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Home My WebLink About0038 PEEP TOAD ROAD .a � . .e Q r �� ' .�i j. � - i � e .. .. �. yam'...e—a,..—wr w ._,.� �►s— -.: m �... ... j - 4 e .. .. > _ _ -_�—r .. �, e ,. � ,. .. P - _ F t. C .. n P n .. n � f - � - �� e O .. *` _ _ MAIL: ,r Fuci-le _C/o '"Lothrop 63 Prince Hinckley Road Centerville 02632 t TOWN OF BARNSTABLE Permit No. _______Ofn Building Inspector t�►�n.0 Cash - $560 00 (owner) �s ------------- --- OCCUPANCY PERMIT Bona No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ..................................................._, 19._ _ _ ................................................ ...._..........._._................................... Building Inspector 4 ? �i r fiAs l x r t' �, � a ,VT -✓/6r `� �{��°��Y ��: 1� ��V :� Icy •.�� (tit''y• r � �� ,�'�Y � ��•��'�4� �' 1. Fi iZ 14 7 , „,Y�C3. t y:. r`'--�'rl `� - '�' �r`[# } ��,-�!^' — ��r� -�-s•.'�a'-+-' •:.'--'F----�..f. ^ adw t-._t•. '1�q--:�'��' "�A *",e.�%'�' " �i�� ' :�`..ifs.-� a t i it � •,,"4' 4 i .. Y'1 \ -H nu ' o I Ys t >f u } V1 _ rt 714, i - sr ,:b!:' \ �� _ •.' e k. SSA +, .a yy f 7•• rt.�t.� it ' e� ^'i' w - 4•{••K� k F �I �'--�``.-��4 �._ � � :..-.•,�...+...= Y.. - �,:_w ✓'®-- -- - - -,- - - 'i---*r•ti.�--^a.....f Rai-°-�•Ia st��-I r e p % f t e� f .•. r d ,/i •fir i 54 Y s ax ¢+ CERTIFIED PLOT PL APh !."N Y� �tC,NS'.TRIJCTION ONI-Y Ile `tf : r rtOp rOF,; FOUNDATION IS y FEET At01F. LOW POINT OF ADJACENT ri fLA .J. � > e . RE'DGE' ENGII�£ERIIUG C®. 16�C�. _ �� g I CERTIFY THAT THE pot,CLIENT . of a��t� EGISTERO, r'REGISTERE®' LAND � JOR P90:� __��__ ON TI°tE~ GROlJi�O AS IPeOlrAptC k'.9d t�l tY ` . D CONFORMS TO THE 'Z,014IN a FNQINEERS,• _ Sl1R.V.EY.aR DR. ®Y:_ ® _�..__. ._Or. . fff ..•r_ ;-'�r;;:•!.7'H,�MA';S NYQNAti , 'RIIA�,,, Cbd�F'T /'�� / OYA�r C e+rn t. A AJn G`l#prf.'V•, Asses, 4r s"map and lot number ./...% s �. .. ............ IT at IVCKHE MTN TITLE 5 P Sewage Permit number 6�?.-12.5!.....�J...�.-.....2.c!?i"yl....n?�`` /�ilYd� �n ENVIRONMENTAL CO® STABLE, QQ ,r TOWN REGULAT1O1 MAO& House number ..R. �`'" t639 a wav a. TOWN OF B A"R N S T A.B L ESl9BJECT TO APPROVAL e' F 0 , T BARNSTABLE CONSERVATIC*.1 O G e L 9 G IN E C COMMISSION APPLICATION ....-'.'..1..1 c S rYI 'C... ��':�?... `...........................I �G ` . �� ^� FOR PERMIT TO .....�.�.Y.� ....................... .... .1.� � / TYPE OF CONSTRUCTION ........I1.2.CA..-.e..C..(........ -V4--L.C............................................................................ r r ...........�a. <.! .C:.��....?.:�......19,�'� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:P /` n Location ......... ..��.................�................ : '.. .. . .©m. :....... .. !:..:.....C....: !�. . a� ProposedUse .................... 4n.`?.l..C.r U.. l.^...p.................................................................................................................... Zoning District .............................................................. . .......Fire Distr'd ..... . `. TP f!!1 .`E' .TPA vs�Ile c� / .. .,..-.., ... `........... Name of Owner ..1�.6..�n. in.?.k..................................��,`1� �dre s C..��.... ............ ! ✓� `...:.:/,AS Name of Builder ..... .........................Address ....................��..!- .. ..................................... r .Name of Architect ..................................................................Address ..... ..... ... ......... ................. ... .................................. Number of Rooms ................................................Foundation ....7�G`J.l�e..:f',c<.....G�. :�r' s%-PT�e.............. .................. Exterior ...... cep .....5 .:'" /.. ... ..`r. �� koofing ..h4../.. .................................. Floors `:.Cr.: �� ........ ....... ..:..................Interior ...... ;7...... ar..//.......... .................. Heating .... ....... 4s .............Plumbing .......... ...�.rt. // l .p''?.. .: Fireplace ..Cr'`'G.l. 6(�UDo� �� .............Approximate Coster ��J:.. .... „ Definitive Plan Approved by Planning Board ________________________________19________. Area ...... R..` '... . Diagram of Lot and Building with Dimensions Fee `....�..q...... .. . ....a-0............ SUBJECT TO APPROVAL OF BOARD OF HEALTH r, - t C f 'r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namec ........... ......... ................ 1 (F DOMINIC S . rFUCILE, A • " -- 2209 Permit for .S.i g.1e.................. Fani 1 , . u :{. .... .r. . Y...AWelli ag................................ Location IAA.t...9.5R...3$...Peep...Toad...Road ...............Cent.ervi ii.e................................... I Owner ..A.R111inIc...S_...E©aile.................. Type of Construction ....T17.ame......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....Apx ' 1....7..1..............1980 ^ Date of Inspection .................19 _ ? i Date Completed ......................................19 e _ PERMIT REFUSED .. ............................................ 19 0 ��....... ........................................................... ..Y............................................................. i n-4A�proved ................................................ 19 . y............................................................................... F G7 i • 2- � t•-u, -�G'aeryc B , 0 !: /f' y M IA ® I^ 1 CERTIFIED PLOTi-' !- AN. . a �® Nt: W CGNSTRUCTIOW ON Y 7t?p OF FOUNDATION IS .y FEET IN :ABOV . LOW POINT OF ADJACENT � p'� O.AD. G SCALF � , yO DATEnt°, 1X j� •f t_.®KEDGE E�CI�IEERJJIJC C9..JAl �, i CERTIFY THAT THE �. CLtEPdT .. �._ iEGI3TERED, SHOWN ON THIS PL.AS ' s Ou.a'ED REGIVERED, i Cf'JIL LANb JOB NO. �_ ON THE: GIROUF�U AS IbOi' AsEC .t�� j _NOINEERS SURVEYORS) DR. ®Y: CONFORMS TO THE 70f�'Nt� A '9 j �. . ----- -- OF'. BARNS AB E , MA S iM A I'N C T 7' 1- ) CH- BY: P M�; :TH MA'=•4 r'YAN►dIS, ►iAA C6dFF� OF � f• �ir� nrn akin c,00 C%v °fIMIE Town of Barnstable Regulatory Services anaxsTABLE, ' Thomas F. Geiler,Director Mass 9�ATEa raa't � Building Division a � Tom Perry,Building Commissioner / 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.ma,us ' 9 Office:. 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPT_IO Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/townVinclude to zip code The current exemption for"homeowners"was extelude ow er-occu ied dwellin s of six units or less and to allow homeowners to engage an individual for.hire who dsess a icense,provided that the owner acts as supervisor. N O OMEOtiVNERPerson(s)who owns a parcel of land on which he/shr in nds to reside,on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accuc use and/or farm structures. A person who constructs more than one .home in a two-year period shall not be considered a Such"homeowner"shall submit tothe Building Official on a formacceptable to the Building Official,that he/she shalls for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance ith the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town o arnstable Building Department minimum inspection procedures and.requirements and that he/she will comply`with said procedures d requirements. t Signature of Homeowner IIf I Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be require to comply with the State Building Code Section 127.0 Construction Control. 110114EOWNER'S EXEMPTION The Code states that: "Any homeowner performing work fo which a building permit is required shall be exemp 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(sef 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 permit application,that the homeowner certify that he/she understands the responstbilities 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. . �.m mrrr rO�rfln lAO\L.:IJ:_.,.—e.....:1 Fn..wn1LYDD ACC Ann , . .. -. .• . ypQ 7HE 1p� P � + BARNSTABLF MASS.: ,� Town of Barnstable plfp MA'1 s � . Regulatory Services Thomas F. Geiler,Director' Building Division Thomas Perry, CBO Building Commissioner 200 Main.Street,AHyannis,MA 02601 www.town.barnsta ble.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder l 4 ; as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by sbuildingthi ermPP it application for: P '. - (Ad ess of Job) c Signature of Owner Da Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,the reverse side. Q:IWPFILESTORMSIbuilding permit formslE3?RESS.doc _ CERTIFICATE 4F LIABILITY INSURANCE °�"osi 0/2012' THIS CERTIFST_CATE IS ISSUED AS A MATTER OF INFORMATICH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE RC'LOER. THIS CERTIFICATE DOES NOT AFBIPJATIVELY OR N€GATIVELY MEND, EXTEND OR ALTER THE COYERAGI. AFFORDED BY 711L POL:CTES BELOW- THIS CERTIPICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR ?RCDU=-R, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an AMITIC'NAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject I to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) . PRODUCER CONTA:7 Eastern Insurance Group LLC MEO TAE 233 West Central Street A/` N `"' ADD. Nc Natick, MA 01760 PRODUCER PRODUCER COS%aaR IDA. :NSURED(S) AFFORDING COVERAGE - HAIC / IHsJR3D INDGwsn A: A.I.M. Mutual Insurance Co 33758 Wayne D Tupper INSURER B: 275 Black Cat Road INSURER C( Plymouth, MA 02360 INSURER D� INSURER E: ni9fIRER T• COVERAGES CERTIVICATE NUMBER: REVISION NUMBER: THIS I5 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIIED ABOVE FOR THL POLICY PERIOD INDICATED. NO^WITHSTAHDING ANY REQUIREMENT, TERM OR CONDITION CF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C_RTIFICATE HAY BE ISSUED OR MAY PERTA=N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWY MAY HAVE BEEN REDUCED BY PAID CIAIMS In.r POLICY NLMEER ?OLICY EFF POLICY EXP :IMITS I•t° TYPE OF INSURANCE tNN/Ponxrxl :NN/m/rrrn GENERAL LIABILITYEACH ox-upnH/z 9 ❑COHMIRCIAL GEN3RAL LIABILITY DANAGE TO RENTED PRP3DSEB(Ea.neeurrenoe) S ❑❑C—I,s HADE F�CCCUR Iff.D ExP (AnY one person) S ❑ PERSONAL I ADV IIVUR'Y 8 ❑ GENERAL AGGREGATP. 9 GEN':,AGGRE3ATE LIM;T APPLIES EN: ❑POLI-Y OPRCJEC7 ❑1.CC PRODUCTS- Cohn/OP AGO 9 ' I AUTOMOBILE LIABILITY (;a,IDiNEo EIHGLII LIN7r (o. accident) ANY KC70 BG➢I�Y INJUAY IPer wrauul S ❑ALL:.TINED AUTOS AODI LY YNJVPL1U,ar accsmncl S �scHEtw:.eD stenos PROPERTY DANA= 3 ❑ETRED AUTOS (per aoridecti ❑DON-OUNID AUTOS 8 ❑ S ...ILI LIAR OCCUR EACH occO uCE 0 ❑EXCESS -A. ❑ CLAIMS Wl➢E AGGELECLATE 4 t DEE:ICT:BLE ❑REIENT:7N 5 'I, , WORKERS COMPENSATION ® _ OTN- AND EMPLOYEES LIABILITY THE PROPRIE.OR/PA7TN_RS/ - _ E.L. x 14 Ac=oEHr a - 100,000 .. _ EXECUTIVE OFFICERS ARE _.. .... A ❑ incl ® excl 7006895012022 E.L. CISEASE-P➢:ICY L7NIT s 500,000 05/31/2012 05/31/2013 E.L. DISEASE-."."FLOYSE a 100,000 CDt2=TS J DESCRIPTION OF OPERATICRS OR LOCATIONS: WAYNE D TUPPER IS NOT COVERED BY THE WORKERS'COMPBNSATION POLICY. CERTIFICATE HOLDER CANCELLATION J. F. CARPENTER SHOULD ANY OF THE ABOVE DESCRIDEC PGLI CUES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DE:IaRED :N AZCCRDAHCE WITH THE 17 COLES LANE POLICY PROVISIONS. PLYMOUTH, MA 02360 AD:XOA:zED AEPRESeNTATI r J 1 L'd V00L-9tL-909 uoi}onalsuooJejuedaeo Jr I4t l 1/l 1 I Board of t3uildin;,Rcrulatiuns anti St uitlaryls Office of Consumer Affairs&Busloess Regulation HOME IMPROVEMENT CONTRACTOR Construction'Supervisor License' " Y, i Registration =;1:70169 Type: License: CS 105860 f Expiration: -Individual WA NE TUPPER' i, i ." WAYNE TUPPER 275 BLACK CAT ROAD WAYNE TUPPE140, ! ! PLYMOUTH, MA 02360 275 BLACK CAT REW 4 \ , PLYMOUTH,MA.02360 v Undersecretary Expiration: 11/18/2613 t t Icr Tr#:.105860. License or registration valid for individul`use only before theexpPration date. If found return to: Office of Consumer Affairs and Business Re . of gulation 10 Park Plaza-Suite 5170 Boston,MA 02"116 ' Ia 1;4, i No ali d w'tho r, t signature g re �. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Al A—WC Itawz. Address: v2 7 t City/State/Zip: / /yf , ; �` Phone #: Are you an employe ?Check the appropriate box: Type of project(required): 1.E2. 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, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 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.❑ 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. $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 provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: //T Policy#or Self-ins.Lic.#: —2 0 Expiration Date: I`-) r- Job Site Address:_ �/��/� (�/li 1 C'/2 City/State/Zip: r,ZI . 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 DIA for insurance coverage verification. I do hereby certify under the ains and penalties ofperjury that the information provided above is true and correct SiQrrature:z �� Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions mti� k 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 rson in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,ass ciation,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and includ' g the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,associa on or other legal entity,employing employees. However the owner of a dwelling house'having not more than three artments and who resides therein,or the occupant of the dwelling house of another w o employs persons to do aintenance,construction or repair work on such dwelling house or on the grounds or building urtenant thereto shal not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also stales that"every s to or local licensing agency shall withhold the issuance or renewal of a license or permit to op rate a busin ss or to construct buildings in the commonwealth for any applicant who has not produced acce table evid nce of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7 states' either the commonwealth nor any of its political subdivisions shall enter into any contract for the performance f pu is work until acceptable evidence of compliance with the insurance requirements of this chapter have been prese ted o the contracting authority." Applicants Please fill out the workers' compensatio1�y vit c pletely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)nameess(e and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies r Limite Liability Partnerships(LLP)with no employees other than the members or partners,are not required to orkers' co ensation insurance. If an LLC or LLP does have employees,a policy is required. Be advi this affidavit ay be submitted to the Department of Industrial Accidents for confirmation of insurance e. Also be su to sign and date the affidavit. The affidavit should be returned to the city or town that the apn for the permit license is being requested,not the Department of Industrial Accidents. Should you have aions regarding the w or if you are required to obtain a workers' compensation policy,please call the Dep at the number listed elow. Self-insured companies should enter their self-insurance license number on the app line. City or Town Officials Please be sure that the affidavit is compl a and printed legibly. The Dep\nsu ovided a space at the bottom of the affidavit for you to fill out in the e ent the Office of Investigations you regarding the applicant. Please be sure to fill in the permit/licens number which will be used as a ber. In addition,an applicant that must submit multiple permit/license pplications in any given year,nit one affidavit indicating current policy information(if necessary)and un er"Job Site Address"the applic a"all locations in (city or town)."A copy of the affidavit that has een officially stamped or marked by the city or >wn may be provided to the applicant as proof that a valid affidavit' on file for future permits or licenses. A new affi At must be filled out each. year.Where a home owner or citizen is btaining a license or permit not related to any busine or commercial venture (i.e.a dog license or permit to buns lea s etc.)said person is NOT required to complete this of avit. The Office of Investigations would like to thank you in advance for your cooperation and should you ave any questions, please do not hesitate to give us a call. The Department's address,telephone an fax number: e Commonwealth of Massachusetts epartment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Town of Barnstable *Permit# TF1E Expires 6 months from issue date Regulatory Services Fee BARMABM MASS. g' Thomas F.Geiler,Director 1639. `m pTpC MP't& , Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barmtable.ma us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint lV Map/parcel Number r� ( � Property Address > /" /�° ►D 1 o [Residential Value of Work 00 0 Minimum fee of SA00 for work under$6000.00 Owner's Name&Address on/ya 1—C U c l f Contractor's Name W L r-- G` Telephone Number ` 1720 Home Improvement Contractor License#(if applicable) ?0 / / Construction Supervisor's License#(if applicable) G �/ ❑Workman's Compensation Insurance MAY U 6' 2013 Check one: ® I am a sole proprietor TOWN OF BARNSTABLE ❑ 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) N �] Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken tojpj ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required'. *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 Contractors License&Construction Supervisors.License is required: SIGNATURE: M\L.::1A..:-..o.,..:+fc11ZYPRFCR(Inc! .