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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel A, Permit#
Health Division ✓-- Date Issued 9
Conservation Division ' /?I Fee
Tax Collecto lf�Treasur _ : T- S
Planning Dept. f� � T P�� ®8�a1 COMPLIA1 P
Zo 11� i�
Date Definitive Plan Approved b Planning Board
M pp Y 9 . . NiV1R69VMEN'YAL CODE AND.
Historic-OKH Preservation/Hyannis -' f6WN REGULATIONS
„J
Project Street Address c2 S Al L-e—
Village C4 N/*•-G//? U/L� =a -
Owner `/D e— 4 -cko '" Address d s,�-V,4a syoh.
Telephone Se S^- ,S ,.
Permit Request - �^ 0 sz F1Lt/
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Estimated Project Cost Ooa, Ov Zoning District Flood Plain Groundwater Overlay
Construction Type 1WeA6;6.f 6 -1
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation:
Dwelling Type: Single Family 8/ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: U�ull ❑Crawl ❑Walkout ❑Other .
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing o2 new Half:existing new
Number of Bedrooms: existing new
4 Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stover ❑Yes ❑No
Detached garage:El existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:®'existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes *<o If yes,site plan,review#
Current Use Proposed Use
BUILDER INFORMATION
Name Telephone Number G /7- 19 23 aZ/e/
Address-DG F /7-es� License# G S.3 G G 4
/D Lt/i^/tMod S Home Improvement Contractor# 14 2 / a
Worker's Compensation# A/0,4V
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
L
SIGNATURE DATE
I
' FOR OFFICIAL USE ONLY
PERMIT NO.
h
DATE ISSUED '
MAP/PARCEL NO. - -
ADDRESS` - VILLAGE -14
OWNER
DATE OF INSPECTIO
J
FOUNDATION .
FRAME
INSULATION l - r
FIREPLACE
ELECTRICAL: ROUGH FINAL.
F PLUMBING: ROUGH FINAL
GAS: r ROUGH_ y FINAL' N p
FINAL BUILDING.-
DATE CLOSED OUT
ASSOCIATION PLAN NO.
r e owe
9 H Department of Health Safety and Environmental Services `
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissione
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal, demolition, or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: Liu/I-`/ Estimated Cost -ot)
Address of Work: a,S
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under$1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME M O?ROVEMENI WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor Name Registratio o.
i
OR
Date Owner's Name
q:fomss:Afr1dav
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of/aresdgadoos
1-2
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
name d G.CI F a L-Q`l -
location /Q W/ .(fiJ11fd00 5'7
city wwt--ele f m v tv phone#611-911— -2 /d-,/
❑ I am a homeowner performing all work myself.
�I�a sole metor and have no one working in anv c=icity
////%/------
rovidin workers' compensation for my employees working on this job.: : ::; >< ::;;: : ::;:. »::::: }:::::::...
❑ I am an
.....::
com anv name:. : .: - :: ;.:.::.::;;;::;:::.:::-:...::.
s :::::
addces
hone,#:.
:::...<::,;:;::::::: pricy# -
insurance co.
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
workers' compensation polices:
the following w mp ...::....::,. : . :::.. ::.
nvname:
com .
address: >:> ;::«:>::�<<:::, ..»::.»>:«< ..
.. .... ....... ........ ..................:::.�::.:�::::.�:::t;:.�.ii:•::i:•i":? ......::::::::::::::•:::._:::::::::•::::::::::ii•}i:v:iY'....}}}:i•}}]'•vw::r>.:::ii
...... ........ ........................:.::............::.......:::.:::::...... ::::::::... ..... hone. ...... .............................:::::.:
..... ..........�:. n.....:•:.�::::.�::::::..............
..... ...... .............w
...... ............................................................................. v.:....
...............
+;:j;:}:iti �{;:;:{::.:::.y�i:�:;:j:ii::4:'ii:i�ii�i::i;:;:;}:};i}}:YL:L::; {: }:Ti:>.::<��:i�:�:{].:;}iiiiri8;�::?•%{iJ:i-i•}:•}}:::::w:.�::]::•.
any name: � ......::.::.. - ;.}::.}]}•]:fi:::•<::;:;..>.::.}::.>-::;.";'':..
address:
"o'
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::.:
.........:::::.;;};:::.::::.:
....:::...............
............
. .......:.:::..:::::::
-..•."` .? ;i:{'.)';:ii,:%';i}ii:;isi�}:;:}:•.iy::�:�i:{;:ti;<:;]�:i:�:...::•.�:•:::::-::..
:..;: .:.::.:'r'•:•:::::.;..:.....;..-.:...:...:v:::.n....::: {4;::::.....................:.ry; .:i•:•,:::::i :v,:�:;�;;:ii::n i}:::;!�:
.. .:... ��i .... ..
':�::..,•:.....:.::.::.}:•:.':i:;i::i:•:v':•}:•iiiiiii:2�:tii}}ii::!4i:ti'vi:?C'viiiiiii:}:;::: ji':�:�i:}itii:::?�>:Ci;i:;:;{:i:;:jiii:}:S}:?{.:::�':;�'�ii'�iiS?:::;.;i.}.}•
insurance eo
g to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of er�ai penalties of a Hue up to 51�00.00 and/°r
one re to secure coy nt as well as civil penalties in the form of a STOP WORK ORDER and a line of 3100.00 a day against me. I understand thae a
copy of this statement may be forwarded to the office of investigations of the DIA for coverage verlflcation
I do hereby certify under the paint and penalties of perjury that the information provided above is ttrrw,and correct
signature Date /1_dGl1`ip' —
Pent name o C L C Phone# //7—9.2.s'—•?/��
aaff
official we only do not write in this area to be completed by city or town official
city or town: penuMcense# ❑Building Department
[]Licensing Board
M ❑checkif immediate response is required ❑Sele�•tmee a Otnemn
❑Health Denee
partrnmt
phone#; Other
contact person:
Umsed 9/95 P1A)
Information and Instructions
Massachusetts General Laws chapter 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 corrtr r-
of hire, 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 receive:
ti. 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 c
building appurtenant thereto shall not because of such employment be deemed to be an employer. -
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renevs
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h,-
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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 yo
are required to obtain a workers' compensation policy, please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tl
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. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you 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
a Department of Industrial Accidents
0mce of Ipyesdoadons
600 Washington Street
Boston, Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
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ie iDarnm2aruuea� �✓��1
BOARD OF BUILDING REGULATION
License: CONSTRUCTION SUPERVISOR
Number: CS 053660
Birthdate: 06/07/1956
Expires:06/07/2001 fir.no: 1084G
Restricted To: 00
DONALD L FOLEY _
10 WINTHROP ST
WATERTOWN, MA 02172 Administrator
HOME IMPROVEMENT CONTRACTOR
Registration 109212
•Type - DBA
Expiration "09/04/00*
D. L. F. CONSTRUCTION $ DESIG
Donald L. Foley
>! inthrop St
ADMINISTRATOR We.town MA.02112
M
BEKOFF. RESIDENTS
5^ NAUSHON CIRCLE
CENTERVILLE MA -
4
DECK PROJECT•SPECIFICATIONS.
A) ALL JOIST TO WSOUTHERN YELLOW,PINE PRESSURE'TREATED
B) ALL FRAMING STOCK TO BE_NUMBER l GRADE.
C) ALL JOIST TO HAVE;2XI0.JOIST HANGERS W/SPECIAL,NAILS.
D) PLATES AGAINST HOUSE TO BE ATTACHED W/ 5" X.1/2" CONCRETE ANCHORS
E) CARRYING BEAM TO BE LAMINATED;NAII;ED&LAG BOLTED 16",O/C.
TO BE CONSTRUCTED BY:-, ..
DLF CONSTRUCTION&'DESIGN
A 0 WMIMOP STREET
WATERTOWN,MA 02472
LIC#053660
REG# 109212
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SCALE:in feet
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MAP 190 N
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# 19 213
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- ) Map Parcel " 1,� j� Permit#
House# Date Issued
a
Board of Health(3rd floor)(8:15 -9 9:30/1:00- ®)�
Conservation Office(4th floor)(8:30- 9:30/1:00=2:00)'
Planning Dept.(19t floor/School Admin. Bldg.)
Definitive Plan Approved b Planning Board 19 INC
.-
Definitive Y g �
• BARN Jig • �c
6j 15, C ,
G
TOWN OF1 BARNST, EE'i
C, Building Permit Application -��®
Project Street Address_ _ J �wS�O,j C\CC�_e
Village
Owner JD5-1�' oN--� �'3ekC)C"F- Address
P
'Tele hone
Permit Request
First Floor `square feet Second Floor square feet
.Construction Type c7���i �"' 1 \��L, •� ���-� 0 r
Estimated Project Cost $ NS .v00
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
J 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.) f Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing ' New Half: Existing New
No. of Bedrooms: Existing New
-1 Total Room Count(not including baths): Existing New First Floor Room Count
J
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No,
e'�, Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name �noC�bc\ V�esNao Zr Poe\ C oc* Telephone Number LQ 1 LD
Address N IU 3 0 Q e t" C�ju 1,� R-0 License# 04,2_6 1� \Q
a�Sgo,-% Home Improvement Contractor#
Worker's Compensation#QC-\3(S i Ud�()
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON LOT.
ALL CONSTRUCTION DEBR RES LT' G.
OM THIS PROJECT WILL BE TAKEN TO
-
`SIGNATURE ' DATE ZIU1�'t�l
BUILDING PERMIT DENIE4 FOR TH ,LL, �, G REASON(S)
FOR OFFICIAL USE ONLY _
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. —
ADDRESS `J t VILLAGE
OWNER J+£j
DATE OFWINSPECTION:
FOUNDATION
FRAME i - � � � . ,: � 2—
INSULATION
FIREPLACE
EL_ECTRICAL: . ROUGH FINAL , — —
PLUMBING: ROUGH FINAL 1
s _ c
GAS:r ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT'
ASSOCIATION PLAN t '
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II DIMENSIONS
` A 16'-6,; 8 i E
_ 1
B 35'_6„ ..
N
' NZ
D. 3 —4 I Y X v, I ` Y2 I
E 3,-4„„ �.
ti A !I IW I Y1 Y , i M
G 4,,—p„ f / -fix v`
f H 6 0 = —L
J 14,_0„ N
. K ,11 '-6
? > M 8 6y .
N 4'—O" '~ PLAN-".VIEW OF POOL CROSS -SECTION
P 4'-3"
P1 4'-3" „
MANDATORY ROPE do FLOAT t
}
T 2 7'—O 12" FROM SLOPE CHANGE
W 4'8 1 /4"
X 2'8- 1 4„ li.. . . D '
Y 8'_�, 11
r � m
Y1 31 '7- 1 /2' -I- � � ���
Y2 33'6—3 4' G H '�'1�`J AGGREGATE2" SANDR(MIX)M ARDTBOTTOM
VOLUME 19,700 GAL LONGITUDINAL SECTION { x
jr PERIMETER 94' _. ,.: :• s
Mil
AREA 549.0 SQ.FT -
pj COPING' iLAYOUT IPANEL'' LAYOUT
8'
z STAIRS
8 8 8 3
=- ,
. 12 12 . , 6' 6 )6'
'
v
tl 5, 5' 8. 8
I t: 6' 6'
.
{ 12' .12' 8' 8' 8' 3
NOTE: 45" WEDGE
ty' NOTE: 18"08" COPING CORNERS
till i ANSI NSPI -5�� SPECIFICATIONS .{�.� '. 'I r:.F _` < -�-NOTES
�
1.'AII'dimensions .given are finished dimensions.
- THIS IS: A' TYPE ' POOL,_ ."il
} 2.' All pools are in accordance with the.guidelines established by
i' DIVING E Q U I P M E N T IS !.PERMITTED , the ANSI/NSPI-5 "Standards for Residential Pools",1995 and
;I ,
1996 BOCA CODE — SECTION 421. All pools must be constructed
to meet these standards and your local building codes.
�2'-8"�-- Y 3.'Information in this drawing is for reference only.`
TIP OF DIVING BOARD
20" r
` Title: 4
`WATER LINE LOCATED �. , I 6'— 6" X 3 5'—6"
6,-0" I 8'-0,. 5" BELOW EXTRUSION G R E C I A N POOL
f
DNING BOARD MUST BE ReVISed:04�17�97 DfOWln9 _NO.
INSTALLED AS SPECIFIED
l I 4'-0" USING MAXIMUM 8 FT
. DIVING " ;, Scale: NONE S G 1 635
BOARD OR 6 FT. JUMP BOARD_ Drawn: -C.L.R.
�tN OF A74S Structural Design Approved
only when installed In
3 TIMOTHY yG strict Accordance with
pppv 02
q WALKER upenutacturer's Inetructiona
CIVIL t--: T.Walker. P.E.
JNo. 31376/O
... i• 6/STD
SSoUR E
y,3•� COPING LAYOUT
/'-J35•CORNER(fYP.)
T T
6'
/6 6• 7• rs
8r 326. 1
q'3A
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?y• PANEL LAYOUT as'�lule�n�c,
4r3� g
//• /y, 7 X=BRACE
n DETAILA sl lID it iwa
wwa a oa+r
Pool Pod I I
Area Capacity rla t,lMOID MAm/il
nmw.ur,An Amu
Il m UAIX
566 /0,000 Rm
Sq.FL Gallons �t' =NE
OOLS
THI IS FOR ILLUSTRATIVE PURPOSES ONLYThe manutetrer makes orrY ihosa,epresenta ions`d'c'we wted h As written wananrY.Ar,Y°'"°` -c"to-v r aonttt leatuwmva
rpresentations,statements,a contracts,rode M Yr deafer andlar te erveattribcdaWe b Vre eatding mawials produesd M�nm^'01� u,n•uoThe dealer er eontraaor who$4E3 or In lefts YOur Pod Iskale ad w contral
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,• �fTME t� .
. . : The Town of Barnstable
• a�aivsrnsc.E. •
9�A ,m�' Department of Health Safety and Environmental Services
rEc " Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: UCSc ,Q Est. Cost
Address of Work: (� 5�-�4�5 �� C`P
Owner's Name �d�PP�• `cF
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner: c�
Date Contractor Name Registration No.
OR
Date Owner's Name
{,
/�tS Parcel ^ Permit#
-9:30/1:00-2:00) _ Date Issued '-1
9:30/1:00-4:45) • Fee. o-7
,Agrigineering Dept.(3rd floor) House# IKE
Plannin Deg ld .)
' 1 BARNSTABLE.
Board 19 .env. .
TOWN OF BARNSTABLE
Building Permit Application
Pr 'ect reet dress 5- �,�}y� $ PTO Awl)
Village (Z.P-iU r e e L) 4-L
Owner n e B.e �b �� Address ��� S 0 t�
T
Telephone
-Permit Request Z Z
.First Floor square feet
Second Floor square feet
Estimated Project Cost $ r
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use GC"-e.S l��--�d����- Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House pd �4_ Unfinished
Old King's Highway A/&
Number of Baths No. of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name e Y Telephone Number 7 9 a J "a/ I
Address License# 0
Home Improvement Contractor# . C)
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
SIGNATURE DATE /GAF
BUILDING PERMIT DENIED FOR THE FOLLOW AG REASON(S)
t
•r; f FOR OFFICIAL USE ONLY
f it �, c ' ,� ••. .. r -_ .. _ ,
,§ MIT NO�,'� !
D :TE ISSUEDI '
MP/OARCEL NO.
RESS { VILLAGE
OWNER rf,
DATE OF INSPECTION: ! }
FOUNDATION
FRAME•
INSULATION ,
FIREPLACE
ELECTRICAL: ROUGH FINAL '
PLUMBING: ROUGH '} FINAL
GAS: -ROUGH FINAL
r
•FINAL BUILDING
"I DATE CLOSED OUT
ASSOCIATION PLAN NO.
i .
°= The Town of Barnstable ,
MAE& Department of Health Safety and Environmental Services
1659. `� Building Division
367 Main Street,Hyannis MA 02601
Office: 508 790-6227 Ralph Crosser
Fax: 508 775-3344
Building Commission
For office use only
Permit no.
Date
AFFIDAVIT
ROME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"r=nstruction,alterations,renovation,nepair,modernization,conversion,
improvement,removal, demolition, or construction of an addition to any pre-adsting 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: Fst Cost
Address of Work:
Ov,mer.Name:
— T��r�
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
_
_ob under S1,000
Building not owner-o=upied
Owner pulling own permit
Notice is hereby green that: COtACTORS
OWNERS PULLING T14ER OWN PERMIT OR DEALING WITH UNREGISTERED
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 hcrcby apply for a permit as the agent of the owner.
f X0
ag
Date Contractor name Registration No.
OR
Date Owner's name
30'9
21'8
double 2x6 header
double 24 headers tO r r
t 4'1,0 )
1 I
I
°° LAUNDRY
`O
Fn
E
I
I
N KITCHEN 2'6
N 1372
� v
M
y
3'8"2O
*window&door headers to a S— 12)t1u S fi 6vJ
conform to mass bldg code table
2103-4 LIVING AREA (2 2 iv t,--R Ur L t-
�
L F �
/p Gv 702 sq ft.
LAX/ S 7`/,fir A17-clle-'
30,g
21'8
I I
�I I
OGo
LAUNDRY 'L-L � ob
O I N
I
I �
fV N
N KITCHEN ,
iv 1372
r
r3'8
1 LIVING AREA
�.9TL 702 sq ft
�O
Y
�8
LOCATION MAP
R 50 -_ a7.9
47 8
-, rt) C
/
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\,40
47
46 5 �� \i
50.0
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t� - --�
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—It
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48 6
47 5 1
t . ' •
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G� ` R r * �v C
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C7NT U to
2� Q&01�pOVA Cla(C,1,le-
PROPOSED SITE PLAN OF LAND IN
LEGEND- � 1 I BARNSTA,BLrE, MASSACHUSETTS
EXST!� .7 SPC r ELEVATK)N 0x00 I F
EXrSlT4G CONTOUR - 00 _
FINAL SPOT ELEVAT►pty Ox o=��,P� P u� I�yN AS PREPARED FOR - SCALE . DATE AUGUST 4. 1998
SWEETSER MR. AND MRS. BECKOF� i -30 REV.
FINAL CONTJUR - ----- o No. -��—
S01- TEST LOCATION �F
�- P,AiJL E. SWEE TSER.PROF ESaIONAL LAID SURVEYOR
UTILITY POLE _-0- P
! l oe 260 CHATHAM ROAD - SOUTH HARWICH.MA 02M (508)432-8539
TOWN WATER = W--�--IJ- _ gA1 osuav� ,FILE NO S!-EFT I OF j
CATCH BAST' 9j I 1`J85-00