floor ` Boston,Mass. 02111 Workers'Com ensation Insurance.Affidavit:Building/Plumb'n /Electrical Contractors name: 1 1 a �� (�._�' ��.� �/T� / • city AZ state: l ► 1 y zi e , phone#7 U M & `, R (Q " rk site location full address I am a homeowner performing all work myself. Project Type: [)New Construction QRemodel I am a sole proprietor and have no one working in an cap � acity. Building Addition 7 xr""^'7�.''�": + v .. 'x.?i�ii a�P, m+�`�+ 3 f, �,�oq;,p l' �'';,t a.;,,��•< t;•. ''�{.�.'aLy�`n'�!'s-,.• -�••n�rc;•� ,.• f. a.,.- �.,`�.F�",•�'�'��.i •. t����.';�k� rrf o' fE�.Sx:.+'a1`[^: '�-.-� 'C�!,�•...P?`-:�l".51�'T�'•�.:'�tl,,''`°T to �r 'L.,? !•4•'.�'• +'�.b'SF.i'�',4':�.f. i.��ri. •.,'4''"N 't'�Sib.u`•A^, I am,an employer providing workers' compensation for my employees working on this job. company name- address:' city phone#• Insurance co. policy ❑ I am a sole proprietor,general contractor;or homeowner{circle one and have hiredithe contractors listed below who have .u�i�.+'i•3a,�;•S��R�xbt�+tareSdii :3�37E k�:1�vS.;gkYa:l..,b;`i�.'�r.8rsg2-c' :,..dz .>r%�a.a�,�g,.•„%... ,y: ��....,,•uf�q� i.•;y,,, A , i the following workers' compensation polices: company name: address: city: phone#: insurance ca. lic # 3+`iiMif�'`•: .y .,,.+ . y�•d• ,f.(' i'�• -1#i . ... :?f3', ', 'i.. r :'e.�*:•},•y ,� ,y..3• ,•... r� •�,-.r- dh d'"Yc:CC 14. P4. i. c> .company name: address: d city phone#:. ' insurance co. oli # t�..061,49108 al� ,gt l Z�PsSSZd.. v, � :vl°►n p v: u �: yd �...5, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition-of criminal penalties of a fine up to$1;500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a- copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. ' I do hereby certify under the pains and penalties of perjury that the information provided above' true nd c rrect Signature Date U Print name Phone# (frc,ial use only do not write in this area to be completed by city or town official y or town: permitnlcense# ❑BuiidingDepartment oard check if Immediate response Isrequired ❑Selectmen'Bs Office ntact person: phone#; ❑Health Department❑Otherised Sept 2003) Information and Instructions f Massachusetts General Law cl pter 152 section 25 requires all employers to provide workers' compensation for their . employees. As quoted from the;"law", an employee is defined as every person in the service of another under,any contract of hire,express or plied,oral or written. ' An employer is defined as an dividual;=-partner p associatio corporation or other legal entity,or any two or more of , the foregoing engaged-in a join enterprise,' including the le'al representatives.of a deceased employer,or;the receiver or trustee of an individual,partn rship;ass- iation or other le 1 entity,employing employees-.-However-the owner of a dwelling house having not more an thr a apartments and w o resides therein, or the occupant of the dwelling house of. „ another who employs persons to d m ' tenance,constructi n or repair work on such dwelling house or on the grounds or building appurtenant thereto sh of because'of such a ployment be deemed to be employer. MGL chapter 152 section 25 also sta s that"every state r local licensing agency shall withhold the issuance or renewal of a license or permit to op e ate a business to construct buildings in the commonwealth for any applicant who has not produced acce table evidenc of compliance with,the insurance coverage required. Additionally,neither the commonwealth or any`�of i political subdivisions shall enter into any contract for the performance of public work until accepts e evidenc of compliance with the insurance requirements of this chapter have been presented to the contracting authority. .ti �'.' 'n: .t��Ae'"yf :Ja..��'��•a.FaS•.". �xrxa3Y�i °:.. . Applicants Please fill in 'the workers' compensation affidavi omplete ,by checking the box that applies to your situation. Please supply company name, address and phone numb rs ong wi a certificate of insurance as all affidavits may be submitted to the Department of Industrial Acci ents r confi ation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be re ed to e city town that the application for the permit or license is being requested,not the Department of Industri Accide s. Sho d you have any questions regarding the"law"or if you are required to obtain a workers' compens on policy, ease c 1 the Department at the number listed.below. �y .ut(P fear.^^ .ia.;•�•.'rst t'fV,i.n � °. .1C� 'a {`i3 2. z t. r Ea: 'f. ° a. .,.,+. $. Y:3....•.i 7:}.y ,rL,fir i.. ✓�r 4'•" CUP M. •� ` .+a3 �A:• «•. }'- ME :;1._# 9iri• €k4+,°a` vSS i'% n air•` d w is , {c, City or Towns Please be sure that the affidavit is complete an printed legibly. The D ent has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations ha to c ntact you regarding the applicant. Please be sure to fill in the permit/license number wl.ch will be used as a referenc n ber. The affidavits may be returned to the Department by mail or FAX unless othera rrangements have been made. The Office of Investigations would like to th&Lk you in advance for.you cooperate n a should you have any questions, please do not hesitate to give us a call. "V ^R;; �y. .r C� •PMi Y.i' �i �y�i�+3FMi 4� LY::fi'f! �"�~•1�w•l'�t'•h} '�'y!{� r����, . ^ 9r t�, '.Y'. e k .�'- ':^C4�r'E'.r' ••• _ ..q .�i �1 ,Fr104,iitY-R s- .hd4V +p'it k:.Cd "'t`.t�+%' 'Lr :•• The Department's address,telephone and fax number: The C on' wealth Of Massachusetts Department of Industrial Accidents ffice of Investigations 600 shington Street,th Floor oston,Ma. 02111 fax•.#: (617)727-7749 phone#: (617)7274900 ext. 406 . � E r Town of Barnstable Regulatory Services Z BAWSUBISI$ Thomas F.Geller,Director XM 1619. Building Division '0�eo t�►a't°' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-796-6230 Office: 508-862-4038 Permitno. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruct on alterations,all addition toon,rep any pre�existingowner occupied ion, improvement,removal,demolition,or construction building containing at least one but not more than four dwelling twits or to structures which are adj acent to ed contractors,with certain exceptions,along with other such residence or building be done by register requirements. , •�1� �j/ ,omated Cost Type of Work: �.�'/1..� K Address of Work: ; -c�^ .a povnet's Name: �✓ Date of Application: . I hereby certify that: Registration is not required for the following reason(s): Work excluded by law 'SJob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: UNREGISTERED O�ERS•PUt,LING THEIR OWN PERMIT OR DERALINME ORK 0 NOT HAVE CONTRACTORS FOR APPLICABLE HOME UNDERMGL c.142A. ACCESS TO THE ARBITRATION PROGRAM OR GUARAN'f�'FUND - SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor.Name Registration No. ry OR Date Owner's Name f Q:forme:homeaffidar `.. IKKE Town of Barnstable F Regulatory Services 1ARNSTABLE, : Thomas F.Geiler,Director 9 .0�A Building Division AIfD MA't . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: (SL' JOB LOCATION: --�! MA A l/U S _ - � VC/V 1 GE//1 L bv 1 number � - -street village "HOMEOWNER": Pk Go 7M a) .pe / J (,6 cQ an me ) �home phone# work phone# CURRENT MAILING ADDRESS: - city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department , minimum inspection procedures and requirements and that he/she will comply with said procedures and require ts. Si at 6 of Ho,Ter Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: ;Any homeowner performing work for which a building permit is required shall be exempt from,the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the perrmt application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:for rmhomeexempt b ' 4. ' tl4E� E of moo. Town of Barnstable *Permit# Expires 6 months from issue date' , ,► , : Regulatory. ServicesMAM Fee ' s— ,m�' Thomas F.Geiler,Director �ArED Mld A Building Division - Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ® R P ��aT Office: 508-862-4038 Fax: 508-790-6230 APR 0. 2005 EXPRESS PERNUT APPLICATION RESIDENTIAL O Not Valid without RedX-Press Imprint I UVVN OY BARNSTABLE lap/parcel Number. d C;62 _ t roperty Address Dl.l 1n (S ey4e r l Ile 1% 0. . ?(Residential Value of Work �000 n Minimum fee of$25.00 for work under$6000.00 owner's Name&Address a ar—n r� /'t :ontractor's Name R i S I��v�.t c 1, �-�o vv� Tt,,,04 Telephone Number [ome Improvement Contractor License#(if applicable) (p 9 :onstruction Supervisor's License#(if applicable)-' ]Workman's Compensation Insurance w Chem one: I am a sole proprietor ❑ I am the Homeowner - ❑ I have Worker's Compensation Insurance mwmce Company Name Jorkman's Comp.Policy# :opy of Insurance Compliance Certificate'must be on file., ermit Request(check box) t ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) P"k-e-side . . ❑ Replacement Windows. U-Value t¢ (maximum,44) s 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Impro ent Contractors License is required. ignature Q111 J A' :Forms:expmtrg ti " r .-u Town of BarAstable ' Vo4•�xe roko Regulatory Services •�� Thomas F{Geiler,birectar � '" Y- $ To �nilding pivi•sYon Building Commissioner mPerry, • . 200 h2ain Street, Hyannis,MA 02b01 . _ �r,toi n.barnstablema.us - 508-790-6230 office.. 5Q8.862-403 8 hoe Ov er Must n TMS Section - -- • - _. : - complete a�. Sig -- . . us�cie r . If�Js�.�.g AB ' G Owner of the subject property - X - • � � •'to apt on mybe�.alf, . . .. _ _.. hereby authorize •it :. e to work authorized bytlss building perry t application f or. matters relativ (Address of Job) - Ll Date. er . f�G 0 LI M - �rint I�Tame . DI�(46 sS 3T vv ✓�ie �o7r�rizaouuea�i a�✓�,Cwacce�iuvetld - Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. Iffound return to: ,r Regiszra& m 112676 Board of Building Regulations and Standards /2007 One Ashburton Place Rm 1301 Boston,Ma.02108 RICK LYNCH H T NTS ; RICHA.RD LYNC 86 ENSIGN RD. CENTERVILLE,MA 02632 Administrator Not valid witho JZagnIture 1 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR- QUALITY ORIGINAL (S) MA- 7� L DA T A T'0r`,. ° N0� rAB L�E 4 K' li "A 0- -wz TP DEPART v,_BEN� (OA HI ,,.-' °SA'FETY f1 V' I• 0 1 t� � 1 r� li 3 h� l� � ��� r�..s Y • � ` � .ENVhR�ON,,F ENTALS,S�E�+RVaI�CES � a OjTICLD�I�NG DIV�IS�I;zj rN r t h r r . .r.. � "F� --r�"pn���w ��.. �".. ,BSc Fa ��''`+�'.•�� �.. r :�'r 'x �- ' MA'ND�% 'R�PR LIM°I{SES;' I °SPECTE�D G`¢a 6�H�EF�e"�L�IOW�I+NGV�ILA1'�IONS v9 � � € Y O�F THbE A-14U�LDI��I�G C 9 DBE AND/aOR ZONItNG x I�NAN10E HAViE BE�E1aF0IDr - . 1 i� .,r+�:_vr �--�`:t� d++• ,P J's}} ak Y ;( 1v� .i ', d "` r 5'�•1�• °°c �i + z k+�F x�'�-:xr:�;^-se+t :' �.+1 .. _ �c-: �:r n w.crs. tYOUAaR�LHoRaBt��`l�TOO,TTm`I9ED THAN _ . of .. N►®�ArDDINORIO �A WORT,S�HAL BCE 6 FR�T�'A�K�E�N° Y " 3�P`OOfiITdI��E,SiEP� 9PRLMsIS1IS' " �— O C,CUgPIAED E :TI�LT�I3sE�B'®�V�E_V�I�oil A'�TdI(O�NiS `," ` -..,. APE SOe4 WICEEINVATH. OO�.c I PR®PEMITJT�g1O r"w AiIO;P hka,1:8E�°� j TOfA FI �E OIFANOT'LE�S�S"Ti sp�� FI�FT�Y N,O�R , ms r 1 s r F M�O)Ry ONE�H DD DOLLARS -� ? �. Date S. r _ ��`' ._Y.�.----�.. .r-- ..:� _ t -sl-sue ,r.;;�•, f--'N y w-'x .:.�q+.-��..�'..s'r.w-1 mmlissioner -7I1)oyokg oFt ram, Town of Barnstable *Permit# ?%57- ,Lo Expires 6 mouths from issue date • Regulatory Services Fee S, 00 s BM IX s yXAM Thomas F.Geller,Director rFD N9.� ,0" Building Division Tom Perry, Building Commissioner X PRESS 200 Main Street, Hyannis_,MA 02601 PERMIT Office: 508-862-4038 JUN 3 0 2004 Fax: 508-790-6230 0 L EXPRESS PERMIT APPLICATION - RESIDENT&*tb ,gRNSTASLE 7 /� Not Valid with out Red X-Press Imprint � V Map/parcel Number I 5-0 Property Address Z*&�L CResidential Value of Work LEM Owner's Name&Address 1-96D-a- /? Contractor's Name Telephone Number Home Improvemen7tr ntractor Lic se#(if applicable) Construction Supervisor's License#(if applicable) []Workman's Comp ensationInsurance Check one: (] I am a sole proprietor I am the Homeowner [] I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [] Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers of roof) ❑_ Re-side Replacement Windows. U-Value (maximum.44 ) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 Assessor's map and lot -number ....i...t M. ...!���.. SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE m Sewage Permit`number .. .: �itN-Lt WITH :ARTICLE II STATE SANITARY CODE AND TOWN CF THE T� =t R TOWN OF BA ABLE G? i BAB.HSTSDLE, i r, u, r Y'. 9 MABa9 . Y, .R; I�L 10 I S P. C T 0 R - �p i63q. 00 ,per 0, �: C MPY �.; ct~, Utw APPLICATION; FOR PERMIT TO .. 1. :-�,... �va.V.. ........................................................... TYPE OF CONSTRUCTION .............. .M.1.............................................................................................. :y ......... ...............191.6 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................................................................................................................................................... ,,1 ProposedUse ....�.r)..:�. ,,..... .11.1�. .. ...........................`........................................ ZoningDistrict �... ................................Fire District ...................................................... ............ . ............... ........................ Name of Owner .. .. Gl.. ,.. ,...Address �I.t..t l.J � n. � .. .. ... �....... Nameof Builder i ...............................Address..................................... .................................................................................... Nameof Architect ..................................................................Address .................................................................................... )&Number of Rooms ..................................................................Foundation ........�\.(D. ................................................ 1 Exterior <� .. ...........................................Roofing ..........(: k` .......................................... 4, Floors .•. Interior .............. � .. n�........... I- Heating .................. Q .....................................................Plumbing ..................... Fireplace ..................................................................................Approximate Cost .. .�.. . .�.:�4 Definitive Plan Approved by Planning Board ________________________________19________. Area ...... �.l..... ............... Diagram of Lot and Building with Dimensions Fee ����............. /..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I ,hereby agree to conform to all the,Rules and Regulations of the Town of Barnstable regarding the above construction. - Name1�&�•y•� c .:: :�.............. Foster, Margaret C. � 18382 enclose ponrch ' � No -----.. Pdrmk for -------.�.�---.. ' . ' . , . � ----------------...---------. � ~ 611 Maim Street ' � Location ----.`:—_-------.------.. . Cetterville \ __________________________.. � Owner --- �ar gar mt C. Foster . . -----——.... f ramum . Type of Construction .......................................... � ^ -`---''`^--------^------------ ! � ' ' ~ , Plot ............................ Lot ................................ / 3 ` ��� 76 - Permit G,on/a6 ` ---- Date of Inspection A . ` ^ . � ����C��8x—'.^—_y�� ^ ' . Du�a Completed ..,�� . g , ` ^ PERMIT REFUSED � � `^� l° � -----'�------------'--' � '--------'----------,~------'' � —_---------------------. . .--�--. . — . . .—.--, .----. . — . --..... .— -- `,_ -------'~—`~-----^--^-----''l. � ' Approved _---.................................... ' ^ -------------.—~.----.--..--. ~� . ----------_________._,,,._...:� ` | ' Assessor's map and lot number ...L �.....i.s .4 .... : , �•' t < yY Sewage Permit number Y TOWN OF BAR.NSTABLE • Ii B9HBSTeDL$ i (', ° "6 9. BUILDING INSPECTOR �o Mar a' APPLICATION FOR' PERMIT TO ........ ... ... .,.. .:.. c� Q TYPE OF CONSTRUCTION ............ �;il-C .. � L.0:................................................................................................ ................191 6 .r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................................................................................................................................................:..................................... ProposedUse ..1.. �..a!�.?,........ .� �('1.. . .....` ................................................................................. ti ZoningDistrict ..............................................Fire District .. ............C...1...(.�.......`............................................... Name of Owner ..' 1 l "'�1 . ,;'�P.....Address`�—I 1 AA m V. 1�1 P 1,\, '(1 1��-, �1,1��.........Q....... Name of Builder ......Address .............................................................. .................................................................................... Nameof Architect ..................................................................Address ................................................................":':................ Numberof Rooms ..................................................................Foundation ....:.. .�� /��................................................ Exterior .................. - 1(`., ;` .n :................................Roofing ..........��'�.\��Nsj ,.y............................................ h � .:Floors �� - .Interiors ...: .............................. . .,. . �...... . . ._ Heating ......Plumbing �! ........................... Fireplace ...................-- Cost .. ..`....C1 nll :. ................................... Definitive Plan Approved by Planning Board ________________________________19________. Area yl/. ........ ................. Diagram of Lot and Building with Dimensions r-� g g Fee ....... .!.,7.:•5......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH t I hereby agree to conform to all the Rules and Regulations of the .Town of Barnstable regarding the above construction. Name i Foster, Margaret C. A=207-56. 18382 encld�"6rch No ................. Permit for ................................ ... ................................................................. ...... ..... 611 Main Street Location .................................................... .. ........ Centervill/e ............................................................................... Margaret C. -Foster Owner .......................... . .................................... frame Type of Construction ../................................. ................................................................................ Plot ....................... ... Lot................................. Permit Granted .... ......��y..12................1976 Date of Inspection: ....................................19 Date Completed ......................................19 PERMIT REFUSED ............................ ................................... 19 ....... ....................... .. .............. ......... ............ ................................... . ........................ ...... ............................................... ............................ ... .............................................. Approved ................................................ 19 ............................................................................... ...............................................................................