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Home My WebLink About0127 NOBADEER ROAD .7 G �g � Yry ��? , 0 �1 i JVI -'� i �. ,. .. ..': i. .. - - � +Y �. ,.. 9 a B Town of Barnstable *Permit# vy Expires 6 mont krom issue date S PEMAregulatory Services Fee S , 1 , 72019 Thomas F.Geiler,Director C60 Y`Sr�� OF BA1 Building Division Perry,C$O„Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number X51 _ 1 00 Property Address 1 Zo-3��L,6c1 �-e c"r Rc� C► le C-w r 6g- tj 4 Cj�6 j -5 D residential Value of Work 3860 ,003 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name /1'�Ya� l�G��/� Telephone Number 'i ' Z'(Z- l 5 y� Home Improvement Contractor License#(if applicable) G /:S S—7 7 Construction Supervisor's License#(if applicable)Ca57 ❑Workman's Compensation Insurance Check one: 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 accompany each permit. 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 #of doors replacement Windows/doors/sliders.U-Value ,L^yE "� (maximum.44)#of windows *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. A copy of the Home Improvement Coutractors.License&Construction Supervisors License is req red. , SIGNATURE: yti�hj, � C:\Users\decollik\AppData\LomINicrosoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809, the Coninioniveadth of Massachusetts Department of Industriad Accidents 016Ce of Investigations 600 Washington Street Ractoia, MA 02111 yvlv►j?nlas&govldira Workers' Compensation Insurance Affidavit:BuilderslContractorst'Electrician-jPlumbe.r.s Applicant Information Please Print Le gib Name.(Business/ftmizationlndividual). i�j2� -jed�GtT�� Address: /S &A/M W C /State! : o c>i H �fj�f�O tJT f7� Phi Are you an employer?Check the appropriate boa: Tape of project(eegnired): 1.❑ I am a employer with 4• ❑ 1 am a general contractor and I oyees(full andlor part-time).* have.hired the sub-contractors 6. ❑New construction 2 am a sole proprietor of partner listed on the attached sheet. 7. 5 It odeling ship and have no emplo3ws Thew sub-contractors have 8. ❑Demolition waricing for me in any capacity. employees and have workers' n3'• I 9- ❑Building addition. [No woricers'comp.insu�nce comp.insureac required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp- right of exemption per MGL 12.[__1 Roof repairs insurance required.]T c. 152,§1(4),and we.have no employees.[No workers' 13.❑Other comp.insurance requited.] ;Any applicant that checks ban#1 roast also fill out the section below showing their warkets'compensation policy informatim Homeowners who submit this dfidat-it indicating they are doing all work and then hire outside comtractots mast submit a new affidavit indicating such +Contractors thnt deck this boa;must attached an additional sheet showing the name of due sub-coutrsctors and state whedter or not those enfi ies have eotploye4m. 71 the sub-contractors have employees,they—st pmow•ide their workers'comp.policy member- t t I am an employer that is prmdding waarkers'compensation insurance for lrtv et!lpioyees. Below is t)leprrlicv and job site t information 4 Insurance Company Name: 6 Policy#or Self-ins.Lir.. 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 MOL c. 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or vile-year imprisonment,as well as civil penalties is the form of a STOP RtORK 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 DIA for insurance coverage verification. I do thereby Gerd T der t irls nd 'es of ilry that the i eforaatoon provided above is Inse and correct Si tore: ate: ' Z6 2 Phone Q,frcial use only. Do not taste in this area,to be completed by city or town o,Q!lciaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citytlown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone ti: _. . 6 • BAENWASLE, 3 Town of Barnstable Regulatory Services 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 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ,r�c.rc\ �'i r�t to act on my behalf, in all matters relative to work authorized by this building permit application for: III (Address of Job) i Si ture of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dewilik\AppData\Local\Microsoft\Wmdows\Temporary Internet Files\Content Outlook\4STGU5QO\EXPRESS.doc Revised 090809 HIC Registration Lookup Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov _ Consumer Affairs and Business Regulation Home>Consumer>Home Improvement Contracting> Home Improvement Contractor Registration Lookup The list is current as of Wednesday,April 07,2010. _ You can search/filter the registration list by any of the criteria below. RELATED LINKS Search by Registration Number 1155771 Home Improvement Contractor Search Registration Number) Regimntinn Home Page Search by Registrant Name Search by City Zip Code Search Registrants Click on the registration number to view complaint history.You can also view arbitration and Cuammv fund histon•. Search Results REGISTRANT RESPONSIBLE REGISTRATION EXPIRATION NAME INDIVIDUAL NUMBER ADDRESS DATE STATUS RICHARD F PROCTOR,RICHARD 155771 15 AUTUMN DRIVE 5/7/2011 Current PROCTOR .SOUTH YARMOUTH,MA 02664 ®2010 Commonwealth of Massachusetts http://db.state.ma.us/homeimprovement/licenseelist.asp 4/7/2010 SdQ/Ao`J•sssyq•At" :o;iaaaR -asua311 slq;3o u01;930eai jo;asns3 sl apoj gulp ling a;s;S suasng3ssssyg aq;;o u0l;lpa•;uaaan3 s ssassod o;a[nllu3 samog Altus3 Z 1-91 pa imarun 00 00 :04 POPPIsa21 iNlass ichuscttti Dep.trtnunt of"Public S ttc.tt Board ol'Buildin!g Re„ulations and Standal'ds Construction Supervisor License License:'CS 92130 Restricted to: 00 r RICHARD F PROCTOR � ° a "15 AUTUMN DR IY SO YARMOUTH, MA 02664 ` Expiration: 3/23/2011 C4PIII III issi pile r Tr#: 14178 A0 1 Z m N - � -3,5 N l7 �hMT Vty outilD,4TtoN Glr{ZTIr- /-�T10� a d f A p S- (= K t-oT 1[v I.1013A tom. l2,_ D 3. 4UM, Nb.. WA \AJ(4, C A•hhvc, IQ6. ,. F/S.LMOU7rL1tMA, On the basis of try knowledge, information and ef beli , I ..Certify to YA��_ B that. as a: result of a `curve made Yon the ground OkV2< , I find that: Ile struoture(s) are looate on,`the site as :shown Wet APUAqG� wl-C �dwtilzoNc.t.(� #a yL.AV15. ;. 'The -title- lines and linea, of .occupation of the. ' site are as shown hereon. OF�,�� ; 1'he site is situated in Flood Gone N K Itiaz� 'G4�� M'ILIIAM . �y' `Commtu .ty Pariel. No.zh000( oOzo�, 'vate: M. �d Datet �: . tlilliam Warwick► �+� v` �" L Assessor's map and lot number Py FfNET� O O °Sewage Permit number .....: ...� /... /.. . .... d� • 4- House number ............. !..........................:.. I Y� N 0�y��K r SALL:? I t e 00 39 gQW TOWN OF C BASE „�T1 a; TAB:L-E Yv u' t BUILDING- IN PECTOR APPLICATION: FOR PERMIT TO ... l�.l.. .. 1.. . ..... ..../.� ,1....ov.....�/..�... ... 1. ......... .... TYPE OF CONSTRUCTION .......w.. . 2r'rT..�Y`G...l T'............................. }.......»r Ln :X n LC v; TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according-to the followin information: /per Location ...........4407—: .L.• ' ...L?.... . ./ P .. .. . �/ •,�� :l...e/."/./.t �. Proposed Use �Y'�..!�?�T ... .cJJ �.�./ l .................................................... ............................ Zoning District ....� ....Fire Distfict ......... .................. Name of Owner .,��. ::....... .....!.....�.../...J...:...:.......Address 1.�r�,�.T,[ � d.r.l.. 1`� /�7 . .. ................................! Address r t t t -Name of`Builder-'.. ...................... ....................................................:......:.......:................ /A<�r�Z!:.1? _ P— �Cll .Address .IPA-1... .. ....f��.��..... 1 Name of Architect �. . Number of Rooms ................... ................... ...... ........ .Foundation . .��l.uC`��D..... / G.r .. Exterior...�....�..A..�. J......:.........Roofing ...�� 2. Ir ........................................ ... .. ..... ......... .......... Floors .Interior .-! r `.—�\................ .... .........................:............. 1 `Heating ..... ........................... Plumbing i ..�..v... S ....... Fireplace .................. ................:.............::............Approximate Cost ....... ..��/ � ................................ LL, Definitive Plan Approved by Planning Board _----------______-.__________19_______. Area .,..,.1 .......�... e. .... ' n Buildin with Dimensions �'! Diagram of Lot a d 9 Fee .........� 7..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH v\ r L V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulation's of the of Barnstable reg ding the above construction. Name . .... ...... ...�........................ S TRUST No . 5740 Permit for . 1 Story ................... ........Single...Family,...�?W �..], l�g............. Location ...Lot 16 ......12.7....W]Rbade.ex...Road ..................CeneT.V.?.7. . ................................ Owner .....S..I...S...r .�15. ................................ Type of Construction ..........Frame................... ............................................................................... Plot ............................ Lot ................................ Permit Grante .......November 4 19 83 N.ove.mbe.r... Date of Ins ctioi` '�.......... ...( .........19 Date C m leted l TM TOWN OF BARNSTABLE Permit No. ___2 5 7 40 _ Building Inspector sae�n Cash 039 °'"v OCCUPANCY PERMIT Bond __—x____� Issued to L s 1-rust. Address 127 'Iobadeer Road, Centerville Wiring Inspector // Inspection date Plumbing Inspector / Inspection date Gas Inspector Inspection date Engineering Department S Inspection date Board of Health ! w) ` Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ..li�, r Z::,»... ...........:.j 19......_._ .:.....`....... ........'=.4.�'.. �..::�f' Building Inspector -- - s• - FROM - - TOWN OF BAR STABLE f '�. - BUILDI 'DEPIARTMENT' m �� 'Fran* 4i ,�{.ei4q. a F x 4 c ..8 -e r 2 x ` d .'y$�'*`' W.< g. .,. ,„,� •:•« . 387 lVIAIR STREET HYANNIS, MA OM Phone: 775-1120 SUBJECT: ; FOLD HERE - • - - DATE March 13, 1984 �Ai�E S$.A G E Woik'has been Ap .' plec3.5e. # r+..:m�.r a..a F,;+R ? g,x< C'f�!^1 ti• .. ta .r ew - -- _..A ,".. r - SIGNED DATE - R£PLY - SIGNED - Ne7•RMI - - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY -PRINTED IN U.S.A.- - SENDER: SNAP.OUT YELLOW COPY ONLY.SEND WHITE AND PINK,COPIES WITH CARBON IN