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0103 CHILDS STREET
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It, .1", , fff "I ,, "a �Isj!.,W� , .. :: ti�-�;; " --i"I,;!ix��I';�,��f.`,,�','��:�,�,���,,�.��,;'�,�,�,il�,�,,,,�,!,�.iL,,,,,,��i.",",�',ii�i�.-""a,��,i�ll.�ii",ay.,�,��,,,,!,��,,,,�i,t"t��,,,�l Wt, _ , ,, i ,X f "Uz "40 M I . .�j��Aw, 101.,_�awIv�, Town of Barnstable , e 4� ��' Expires 6 monmsfr, m issue Regulatory Services Fee snxxsresc,E, 9� nsess �' Thomas F.Geiler,Director p, / •eTED MA't lk,0 Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA'02601 www.town.barnstable.ma us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY Not Valid without Red X-Press Imprint. .Map/parcel Number � Ob Property.Address Residential Value of Work, 100 ^od Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address lC A,c2 L--w:Y V L,t�$,s Sr `c n��(-'t�V�(,LC MA Contractor's Name ®,S �/�� l ft Telephone Number Home Improvement Contractor License#(if applicable) -Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X-PRESS P GRM IT Check one: �I am a sole proprietor. _ Iam the Homeowner SEP. 5 2012 ❑ I have Worker's Compensation Insurance . Insurance Company Name TOWN OF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. ' Permit Request(check box) E-Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Oh ❑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 reggired. SIGNATURE: �lc Q:\WPFILES\FORMS\building pemut forms\EXPRESS. Revised 053012 • ,y I. F The C'ammannaeakh of Massachzmetts Depr bnent of lltiustrial Accidents Office of lnves4adons 600 Washington Street Boston,MtA 021.11 n �anrrs�:gov�dia. . Workers' Compensation Insurance Affidavit:BmladerslContr2ctorsfllectricians./Ph mhers Applicant Information Please Print Legibly Namerg vL Address: 3L C k ee fC.,1_,_tr 6"ram I-vi o � City/State Zip_ �a r 010 v phone,# S'U V' -1-7 Are you an employer?Beck the appropriate box: T of project r 4_ I am a. contractor and I 3'Pe (required): 1-❑ I am a employer with ❑ 6_ ❑New construction employees(fall and/or part-time).* have hired the sub-contiwkn 2.15L-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 . w°fig for me-manycapacity. employees and have wodcers' _ 9_ Building addition [No wor=s"..CDMP.insurance Codmp.RM.M ncr ❑ g d. .5. ❑ We are a corporation and its. 10.❑Electrical r�epain or additions rtarm a ] officers have exercised their 11. Plumbing airs or additions 3_❑ I elan homeowner dautg:alt�uroxl< _. ❑ g myself[No workers'COMP- fight of exemption per MGL 12..[jL, of repairs insurance requires.]I c.152, §1(41 and we have no employees.[Noveorlms' • 13..❑Other comp;insuraum required_] *Any appkc=drat checks born#l must also fill out the section bebw showing:fLeu woikeiV con>pensatiaa.policy mfarmzd m. ?HomneowDers who sub®it this affidin it mkcafhz they are doing all work amd then hue wtsiae contractors mast submit a new aff daw t indicating such fCont wtnrs ihst check tlri6 box must attached an addition si*d showing the nee of the sb-cm tactm and:state whethE ormat-finse entitWs bay employees.:If the sub-cotetzctars have emyployee%they iniat provide their workers'comp.policy number. I am an employer thatispm4diRg workers"compensation,insurance for my employees. Hd0W is the policy Mzd ob sit€. information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address CitylstateMp: Attach a copy of the workers'compensationpolicg 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 imprison as melt as civil penalties in the farm of.a STOP WORK ORDERS a fine of up to$250-0G a day against the violator. Be sw..advised that a copy of this statement may be forwarded,to the Office of Investigations of the DIAL for wi su'rance coverage verification. I do here cetrti trader the-pains and akiees o . "u that the information ri &d above is b ue and correct �' fF Pm P� .�lsm7 t}' .� Pt'� sienature: Date: Phone#_ f?,07cial use only:: Do not WITHe in this area,to be completed by city or town afficiat City or Town: PermitUcense if Issuing Authority.(circle one): 1.Board of Health 2.Building Department 3.CUy!£own Clerk 4..Eiectrical Inspector 5.Plumbing Inspector 6.Ckher Contact Person: Phone#: 6 �. + STABLE i r Town of Barnstable lED MA'S A Regulatory Services Thomas F. Geiler,Director Building-Division Thomas Perry,CBO Building Commissioner 200-Main Street, Hyannis,MA 02601 ti www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property"Owner Must Complete and Sign This Section If Using A. Builder as Owner of the subject property hereby authorize �b -P T� N�1 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) S � Z Signature of Owner Date III CNI�Z T. KEZ�L::: Y Print Name If Property Owner is applying for permit; please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\02RESS.doc Revised 051811 SHE rA Town of Barnstable Regulatory Services * 13, sKA 1 sr�. Thomas F. Geiler,Director 7� 16.19. ,�$ Building Division Tom Perry,Building Commissioner, 200 Main Street,. Hyannis,MA 02601' www.town..barnstable.ma.us Office: 508-862-4038 Fax 08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: s ( /,,/ /� C. / JOB LOCATION: 0 3 l.//1 r I S7 (.., ��e�?JC[�� number r street villag "HO;vlEOWNER e �` 5V�'7�� C> name home phone# work phone# CURRENT MAILING ADDRESS: - city/town state zip code The current exemption for"homeowners"was exten to include owner- cu ied dwellings of six units or less and to allow homeowners to engage an individual for hire who does t possess a li e,provided that the owner acts as supervisor. DEF ION OF MEOWNER Person(s)who owns a parcel of land on which he/she resides nds to reside,on which there is, or is intended to be, a one or two- ; fam_ly dwelling, attached or detached structures accessory to s use and/or farm structures. A person who constructs more than one horse in a two-year period shall not be considered a homeo er, ch"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be re onsible fo such work performed under the buildingpermit. (Section 109.1.1) The undersigned"homeowner"assumes responsi ' rty for compliance with th tate Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies th e/she understands the Town of Barnstab uilding Department minimum inspection procedures .a d re ements that e/ e will comply with said procedures and require ents. afore of Homeowner Approval of Building Official Note: Three-f dwellings containing 35,000 cubic feet or larger will be required to comply with the to 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 exe 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 permit 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:\WFFILES\FORMS\building permit forms\EXPRESS.doC -wised 051811 40� o,?v,�zdizcoecc�C .oC? aoacluaeC °! License or registration valid for individul use only Office of Consumer Affairs&Business Regulation 1 g ME,IMPROVEMENT,CONTRACTOR I before the expiration date. If.found return to: ! Weigistration: 950889 Type Office.of Consumer Affairs and Business Regulation piration 5/5/2014 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 --_ 1 f 4 Z JOSEPH E. KING : ME- M JOSEPH KING _ , 36 CHECKERBERRY LN WEST YARMOl1TH MA 02673.,- Undersecretary Not val' without sign ure Massachusetts _pe Board of Build. partment.of Public Sa Constrfet 'tE' uctiun Supervi.yrStrc. .,-and Standards Lice CSSI-09916g , nse: JOS t T ►s. EPH 36 CcI� -1\ Al �' W. YARMO '"RRtY E y Expiration � 01124✓2014 �oFTNETp�I TOWN OF BA.R.NSTABLE • BAWST"LE, i "b 9 am BUILDING INSPECTOR ar a APPLICATION ;FOR PERMIT TO ........Add-gardwx-howetAQ...rear..QX..garage..U.nUs.).................... TYPE OF CONSTRUCTION .............WQoden...-..abingla..(Cadar)..SldPrS...�..aSP #r...#'oof,shingles ................Agril..27.�............19...71. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies.for a permit according to the following information: Location ........1Q3... .ha]ds. traet.,...Cantaxe.17.s±m..Naas............................. ...................:............................................... ProposedUse ..............Garden...ho.US.a.................................................................................................................................... ZoningDistrict ........................................................................Fire District ........ ..................... Name of Owner .s�.QSS�l?..�r�.. 1.�8y..................................Address ........... Name of Builder ....Jamas.,R•...Carroll............................Address S.................... Nameof Architect .................none........................................Address .....................................,.............................................. Number of Rooms ..........1.....................................................Foundation ......Ceme t..block............................................. ......Roofin .....As. halt..a leS............................................ Exterior .......CCdar:.,�harigl63........................................ 9 P �` Floors ...........1......................................... ...............................Interior ..................................................................... Heating ...............:..........210i1,V..............................................Plumbing ......................none .....................:.......................... Fireplace ...........................nOne...............................................Approximate Cost ......$5po..................................................... Pr Difinitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and Building with Dimensions ®� x CO - rk- � '7v hereby agree to conform to all the Rules and Regulations of the T n of Barnstable regarding the above construction. Name . ....... ..ay.. .�.`...... :........�e<r.... 'U' - ' � < ' ' ` ' . . ` . ' ^ ' - / - . . � ` > � ` / � ~ � Kelley, Josep�i C. to Date of Inspection ... 19 PERMIT REFUSED lA ., --~—..-----_----.-----. .---.---------.--..--.~—' , '--^----------'�-------' . � . . ~ --.--.—~~---.—...—'.~—.—... Approved ~ .............................................. l9 ' ' � -------'--------'—~^^—~—~'^~—' � . --------'----------------^^'' | ' | -L . Assessor's map and lot number ............. . ... �.....,....:.....` P yDi THE f Sewagd-'Permit number ... ...... Z HAHBST"LE, i House number NAM 4........ 90O 1639 'F0 NO a` TOWN OF BARNSTABLE HILDING INSPECTOR APPLICATION FOR PERMIT TO ... c'�4SP .c.. . TYPEOF CONSTRUCTION ............................................................."` .... ......................................... ..... ........ ............ !!�..�.ra.........19? �!... I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for,,a permit according to the following information: :�Location ......... .40. .........( .t.�GS..... ..'......................T.! �.. .... ProposedUse ...........5;:,. , ......... .`r!..... dTY?^............................................................................................... Zoning District ..................P. Fire District .........< '. ......................................................... .. t�Jgme of Owner �.,se'n !.. .... e,I�P:l, J......................Address 412.��..... �.l. .... �....... `.. .��.!..... Name of Builder ... ................................................................Address .Name of Architect .................................................................Address .................................................................................... Numberof Rooms ��....................`...........................................Foundation ............................... ...................:.............:...... Roofing �LlX S S Exterior ......................... ......................................................... �,f/�)� tom.:..............:. ............Interior � / � Floors ......................... .................... ................................................................ Heating ................................................................Plumbing .................................................................................. .. / p� Fireplace ....................��`:^:.......................................................Approximate Cost .................................................................... J Definitive Plan Approved by Planning Board _-----------------------_-------19_______. Area �r.....`! .......................... Diagram of Lot and Building with Dimensions Fee I SUBJECT TO APPROVAL OF BOARD OF HEALTH , -)oxl� 1 _ z -w I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � Nam . � ... � .... �-_ - ._ :: ..... M Kelley, Joseph C. A=249-4 No .....22.1.94. Permit for ...And.Q.!5.Q..deck...... • ................................................................... Location ...........!Q3...QW5..Street............... ...........................Q.Mterville............................ Owner .............j O s.e Ph-C...Ke I I ey................. Type of Construction .................... ..................... ...................................d.............. Plot ............................ Lot ...... ..................... Permit Granted ......... .................19 80 .Date of Inspection ....... .........................19 Date Completed ......... .. .......... 9 PERMIT REFUSED ......................................... . ../.. .... .... 19 .................. ..... .......... . . .. . .............. .............................................................. ................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... _ { dcd Assessor's map and lot number .4yY........1... ./�c....... ✓ _ ropy Sewage' trmit number .... . .... P!f........... .. ......... �. :��:r � d� o� INSTALLED INCOMP >; 4TAnLE, Housenumber ......................................................................... i! N L o , 39 WITH TITLE 5 '°rfo 39- ENV;U%tL CODE A TOWN Off+ BARNSTLATIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............. .. ................................................................. TYPE OF CONSTRUCTION ...................................... ... .............. 4� ....................................................... ............� .. r�.........190.. TO THE INSPECTOR OF BUILDINGS: a1[...,w.M�.+w n - _- .., r_ � ..f. ..• w 4 a. ti..s. v. r,_ �_ _... r. ili./Ib'.e- a,..e. ... ...a. ..�-. .v x a .. p The undersigned hereby applies for a permit^according to the following information: & /) Location ......... . .Q.; ......... .,!.U ....., ..1...................... ....................................... Proposed Use ........... n.G'.�p. .........s.).'z1.......A6��.................... ZoningDistrict ..........................................Fire District .........d.".Q......................................................... Name of Owner Address .......sP�.h... . e//� 1.�.. ... . .... ::.. Name of Builder ... �� ' ....Address � 7 "el;olr f!11—,e4. �.................. . ................................. ......................................... ... ............ Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .....................l...........................................Foundation .............. .......................................... .................. Exterior �lr s.....................................................Roofing �` �`...... :4.aS.S::.................................................. Floors ................�N0.0.4h......................................................Interior ......... Heating ..................................................................................Plumbing ..................;.............. ........................................... Fireplace ....................................Approximate Cost 1.4.0.9,..:........................................... ....... .... ................................................. Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .......................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH x�� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. QQ NameA . . . .. .... sue . ...... Kelley, Joseph C. m enclose deck... l .................................................................... Location ............1Q3...Cbi..W.S'...Street............... Fj ........................... ............................ Owner ..............J Q.9.e.ph.C....Xe UP-Y................. Type of Construction .......................... ............... . ................................................................................ Plot ............................ Lot ................................ Permit,Granted ...............MAY 16...........19 80 19 Date of Inspection .......IP/ Date Completed ........... ........................19 PERMIT REFUSED V tirn ............ %*........ ............................... 19 .............................................. . ............ ..........I.................................. M ...................... .... ............................................ .................el T 0 — rn Approved ..... 19............................ ................................................................................ ..................... Assessor's map and lot number le r Sewage Permit number ........................................................... ��QyOFTHE.T TOWN OF BARNSTABLE 1; 89HB9TdDLE, i ,6 BUILDING INSPECTOR 0 MPY h• APPLICATION FOR PERMIT TO P.M s7i..�..U....O.. T.. .-..0..."...N.. G'.4.../{� C.... ................................. TYPE OF CONSTRUCTION ...t��.f'........... (_`r... .nl.l=. ................................. r�-// . <!.�. .........rj�:: 19.I� F /J '� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. �i tL � �........J. T ....LC—l1! r� LE !t_L C. MASS ......................................................... .................. .... . . ....................................... . ...... ........... ProposedUse ..... ... !...!...4�....................�. =:...r•'...!.!.:�..........! .!C�.......................................................................................... r`'' r Zoning District ` Fire District {—wN ................................... ...:............... ....... ................................................ Name of Owner ........r'.t-('u,.4 t,-.�?1-......�:.�.� �.� ...Address ......� �............................................................ Name of Builder AA! trS I". . ! ....`.....`..r j ?..... �� �/�LrJ1�'.,`� 4lk'.f ... ".�;y }��r'�IY/IliS.... Address :.............. ... .................................y.. ... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior C i^ �� /�• �`� 1 11/ �L �.. Roofing !�� l A I_ ^T :...r.......................................................................... ...: .....�......................................................................... Floors ..r(�. r!'✓ / ...................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost "), '--- ........................................................ ' i Definitive Plan Approved by Planning Board ________________________________19________. Area r_~.......................................... Diagram of Lot and Building with Dimensions f A "'" _ Fee ................. ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH f Y� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. p Name ... �....�%r. ......... ... .i'P.' �'�. ............... j' , : Kelley, Joseph & Rita A-449-4 t r 17737 add to garage No ................. Permit for .................................... r ............................................. ................................. Location 103 Childs Street .............................. ................................ Centervill .............................................. ................................ Owner Joseph & R to Kelley ...................... ................................ Type of Constructionf ame ................................ .............................................. ................................ s Plot ............................ Lot ................................ June 10 75 Permit Granted .................I .....................19 Date of Inspection ......... Date Completed .............. ......................19 PERMIT R USED ........................................ ................... 19 .......................................... ............ I. ........... ................... ..... Approved ..... .......................................... 19 ............................................................................... ............................................................................... Assessor's map and lot number ....... :9..:. 1..... ..... Sewage Permit number .......t.............................:.....:............. ' ILo T- lof h v�,�u- h�•6>T1rfiiu r�c� yo*T"Er°�� TOWN OF BARNSTABLE ii i BARNSTABLE, "b BUILDING INSPECTOR APPLICATION FOR PERMIT TOI��TR�G. .... SL^ N .....•.••........•••.•••.•• TYPEOF CONSTRUCTION ....%�.?.OA b......E .fl).E.................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefollowing information: Location ..I..o 3... -.. .��. - .......S. TV.....C�. !Y.., E,!..\.U...�.� L. .... g.SS..................... .... .................................... ProposedUse ..... ! J ........ .... .N D.....C�'.. }.!\...:...................................................................................... Zoning District ........fl ll..:-J.............................................Fire District ........................................... Name of Owner o.S.!PNMJ. 116 .....t E 1, ..Address Name of Builder ..V. vM �S °..... �. 2d...4, f!....Address Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ........sA.4.(:E .........................Roofing ...S. .p.4 `..�T.................................................. Floors ........��:. / N.../.....................................................Interior .................................................................................... Heating ..................................................................................Plumbing ............................................o.................................... � ® Fireplace .....................................Approximate Cost .. ......�. .............................................. Definitive Plan Approved by Planning Board --------------------------------19--------. Area .1..� ..................... 41 11 .50 / 0 �. Diagram of Lot and Building with Dimensions Fee ........1...!....J�.............................. 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. / Name ...s- .:... ... .. . Kelley, Joseph & Rita No ..... 17737. Permit for add to garage ................ r r ........................................................... .. Location 103 Childs Street ............................................................... Centerville ............................................................................... Owner Jo.seph. .. ... & Rita. . ...Kelley. . ....... .... ... .... .. .... . . .... . ...... ✓ Type of Construction frame ................................................................................ t Plot ............................ Lot ................................ June 10 75 Permit Granted ........................................19 Date of Inspection ...........(..................... IN175^ Date Completed ....M ......................19 PERMIT REFUSED ................................................................ 19 .............................................................................. ............................................................................... ................................................................................. ............................................................................... Approved ............................................................................... ............................................................................... i