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Home My WebLink About3735 MAIN STREET r. a � c I, o LOTS � r�rt sr• . � --= ' 0 49,•noo±.� N mil-• ` o �9'42 y� O SCALE �\ n Alm- ' 4 T 6.q ._......... } i 0Kl-i:?HDC � DI • ��`ZH OF Mgs�q . o� �` T®�!�® O;r is CHRISTOPIfER �; ® AN COSTA v:.T WAI :MRIYJTA No..31305 /tAlb �FIra C!$TEA� Erlix � Q f l DA TE . 6-18 I_ HER-EBY CERTIFY THAT THE ABOVE VWELISNO IS IOCATFD ON THE GROUND AS SIiON-J9THAT IT CONFORMED TO THE TOP1N'S ZONINO- SETBACK RECULIATIONS . AT THE TIME IT WAS CONSTRUCTED AND THAT THIS MC11TOAGE INSPECTI C1N HAS PERFORMED IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR MORTaAOE LOAN INSP T ONS AS ADOPTED BY THE M SSACHUSETTS ASSOCIATION OF LAND SURVEYOR A D IYI l INEERS91NCORP�gATED. 7'H/S LoT 1SN6T Ao' T/YE' ' FLooD,OG!/N C HER CO TA R. L.S . . DATE 6-•Ag -$cS A« CAA5, .S�•e v�.Y ComsvL T,4 Al r /�� E.9sT SAL MDUTy �Y�/. �:FAL I�14vTH, M,4• ■ T M' 1 t Town of B 1� arnstable Permit Expires 6 months from issReffillatory Services dat BARNSrABM +` MASS. i639. `�� Thomas F. Geiler,Director TIC - j uadin __Division __.__X' ESS PERMCT - Tom Perry,CBO, Building Commissioner . 200 Main Street,Hyannis,MA 02601 O C T — 12012 www.town.bamstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 - EXPRESS PERMIT APPLICATION RESIDENTLAOft9F BARN Map/parcel Number STABLE OCl O Not Valid without Red X-Press Imprint _ Property ddress 3�] �/j' 1 i� I /V t Residential Value of Work Minimum fee of$35.00 for work under$6000.00 �►� Owner's Name&Address �r 7 3� Contractor's Name L t�_( t.2 Telephone Number Home Improvement Contractor License#(if applicable)_ c> / Con stru Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Nam ' e Workman's Comp.Policy,# —�=k ' Co of Insu rance urance Com liance Certificate must accompany each permit. Permit Requ check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to .S-t�> ❑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: a Owner must sign Property Owner Letter of Permission. A copy f the Home Improvement Contractors License&Construction Supervisors License is requi SIGNA QAWPFILESTORM build" p i f doc Revised 05301 Ar Ike- Com"ID-mlyakh of VaywchlesC&S -- Departtrtertt of Ind'rrstrtrtd Acc idenft Office of Investigator ,�, __ . - GfJr?FI'asTltngtort Street``- rrston . W�� nit,w.m ass.gov/dia Workers' Compensation Insurance Affidavit B,mldersllContractors/E-lectt-cians/Plombers Applicant Information Please Print 'b Name(Businmurgaliizatim&devidnal):�1 L C71 re- Ll Address: .�- t^ 15 O�, City/State/Zip: L,- Phone#: 3 Are ya an employer:'Check the appfiopriate box: Type of project(required): 1. I am a employer with ' 4. [] I am a general contractor and I employees(full and�'nr - )- have hired the sub-contractors 6- ❑N cemstructsum 2.❑ I am a sole proprietor or partner- ' listed on the attached sheet. 7. ❑.Remodeling ship and have no employees These sub-contractors have $- ❑.Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance Comp.insurance. 1 9. �Building addition required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 1❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions self No workers'comp, right of exemption per-IYIGL s 152 4 12.❑Roof repairs insurance required.] c. , �1{ },lid we have no 13..❑Other employees-[No workers' comp-insurance:required.] ;Any apphcaw that checim box#1 mist also fill out the section below sbomng their vrorkers'ccanpensation policy information— Honmwners who submit this affidavit indicating they are doing all o ul and then hire ouuxle contractors must submit a new affidnit indicating such. tCantractors that check this boat must attached sac additional skeet showing the name of the sorb-cmn-actm and stare 4datber or not those entities have entplcyem If the sub-contmaors hss•e employees,they anent provide their worker'comp.policy number. I dam an employer that is ptmdding ivarkem'corttpensa ien insunwce for aaiy emphyeem Below is the paltry and lob site informat€om Insurance Company Name: r Policy#or SeSf--ins.Lic.#: L41 .!g2 I Expiration Date: /l Job Site Address:- 7 �_ ��./4 A S 1— Citytstatrjzip: Attach a copy of the workers'compe ation policy declaration page(showing the policy*number and expiration date). Failure to secure coverage:as requireder Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 au a-y somnent,as well as civil penalties in the€ono of a STOP WORK ORDER and a fine of up to$250.00 ay a th olator. Be advised that a copy of this statement may be forwarded to the Office of Irrsresti of the DIA ce ca�Mrage v ertiClIfion. I do tby 7c �*y Zt 'ns rand penaffes of ped-ary that#Ire information proridte�d alp 7/ -z2 and correct` Si Date:/�A Phone#- �g Ofjadzal use only. Do not write in this area,W be completed by city,or town of cidat City or Town: Permritli icentse Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffou'n Clerk 4.Electrical.Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: f z: the w r r * SARN3TABLE, 39. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 m' Prop a Owner Must Complete and Sign This Section If Using A Builder C., C- Y-A2-1 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: �1 1;7- iMex-x V-\ s. �c��r IDS ` VA C�-' . (Address of Job) 16 It [I Z Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 f �Nov. [o. IZUII—IU:gVAfvl-----Palumbo Insurance No. 2419-P. 2 RightFax N2-2 11/22/2011 '1:34 :37 PM PAGE 9/ou Fax Server ISSUE DATE 7 e 0XRTR7C47Z Z=WD AS A MI<ATTZR OF WORMX(ON OmW AND COM=8 No RIG=W40K T=CPYTDIICATNS jff0LbVL MM (�]tYDIGAYLbOEAl�I'07A13'btlUAtlVELYORNEGATIYZr.'Q'AA/YND�Y�tIDO1ZA�YYI(Y1O',CO�'BitACiAPFORD�BYiIdlOLICII'A . .7SGLOW.TfIIe CZRT�[CATC C!DreVR.JNC�4p0>de 2+OT CONiTITVTEA C:OKSRACiRZISYZW T71B I6SZfiNGDQSti'lirii(s),AVa[O$ZZFa A"RYMMATMMIXOMER,AND THE CERTMCATE IIOMM IMPORTANT:H the coMalo holder is an AcOrrIONAL INSURED,the polh y0w)must be endorsed.If SUeROOATION 18 WAIVED,subject to the tams and eondHtons or the policy,certain polleles may regdre an endolsemenL A statemnt on thts eertilleate does not confer Tights to the cw0cale holder In Hsu of such ondorsenionl(a). PRMUCPR COWACY WILLLW PALUMBO INS AGCY ram: 4537 FALMOUTA ROAJ) PHONE pNJ va VA: 1 AX COT=.MA 02635 e-VAL ADDRlee• Nwoue" curro ERlbx Dieu= At.+"BO"04C COVERAGE rwCri T L H=14COCK CONS t UCTION 03URE&A TRAV.Dfff2Et T A&%(;NNMN T SERVICES INC IMURF LD 55 USA LAME WEST 13ARNSTARLR,MA 02b68 INSURSB C INSUABRD IN6Utt>3tl L I7VN: F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TMISTOCPRIIPYTSATMMPOLI=OFWSMW1C8 D]kI.OWRAY6BPB17LWUMTO1RDSTStgMIf MWAAHOVBPORnWpOL1CYPOWDIIIDIG1aD. NOTaABiTAIIDDrQAA'Y A[QD17',7=M(�!.t:ONDTIION 01 ANY GO\ZRACC 0><O't1lEYDOCD'�ir`plt>g RN:�H(.ZTO W>DCTJTPIS CYiLz�ICAYA�SAY BB Jeep ORMAY PJRTAIN.T=103VPuAM A"QI WW 87 TBBPOLR�S DPSCRUW rl®eM n SVaIICTTD AIS,MM MW F]cCC.3WM ATID COt�CTIONH OP SUCH Vol& BS,mmSHOWN •PHAVE Y!'CPAIDCLARIS. DVIOr TS'PEOPIN6riAANCr; wDDL SDD>; POI2CYNJLm= POISCyY{P POLICYI� Y. C6 LqL UM WVD o>z r BAcxoc cs s �RsauJis w 0 cuDas Wag 0 0CM t e 0 Pr9JOHALaaDV I _ DOW OIIrZ AOfO'd:OR��QTAA7�i3D1� 0—CY OPRo= J cc ��? HRODOC7FdOL0•IO? J AGO ACTONO13USLL4zMny Lo]�Or37J�oCt J I]lrOc 0 AtIY Ar'*M aODnYnGui<t I r?aioAl 0 AJLOWe=AMW - - HODLYD.>SDHY 2 PrA•ddC9% 0 R2FEffrDAMWJE s � IOHF3iALTOH .a xn � J � 21tlr.OW�aD aZlIf7H t 0 DUbwMUAUM OOo= t�ActlCCcvaaszr¢ i O FJCCJ,65LiAB __:...`•� � y S O DEDvcr= I 0 XnEaw I �" J WORWAWC1310 rSAMN SrATJIbBY WC A AND EWLOYPMr.UrAWUM we X rf YrK ANY WARnWV j J- Z0XMUwE0FMEMVlE4aM N wA 1?JID3.996"61 11/I4tI II/M/l3 RACCIIACCM" A00.000 V=W-FA = 1100,000 uy..r .,wrsr+scrmuavoF Jcr orERAMDWbd.y 1500.900 H }JOPOPIVRAM"WLOCA770IOJVliCj�,f(�16IibAR.OiDloi,e/dgorolJW�w�o841�1�if,non4+��sr�auiedl n9<siaEPLACCSA.`RPAIOACPJtlD1cA1Z!:HOED TO i1tR C61tTQSG7ZItOLDxR A7Isltcmra wols�s CO}ip COYJTrAGit BHOULD ANY OF THEAOoWL,bltseplesb POLICING DE CANCVA apBlIOA! i THE EXPptATION bATt TNRREOF,NOTICE VftI.BE be J"MM IN ACCORDANCE E POLICY Pkw1610Ntt. AVINOR 'Ja RUM OITAYnx - - Rj10fLJ�d/ CLI141' I - Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supers isor Specialty License- CSSL-099828 TED L HITCHCOf�K 55 LISA LANE West Barnstable SIA 0 .8 Expiration 06/01/2014 commissioner ILC!iC'OIIGIIG07!lllCCll��O�C��GCIJXIC�lIJCJ 1 - - 1 License or registration valid for individul use only _ :Office of Consumer Affairs&BusinessRegiilation before the expiration date. If found return t4 ,DOME IMPROVEMENT CONTRACTOR Type Office of Consumer Affairs and Business Regulation ,�egistration 165907 10 Park Plaza-Suite 5170 �Ex iration: 4/612014 Prroate Corporatic ;j Boston,MA 6 TL HITCHCOCK CONSTRUCTION SERVICE INC ` f I - THEODORE HITCHCOCK 55 LISA LANE WEST BARSTABLE;MA 02668 Undersecretary �N valid wit out signature ---_----- - a. z i 70 Op THE r Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee S MASS Thomas F. Geiler,Director -PRESS PERMIT ptFp Mi►�l� Building Division Tom Perry, CBO, Building Commissioner APR 2 3 2012 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office; 508-862-4038 TOWN � P3RIE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 317 6 7 Property Address �q j L' r '�1i�ii4//'i t✓► ,� ®'Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address. re!^/.> /72Zr 1dry, 73 R T'l A eA 1t'ni i�s0-',1�•�' 1`�J�_� ( - �'7 Contractor's Name �'/fir�;� J; ." r r.CA, 'e r i Telephone Number ;;7 y- Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 0 9,0' 7 CP,f� ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance :nsurahce Company Name Workman's Camp. Policy# 'opy of Insurance Compliance Certificate must accompany each permit ermit Request(check box) ❑ Re-roof(stripping.old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going-over existing layers of roof) ❑"Re-side #of doors Replaceme t Windows doors/sliders. U-Value e (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. 3NATURM VPFILESTORMS1building permit formslEXPRESS.doc The Commonwealth of Massachusetts .. Department of Industrial Accidents: ' Office of Investigations 600 Washington Street Boston,MA 02111 `' •�•,W www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . t Applicant Information Please Print Legibly Name(Business/Organization/Individual): . (o N - T" S AI*,mac fp_:jc- -Address: Jo City/State/Zip: /3Q,eAtr,2 5rtg .:mA Mr, qQ Phone.##: Are you an employer?Check the appropriate box: ' ., -Type of project(required):,; 1.❑ I am a employer with .4. ❑ I am a general contractor and I have hired the,sub-contractors 6. ❑New construction . . employees(full and/or part-time).*,, 2. K I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling k ship and have no employees These sub-contractors have g, .❑Demolition working for me in any capacity.. : employees,and have:workers'. " 9. ❑Building addition [No workers' comp.insurance comp, nsurance.t x d.re uire 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 11. 're airs or additions 3.❑ I am a homeowner doing all work. _],Plumbing , p myself [No workers' comp. - right of exemption per MGL" 12.❑.Roof repairs,. ., insurance required.]t c. 152, §1(4),and we have no i employees. [No workers' 13.❑ Other s comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all.work and then hire outside dontractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the.name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that,is providing workers'compensation.insurance for myemployees. Below is the policy and job site information. z Insurance Company Name: Policy#or Self-ins.Lic.#: 5 4 Expiration Date: - h.g, i ' 4 : Job Site Address: :, ' City/State/Zip Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).% Failure.to secure coverage as required under°Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonmentas well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that�a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify.under the pains a 'd penalties of perjury that the information provided above is true and correct. Siknafore: a r Date: 1 Phone#: '7 2 z/-, a Official use only. Do not write in this area,to.be completed.by city or town official ' City or Town: Permit/License# Issuing Authority(circle one):. • .1.Board of Health 2.Building Department 3.City/Town Clerk 4.ElectricaI Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensa '6n for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another er any contract of hire, express or implied,oral or written." 'r An empI er` is defined as"an individual,partnership,association, corporation or othe egal entity,or any two or more of the fore Bing engaged in a' joint enterprise,and including the legal representatives f a deceased employer,or the receiver or\unilid individual,partnership,association or'other legal entity,a toying employees. However the owner of ause having not more than three apartments and who reside therein, or the occupant of the dwelling her who employs persons to do maintenance, constructio or repair work on such dwelling house or on the gilding appurtenant thereto shall not because of such em oyment be deemed to be an employer." MGL chap6)also states that"every state or local licensing ency shall withhold the issuance or renewal o p'rmit to operate a business or to construct bu' ings in the commonwealth for any applicant who has not pro'uced,acceptable evidence of compliance ' h the insurance coverage required." Additionally,MGL chapter,1 , §25C(7)states"Neither the common th nor any of its political subdivisions shall enter into any contract for,the p'rformance of public work until accept le evidence of compliance with the insurance requirements of this chapter hav 'been presented to the contracting a ority." Applicants Please fill out the workers' compensat Ai°affidavit completely, checking the boxes that apply to your situation and,if necessary,supply sub-con&actor(s)nam s)';,address(es)and p ne number(s)along with their certificate(s)of insurance. Limited Liability Companies( or Limited Li ility Partnerships(LLP)with no employees other than the members or partners,are not required to c w krkers' cc m nation insurance. If an LLC or LLP does have employees,a policy is required. Be advised at this affida t may be submitted to the Department of Industrial Accidents for confirmation of insurance covera'e. Also sure to sign and date the affidavit. The affidavit should be returned to the city or town that the apph io for the ermit.or license is being requested,not the Department of Industrial Accidents. Should you have any questi s re ding the law or if you are required to obtain a workers' compensation policy,please call the Department at a ber listed below. Self-insured companies should enter their self-insurance license number on the appropriate,line. City or Town Officials Please be sure that the affidavit is complete and p ' ed leg ly. a Department has provided a space at the bottom of the affidavit for you to fill out in the event the 0 ce of In estig tions has to contact regarding you din the applicant.. Y g g PP Please be sure to fill in the permit/license number hick will b use s a reference number. In addition, an applicant that must submit multiple permit/license applica ' ns in any give e ,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the pli t should write"all-locations in (city or . town)."A copy of the affidavit that has been o cially stamped or ed the city or town may be provided to the applicant as proof that a valid affidavit is on for future permits or li rise A new affidavit must be filled out each year.Where a home owner or citizen is obta' g a license or permit not r ate to any business or commercial venture (i.e.a dog license or permit to bum leaves-et .)said person is NOT required c lete this affidavit. The Office of Investigations would like to ank you in advance for your cooper lion d should you have an questions, 7 Y Y please do not hesitate to give us a call. The Department's address,telephone-and fax number:. \\ .Thl Commonwmalth.of Massachusetts Dipartme t.of Industrial A.ccidQnts Office of Investigations 600 Washingtori Street Boston,MA 02111 Te,1. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia �t Town yof Barnstable Regulatory Services • ivartsr, IZ, • MASS Thomas F.Geiler,Director s6g¢ 1 Building Division a Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-5230° d Property Owner Must Complete.and Sign This Section t If Using A Builder I -- �fr`t S l�c� ��1 ��•- ,as'Ownex of the subject prop eIty hereby authorize , i>1 e-- t/1 i S Cam. C .k.t to act on my behalf,; in all matters relative to work authorized by this building permit a �l c -� cA �r&-y '�S tut (Address.of Job) **Pool fences and alarms"areJthe responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted-. to �Z4 /I CA C Signature of Owner4 afore of Applicant rtS ei (tb+ C r✓' 63="'ors+✓sS /` Print Name Print Name y 4Da Q:FORMS:OWNERPERNSSIONPOOLS �'THE Town of Barnstable 0 Regulatory Services 11MMSTABLE, $ Thomas F.Geiler,Director ^ y MASS. �A 1639. Building Division jEp MA'1� 4 Tom Perry,Building Commissioner `\ 200 Main Street, Hyannis,MA 2601 www.town.barnstable. a.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICi NS XEMPTION °h Pleas Pri DATE:_ JOB LOCATION: number str et village "HOMEOWNER": name fio a phone# work phone# CURRENT MAILING ADDRESS:. city/town state zip code r The current exemption for"homeowners"was exi�en ed to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual fbiLe ho does not possess a license,provided that the owner acts as supervisor. DEFINITION e F HOMEOWNER Person(s)who owns a parcel of land on whichhe/she resi s or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached odetached structures accessory to such use and/or farm structures. A person who constructs more than one home a two-year penbd shall not be considered a homeowner. Such "homeowner"shall submit to the Building fficial on a form acceptable to the Building Official,that he/she shall be res onsible for all such work Performed under the buildingennitt (Section 109.1.1). The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and re , ations. The undersigned"homeowner"certif s that he/she understands the Town of Barnstable Building Department minimum inspection procedures and equirrments and that he/she will comply with said procedures and requirements. s i Signature of Homeowner Approval of Building Official Note: Three-family dwellings contarg.35,000 cubic feet or larger will b\required to comply with the State Building Code Section 127.0 Constructio Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required S�all 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." 5 Many homeowners who use this exemption are p unaware that they are assuming the responsibilities of'�a supervisor(see Appendix Q, Rules&Regulations for Licensing Cons truction Supervisors, sors,Section 2.I5) This lack of awarenes soften 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:forms:homeexempt Massachusetts -Department of Public Safety Board of Building Re ulatio 9 ns and Standards Construction Supen'isor License: CS-096798 ` EUGENE J SIDHkALCHI , P.O.BOX 58 Barnstable 026 =F Commissioner Expiration 03/13/2014 i � 3r�i( g��i V" Lrcense or re istrat+on vai�d for md►vidul use only ' ' Office o onsumer A airs smess e u a on:- «N-� g il HOME IMPROVEMENT CONTRACTOR z ' before the expiration date If found return to_ Registration:: 166045 Office of Consumer Affairs and Business Regulafi�on ' 10 Partc..Plaza-Suite 5170.-- Expiration 4/1W012 Individual - Roston;MA 02116 w i1 E NE J.SINISCAf.GLl C z A Jl EUGENE SINISCtALCHI � ; , 1Q7 M IL LWAY 23 Undersecretary u reBARNSTABLE,MA 0 } F i - I I - � I I I � T— I :f I !W.-,pk�1wo to �Ys i I I � ALL, u I i I L''- 7-ti.y.YHler 6a*ii - �t� i I au 10� 51si'S 64 Bhs—+. 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Definitive Plan Approved by Planning Board 19 �� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABL able Co ,ission nst BUILDING IHSPECT01 �- � — """� Date APPLICATION FOR PERMIT TO >> ex) Sig ed TYPE OF CONSTRUCTION Wary-D 42 41y)!� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 373 S / 011111 97- i2h2_ Co%% 4 _1 f ,M4 Proposed Use fm lam° rim 1Ae>,17V2Y14�-y/ !'o�ctr E.v Y/ �� S[Idt�J ?J[►�'m�/�_S Zoning District Fire District Name of Owner ROV 2)961M, Address 3-7 7S /h[I_;A>144 �1>v►.>t�,ci .�i� Name of Builder J)6414r/1 -� I _ Address -*l f M r,, &J.,t4 g.-AM. Name of Architect 11"A -u al—' Address 3a Azo u,c71 sr S Z�V ga. M l Number of Rooms Foundation��-+ //® Exterior 414>a6 CW {".PC-1 Roofing w1-'7- Floors 2 Interior ✓ Cco�f/ Heating ro-,S l j 6sa--,AX_ Plumbing Fireplace a M� 'iC+e Ci�7. 5� � Approximate Cost �b�i 00e) Area 9®a s9. g de Diagram of Lot and Building with Dimensions too, Fee P= P�;®�aSc� — 6-7vs;`N6 t a Ga a yr I R ij M O \ � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg g the above construction. Name Construction Supervisor's License I-. DREIER, ROY ti z t No 3 4 3 5 5' 'Permit For Add To Single Family Dwellingf- Location 3735 Main Street Cummaquid Owner Roy Dreier r : 1 - Type of Construction Frame t Plot Lot Permit Granted May 2 8, ' 19 91 f Date of Inspection —�;/ 7/ 19 Date Completed 19 in r. 49 1 JJ GG�� e „Assessor's map and lot number ... 3/- 72' - Ae fr /a frdPc� �6y THE p` Sewage Per it number ....T.h7./.:......... e«/ �i s T o s" �Q o / Z 33AUSTSIILE, i House number ..............4 ........................................ 900 M639 TOWN OF B::ARNSTABLE BUILDING ; INSPECTOR APPLICATION FOR PERMIT TO .............John..M.-Beattie Jr. „ ................................................................. TYPEOF CONSTRUCTION .....................Frame..................................................................................................... July..6.....................19..78.. TO THE INSPECTOR OF BUILDINGS: i The undersigned hereby applies for a permit according to the following information: 3735 Main St. Barnstable Location ....................................................................................................................................................................................... Sunporch ProposedUse ............................................................................................................................................................................. Zoning District ... Barnstable ��!:�................................:......................Fire District .............................................................................. John M. Beattie Jr. 3735 Main St. Barnstable Nameof Owner ......................................................................Address .................................................................................... Bruce R. Lovejoy Co. Main St. Barnstable Nameof Builder ....................................................................Address .................................................................................... none Nameof Architect ..................................................................Address .................................................................................... 1 slab (existing) Numberof Rooms ..................................................................Foundation ......................:....................................................... Wood sheathing T 1-11 asphalt Exterior ....................................................................................Roofing ..................................................................................... cement - existing drywall/paneling Floors ......................................................................................Interior .................................................................................... none none Heating ............................ ............................................Plumbing .................................................................................. . . _ _ --none �.._.- 2P500 -= repF1 lace ..................................................................................Approximate Cost ................................................. Definitive Plan Approved by Planning Board -----------_--------------------19--- . " Area ....../. .. . ....'............. Diagram of Lot and Building with Dimensions Fee s ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I I I hereby agree to conform to all the Rules and Regulations of wn of Bar4stare.gcrding the above construction. Name ..................... . .................................. 7 B6attie, ,John M. Jr. 0 9...... Permit d to dwelling a for .... .. ........................... .......................................................................... 3735 Main Street Location ................................................................ Barnstable ............................................................................... Owner ................John..M. Bea.t.t.ie P...Jr ...... . . .... . Type of Construction ............frame.............................. . ................................................................................... Plot ............................ Lot ................................ Permit Granted ...........August 21........19 78 ..................... Date of Inspection 9 AA4.� ... .r4 Date Completed ...t�Ax/zt. .......19 PERMIT REFUSED ..............?................................................. 19 .............. ................................................................ ................................................................................ ........................................................................... ........................................................................... Approved... ..`.......... ............. I.......................................................... .............. ..........................................I............... 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NIJM.B ER Tat 362.363 "�` 1/"j'' I' i' For those who demand the finest rint-O-slat