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I � � q,� � , 1-4 ­ X'� I I ,1: . � ,, , "I li-, �i� ��It ? .�12" , j il h li�,,��� � ,� � "ej 0� �;�;,,, I ity,�' 'ti"I.zj�," I, i, ,�, -, �',',;,.t�,Y.Z: ,;�,�,�', ,,�""","":I,,�,i`�­" ;',�,�i.l "kNll`�,� '�11 1 � : , ,,,, i ,�, j � t�E'Q�w`v 1120I 1; IiY:,.,;,� ;�K 1 An I f,""",��, 4i �t 11� ,i�,�, /� 2 � ��� y� � �� �� � � � �� a �� `� �' -�.- �� �� .��-- �� ��� --- ifs -'^e.p�� Engineering Dept.(3rd floor) Map Parcel T 2^ ;C Permit# I IRO House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Cr— L Fee Conservatia Office(4th floor)(8:30-9:30/1:00-2:00) �� 0 E Planning Dept.(1st floor/School Admin. Bldg.) Def' iti a Pl n pproved by Planning Board 19 TOWN OF BARNSTABLE Building PermitAp Application Uttre dress Village Owner Address Telephone 6/ -- 9 °Permit Request ' First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ ry ` d�) Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) 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.) --�— Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing'.o?,— New Total Room Count(not including baths): Zc New First Floor Room Count Heat Type and Fuel: ❑Gas ❑.Oil ❑Other Central Air ❑Yes L o Fireplaces: Existing --' New ' Existing wood/coal stove ❑Yes O Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) done ❑Shed(size) xf ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ` Telephone Number Address License# Home Improvement Contractor# 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 ' BUILDING PERMIT DE ED FO FOLLOWING REASON(S) I FOR OFFICIAL USE ONLY PERMIT NO. �(J' DATE ISSUED MAP/PARCEL NO. ADDRESS ;�i VILLAGE - OWNER f , DATE OF INSPECTION: FOUNDATION i FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - M PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING - + DATE CLOSED OUT „ ASSOCIATION PLAN NO. of VE r� The Town` d Barnstable ' % Department of Health Safety and Environmental Services 5 Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 For office use only Permit no. Date AFFIDAVIT - HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERNIIT 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,A ng ith otlyr requir men . Type of Work: Est.CostJC� Address of Wor / Owner's Name - — 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- B ' ing not owner-occupied Owner puffing own permit Notice is hereby given that: DEALINGOWN PERMIT OR wffH OWNERS PULLING THEIRRI HOME H"ROVEMENT WORK DORNOT HAVE CONTRACTORS FOR AP ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I her apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR i The Commonwealth of Massuchusctts Department nJ Industrial.9ccidcnts t := IN Office V1h7Yestiga11otts ♦� ,:,. 600 Washington Street i.�_-� \ .'� Boston, Mass. 02111 L.'S7. Workers' Compensation Insurance Affidavit loc,ltinn- City 1 am a homeowner performing all wort.myself I am a sole proprietor and have no one working In any capacity ..1 •" '� .n^^+gru^ `.T "&"'i 2k�!T`Kr�'k 7�' 7ZS7^.�.q�4��•.. ...�'�`T ..!� "^OdCrj "'eTex^e,vwa►{te'•.r?,.s +es,y,=r ' }:-...:::d.ew...:_",%,.�-.� ,...-..--._..4..buia�wsr�ei..nw.n•nss au.^.��;�3-. t. .�..�, .�.�:� ::.s..raiu -- ... '•'w"Ys `"�' G.:`-""'"'�.►..._._.� I am an employer providing workers' compensation for my employees working on this job. company name address: city: phone#• insurance co. policy# I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: - address city: phone#: insurance co. policy# ..�.: .0 VCF1?« '•T1+Y[t.`a••"f;•'Y'...•'"'T':S'::v ^T •T^••Rt sw',. 1:Y•*'m`.rr•" ^'.tip-•."^•„-s: +,... _ 4• •:9F` :'�-, aka?„��--?,;,'F?"r�?n"�ai"?c¢�:�^+�; �,�g�.., wfi�r•,. ._.._..x_...__.�za.. ...__�...:..ia- ..�.:.. - —•.:J.J:sr..aai- r}i --- ...-._'-'- .a.a:umrofiC�aa�ia.i.:7�+s company name: address: city: phone#• insurance co. policy# :Attach additional sheet if necessatys"—�"a� a* �f-� _3_�r*;�a• e���t __.... .._.� � .f.�. Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I d ierehr certijj under the pni�s nd a ties ojperjun that the information provided above is true and correct. St_nature � ,/ Date n I`J'V�� Print name Phone# Y D.. oircial use only do not write in this area to be completed by city or town officialcity or town: permit/license# r-lBuilding Department oLiccnsing hoard 0 check if immediate response is required, [3Seacctmen's Office pliealth Department ' contact person: phone#; rIOthcr Mvised 3195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted tom the "law", an crop!(tree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enrpl(tver 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 receiver or 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 or 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 renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant -who has 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. -._ .,.......�. .. ,A,�. - ' 7 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 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. Tile 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 you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Cite or To�%•ns ` 4 Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the 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. ,...,.,r _-..,..,,_. _.,....;..�m..,-r., ;.,... =.ca,... "•...�.�y..-R,r�,�.,.�,ro.mnq-..,�se�...r�._e..-a„,,r-.�rn�.n...n..,..,-�1+�""77 ...:,,,.w..,..,�,-m.4... The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 a I � �_ �1. ���� �� C-�o�s� .ST�'S r � /�i S o1yo�T'y�e. �1 G S . < <--� 1 � �� �.G �. • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION o _ Number Street address Section of town "HOMEOWNER" a-- NaifHome phone Work phone PRESENT MAILING ADDRESS City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as su ervisor DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form accaptable to the Building Official, that he/she shall be responsible for all such work performed under the buildinq permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Tow -­ Barnstable of Barnstable Building Department min' inspection procedures and requirements and that he/she will come w' a' procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for -licensing Construction Supervisors, Section 2. 15) . This lack of iwarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home "dwner-actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used b several y towns. You ma y a e to amend Y and adopt such a form/certification for use in your community. n A 208 82 2 L ,�, .. ✓..':.. E€ •,€E'• ::iE '�� ...E ... '.iE€ :.€'• i.. �E ,i-y 1'F1 E i xx t tt EE a ALQNEY MAYA PAVE K � €id c 20 S HI ONA HILL ANONYMOUS 3=E' Y , , €n P� LIVING UNIT IN GARAGE. IN 1983 WAS FIXED UP AS A 1 BEDROOM. THEN WASH " SUBDIVITED & SOLD AS 2 PARCELS. E " f _ =THEN ADDED ON TO. NOW ADDING`A ttEE�k" DECK AND SLIDER. WANTS TO KNOW k HOW MUCH OF THIS WAS AUTHORIZED �•._. ,., Sh{nE`E -- & E L• E, - i�tE�` h. E., aft Y EG E'�� 011 gi E E x E J4 i., E am �{� ., aEE.. � `r(• .- .ik€n - 3 �.,,, � 'j• _ ' £��i� "E E k �{ n E' ,,`�',EE k!E a .,EE`u' ,u i'AC w`+`�'• ,,,6,�. a€" w.,.waa € s � �l Assessor's offioe .(1st floor): ���i� 7 0 r r I THE TO x Assessor's map and lot number ...... .......... -Board of Health (3rd floor): 'WITH Sewage...Permit: fiu nber .............�....�.J...�...�.3._0........., b BAHII914DLE. : TITLE 5 -ry Engineermg auiegartmgnt (3rd floor): ,yao �J c "MENTAL CODE AVD7 MAGa House number W' �.. .................. f0j^WN REGULATIONS �os�,6}9. 'Ep Yp�d APPLICATIONS'' R'&E'SSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .."'� ...................................................................................... .............................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / , Location ... ....... ..... .............:.........................`...:............ : ....`'.'..J�........!4t. S-..... ....! [2 L ... ............. ProposedUse .......� vi�� 1............................................................................................................................ ..�-�.........................................Fire District ..........Zoning District ................... .. f.. ............. ........................................ Name of Owner ...RIMi ....................Add�ess . �. ." . .. J tic` Nameof Builder ..... '``e'1 ..................:.....".................Address .................................................................................... Nameof Architect .....v�11...............................................................Address .................................................................................... Number of Rooms ...... .t`t e' t.........�... .....................................Foundation ...�,�r:,cuz,�..�,,.................................................... Exterior ........ " ,......:.......................................................Roofing ...... 5 !.-c. f" ......................................................... Floors ........ ...............................................................Interior .................................................................................... Heating ✓t��e" ..............................................Plumbing Fireplace C� ..Approximate Cost ........6..00 ................................................................................ ....................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ...... -z7...�................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Ale- i 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 .. e%'. MAZZARELLA, JOHN F. No ...... Permit for ....:�t!qq...!�o.rc.h........ Sincrle Family..PK,�.��.ing........ ....................................... ..... 20 Hi—Ona Hill- Rc;ad Location, .............................................................. Centerville ......................................................................................................... ......... Owner John F. Mazzarella ................................................................ Type of Construction .....Frame . .................................... .. ........................ ....................................................... plot ............................ Lot ................................ il .3..............19 87 .Permit Granted ........ :�%Y 1..... .. . Date,of Inspection ....................................19 Date Completed .............................n........19 W I> r • V "'` Ij"( i } 1i U,iI) I:I,1(;:'vt-f) I ,1 ) .\i;1) UI SUf;VF Y;I , -,.,.;..�,,..-..:.--....n I.,,'-:.,:.I,.�,..:.f,'1 i'r\;n,.-., l vt ! }l1 , C'LAN Ai' D c = E;1 11 Y rl IA i' 9 ! o . s ' ° IC,);"" 1' ��, ''fl %1l >t LiC; 1f;Lf- ` L�� Wj , . % , 1; -, Plj)r (lf „ lll); J`(i Ill1 1:gin ;;Irili%i1 ^i_t:Ul-A i 1ol. . / j-"n.l��llov,_-i r�� i ln 1 O _•(! Q� ull /J/ - 1 .. S .fJ C --� _.- ._ �.,r _ `r � . llcl;(I 01,`- SURIM Qi' 1 '1tt!' l i'llt,lf�;.. i _ 4. 0 • "/ _ - f . $ 9 .1 I e E E. I' l)V g? 'o � r D - - ,`r II6 - L ' ^ s - I 82�D S '; - ry: 1. l. ,: a ��' .w: L _ '. _ '�- 1 J , 1 •_l: Zi . N fit° o .E . � �< ��r c .� f' y :E l! an . 7 - ` i l ,.-., ., i _ . 's' . -.: : r :- 7 .. l h.. - r f �) ' (). . /' / ./ %' 1 ti .• �.:. .. .,. 4 1 , ' .. '} l.., Y i ; {,.- X `� t j / ',a 5 � k. Y 1( 4 t E s, ,, , 0 . /- ._�. t, r.,,..: . ,., .._. Assessor's offioe.(.1st floor) _ ` "+.�.. Assessors map sand lof number- ..... ... � .. f { -,tBoard of Health (3rd--floor): Sewage ............pumber . '..�.-�.' 7� .......... i . i 4 33AUSTSDLE, . Engineermg ;DegarirN t (3rd ..floor);. ao rJs _` 'oo ♦� MMS House number . y f63q. _ iOTE'0 YPT a� APPLICATIONS''�1&ESSED 8:30-9:30 A.M, and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR .T APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION C e..ao� , ....................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a perm'it according to the following information: Location ...... ......... ..... . ��...................................� .......................... 1 ✓c ProposedUse ........................ ..........................................................................:......................................................................... Zonirig District ...................!�'...G...........................................Fire District �� .............. ........................... Name of Owner ...:U. ?1161 ..!....'.G-47—" �. 1............ �U J [ 4� L.Address ..........v! 1..... .. .........^ ...........,r. �5.............(�... tName of Builder ...... ..........a'"1....... ...............................Address .................................................................................... l:Name of Architect ...........................Address....................................... .................................................................................... Number of Rooms ......U.�.�.��..1.....................................Foundation ...�.r„�•"c!n.(�........................................................ Exterior �"�' .................Roofing ...... 5�?.'.'� k ....................................................... ............................................ Floors ........`x/O�i�(..............................................................Interior. .................................................................................... VIC)-Q. Heating Plumbing 1v .......................... .............. ............................:....................... �1 U t Or- Fireplace ................ .......... . ....... .. ... ....... .. .... ......... .........Approximate Cost ........G.O.C) ..........................................Definitive Plan Approved by Planning Board ________________________________19-------- . Area ...... �T................................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH - s 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 Supervisors License �`+ ��e ".�/ ... !` ` MAZZARELLA, JOHN F. A=208-82 ; t 30972 Add Porch No ................. Permit for .................................... Single Family Dwelling ......................................................................... Location .....20 Hi-Ona Hill Road ......................................... Centerville ............................................................................... Owner ........John F. Mazzarella ......................................................... Type of Construction Frat.e ............................................................................... - Plot ............................ Lot ................................ Permit Granted ........July.,,13,i............19 87 Date of Inspection ....................................19 Date Completed ......................................19 ile PERMIT COMPLETED 11 Assessor's I map and lot number ... ...... .. THE Sewage Permit number ........................................................ 3BARirSTABLE, House number ...................................................... 111"IL t63 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ ................... ........7.............. ................................... TYPE OF CONSTRUCTION ..................4.�...........Vo o,a......................41r..................................................................... ... ..............f..........?....................191-�.- TO THE INSPECTOR OF BUILDINGS: j The undersigned hereby applies for a permit according to the following information: 07 Z� Location ................2.......................................................................(Z ..... 4............................... -/a/ C—e,,7Wq. Proposed Use .................. E!/I„ ........ f,....................... Zoning District ............�.c..... .............Fire District ....re&I f ........ ........... Name of OwnerS........ ............Address ..Q.p- Z 7—..... .......................................................... Nameof Builder. .....C>.... e/5 Address.... ....................................................... .................................................................................... Nameof Architect ............... ...................................Address .................................................................................... Number of Rooms ................../ ................................................Foundation .............................................................................. Exieribr ....................................................................................Roofing .................................................................................... Floors '�0............� .9.oxe Interior .................................................................................... .. ... ............. .......................................... Heating ................ ...........................Plumbing .................................................................................. Fireplace ...........A-10,9e 4�o .......................................................................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 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 . K.... 7 .. . .. ................ . ............................... AMONETTE, GREGG eiX^P,?LI III A=208-82 0 6 f)-)Cj1Cj-) 24271 REMODEL COTTAGE No ................. Permit for .................................... Single Dwelling ............... Location ....... Centerville ............................................................................... Owner ....qre.cjg..Amonette & Willie Morris III. ............................................. Type of Construction ...Frame......................... ............................................................................... Plot ............................ Lot ................................ August 9, ..........19 82 Permit Granted .............................. Date of Inspection ....................................19 .Date Completed ......................................19 A C'0 P.7 F't_1 i- u'i i ; ; r L A Ud S' AND .�..CiWICJ 01 I:i 40 r r 40 "Ag• 07 �6 • Co bO . 9 9. Irk. ' t 1 •a .a 8.zo�'s. 1 - fy� «� s.e , oo0 S. W H. A.AN 0 Fr, Ux. "O A � ►n'M di.00 _ s". 83. 4 .so, .0 O um.T Y /9 O A G PLAN OF LA/YO /N BA RNSTAB L E ICEN recR vict,,�) MASS. PRoPERT Y ow RA LPN L. A9c/ T -r ET. vX . y SCA4C.'-I'- .¢O ' DAr-E- OC 1. ,,__