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HomeMy WebLinkAbout0242 SKUNKNET ROAD j �� F WARN Town of Barns-table . ��p'ihlE>pjY Regulatory Services , RMARN . ; Thomas F:Geiler,Dkiaor ` ��e,�51Q 1 MASS. Building Division ATED�'y Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 20N,E C Fax: 508-790-6230 -PERIM, T# 3 a D FEE: $ �l SHED REGISTRATION 120 square feet r less Location of shed(address) Village P operty owner's name Telephone number Size of Shed Map/Parcel# A- Signature /61-7/0 Z Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) J5 �D PLEASE NOTE: IF YOU ARE WrIMIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS, THERE MAYBE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMIYIISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED By A PLOT PLAN M6 -- -1 �u ��� � ®� o� o� I �', � �� � e � � t �' 0 M� ii �' N� .-r i i of �� .-�� �� j -J-- _ _ 1 l LOT 23 C`i...,.,....., d HSE DECK � - . LOT 24 - o ,yy o O LOT 25 OWNERS- WILLIAM J. CONNOLLY, PA ULA CONNOLL Y & WILLIAM Q UEENAN RES.. ZONE. "RF" This MORTGAGE INSPECTION Ba k lUse Only FLOOD ZONE." "C" THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY. TOWN: _ --------- REGISTRY OWNER: ** SEE ABOVE _______________ DEED REF: _5876/103 -------- BUYER: AN� _ 1>?Q4�I� �'1YA _ __ DATE: _/L2/99 —__—______— PLAN REF: _207155 _SCALE:1"= 30---FT. I HEREBY CERTIFY TO __ _____ =FURMANCAIVIV-THAT THE BUILDING YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MEWTHEW TOWN OF ___EARNSTAELE __--------AND THAT ft 32m INDUSTRY ROAD IT DOES_NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD ARSTONS MILLS, MA. 02646 AkRa AS SHOWN ON THE H.U.D. MAP DATED1985 TEL: 428-0055 m uni -Panel 250001 0015 Cd t1►%p FAX: 420-5553 ------------- THIS PLAN NOT MADE FROM AN INSTRMENT SURVEY P RITHEW PLS NOT TO BE USED FO R FENCES BUILDING PERMITS ETC. 28233 JF Town of Barnstable Peat: THE Regulatory Services D te- � ` OF Tp '' 1 -(A Thomas F.Geller,Director L` Fee:15 O� &UWSTABLB. : Building Division MASS. 9 039. ��� Elbert C Ulshoeffer,Jr. Building Commissioner . 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT / Phone: �)5 1 Owner. �Vc� Address: fV Village. Map/Parcel: 7 D f 0 Date: MAlkl Stove �c P ram-•-`_cam, o Q� A. ew Used B. Type: Radian�Z'Circulatin1 C. Manufacturer: Lab. No. D. Model No.: Chimney A. New xisting If existing,please note date of last cleaning B. Flue Size C. Are other appliances attached to Flue? NO D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials`. B. Sub Floor Construction: ' InstalleOr,�q,4)yp / , /_/ Name: Address: ) r S-' - /�LCV Ile, Phone: Location of Installation A 4 APPROVED BY:. - Z • r Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc L, TOWN OF BARNSTABLE BUILDING PERMIT'APPLICATION Map arcel - `� _ Permit# Health Divisi n :; Date Issued Conservation Division Fee d S: 2 D Tax Collector Treasurer Planning Dept. E Date Definitive Plan Approved by Planning Board ' Historic-OKH Preservation/Hyannis `Project Street Address c/&L( /1/=P 7-�- Village Cry A/� Ll �� �jS Owner Address 2 cf 2 =S.G'v/lf Telephone 'Permit RequestfS/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District' Flood Plain Groundwater Overlay- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .E)/- Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House:, ❑Yes WNo' On Old King's Highway: ❑Yes UNVo Basement Type: LiKull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished'Area(sq.ft) ,` `7 0 4 Number of Baths: Full: existing 2 new Half:existing new r Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count . Heat Type and Fuel: ®'Gas• ❑Oil ❑Electric ❑Other• ' Central Air: ❑Yes Oo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size. Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:'d existing. ❑new size Shed:❑existing ❑new size Other. Zoning Board of Appeals.Authorization ❑ Appeal# Recorded❑ Comme'rcial ❑Yes ❑No 'If yes,site plan review# Current Use - _ Proposed Use BUILDER INFORMATION Name a Telephone Number Address ' License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7 4 �J O FOR.OFFICIAL,USE ONLY 1 , PERMIT.NO. F DATE ISSUED MAP/PARCEL NO. M•' - 3 ,`. i - ADDRESS VILLAGE .t f, m • r .F: `r, _ y.s' . ,� .. � •- r•1 4 t; . -1'F ' OWNER-' - = DATE OF INSPECTIAll: FOUNDATION FRAME a INSULATION ^ FIREPLACE }' ELECTRICAL: ROUGH - FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL- � ,: -� ti -�1 . _- _ • » t "ry, FINAL BUILDING j DATE CLOSED OUT ASSOCIATION PLAN NO. t 4 # < The Commonwealth of Massachusetts _{=- -— 'al Accidents s-'� - Department of Industrs OfllcaVIMNS908tioos e 1 600 Washington Street w i Boston,Mass 02111 -; Workers' Co m ensation Insurance Affidavit name: P location city �/ P fl V! phone# / �1 I Z `0 LT i am a homeowner performing all work myself ❑ I am a sole etor and Dave no one is anv � � %�� ��/ /%///�/%%%l////%/%/ �pn. %''�// working on this'ob. workers a uon for my :.:...:....:.:.. .:..................:::.::. :.:::.::::.:.::.::.:::::: . .• . lamane P ......PLO' ....................... ......:......r........ ...,..... ............. xF � > :::.........::: ::.:..:.....::•::::......:..::::::.....:.5..,..�....:•:-:}:.�::xa.:.:...s{,,LL23:.... :.`,w�.fir...... ame: : :.................,..... vn :.:::::::::::::.::::::..::::.::.:::::..... ............ ................ .:..r ,.. \.. : }p\' }�vv:�:•}:•}::4}:'.i::::wnv:::::::}}:'?'v::'::.;}•.;}-.•..::.;-.•:.:•.,::;•:::::?{':'.4'i�i ::i LY.�..:.�::. - ..................... ............... .5..... , ... r....A. .... ......... ............. ........... ........... ...................... ...n r... ..{..............:.:.}:?v'r 4:••:x:::::::.v::::v.v::::}::7:v}:•}i:•�:?i•}:Y.::::?4::•}i}i}}ii:yS:::{•i}:3:?<•}:i??v:4:?•:::::n_::::.v:w..:.............. ...{,;:•:{?{.}},. •.yry'.}!}}}:}}}:;}:iii:i}iii:(i:iiiii::i;::ii::}•:i:!:^:^_}}}i}ii::v6}:4}iii}:i��:^:?4i}i}}i}:{:•i}}Y B:•:` ::::::::::':: ............:::::::::i•}::':::'::.....:v.....:.:.......... ..t•}::::::::n.....F.v{IZfr ^ .:lrb:h...h?!000t,?�. ..-..:.......::-.v,.......:.:....................................:....................... ... .... .......::::::::::.Y..............::.... -. ss:�.. .. ..... .......... w:.v:.. .:.v::::,:}}}7:•}:L•:{':T:4}7}i}:??4:7}7�iiiiiii:i:j:iv�i:�is^ii:.":��?:-.'•i`:v'R:�:�i:^:iii:i:::+Si:!:;:+::::y::iiii�:jiTi{j_ij�i`i`if�iii:i�i::.;�.:: x........... ..H r,»........................ on ......... ::.. .v.{vY•}:J:v.:v':.`::}:•::>.?{?•7}:?•}7r:::::• ?;'?': .; �"i:iii:};:.:}:isi�'�i'�i'�i:<�ii::i>:::}{i�i:�:�ii�:�ii::}:}:ii; 7~:•'ry-r iti?~•7::i:•::$::{:;i yj::.}:`;:;.........r:::<i::::i<jj�: ::::�::::>j.>::i:;:i;}Isis'>i'::`{`:;}::i:L:?.•},::::i:ii i'v iv:i!:i:!v?•>}i}:-:`i:•}::.?:.: ...............................................................w:::x:•••;F.:}::7:::r47:i h�7:::{':?:i�}:v:::vn..:: vv..,;}.....-......:.. lies.#�: < ;.:.<:: :.:>;<:::::: :;::;;;,::>;::,:,..<,<:.:,>::;;>. ..........................:.... insurance I amT=eroprietor general COII1 wtor, l>ae (circle one)and have hired the contractors listed below who have Iig!F an ,ensatl ' workers Po . .......:......:.:.:t,::...,:.r?.;:.}:.}:}}:.;}:.}:.7:.>«;>:<::<:<;>;:>:«<:::>:::<>;:-::>:<::>::<:>:»>:::<:<>::::::::<>:<:>::«>�::::.>::<<: ::��«:>?:>:<'':::<:><> >,7,,,.,{.< :>": the followlnP..... .......:::.:. ::..r..,.:. :.r}r.::::::.,::.......::.}.:.........:.::.:...,.::.:::::::::.::.:::.:::.;.:.:.:::...::::::.:.:. g Y.... ..................... ................................................ .................................:::::::.......................... ...... ...... ...... .. ,:...... 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I mtderstand that a copy of this statement may be forwarded to the OMM of Investigations of Ste DIA for coverage veiiflcatioa I do hereby certi under the pabn and pau*ln of pcVwy��information provided obove is true and correct • S •Dats �'v A, -e 2 0®o - Signature Print nameA)W official use only do not write in this area to be completed by city or town oincial peendt/licetse# QBuffding Department city or town: ❑Licensing Board []Selectmen's OIDce che&if immediate response is required ❑Health Departrnent phone#, - QOther contact person: (rand 9/95 PJA,) Information and Instructions . Massachusetts General Laws chapter 152 section 25 requires all employers to Provide workers' compensation for their employees. As quo ted from the'rya*",an employee is dew as every person in the service of another under any contract of hire, express or implied, oral or written. An employer 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 or the occup ant of the dwelling house of artnients and who resides therein, p dwelling house having not more than three ap a or on the grounds or house air work an such dwelling 8r or elling another who employs persons to do maintenance construction rep 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 Iicense 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 eater 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. Ef 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 numb along with a certificate of insurance as all affidavits may be submitted to the Depatt<neat of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is not the D artment of Industrial Accidcnts. Should you have any questions regarding the'law"or if you . being requested, lease call the Departm=at the member listed below. are required to obtain a workers' coomp po9�P City or Towns Please be sure that the affidavit is complete and Printed fly The Department has provided a space a li the bottom of the affidavit for you to fill out in the event the Office of has to contact you regarding the appcant. Please be sure to fill in the permit/ nse number which will be used as b made mnnrber. The affidavits may be returned to the Department by mail or FAX unless other have you in advance for you cooperation and should you have any questions. The Office of Investigations would hke to thank please do not hesitate to give us a call The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mtr0 011wastlgatlons 60o Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 Th a Town of Barnstable . . • Department of Health Safety and Environmental Services ` Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME 01PROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT 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 strnctirrm which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: U/ /�/' L 51!W.f Al 9 Estimated Cost L Q'0 Address of Work: Z C4 Z 6< Owner's Name: 00 Date of Application: tl ! 2 D I hereby certify that: Registration is not required for the following reason(s): p Work excluded by law Job Under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME WROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR r�U IBC 0 6 0 01 nr V g ? l s C Date Owner's Name q:forms:Affidav e Town, of Barnstable t)F 1NE Tp� Department of Health Safety and Environmental Services Building Division ' RARNSrABM ' 367 Main Street,Hyannis MA 02601 MASS. 1659. .elfp�,tp Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: fJ Cl A/ e 200 0 /� ,gyp. yL �j /y� l j JOB LOCATION: I 6 (�III /V C / ��/t/ / �I�I e// number / ( street QC' ^7(� ��village "HOMEOWNER": Peih,4 a7 ( f Se ff± Q 1-7 rLf- 2 U T / 7 7 7 dame- (/ ho fie`phone# work phone# CURRENT MAILING ADDRESS: �/— C P/tl�ejf L,j 1 ro � 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on'which he/she resides or intends to reside,on which there is,or is. intended to be,a one or two-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 acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. tgnature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State 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 exempt 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN ZHE r Town of Barnstable *Permit# �� of � yP� ~� Expires 6 months from issue date + aaatvszABLE, = Regulatory Services Fees- c 9 MASS. Thomas F.Geiler,Director �p sbgq. �0 'ED.1916 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02.601 X-PRESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 MAY 13 2002 EXPRESS PERMIT APPLICATION - RESIDENTIAL 0-Nu.LJVVIM OF BARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number Property Address �[ a c5 v u �� � e V Q V i"( / te a ['Residential Value of Work Owner's Name&Address V �� �ti Aq .5 Ce2' Contractor's Name A Telephone Number LO Home Improvement Contractor License#(if applicable) f( D 4,/ Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance lm one:a sole proprietor , ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# S L 3 g Permit Request(check box) [�te-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature _ Q:Forms:expmtrg Revised 121901 4 Assessor's offioe (1st floor): ` 3 CF 7ME Assessor's and lot number �.�� .. ....1. Board of (3rdfloor) l� Sewage Permit number .................... ..............�..6............ 6 Z BA"STABLE. : Engineering Department (3rd floor): soo�t6 9 House number .................................... ..;...................'............ A,. 0 ypY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE f' BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..1�U..�� �'/!�! �' !'�!ZV /101. ........... .................................................................. TYPE OF CONSTRUCTION ..........11-U000 7:1e TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...1. r....0�.......: �i ✓ P� :::....F.i.�:.......... . ..L"�'!✓z`�.hc../�...... �.�.�:..��.�...302............................. Siyri�o ��J��L /`�Grr P Proposed Use ..... ..........,...........................Y.....................................................................................................I......................... Zoning District ..... c..........................................................Fire District ..!. Q,T• Name of Owner /JfIUI2)...... sf��/�F'.........................Address ...• D �o}l �,/d Name of Builder--!66v - .... S.U!LQ'i!J��....TwS .........Address ..,"0....[�..... O Y ��.' 6 G ............................................................... Nameof Architect ..... ..........................................................Address .....-............................................................................. Number of Rooms .....4�//P/..............................................Foundation ..P .....�/O`t/12P ' .................................... Exterior ............... ....v ''� �............................Roofin �S!/I4zX g .................. ................................................................. FloorsT �.................................................................Interior ......o�Y..w l ..................................................... Heating ..... ..................................Plumbing .... .' iQi��' ry Blo�� Approximate Cost — Fireplace ............................................................................ .................................................................... Definitive Plan Approved by Planning Board _____-___�1 . -----------19(_•l� / � 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..l................. ................................. Construction Supervisor's License OGvc? .S..................... SAURO, DAVID A. I-7����� A=171-014 No 30666 12 Story Permit for .................................... Sing.. le Family Dwelling ..... .......................................................... Location .....Lot....#24 ......242. . ....Skunknet. . . . .. Road .. .. . .... .. .... .. .... Centerville ............................................................................... Owner ....David A. Sauro .................................................... Type of Construction ......Frame . ............................... Plot ..............................Lot ................................ Permit Granted ....`..'pr..:1.....4.................19 87 Date of Inspection ....................................19 Date Completed ......................................19 / 71-R/ 0 of INC - TOWN OF BARNSTABLE Permit No. ....V666..... BUILDING DEPARTMENT aeea� TOWN OFFICE BUILDING Cash ................ HYANNIS,MASS.02601 Bo X Bond CERTIFICATE OF USE AND OCCUPANCY Issued to DAVID A. SAURO Address lot #24 242 Skunknet Road, Centerville USE GROUP FIRE GRADING OCCUPANCY.LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED. UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE.WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. August 6 19...87.......... --'� ........................ ,. ...........6. ...Building Inspector Inspector I TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rya HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM Building Department DATE An.. Occupancy, Permit has been issued for the buildin" authorized b _ �g Y Building Permit #. C� ..... »... i issuedto ......... .... � .:.. ...:.' ;�r �................................ ....._.... ..... .............. . Please release the performance bond. DATE $ 0 CONTINUATION OF ROAD BOND BUILDING PERMIT # 30(0 The undersigned owner/contractor hereby agree to maintain their road bond in force until the following work items are completed to the satisfaction of the Engineering Section of the Department of Public Works. loam and seed shoulders as soon as weather permits. other (explain) 1�us7? ut LO ION ; COT S�/ ) -P-e7/ SIGNED Owner/Contractor P/£- s o� EAGINEEr��VeGAUTHORI TION t3`� ,. ',. ,,,. J/� - - ,•i,r a; p. 1., _ r, j {� DATE 1 19 PERM N'O" i9 AlORE Sr �' Y.i'•i * : (N0.) (STREET) a .z (CONTR S>c I� f; b PERMIT V }` (=) STORY I'. AkOi._.• ,r NUMBER OF DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) :I ..� AT•' l •' '` ZONING <;} y.,ry• x. (NO.) ° /t,(S TREET) DISTRICT b �E BEN w c AND �ct (CROSS STREET),SY � (CROSS_ST.REET):' YSU VISION LOT LOT BLOCK SIZE ,.. `BV"!! ING IS TOBE FT. WIDE BY�` FT. LONG BY 3 - —=�— FT.-IN HEIGHT AND SHALL CONFORM IN+COSTRUCTI�N.' TO`TKPE' USE GROUP BASEMENT WALLS OR FOUNDATION „F'y t (TYPE) ` MARKS g AREA OR k y VOLUME ✓6It PERMIT i t+ ` ESTIMATED COST $ -'FEE.I t•r•.,.a I" "�•�m— P` (CUBIC/SO UARE FEET) i. - N'OWNER 1\, ADDRESS` ("� -`--•^ -� r i l,r J. _... BUILOING'DEPT.. J� BY �sr . r ti ` THIS''PERMI r` pERMANEN CONVEYS NO RIGHT TO OCCUPY'+;;ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHfiR'TEMPORARIL Y. ENCROACHMENTS ON PUB LIC' PROP RT,Y, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE , MUST BE , ��FROVETHEr THE JURISDICTION. STREET OR, ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BIE_ OF A Y j�-_ EPARTMENT OF PUBLIC WORKS.,`T•'HE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT-FROM THE C'0BTA '.LjCABLE.SUBDIVISION RESTRICTIONS. MINIMUMF ,t.-THREE" CALL . , Ir Cf ; ... ^�.INSPECTIu. APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPjA`RAi _ _ ALL"'CONS;.SrREQUIRED FOR - (JCTION.WORK:. CARD IKEPT PO$;1`,ED UN-TIL FINAL�INSPECTION HAS BEEN PERMITS ARE REQUIRED' FOP. I`FOUNDA MADE.' ELECTRICAL, PLUMBING;. AND ..IONS OR FOOTINGS. ,+,r�1�!IHERE+ NCERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS _ 2�,PEMBE COVERING,STRUCTURAL a MEMBE (READY TO LATH). QUIRED�?S CHII�IJI'LOING SHALL NOT BE OCCUPIED UNTIL 3 FINAL I.q,SPECTION BEFORE FINALIINSPECTION HAS BEEN MADE. ' POST THIS CARDS SO IT IS VISIBLE FROM STREET yL" :DING INSPECTIONAPPR VALS jt 5^� r PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS? �� •may . , L ! e` 2 t z 6� �u eoov HEATING INSPECT N PROVALS ENGINEERING DEPARTMENT y. I dt lids _ OT-OTHER, BOARD OF HEALTH �-UYl kay W. WORK PERMIT WI 5 LLFN07PROCEED UNTIL THE INSPEC- LL AEC_OME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE 70R Ka POVED THE VARIODUS STAGES OF WA THE �ONS7S R I ORK IS NOT•.STARTED WITHIN SIX MONTHS OF DATE ARRANGED FOR BY TELEPHONE OR WRITTEt' , � + LPERMIT IS ISSUED'.AS NOTED ABOVE. .•, NOTIFICATION. fAw TE "et tt' r __19 PERMIT NO. ADDRESS U ti a i.� :,4 rs Z •� ._ `- x_. t.I (NO ) ++ (STREET) (CONTR S 6 ENSE) NUMBER OF ��t : PERMIT Zp DWELLING UNITS (_) STORY r (TYPE OF IMPROVEMENT) NO, e....Fr (PROPOSED USE) ]',4 cy g � • f,-3 � re:t l�ttit:.(_: -y, ,�ro� t^ 1 ° i•.';-r 9 ' ). ZONING AT (4 OTION) T t' a�`D 'J 1Lk, :i' DISTRICT a. IN0.) h. STREET) - - BETW:EN ^ JJ77„ �r ;a. _ AND (CROSS STREET) "jp-,-'•a' '.(' - 1 (CROSS STREET) ::- LOT SUBD;VISION ` � " ~ % LOT BLOCK SIZE Yj BU `'SING IS TO BE FT. BY � _FT, LONG BY FT,'IN HEIGHT AND SHALL CONFORM IN s ,;RUCTN . '�`. .. 1 �ems• ° ��� � TO=TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ( r'` s �yii re• - (TYPE) .J . C?W � 3 6 13 2 6 Fg y 41 .'REMARKS: aY .wjy . 't �. spa 4 .�. .. .. ^fi.•'#� t �_ l r � VOLUMEAREA OR 68 «sC • • +-" +j i``,. ESTIMATED COST f� FEEPE RMIT i j (CUBIC/SQUARE FEET)A. OWNER 'IY" D �.. •*'ter { ; t L4_ BUILDING DE qf PT, 1' t•,e ,a „J ADDRESS _ fT :Ov.i s J F �. 1rJ_ i'; ac. .: BY s 4, i 1 . i • Phi, � '(,� b.��!�:n, THIS PERM111 CONVEYS NO RIGHT TO OCCUP'.Y ;ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHUR TEMPORARIL PERMANENTLY. ENCROACHMENTS ON PUBLIC,, PROPFRT.Y, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE PROVED BY THE JURISDICTION. STREET OR ALLEY GR.A`DES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTA; FROM THE r:PARTMEN7 OF PUBLIC WORKS. THE ISSU AiNCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDIT OF ANY AP 4.LICABLE SUBDIVISION RESTRICTIONS. �'�{1 MINIMUM .+,qF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPAR AT ^INSPECTIO%S REQUIRED FOR PERMITS ARE REQUIRED" FOF. ALL CONS'+OUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND t. FOVNDA MADE..-,WHERE'A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.. .rDONS OR FOOTINGS. �..�. N- 2. PRIOR T,p COVERING STRUCTURAL QUIRED',S0r'H BUILDING SHALL NOT BE OCCUPIED UNTILa MEMBER�(READY TO LATH). 'I %,� f 3. FINAL IN FINALNSE ECT(ON HAS BEEN MADE. ��^^ - ' OCCUPA) C Y. CTION BEFORE y. ,,� T "7, f � POST THIS CARD SO IT IS VISIBLE FROM STREET -DING INSPECTION APPROVALS. PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 HEATING INSPECT)JN PROVALS ENGINEERING DEPARTMENT OTHER ,' A BOARD OF HEALTH u bl 4 WORKS LL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR Ha, APPROVED THE VARIODUS STAGES OF I WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEt- CONSTRU,,(ON LPERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. •1 DATE CONTINUATION OF ROAD BOND BUILDING PERMIT # 30� The undersigned owner/contractor hereby agree to maintain their road j bond in force until the following work items are completed to the satisfaction of the Engineering Section of the Department of Public Works. loam and seed shoulders as soon as weather permits. other (explain) f Lo ION M&A l�� SIGNED Owner/Contractor E GINEE Nr3 AUTHORI 4ION L�>rs 1''Cz M' lam, RTA GY-) O' 5'1 NEtLE-�AM1 QY- 3'f3E:DT2X:�MS • S E'P'ilc.-f�'Rr.Yi�C : 33D ��Sa X' �495 6�5�?i � �az. o• u6E loop &A,LL.O1:1 Szm- 1atsK nl 7)sYos��-Prr ustr �o� C A1.>,oc�1�tr 1t1 v�trn-+_�' c.2ys�+cp •s-rou� r ►oz� loZ:v St171LWA;l.Lt z3 `. i raz (N 25 Affix s 13pi srr �J m I 3 19 10 CAPI.C.II`(= �.135R l•p _ {'! �PII TN 7D E616,-&a 'FLo v:..,% 6tP7 -R&TC I'-7 tOV 1A.1 21. jLA.OZLr.55 d erz n �- a..� Sri'1 Z37-23 ` ��. Asp h I n► f I I I.cam` ,,. o '1- 5T' OLEO 1 ' Iz- 116-45(o 6t (��'p Td% 101.5 T4YaF FUP o I o 22 �T�/ I k.17 Z.O. 501L {UC}y 4°'t'�!G tsC. 5G t' 1oUO M - s= INS/ Ioo.o do I►JY GtiL' 1NY Q �, s 99•I 99.4 ,l„ CERTIFIED ?La-T ?,At-1 f7 3� `. EL N <`'�-=�. - L.o CAT 10 N: ctirTu I L_L I :. Filsci ''- `� F P 11 O °1I,'y $ �:L`, ;� �� P l-f•1 K �E F E-"EZ'ir N C.G F 40i G F-ZT 1 F Y "rl4 A`r-M E I-IDv�j!✓ `�H taw 1�! EEr 15-i is l� 1�A 1yT1 Sal �l�`f z7 HT:-'9JE2:)>,I cr M-4P .f-5 W I't'A 77 47✓ 5 ms Arlo 5ET'� K 'FiEGx11Y.E1�4>✓NT'S aFT�tE �s �I���.�^ lhx , -r-c�vS/1.1 �F���.151"AF�L.1= A u� 1 S (.:.�o"'f �T�l_I� t�lT� ��•V I � �A.0}�O J_UU. W1T1-41Q -T-HE -FFLampL. ')>,A. Tt-IIs RA'U 15 NZ:>T$A5i=,p DNAN I1ySTR ME(`lT SuRvCY AND 1 HE OFFSETS 5HOWN SNOUL-U TlyT 13E. usEL? T'a E'S N51.-15N L_z:;,-T L)NE:5. I� . TI . 'T a. • 4, t I ' r : �Z yye�t r t. t , I F , ` t t r i - - 1 . :. I Al p� WILLIAM { .. _ I _ 1 t : 1 o PIYE , y� 1 No. 19334 �RoIsT f �yo� .T.U,gT THE I 1 _._ ANO SE.TB.4"CirG. . • , �'- �� _._ . - - -.�..r_�. _ ._, ... .�, OF: Tom/ 7vxiN�F _ (�1 I f• �� LsY y/t/. TyE .�lo %oc.4?-E� . it . aa !,Q/y, 1 Ty/S P.C.4:�//,S.t/OT BASE" i�•�,4i{/ ' ;"iCE'G/S7'E,2E0 LAOIC,p;$U�2YE}2�� ij ,id407 8 %SEp 7"O' OE T�.�i11/�E iLOT /�t/�s AA', ... � fU x 10 ry ._ per. .: ,� ♦ �,di� Assessor's ofiioe�'(1st floor):- / C�tNEtO Assessor's map;and lot number 1.....�.��.�7........z..:. Board of Health,(3rd floor): Sewage Permit number ] . .........�3� � �'��ICi $Y$TE11t� MUSTe.................. .... ......... ♦Hd9T1►DLE, Engineering Department (3rd floor): s ' INSTALLED IN COMPLIA o 2639. 0� House number .........I..................!..... ... ...... .. .... WITH TITLE 5 Y a� - am APPEICATIONS PROCESSED 8:30'-9:30 A:M. and 1:00-2:00 P.M. only} ' 9"@NVIR®NMENTAL CO TOWN ,OF .,,,BARNS LE rBUILDING INSPECTOR APPLICATION FOR 'PERMIT TO tS'i�v9fp /`y0'/�C { ..................................................... ............................... TYPE OF CONSTRUCTION ...........1�... '� � .... Y ............. .............................................. .................................. t IC-2 " v� ... 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location r ` y....... !/ d ,/-,-ewl �0:......o?. . .. :..... ...:............................ ....... .../........... .................................................... Proposed Use S«Q '...: ��L� /S�H� Zoning District ..... .......................................:.....................Fire District ( ��/T- Q,ST• fUCJ Address �'D ®X 6Name of Owner ...... ..................................... .......,. s ......... ... ..... . Name of Builder !-�.... UfLE7'i!U�....%%��-s.`..`... Address , . O .ox �!�? !'v�L Name of Architect .....Address Number of Rooms ......�fle/" ..........................................Foundation ... GG 4 ..... G°�C���`(P ............................. Exterior .............4W4 .`.L!5�7.&�....:. Roofing ..... �f/J>9Gt.............. ... Floors To.............................:............:......................Interior .....�3!��!ou�G� • r `� Heating ...... ��C 9�!9S ......................Plumbing ......;b! �PiC,� Fireplace ... ....................................................:............:............Approximate Cost s /00,0OYa Definitive Plan 'A roved, b Planning Board _______ ------- l� pp Y 9 ------19 -------, � Area ....y� ��. .. .. .`. — Diagram of Lot-and Building with Dimensions , /a" .22- ' Fee .... ..... ............ ` SUBJECT TO APPROVAL OF BOARD OF HEALTH [ r .362 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. . t Nam ............�. .. Construction Supervisor's License OGo?o��S�' �! SAURO, DAVID A. # o - Ma 30666.... Permit ...1.#...Stor for '.. C r :Single -Family cg � w .. ..................... ........ Location .....Lot...#2.4 !..... 2.42 Skunknet Road "Ceizterville ...................n........... .. ........... ...._.. . ............ ` David A. Sauro Owner .. .. .. .... .. .... r,. 4,7 T e, of Construction "..'Frame A. rr Plot ..:..... .4 ...... Lot `.................... ..... r ti `A r 12•4 97-Permit Granted ... .. .r 19 Date of^Insp c ion ... ....... %U... . .1911117 Date Completed .. .. .19 ; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0/ Map Parcel ® syrr ;si�� Permit# J Health Division 7 Date Issued Conservation Division . = Application F Tax Collector I Permit Fee ///M1 Lb Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 2 7 2 c� i�(cdz /PG Z Village Owner 1 P Address Telephone 6 c D 6 Permit Request 2 Gf 7 °��j D Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 T 6 4 Construction Type Lot Size law 2 O 6 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes b.NT- On'Old King's Highway: ❑Yes ❑No Basement Type: III ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) D d Number of Baths: Full: existing 2, new Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: &Gs ❑Oil ❑Electric ❑Other Central Air: ❑Yes 06o Fireplaces: Existing b ff New Existing wood/coal stove: tomes O No Detached garage:❑existing' 0 new size Pool: ❑existing ❑new size Barn:❑existing ❑new size .. Attached garage: existing El size Shed:®'existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes hP�No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION ? Name �S�P/1/Gj Telephone Number �� 6 Address J Z h 4z/d ��F License# v C f 4L R 1/�/ (f M r Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ® 2 Do f FOR OFFICIAL USE ONLY a PERMIT NO. x DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION r 1 FIREPLACE i ELECTRICAL- ROUGH FINAL t PLUMBING: ROUGH ; FINAL GAS: ROUGH FINAL - FINAL BUILDING + DATE CLOSED OUT �� ASSOCIATION PLAN NO. The Commonwealth of Massachusetts :Department of Industrial Accidents office 011Mes11919tinns 600 Washington Street �. t Boston,Mass. 02111 n Workers' Compensation.Insurance Affidavit Miz name (/I 2i d a S 162 location '/ U ff-I ' hone# am a homeowner performing all work myse f. I am a sole proprietor and have no one working in any capacity I am an employer providing workers compensation for my employees working on this job a..:�xt^.� raz"^' .C:°f Y�...--.. .�i c'n� .;?7>-k� �JnUN�" ���',^"' ,r'h•.ca � �,F.a fi.r gtat"c i.,:r?. -,>jt i�'.t^�r �-r��4{.�.2�4 7♦tys{� tl3yr5��� lTf��irx4.^ �'' s'�'}ri'?r�r'�:�mdi.:: � a.,�'�r�` �r r-'�u t a::;4 "'! d.'N;a+�ll µ. �,rl+6r Noe 2'1.• fF{.6ti �4. ,Ya?� ?C .'� ..11t tt -' '.'v.ti�<,.7.�'�"i.f 1�kx �'�.:t� Y' }` 4�,.�jjX35s.�"Y`�. � r.wf"��,�'""^.�.'At» �f : I.,���.c� } '�,,�,i,5., X�i 1 a5ii��it"4 4�l+ri `cy"✓ } 't'L�`7.'�".��, � f'4 if �' �ys ..emu ra.r 3's''-M, :1"�1�ir'3ry�1:,4'� `z••"�`te�.'v-:,'4 r .. ,ML. };r rr� G"iE•-:e: �,.�, ,x`"`°.�- < �,t i-•iL j Nt s.�' + ;;:, Y„�'r _ w v hf. �S {,., ha-'>,:. to r.}!1..- ' �T�;�i °o�'m .an Fn'anl"e�+�"�n"q'.,r •�:- nxr ;�r��� ii`x / :! t44 kr r"1' � a e,:'3 7u r';y ..P`.V1�,�+�.kf rT iltuSV �:t���T��.!.r �,K..wi'1,�;, 4� �b"�{.Tn. µ5:.1,ti.,2{g,,h r �aS4Y_t��&li�^E'4•�,�tr'+ F 4?:-r�i`E'nf'�:'��'X.c >?rr k:t; :r�!.a i�y�'C�'ZN�::.: Yt ��•� +��~`=J =� r �Vi �ft t , -'3":�7y�YYr� „c�!-PtL�.1!...;�+.�>y x�1 ,� �4 {"' „�..,p" �.sa � X i4i Yyn 6t fi-,��,s fyc�.,�r �� ,,.-u..1'�,i'w� Y, a ,4 k'K`.�ii"" iL§•-^. 4 S,dtt.,r r 4 Yf+'t• x.-.7e': -y"�-,t s •r ` L'fi zi.''. +`$a� ?'°' .x>t?'t. addTess.aWrlvq . •x ,,:�:e r.. v�7 x,,: Y h7T_.''' d.+^*h; i�itd )s�Yf�?ix��4 h�7 J'�1. 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L 7"J.yY2 M 4„.4. .�.•;FS� _I\..i......1'.}y [] I am a sole proprietor,general contractor,or homeowner(circle one and have hired the contractors listed below who have the following workers' fcompensation polices � ,r ,•� 'v^p. .r.i. y :'4' �!`.n i* 4 c..: ,!a TY.m` ,r;,:ry;e#:,ts. 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'r s - "_y G1L 't c.S G• 3i.�'�i J +,u�41'^,y;'5.:� -u .�-� r'.a x, Win" S fir '�tk�k .+ „� �a -a�..•>,a u�. ,4i y..h.p ,4,,, inx �' Sn, Y. ..�.._tw.S.v,�+.r..'27+'.ro..,, 4m51rance ired under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or Failure to secure coverage as requ 0.00 a day against me. I understand that a one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$10 copy of this statement may be forwarded to the Office 0f Investigations of the DIA far coverage verification. I do hereby certi under the pains and penalties of perjury that the information provided above is true and correct Date 2 d a� Signature Print name tAl Phone# official use only do not write in this area to be completed by city or town official city or town: permitflicense# MBullding Department [)Licensing Board check if immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; MOther (revised 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer 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. 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 along with a certificate of insurance 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. The 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. City or Towns 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. 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 flHE�° Town of Barnstable Regulatory ,Services MBU = Thomas F.Geller,Director MAM 9`bp,161rg.�A � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. 9 Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT 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, along with other requirements. Type.of Work: l� ,(7(� Estimated Cost ✓ U D Address of Work: 2c/2 .S�ity,�G� �c� // d rr'V A00e 'I Owner's Name: jVA A, 7" sS ' Date of Application:�� � z I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied E20wnur pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME UYIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. De f OR Date Owner's Name RESIDENTIAL: SHEDS -POOLS -DECKS-OPEN PORCHES- GAZEBOS FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.) >120 sf-500 sf $ 35.00 $ 00 >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) J PERMIT FEE $ Q:forms:dkcost . eff:082301 il` °Fz lg,,y Town of Barnstable Regulatory Services Hnxtvr = Thomas F.Geiler,Director 9 MA$& $ � �pren;pip`` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder I,//�C����I � P�/Gj' , as Owner of the subject property hereby authorize .E /lj to act on my behalf, in all matters relative to work authorized byihis building permit application for(address of job) iz�A/a�� Signature of Owner Date Cie Print ame J . y The Town of.Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION VZ Please Print DATE: Ga JOB LOCATION: �wCidl/�,Qi number street village "HOMEOWNER": L� `/ V name home phone# �Q work phone# CURRENT 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-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 acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. gnature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State 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 exempt 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 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. J Ltd. ' t ,q •. 4 - LO'7 23 k 11-242 LOT .24 I � O LOT 2 / " 0 WNERS.• WILLIAM J. CONNOLL Y, PA ULA CONNOLL Y & WILLIAM Q UEENAN Plan f?ES. ZONE.- 'RFrr. This MORTGAGE INSPECTION Bank �UseoOnly FLOOD ZONE.- "C" ISA CES AND MEASUREMENTSV -INSTRUMENT SURVEY. TOWN: _ REGISTRY OWNER: uzmo_vE ______________ DEED REF: _d81.6'/-1Q3--- -- BUYER: .RANDALL �1�IISALI S.Ef�E�A-------------- DATE: J�12189_---_ PLAN REF: _207_5b __SCALE:1"- - 30---FT. I HEREBY CERTIFY TO OF YANKEE SURVEY _-__THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTA NTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM PAAU1. -" TO THE ZONING LAW SETBACK REQUIREMENTS OF THE m 4OB (SUITE! a TOWN OF __868tY�T.9r8.GF_____________AND .THAT ►10� INDUSTRYROAD 0 IT ES_ _-LIE WITHIN THE SPECIAL FLOG HAZARD ARSTONS<biILLS MA 02648 t �` AFXA AS SHOWN.ON_ &.5 TEL 5 THE H.U.D. MAP DATED_Ad , _ � �' �"!42800 250 01 001 C FAX `420 5553 <"' THIS -PLAN NOT MAVEN PROM AN INS T SURVEY FLS- ------ NOT-TO USED FOR FENCES.",BUILDING PERMITS ETC. z 00,, � •' - r r,Z} a r •, - , r.�t�..." j i. 52c k+'sort °,yt.� r+:.7.ti. .. r d+��¢, ¢ '�a Ttw''�•ek`�`w""w`�'�.tCri� i'�' •�s .r'�e �P�PI�k�'C�`�.C�'t'7"5'Y'.m i - v t..�.d°& h � - �` ,; '4h a+++¢¢t. fit'/i�d.'A, '1'♦d;t s'!. a.,'_ r .j..Z_.>°+!'`". 4'f�`'',e�frul,�n'i. '$'i. gv��:+ G w�,:';� !i?v:`.. �,iy. , �' n� �s;f. ,�P, �, R i+f1 ,yty rx ,.�i, r ?y. : ✓ 3 i d .`. ;. k l,.'w N �i � v i t, � Lh���'t'.::7�""�.lT��*IY�. .:k:C ''-x� �M�'3kY,t1Cd''e%7't5;'4 S i � M•�9",:�+?e�;A�d�� �,?.��,r;'! '�tA t?' 1�pi .:t t,.t,dt k�t' }tr,.,.�.� �s��y ¢ n,' a 259-Queen Anne Roa' KmWich,MA 0264. 344 Yarmouth Road �� (508)430-28D Hyannis,MA 02601 G (508)771-5007 Fax i508)771-7070 Toll Free 1 (800)368-S 4EII 3D L `, ,, r` ••: 7�• p.i � a �•+ O:-�� i}•mil 6 � 1^ 0 r 3 . , ,4`.� � L�.+ `I a•�k �— 'yet a � c� 77 HA PINE HARBOR.WOOD PRODUCTS . 326 Yarmouth Rd. 259 Queen Anne Rd, Hyannis, MA 02601 Harwich, MA 02645 �o a (508) 771-5007 {508) 430-2800 Pit 1-800-368-SHED OctagonGazebos . No&--Basic Ga=bo is glade y�I2ik zs;.1%2 moon na . Sim 6 IZ' 1 , scaac �No - 2779 5 4<ws- Saoea AbAwd Ramie 60D 630- 72p no NIA Rep*Seca= SD 6Q 60 60 CAS 80 2d0Joiu 'Rf I� 12If 151► Ib0 17p 200 240 35 45 SS 65 b5 70 80 SD&XvePaR I� 170 190 210 235 270 250 270 290 ViCRd wRaa 1� I811 u0 �0 �0 270 300 Scanmed llls a IS 15 15 15 15 15 IS IS Steed 1�seia SO 70 � I00 I IO 120 130 150 on Taw t00 is0 170 210 220 2611 r/0 mks ae raw 130 170 190 23D 300 280 V�iaw m TaR� I90 220 Zt� 280 320 340 blcRaoi NIA 4a0 400 45 45D S00 �0 &)of WA t70 20d 220 240 NIA fkvad Dwwle Roof N h 460 460 �0 40 S� Sb0 Gb0 (RabatShin 7D _ t00 NIA NIA N/A illbu6e 200 2�0 290 0 4t0 _ 440 470 P4k SGM=- Ego= I80 200 220 230 240 Pawrtllea�SerAoos t0 I0 10 IS IS 20 30 PaW Dw bk Roof NU 70 �0 70 PaiM tAdd lOD Ila0 l� I20 140 I70 170 170 Tun dPla� 200 20 2M 200 200 200 40 4 W 200 $cue ilederfloor 0 70 100 12D I40 — 180 @M ft 1Yat 40 40 50 AM 50 SD SD Sam kIF ru Fiaor 40 ?a 100 150 I70 go 260 won 30 50 � 4S N/A MA NIA • 4tr" O� ritVl; iilit�DVl� VV VVlI riCVLUI�iJ Ak 326 Yarmouth Rd. 259 Queen Anne Rd. Hyannis, MA 02601 Harwich,MA 026.45 (508) 771-5007 (508) 430-2800 i �aoo PRODe - 1-800-368-SHED Rectangle Gazebos ; Now-Basic is is made with 2x6 joist;straight M1s.112 moon W=M �,and� S size 8x12 8x14 10x12 10x14 1OX16 1048 12x12 1244 1246 12x18 12x2-Q 12124 Bask Cost 2929 2999 3220 3430 MD 300 3440 36M 3820 4040 4240 4M- . �_ y 690 790 900 6Z5 79D w M 960 1030 BAR" 12 12 12 12 12 12 12 12 12 12 12 12 ul0 Was[ 60 160 165 170 175 180 165 170 190 190 210 w Svrd f'.-a- 50 60 W. 65 65 70 65 65 70 70 80 90 aigbmw 150 180 180 210 220 225 Z% Z0 230 240 Z90 - M wn RaH 220 240 235 270 300 260 270 280 290 310 370 Vx% crafma Bra= 20 20 20 20 20 20 20 20 20 20 2D 20 60 70 75 75 82 75 85 85 90 100 110 Snaloc�arrToa 190 710 210 225 240 266 230 240 29D 270 270 290 s qp Tar 210 240 240 250 270 290 270 270 2W 290 310 3�Q valarbacaTM 230 250 250 280 310 320 290 310 310 320 330 350 •"Slam 80 90 90 100 120 130 100 110 1 0 120 130 160 250 270 3m 350 1 385 420 350 380 410 440 47D 490 Ptscmen Fr 150 155 160 170 190 200 ISO ISO 200 210 230 260 2ft 2ft 2ft 2ft 2ft 2ft 21t 7A 21t 2ft 2ft 2ft Faint Kit 120 140 140 160 180 200 1O 180 200 220 240 280 Twnaa ftd 240 245 245 245 7M 260 290 23D 290 390 390 410 SCB=::.dwg go 109 100 100 110 10 110 140 150 170 S townFloor90 110 120 M o 180 140 160 i80 220 240 280 -1Nse 40 40 SO MI 50 60 6D 60 60 60 . 60 uvat vazenos Note:Basic Cambo is made with 2x6 joist,straight rail%IV moon braces,and straight fascia Size 8xi2 8xl4 1612 tOx14 lQjx 6 10xl8 1246 MIA 12x2O 12x24 Basic Cos 2760 2825 3090 3229 3390 3620 3680 3810 4000 4430 OPTION + + + + + +CWHOR + + + 210 710 210 210 210 210 210 210 _210 210 575 620 620 650 630 730 775 _810 850 940 45 45 50 50 50 50 50 SO 50 Bench in Bads 80 SO 85 85 125 125 125 140 140 150 2XIO Joi t 160 170 t80 185 200 200 200 220 240 280 &Bars 45 50 50 60 70 60 70 70 80_ 90 145 170 170 190 220 235 225 235 245 __ m 210 225 225 225 265 285 265 285 295 315 1 21 2� 290 290 290 I ur,6orian Rai 5 230 230 270 3 0 - 32Q ScPUOVCd Brdee 20 20 20 20 20 20 20 20 20 20 Su.wse d Fates 70 80 80 90 100 120 120 130 135 150 SpdoonToo I80 200 200 220 240 260 • 250 260 270 290 SphAa-ks an Tap 190 220 220 240 260 280 260 . 280 300 326 V on Top 310 320 290 310 320 340 -310 320 340 380 300 320 290 300L. 320 340 300 320 340 —380 CabotB 65 65 85 85 110 220 110 220 220 240 250 XI0 320 320 340 380 410 410 440 490 Pt scn_m Fr 140 140 150 160 I80 200 200 210 220 250 I etftucoobsoc 10 10 10 10 10 l0 IS IS 15Pt awk Bench so; 15 15 20 15 20 20 25 20 25 30 40 PtOM Rod 60 60 60 60 60 70 70 70 70 70 p%"U 130 140 140 160 180 200 200 220 240 280. 7Lfnod Paa[ 265 285 220 260 295 285 265 295 285 285 �r�npen Liaaar Fbor 60 ­60 80 100 1o0 120 120 130 140 160 Skew Down Roar 100 120 120 140 160 180 200 210 240 tic Virm Sfl 50 50 50 60 60 60 60----- 60 60