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0053 EISENHOWER DRIVE
� , i �. ��� �, i F. '�- t °F1KEr Town. of Bar nstable 2,4,r. �3 �. Q. Expires 6 m th rom issue to Regulatory Services Fee • .anxrtsrnst a Thomas F.Geiler,Director v MAss $ q, i639• Building Division ®� pl fb�,t h Tom Perry,CBO, Building Commissioner - 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 Property Address R sidential Value of Work l 4 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address S-3 JF, 5eou � IT55:�c�Cts�4� G' Telephone Number Z v�-�71 r�7� Contractor's Name P Home Improvement Contractor License#(if applicable) i dorkman's Compensation Insurance Check one: ❑ I am a sole proprietor -PRESS PERMIT ❑ I am the Homeowner �l have Worker's.Compensation Insurance L NOV 2 5 ZOOS Insurance Company Name- TOWN OFBARNSTABLE . 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 C'* replacement Windows/doors/sliders.U-Value 0 " 3 (maximum.44) s ' *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Hi c,ConsertWn,etq- ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. .. r N co F rrt SIGNATURE: . Q:\WPFILES\F0RA4S\building permit forms\EXPRESS.doc Revise020108 I T _ . � ✓� "t�J049t977"O0'ZC(lEQ�Gft O�✓/�GC�d .6P.� License or registration valid.for individul use only Board of Building Regulations And Standards before the expiration date.,If found return to: HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards Registration: g535 One Ashburton Place Rm 1301 Boston,Ma.02108 Expiration: 7/24/2009 Trtt 130185 Type: Private Corporation MOON ASSOC INC JAMES MOON �/ _. •� : 1137 PARK EAST DR. : �„` Not valid ithout signature WOONSOCKET,RI 02895 Administrator i - . Its 4.1si�rltl)(3�l'tl� - C(}1tyT.t}1lEli?It l}I}�1i : 114Q1;. Restricted to. RF,Ws ii:}rti of Bl}illlit}L_ Rri-ttl aimrl ,and `Ltatttl Ord, - .-Gonstructior. Supervisor aper=at�Y/!} ersn 1A- Masonry t Ec nse: CS SL 99840 RF- Roof Covering t WS-Windows and Siding Riitrirted to: RF.W SF- Solid Fuel Burning Devices DM-Demolition only DAMES MOON 48 PAINE ROAD Failure to possess a current edition of the CUMBERLAND, RI 02864 'Massachusetts State Building Coale is cause,for revocation of this license: Refsrto: NVNVW.Mass.Goc/D xp,ranow 31=012 t .L„���rt4,i,ni•r. Trw: 99840 ' L IFrom'.Si munna Robinson,Hunter Insurance At:Hunter Insurance,Inc. FaxID: To;Denise Glode uate:w/,-,wru:s ,aCORG. CERTIFICATE OF LIABILITY INSURANCE OP ID � I}ATE(Mt:IFDDtYYYY] r�aOz�A-1 0 9/2 9/fl a PRODUCER - .: ..._ .._... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO BIGHTS UPON THE C6RTIFICATE Hunter Insurance, xn,c'. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 389 Old River Road, P.O, BOX 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RI 02838-0001 Phones; 401•-769-9500 E'ax:401-769-550;2 INSURERS AFFORDING COVERAGE NAIL (N^�UREO� INSURERA xtiionxl axanAr Tr-uraucw co Moon Associates Inc. IaBA Gutter Helmet INSURERS: a�xean t4utuAl xn*0xxACR cv. ABA ReneTral ba�rr ,,n�dersen of RI 'INSURER DPIA Gutter Helmet Roofing 1137 L'c'1 k East Drive INSURER D: Waansoc et P.I. 02895 INSURER E: ; COVERAc3ES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOrAffiTHSTANDiNG ANY REOUIR15MENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL M4E TER)AS,EXCLUSIONS AND CONDITIONS OF:SUCH POLICIES.AGO GATE LiMn SHOW N MAY RAIrc BEEN REDUCED BY PAID CLAIMS,. ILTR RNSR TYPE OF INSURANCE POLICY NUMBER DATE{h4MICOAIYYI p TE h1MiADiYYi LIMITS GENERALLIABILIIY EACH OCCURRENCE $1000000 A ;{ COWvIERCIAL GENERAL LIABILITY IAPS26619 09/16/08 09/16/09 PREMISES(Evocurenco $500000 cL,-J,.43 NVOE Lx I OCCUR WED EKPP IAnv one porson) $100 0 0 PERSONAL a AOV INJURY' $ 10 0 0 0 0 0 GENERAL AGrAEGATE s 2 0 0 0 00 0 GENLACGGREGATELIMITAPPLIESPER: PRoOLI £-COMPIOPAGG $2000000 PODGY P LOC AUTOMOBILE LIABILITY COMBINED SENILE LIMIT A X My AUTO BlS26619 09/15/0$ 09/16109 (Eccctfdolu), $1000000 ALL OWNED AUTOS BODILY INJURY 1EDLILEDAUTOS (Perprsrsanl $ SCt- HIRED AUTOS BODILY INJURY NON-O'A, D AUTOS (Por awdoro PROPERTY DAMAGE $ (Per student) GARAGE LIABILITY AUTO ONLY.EA AMIDENT $ ANY AUTO OTHER THAN EA ACC `P AUTO ONLY: AGG $ EXCESSIUMBRELLAL"ILITY EAC14OCCURRENCE $ 1000000' A OCCU(a CLAIMS MADE C(S326619 09/16/08 09/16/09 AGREr,ATE & DEDI.ICTIBLE X RET•ENno.N $10000 $ WORKERS COMPENSATION AND TORY LI'Aa EMPLOYERS'LIABILITY B 2$S86 0/01/08 10/01/09 E.i.EACH ACCIDENT 4500000 ANY I='ROF'FtIETC3it/PARTNERiF.XECU'fIVE OFF ICERIMtL:MBER EXCLUDED? E.L.DISEASE-CA EMPLOYEE $5 0 0 6 0 0 SPECIAL PROVISIONS bow E.L.DISEASE-POLICY LIMIT $50 0 DO 0 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEIUCLES I EXCLUSIONS ADDED BY ENAORSEMEW7I SpEGUiI PROVISIONS CERTIFICATE HOLDER CANCELLATION BUILDTN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE;EXPIRATION DATE THMMOF,'THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10: DAYS WRITTEN Building Cont. Reg. Board., NOTIC$TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 60 SHALL Dept. of Administration IMPOSE"NOOBLIGATION OR LADtLrry OF ANY KIND UPON THE INSURER.ITS AGENTS OR' One Capitol Hill Providence: RI 02908 REPRESENTATIVES. A O REPRESENTATIVE LP *D AcORD:zs(200110e) 0 ACORD CORPORATION 1588 The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations i 600 Washington Street Boston, MA 02111 $' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le>sibly Name (Business/Organization/Individual): /y S©G1/7 ,& Address ,� (3 •T— City/State/Zip: oz9�t5o d� o ��Phone#: Are you an e'mploy60 Check the appropriate box: 4. I am a general contractor and I Type of project(required): 1 I am a employer witfi:_ ❑ g - 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' [No workers'comp.insurance comp.insurance.t 9. ❑Building addition:,..' required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or.additions 3.❑ I am a homeowner.doing-all work officers have exercised their 11.❑Plumbing repairs or additions myself tNo workers' comp. right of exemption per MGL 12.0 Roof repairs , insurance required:]t c.152, §1(4),and we have no employees. [No workers' 13.�a Other 6 comp.insurance required.] *Any app(icatit 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 new affidavit indicating such.. #Contractors.that check this box must attached ari 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: eacgN Policy#or Self=iris:Lic. ' 0 1<:1 Expiration Date: d 0 Job Site Address: City/State/Zip: lw i 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 pains,and penalties of perjury that the information provided above is true and correct. Signature: Date: _ Phone#: n[ 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 1 Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: M AK, r+' k a { .: ... • n� M i Y Custii merNime Setrl3tii€i 37 t' Addmss ��:' I Sh'J� _l�n C ucomcs IDe �- a s ' Sc`lIBS i� 'E'IT�E`I3t'... 11137 P rk East Dn e o . ., City State Zi �'0 Tv t 7" ,F�A `6':2.,C 3�" C�ider:t3umbcr �X%oonsackct,.Rt U2895 Ri A[Cape Cad Y zidet"S�'il. Q WINDOW,;R£PUtC£MENT aah.:cL�att!C.empa::y -,.. $9 MA=17�i535.CT56272$., pPI70R 11btlC _! 1CerM 122 Page: . DF= Dace: i #R1 Eiriaii: '• ' UNITS Technical Measure: n Dimensions GRIMES e } '. . IN.GL`8• Ad`.-g`'•. C.a0..i mE.t2. •_.$a},,�� .'x..:° i _N3gg .=u_ 31.''Njfl �.... 03i':, 'V'J"' t9 rsm ro9 $ o a$B Room .8 c« nS c M� .( 0, 0 T To � NDesaiption 9 . ros PRIC$8g 'a - 5 W !Z` _ o r , _ _ 3 .<. �.:Z i::i ItJ bizrt r Cv CV tip pro osal.Ail of i?so a -s Miscellanc t - Sub Total - 'bm'cwiodou rod doors br t t tvmdedb r h Bata: O S Credit$Or 1•it Gn:.p P a e amount eea;ed m�c T.n: ceS {aagr>) . ' '. amjsnas{yyp sezuain val'sdhsr ya aaci ixs 'tst to acc:Pw.n<c iiy.boih Cnsta:tr asd R,ane+vat by�c�e Mnnager as �' .. .{S2uvng,.WraF,ItotRePair,$romatinu;cic7 ��� Payment-MBthQd .� oicvi.lW aawn:� .. 7 j --, ck Descordon f Noto' .,s T°sicr 3 Sub Total coos.ro F Date - cu tb 1-dosser Sal Rtprzstmnt—c S:{,n tt 0✓ �, -_... 5 Sub Total tafl aage i Cu&tnitler ACCrpt CC xnt rut httbv dwnzed Curovsh oil arwdcan and d000 reC"irtd m us .tfar . Mist-Credits of �f Credit Card mt, emtnrfat }•tch H,e ondtn.�s'<:sed agten tr,lnp s.'!o aac.wa.Hied"r_i rku5 ag+'tumrt and acmr<�ct^,w kt t ms iucca£ �.�`:fi.L_7Y j} 1.WU4( 41^ /4 L.tyM11'J EKp?Met' See Reverse Side for Terms and Conditions of Sale.You,the buyer,may cancel Iota Li financing this transaction at any time riot to midnight of the thud business day after _._.....__ _.._ f^ the date this this righton, ease see attached notice of-cancellation for an 1 Salez Tax. —.� om�edataR explanationt�Of[ht3 r3Q„ltt. - / Total Prtu.-ctene�lu Credits or F.Vmses Act trd d_,}t. sh -I.— Adtitia�ai Qrdat rmmsAttadced cy ` UO --C'�..�.. ! iatryover-oo! m%sc.omit/tx!vr. ar dghtj Work Permit-Cost �.! tPiesse drde atl that ..; 1)ait SO t.•lpprowf Sigoatert I .__ .. 1. ®AD°Y) .. Acc<pttd:: - Spec Total Amount semen ai Order Notes Tot moo t Agreement -"af 17am oyAadcsstn'N vH r5:gnarue - tZja57 el C-R fl.� Deposit Required a, C=1�' aSPadaltyWmdaw r ... wwtyYpaa c-m stoirag or Renawai by Ad—dersen Rrawral and min teba. Fe m;tote that wa are uraDle m b d or,repri sag �.J [ F Balance Due on CAm lebori' f vrdipagtving whtcb may <bes m.,araatee the of xntaw<oue<utgs are arv/urseer,damzge.Novrrxr tiny srseen damago 0 fl 8 - p �! "T — T_-- beneededhnoiindudad flu cF at rvindwv solely tha aesPrsstddi7a 7tdis<avoteadadng!mtan —.isr Piet. in ihs aaggraemont uskss ravedru,Aafter ae'a units the outoner urJess and cbatgeyaa far the m{k Mapan your approval. (5, .�10 Is,'�,(, b�•. _ Pr[x:includes fabo;,ntamrials,ittctallation, spati.9raily mw.bo are L%nllad, 1A.Mw:;wiwi nr the end Fthejaban onstlutt:.m dtbrovati be .."" . ai med a ekaa Y... wbd.,K ant : White-Renead b Andersen vellow-lnstal,'ation Pink-Homeowner remtwai,and disposal of prtxirea replaced. CUAtomer ls � CL{iomer �� Customer �)d� !Ae mall tsar.alca. K r p Assessor's office(1st Floor)- r Assessor's map and to umbe J A/'^^�� i-THE ` Conservation M216T1X0 Board of Health(3rd floor). . �� Sewage Permit number +� DAB377LDLL i ENVIMUMMAL y. Engineering Department(3rd floor):House number TOWN REGULAT9 � Ct.�v/1" ., Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO f; o u��i2y C-r A w] A fl p�-[ a� n X vST 1�3c TYPE OF CONSTRUCTION 2c,y a,-Q C6 N 2F--r T-RArrn �a �.,r WOOD Sri 1'ton 'X7E¢i6v- 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5 3 C1=b2 New rc :i�rz . i-n -r u 1 z M as 8 _ S Proposed Use ;?�s%fl r-b. -r.Q . -T w e i , , n Zoning District Fire District (:::o--ru�t-- r Name of Owner 38m Es -T. 1'�, c w AL.0 u F- Address�_3 'E S r'tv Ft n uj -r- Rz 'De Name of Builder ,a.m es A%A v s Address ,::T A E►.S� ,. Ern , rZ p.g Name of Architect QQ Address Number of Rooms 2 Ca e Ga r-Ag,c -- 1 Foundation To.,rLv- n eo T N C2 T G - l'On't tG !j�ICII 8AS1=m�NT. Exterior X ]Otiv i�� 4 tA,a�rvn a cv er a� Roofing - C�OOTi-2. �i-11NGztES CMRZC4t 1�Xt4tiNcr Floors Interior Heating tt3a+-r r-Az Plumbing - � Fireplace 14 o N F=— Approximate Cost��OO Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 0 w N e- lr' DONAHUE, JANIES T. No 18 Permit For BUILD ADDITION Single Family Dwelling - Location 53 Eisenhower Drive Cotuit Owner James T. Donahue ; t i Type of Construction Frame l Plot Lot , Permit Granted July 12 , 19 93 S Date of spe /lam 11 3 !)19 Date Completed ,`':_ 19' l Q� (�rA-)5�-c L 'Ilk AssNssor's map and lot number ....t ........... .. . .... ... ....... yoF THE Tod Sewage Permit number ........ ............... A-v SEPTIC SYSTEM MU TAELE. INSTALLED IN COMPLMABa House number ........S.3 .............. ...... ........ ...... WITH TITLE 5 1639- C LC D TOWN OF BARN'S ULATIONS BUILDING INSPECTOR : . ..........APPLICATION FOR PERMIT TO . ....... 1.4 A ........ ................. TYPEOF CONSTRUCTION ........... ................... ...................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned! ndersigned hereby applies forapermit according to the following information: Location ..........44,f.-14....Z/(O........ .6.4!�. ..... ..... ........ ......................................... ProposedUse ......... ...................................................................................................................................................... ZoningDistrict ................ .....................:..................Fire District ........ ......................................... Name of Owner ... 914,16 &&k- j .. ...............#I............ ....................Address .... ZA .. r. Name of Builder ...................5�6�................................Address ..................................................................................... ... ............. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................6� .................................................Foundation .......... ...........................( ...... ....... Exterior .......... ....... ....Roofing ........ .......................................... Floors . .............................................Interior ................................. ...........Lx.a_�.�.. .................. ....................................... Heating .............. 6o '1!!!�... ... .. ....oz ......................Plumbing .......... ......................................... ............:,. Fireplace ............. .....................................Approximate Cost ................ ....................... Definitive Plan Approved by Planning Board --------------------------------19-------- - Area .......................................... Diagram of Lot and Building with Dimensions Fee ................... .................................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ,no tjo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............... ...... . .... ..................... XCSHANE, JOHN 7 -x Permit forPlig...at-qu.............. -3 ..........S.i. 4M i.I Y...vve.11ixlq........... Location A. F, .. ,qP-nhawzr ...Dr. Cotuit ...........I.........:.......................................................... Owner ................................. Type of Construction Fr.ame............................ ............................................. .................................. Plot ............................. Lot ................................ 14 i Permit Granted ..........J.une 23 / ,................1.........19 91 Date of InspetAr 6 ........................... .......19 Date Com'ple ed ... ............ :vi 9 PERMIT REFUSED A- ... .......... . 19....................................... . ......�kk.nv.........A....................... ........ A R,............ ................ .Z'........... Af ........... .=. . ............................................. s ........... Approf�,d............ .................................... 19 C.;ik ................................................ ......00,�z Assessor's map and lot number t .. !......... ......... �..� k CF THE TOE r Qv •i t 'Sewage Permit number .... ,) � -* ........... ................... Z 69BHSTOBLE. i House number ........:.. ........ .:. .....................:........... ro nea 1639• 9� MPS a� 4..} TORN OF BARN.STABLE BUIL61NG' ' INSPE-.CTOR---_ APPLICATION FOR PERMIT TO ........ ......" /sE�GT 4 •� �... .... .�. ....................................1............... ............ TYPE OF: CONSTRUCTION ............ N ........ ...... ............................................................................... F ..........5 '.................. .19,....� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: rzj Location ..........44..�....V ........ !s?- ? r�t? 2,/ ... ....... .�... .............................................................. ProposedUse ........ ?..a..................................................................................................................:............:...................... " r Zoning District ................!..G•. .........................................Fire District ........r /1- ? - ............................... Name of Owner ... .................1` L`' '�../................................Address ....�..cr.�...� f� fiJ Nameof Builder ...................� Q............................Address....,. .................................................................................... Nameof Architect .............:.....................................................Address ......................................:............................................. Numberof Rooms ....`................................................................Foundation .........!: ...........................................................f �t 'ter .r Exterior Roofing .........?�....... Floors .... .. .....................Interior Heating ............. ...�.. ,> ?.. .a 1.!......................Plumbing ..........., ... ...................................... P 1. Fireplace .............. 'Sl ifjAl ...................................Approximate Cost .............. ..��'� ...................... Definitive Plan Approved by Planning Board ________________________________19_______. Area <...`................. Diagram,-of Lot and Building with Dimensions Fee - ........... ✓ � SUBJECT TO APPROVAL OF BOARD OF HEALTH t X S , n i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above f construction. f. I Name ........... ... ............................... AcSHANE, JOHN A 39-95 No 23223 Permit for One Story ................. .................................... Single Family Dwelling ............................................................................... Location Lot #26 53 Eisenhower Dr. .........................:........... .. Cotuit ............................................................................... .... . ............................ Owner John Mci ne �................. ................ rame Type of Construction ..................................... .............................. ................../.............................. Plot .............. ......... Lot"' .................. Permit Granted .......:%T.Uue...2.3,.............19 81 Date of Inspection ................ z...............19 Date Completed ............... .......................9 PERMIT REFUSED .........................................*.................... 19 p ./^..�s.......... i1114 1 r/a ...... � . II..7 ..................... ............................................................................... ................................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... TOWN OF BARNSTABLE --_-___-__ ``, •e Permit No. -------_---- -- Building Inspector 1 VA"STAn Cash rua -- - oo�CYPV•`� OCCUPANCY PERMIT Bond 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 7n;ip Address 15 Wiring Inspector �%;' r -- Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department L _ -, ;�;,< r':� 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. ............................................I.......... 19......_ _ ..........................................................................................._.............._._ Building Inspector '`� "�4. ti+Y �-1,�. �:�; r -�r� -»•.e!.. x `ate + ��p ..—� ux� f'17t Y':� •" Frtt'` ♦ :+��` �' � - -,1 ar �r �,y,,.S# •('', ,}„ r 1'Y •'.c' r{R 'r' t y w. +K. [ - r `,r+J.,R y' _,� ~{ � •� _sr'.� H.. ..�, r )c•.1 !" a, �` .'}'"'a� �rr�, s• •��_ ''N�_ �' 3'* f�.4,rr 'i -�. `�y- '.�,e+,. ,'� ,y., Y s�•r.• .-f. a- �.>+`.3^ �,`t,"4 S. `* P_ 'r' 5^r s'.• s.• 1 . .�'� �, .. i a.- .W+. rr,-. if" +` ,,Ft:-9•ti rrr�`�• ,+ >y' �• ;n i�-#.. 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'� 'F F`�L i'� "'c. :.� �aY>r,r, 'z``;''�i�.o ';S�' � A• •`•,a,ai Rr ''+} _,fz a ,`� -. ;r64r•' is ,r+.` hs 't".•4-s •'+::3 �•t`L+}9c - ac r "'Q�i,��s` ::'ter; rb' `V'^k.., .q, r._a�.:v: F '•,nc,' `"`4y'a .. r.. - r. t•..1.. � > 4{ r.,a.,,',-_.� •` z 5..w r. :Y �.r - . v �{9 Yoh.p A • ��;'•. ght•'..,.d1 �� of r ? t TOWN OF BARNSTABLE BUILDING DEPARTMENT 0 •� HOMEOWNER LICENSE EXEMPTION70 Please print. 4 7 S x?l+tit ff *�yP JOB LOCATION r S E N p E 2 cyg ^ Number �_ ns ,y Street Address Section Of Towne .Sr `!fib 11 HOMEOWNER" , Y tj Name Home Phone' } PRESENT MAILING ADDRESS Work. Phone 34 t ! r•a,7L - " r" tK C• i ,', , ti a C•. ty Town a State Z The current exemption for Z PtP0. , occubied dwellin s of six units°orelesswandas etoeaded to include owner.!. $ �v. eta+ 9 ge,. an individual for hire who does not to all a low such homeown-$the' owner su erviso license t acts as p }. r provided tkg°t' DEFINITION OF HOMEOWNER; ` R { 1 ; ! �Per'son.(s) who owns a ,', reside parcel of land on which he/she resides or on which there is intends tp: . dwellin or is intended to be 9► attached or detached structures accessoryone to to six family K structures . A person who constructs more than V, Period shall not be considered a homeowner. to such use and/or fg` n one home in a two he .Building Official on a form acceptable Such in shall subm � that`he she shall be res onsible for all s p o the Building Official, 'fa building permit. (Section fog . l , l � uch work erformed under y= The..'..",'.undersigned �h State Building Codema�dnotherssumes , s ponsibilit p �'rregulations. pplic 1e codes y for com lianee with tlie` { by-laws, rul-es ..and The undersi ned 9 "homeowner" certifies that he/she understands 4 ;Barnstable Building :r .quirements Department minimum rstands the Town �!4 inspection of ,;,, •. procedures and i f HOMEOWNERS SIGNATURE OF ' BUILDING OFF �� 4 ti1 4 I C I A L 9----. l.r Note; Three family Y dwellin s red re comply g 35 , 000 cubic feet Contro1 . ply with State Building or larger will be ' g Code Section 127 . 0, Const "} ►�N ems: - t3 R ruction � rS ^ii: S a s t HOME OWNER ' S EXEMPTION The code states that : "Any Home 'Jwnex performing work for which a. building;. permit is 'required gall be exem,:t. from the provisions of this section, (Section 10-9,. 1 : 1 - Licensing of Construction Supervisors) ; provided that,df:, . Home Owner' `en a es a q g person ( s ) for hire to do such work, that such' Home Owner shall act as supervisor. " 00 Many .. Home Owners who use this exemption are unaware that the are ass supervisor umiri Ay � ' 't' . 'the; responsibilities of a su P ( see Appendix Q Rules y and Regulations: ; °` for` Licensing Construction Supervisors , Section 2 . 15 ) . This lack of T' awareness often results in serious problems , ' � P , particularly when the Home y4t ' Owner hires unlicensed persons . In this case our Board cannot proceed ' `5 against the, unlicensed person as it would with licensed supervisor. y t ✓Home: Owner acting as supervisor is ultimately responsible. } To.::ensure that the Home Owner is fully aware of his/her responsibilities 4 many' communities reg1i.ire as r ���'� � Owner certify that h �/she :;ndersta��sthe permit application, that the Home . ;':; the responsibilities of a supervisor. the last page of his i.:;sue is a for-in currently used by several towns.. '` ;You. may care to amer '. and adopt such a form/certification for use in ,your `community. L s` yf rL j y'J' M� 4 i . �J i a .:...... .... } �'tPK 20 , 3,r ...<._ , I i►..o i zs a4,o 0 ,F j , o, .� 5N owt, n NEW POD "C.�a S 1 i ►�w On PV-E s A . . -or' 70 T►l�l IS j CS , 40 ry �Q .• �-- 1 m AO © LAtiD p c� Is v- � QAt>JST �z 5 Coll,41 _ 5 - 9 EW CAL 5 g _ o N - , 93 R - 4 �-3 �fl�a� �' ` -T Jaydae Construction 56 Carpenter St. Marlehoster, NH 03104 I fif �SHNwFy 01 i cp I , r , II ii : i : T f I I - f - I i I� I I I I ; 4 o 1 j } �M � �F9� ��TQ � _ ..._.:__----------�. _ � _,j. -.f. I ^ I I I i I ManChQW H'03104 - I i or, N " 11 I ! ' I I I r i , j I n ` OLD �0 4 CA } T r � .., VA ALL i E*o r,4C, L�;k t i P f r OBI el • f 11 IP { I t 4 It w �25 ; j � q� •DOOR • I ir I •"G4a'� I II ... _ I , a4'off' I ; � �t�—�' i cv C-x ors:�?•;;,'� 1��ins C,�" t i MV , I i \� I , I , r c I Jw dee Construction Y . 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