HomeMy WebLinkAbout0239 GOSNOLD STREET t�3ct G4-t
ppIKE Town of Barnstable *Permit
, gyp Expires nth a sued e
Regulatory Services Fee
i A1RNR7'1Ai�F. !
MASS _ Thomas F. Geiler,Director
Building Division
\1 Q v I' 2 Q j 1 Tom Perry,CBO, Building Commissioner ,
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY
2 Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address Z_3 lv V-4
,e Residential Value of Work t{ /COO 00 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address < A /j
Contractor's Name Telephone Number
Home Improvement,Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) G
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) /f
Re-roof(stripping old shingles) All construction debris will be taken to vs �
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
y� 7 #of doors
❑'Replacement Windows/doors/sliders. U-Value 14L1,1X (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 he Home Improvement Contractors License& Construction Supervisors License is
SIGNATURE: 1,4A�q,4
\✓ .
Q:IWPFILESIFORMSIbuilding permit formslEXPRESS.doc f
Devised 070110 AdIA G � /, V
11/01/2011 10:40 5087710663 SCHLEGEL_INSURANCE PAGE 01
CERTI.71CATE OF LIABILITY INSURANCE DATEIMMmD^tivY)
01/201
01/2
THIS CER FICATE 13 ISSUED AS A MATTEII OF INFORMATION ONLY AND CONFERS NO RIGHOil
TS UPON THE CERTIFICATE/ OLDER, THIS
CERTIFICA DOES NOT AFFIRMATIVELY 01:1 NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, 19 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE' ISSUING INSURER(5), AUTHORIZED
REPRESEN TIVE OR PRODUCER,AND THE CERTif 1CATE HOLDER,
IMPORTA If the certlflcato holder is an G,DDfT10N L INSURE the poi cy(1es) must be endorsrd. If 9 ROGATION IS WAIVED, Subject to
the terms nd conditions of the policy, certain policies may require an endorsement A statement on this cerfiRcate does not Confer rights cort(Flcate ln Ider In Ilcu of such endorsemrnt(s), to the
PRODUCPR "
Schlegel Schlegel Insurance Broke:l:s Inc NAME:
34 MAIN s RE.ET .No.FII; 1508) 771 B3ei rA/C,Nar(508) 771 - 0663
J _
ADDRESS!
Cll$TOMER ID N;
..West Yarm uth, MA02673 '
INRURED .—.—.... .. ,_ I"URERM)AFFORDING COVERAGE - NAIC a
Marcel Du aleau Dba E R Mart:Lni Coa;9truction INsunERATRAVELERS
PO BOX 14 INsuRERB: �—
INSURER C
AIALGENERALLIABILITY
, 02601INSURER DINSURER E:S INSURER F:
CERTIFICATE 14UMBER: REVISION NUMBER:
TO CERTIFY THAT Th16 PNSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
. OTWITHSTANDING ANY REQUIREMENT, TERM, OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
TE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
S D CONDITIONS OF SUCK POLICIES.LIMITSSHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS,
TYPEOF INSURANCE MSS , POLICY NUMBERL LI IIUTY (MMlDD/YYYY) (MMIDDA/YYV) OMITS
EACH OCCURRENCE rIALGENERALUnawTY D'AMAGETU1727170
(An PREMISFS([-a oaourTnaa);
C Ms MAgE OCCUR �:>
MED EXP(A one pa'-6.) 9
PERSONAL 8 ADV INJURY
GENERAL AGGREPAtz!i S
GEN'L AGAR IATC LIMIT APPUES PER!
POLICV PRO. PRODUCTS-COMPIOP X66 } _I
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AND EMPLOVE V LIABILITY L-V77TU- UTH-
ANYFRORRIC R/PARTNCR/ELICECUTNE YIN X I••TORVILIMITS _ FR
OFFICERIMG EXCLUDED? NIA NC-0340502 10/19/201 10/19/2012 E,L.EACH ACCIDENT ; 100,DDO
(Mondmnry In ) .
If ync.deawlao i Ider E.L.DIREASC•EA EMPI,OYCE a 100 000
DESCRIPTION I r OPERATIONS below -
,
E.L.DISEASE•POLICY LIMIT
D,r7,;p'TION of OPE TIONS I LOCATIONS I VP,NICLES(ARAch ACORD 1M AddMOMAI Remnnm Belladule,If rrrara npaao Ia rAgalredl
TIE WORKER COMPENSATION POLICY DOES :ROT PROVIDE COVERAGE FOR MARCEL DURANLEAU
CERTIFICATE H DER CANCELLATION
TOWN OF STABLE
367 MAIN S EET SHOULb ANY OF: THE ABOVE DE9CR19m POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
HYAtarry8, MA 02601 ACCORDANCE WITH THE POLICY PROVISION&
b X# 508-79 —6230 AUTHDRI REPREB- ATIVE
BUIL XN DEPT.
%CORD 25(20091 ) 19 -2000 A ORPORATION, All rights reserved.
The ACORD come and logo are registered marks of ACORD
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le 'bl
Name Musiness/Organization/Individual): Jr V
Address: Zgg�
City/State/Zip: "t , .4 Phone -don
Are you an employe . Check the appropriate box:
general contractor and I . Type of project(required):
1.El4..I am a employer with .❑ I am a g
employees(full and/or part-time),* have hired the sub-contractors 6 ❑New construction
2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees . These sub-contractors have g ❑Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp,insurance.$ 9. ❑Building addition
required.] 5, ❑ We are a corporation and its 10,❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11,❑Plumbing repairs or additions
myself. [No workers' comp, right of exemption per MGL
insurance required.]t c. 152,�1(4),gnd we have no 12• Roof repairs
employees. [No workers' 13.❑ Other
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 contractors 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 my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address:
City%State/Zip. .
Attach a copy of the workers'compensation policy \I
p p cy declaration page(showing the policy er nd 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
E fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
II do hereby c tli and penalties of ry hat the i ormation provided above is true and correct
Phone#:
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.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
THE COMMONWEALTH OF MASSACHUSETTS
OFFICE OF CONSUMER AFFAIRS AND For OCABR Use Only.
BUSINESS REGULATION
�7 Registration No:
10 Park Plaza, Suite 5170
Boston , MA 02116 � ��'7EP
L° A lication for Re istration as a Home Improveme t
Contractor or Sub-Contractor Exp' on,Date:
(MGL c.142A;201 CMR 18.00) d 1 2
OFFICE OF CONSUMER AFFAIRS
1. NAME OF APPLICANT:
(MUST BE EITHERANINDIVIDUAL,CO RATION LI.C,LLP,TRUST,OR OTHER L&AL4216TM
2. NUMBER OF EMPLOYEES 3 '
3. APPLICANT TYPE:_INDIVIDUAL_CORPORATION_PARTNERSHIP TRUST
(CHECK ONE—MUST BE SAME LEGALE/NTTTY AS THE ENTITY IDENTIFIED IN 91).
4. DERAL TAX ID NO.:. 2
5. APPLICANT PHONE#J* �� '�" �APPLIGANTT EMAIL ADDRESS:
6. MAILING ADDRESS: i
STREETATE ZIP
7. . PERMANENT ADDRESS: iAb AV�1&6 34a/
STREET CITY ATE ZIP
PLEASE NOTE THAT A P.O.BOX IS.NOT ACCEPTABLE FOR PERMANENT ADDRESS. YOU MUST LIST A STREET ADDRESS
8. IF THE APPPLICANT IS A CORPORATION OR A PARTNERSHIP,PLEASE PROVIDE THE NAME,ADDRESS,SOCIAL
SECURITY#AND TITLE OF THE INDIVIDUAL WHO WILL BE RESPONSIBLE FOR THE CORPORATION'S THE
TRUST'S OR THE PARTNERSHIP'S WORK(Please review the Instructions before answering this question):
LAST FIRST TITLE
9. .IF APPLICANT IS DOING BUSINESS UNDER A.DB/A,PLEASE STATE THAT DB/A,AND ATTACH A COPY OF THE
FICTICIOUS NAME CERTIFICATE FILED WITH THE CITY OR TOWN CLERK
DBA NAME:
10. (a)DOES THE APPLICANT OR RESPONSIBLE INDIVIDUAL 5OLD ANY OTHER CONSTRUCTION-RELATED STATE,
CITY OR TOWN LICENSES OR REGISTRATIONS? V YES NO
(b)IF YES,PLEASE FILL IN INFORMATION BELOW.ATTACH ADDITIONAL SHEETS IF NECESSARY.
LICENSE TYPE ISSUED BY L•KEEN jS,.EJMG.# EXP.D/AJ TE LICENSEE NAME ^
�ra �
TOWN OF BARNSTABLE
MASSACHUSETTS
BUSINESS CERTIFICATE `",' '" '
10/24/201]D
DATE RENEWED:
ATE ISSUED: 06/06/2007
BOOK:193 RENEWAL BOOK: 197 RENEWAL PAGE: 11-403
AGE: 07-407 DATE DISCONTINUED:
CERTIFICATE EXPIRES: 10/24/2015 DISCONTINUED BOOK: DISCONTINUED PAGE:
In conformity with the provisions of Chapter One Hundred and Ten(110),Section Five(5)of the General Laws,as amended,the undersigned
hereby declare(s)that a business is conducted under the title below,located as shown,by the following named person,persons
or corporation:
r� e'` d m '°"F THE NAIUIE®sPERSON S�S(�"RE DOIN;G1611A MESS JND�ER,A NAME
PLEASE NOTE ABUSINESS�CER11FIarATE 1Nb1CATES,T +AA fi,E :) ,., , � .
f. :..-
-, ? PYTMATT EEAPtCAI# S)HAS(1AUE'METALL`LICENSE„
A
DIFFERENT�THAN HISfF1E1�PEftSONALyNAINE(S) ITDOESNOi��I L ,F,;, � _..T �,a ,¢Y kr •,; ,
'9,OTiiEFE PERMISSIONS 3EQ"UIf2ED£$Y T,HE TOW KOF�ARNST% E Bt1{ DING, 4� FI ANDiCONS ER AFFAIRS - .
PERMIT�ANd'O
DEPARTMENTS FOR T�iE tEGA1_IOPE,RAT ON OFsTHISBUSIIES�S�ATHE3TA7EDLECATION �Y ��z _ A„
ER MANTINI CONSTRUCTION
MAILING ADDRESS: 375 COMPASS CIRCLE HYANNIS,MA 02601
ELISEU RAMOS 375 COMPASS CIRCLE HYANNIS,MA 02601
MARCEL DU NLE 45 SILVER LANE HYANNIS,MA 02601
Signature
THE ABOVE NAMED PERSON(S)PERSONALLY APPEARS BEFO ME AND MADE OATH THAT THE FOREGOING
STATEMENT IS TRUE. 7
TITLE
Identification Presented:-
DATE: October 24,2011
CONDITIONS: ADMIN.OFFICE USE ONLY. MUST COMPLY WITH HOME OCCUPATION RULES®ULATIONS. FAILURE TO
COMPLY MAY RESULT IN FINES. MUST COMPLY WITH ALL HAZARDOUS MATERIALS REGULATIONS.**10-24-2011
RENEWED AND ADDED MARCEL DURANLEAU AS PARNTER.
In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110,Section 5 of the Mass General Laws,Business
Certificates shall be in effect for four years from the date of issue and shall be renewed each four years thereafter. A statement under oath must
be filed with the city clerk upon discontinuing,retiring.or withdrawing from such business or partnership.
Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during
regular business hours to any person who has purchased goods or services from such business.
Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues.
--------------------------------------------------------------------------------------------------------------------------
CERTIFICATION CLAUSE
I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes
required u
Si ature of Individual or Corporate N e(Mandatory) By: Corporate Officer(Mandatory if applicable)
** or Federal ID Number
* This license will not be issued unless this certification clause is signed by the applicant.
** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or
tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This
request is made under the authority of Mass.G.L.Cha 62C,S.49A.
COMMONWEALTH OF MASSACHUSETTS
OFFICE OF CONSUMER AFFAIRS AND
' d BUSINESS REGULATION
10 Park Plaza-Suite 5170,Boston MA 02116
(617)973-8700 FAX(617)973-8799
www.mass.gov/consumer
DEVAL L.PATRICK GREGORY BIALECKI
GOVERNOR SECRETARY OF HOUSING AND ECONOMIC
DEVELOPMENT
TIM OTHY P.MURRAY
LIEUTENANT GOVERNOR BARBARA ANTHONY
UNDERSECRETARY
Request For Supplementary HIC Cards_
It is recognized that some construction firms may have a need for additional identification card(s)for officers,partners,or other key
employees as means of identification in dealing with building officials,potential customers, and the like. Additional ID cards will be
issued upon proper completion and submission of this form along with a$10 fee for each additional card requested (CERTIFIED
CHECK OR MONEY ORDER). The registration number will be the same as the original applicant registration number,and the ID
.card will list the name of the applicant and the name of the individual to whom it is issued. The address of the individual should be
the address at which the person is based (i.e., a branch office, main office,or home address). Cards will be issued oniy to officers,
partners,or employees of the registration. THE REGISTRATION AND THE NAME OF THE RESPONSIBLE INDIVIDUAL W ILL
STILL HAVE THEJOINT AND SEVERAL LIABILITY FOR WORK CONDUCTED AS NOTED IN MGL c.142A AND 780 CMR
R6 AND WILL BE RESPONSIBLE FOR THE WORK OF THE INDIVIDUALS ISSUED A SUPPLEMENTARY CARD. THE
HOLDERS OF THE SUPPLEMENTARY CARDS WILL NOT BY REASON OF BEING ISSUED SUCH A CARD ASSUME
SUCH LIABILITY. THESE CARDS ARE ISSUED AS A CONVENIENCE TO THE REGISTRANT.
Additional Home Improvement Contractor identification cards are requested for the following individuals:
PLEASE TYPE OR PRINT LEGIBLY
NAME TITLE ADDRESS
I hereby authorize the issuance of supplementary cards to the above—named INDIVIDUALS WHO ARE EMPLOYED BY THE
HOME IMPTROVENIENT CONTRACTOR R.FGISTRATION IN THE CAPACITIES NOTED, I understand that the registrant will
be completely responsible for the work of the individuals,and will be responsible for the proper use of these cards and their return if
the status of the individual(s)with the registrant changes. .
SIGNED UNDER THE PENALLTIES OF PERJURY:
Registration/Business Name: G /MA cao/ee UC�0.41 — V f f S
Registration Number:
By;
i .
uthorized signature of the registrant Title Date
Please return thisform along with the appropriatefees($10.00 PER CARD)to the address above-
For Official Use Only:
Registration Number:
Processed By:
E.R.Mantini Construction
General Construction
Framing-Siding-Roofing-Decks& Finish Work
375 compass circle-Hyannis-Ma
(508) 280-0785
ermantiniconstruction@yahoo.com
Roof estimate for:
Betina Sommers
Gosnoid rd. -Hyannis
Replacement the Roof:
-40sq Architectural Roof Shingles(30 years warranty)
-Drip edge apply ice water shield and tar paper
-Install cobra ridge vent .
-Install new vent pipe flanje
-Strip the old roof shingles and remove the debris
Material and labor:
Total: $14.900,00
Thank you for your business!
Eliseu Ramos.
'`` I�'lsrxs:rchusctts- Dcparttncnt i11'Public Sutch
Bra:rr'tl of Building; Rc,,ulation:ti :rnd St:rnd:u
Construction Supervisor License As
License: CS 57692
MARCEL DURANLEAII d .
45 SILVER LANE
HYANNIS, MA,02601c
Expiration: 9/24/2013 ° N
('innuissimcr
--- —�. Tr#: 5819. > d
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Office of Consumer Affairs and 2usiness Regulation d
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116 0 w a
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Home Improvement Contractor Registration: w a w
w E Registration: 170473 a .2 O
Type: DBA
100 -= �Q Expiration: 10/27/2013 Tr# 218526
12-11.0
ER MANTINI CONSTRUCTION
ELISEU RAMOS ,_ o �;
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P.O. BOX 148
HYANNIS, MA 02604r`\� j ~
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Update Address and return card.Mark reason for change.
Address Renewal Employment Q Lost Card ]
DPS-CA1 er 50M-04/04-G101216
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�f License or registration valid for indivrdul use only Z tO
Office of Consumer Affairs&B smess Regulation g Y w o o ,i i � ii i i,
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: L cno ''
Registration: 1,70473 Type: Office of Consumer Affairs and Business Regulation > >
Expiration 10/27/2013 DBA 10 Park Plaza-Suite 5170 Q9 c c
r Boston,MA 02116 ��w o ',Z
ER ANTINI CON�STRU�CTION ;.r.(;r O -Fv7 U N
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ELISEU RAMOS .� O x rr w
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HYANNIS,MA 02601 :<,;.s- >.,- Undersecretary Not v lid without signatureLo D U Q
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1 ~` Townof BarnstableOld 4 ^Z
E'o!mlt#
ske d=
exp&a 6 mandafirv.H
Regulatory Services Fee
0 31 Thomas F. Oeller,Director
Building Division
To►n Perry,CBO, Building Commissioner
200 Main Street,Hyannis, MA 02601
www.town,bat'netabla,ma,us
Offioo, 508-962-4038 Fttac:508-740-6230
RE -PE T APPLICATIQN RESIDENTIAL o Y
Nor Yalid with oar Xed X-Press/,+tpriqr
IV
(rkap/parool Numb
Property Address p (,,.�
12esldt:ntial Value of Work 16
Minimum fee or$35.00 for work under S6000.00
Owner'm Name�2 Address
.
6 )A 11VIS
�6etaa Telephone Number 3 �
Hama Improvement Contractor Lletlnse#(if applicable),
Construction suporvlsor's License#(if appllcnble)
El Workman's Compensation Insurance . PERMIT-
ElSS
Check one:
1 am a sole proprietor
I am the Homeowner ISH P _ 2 2010
I have Worker's Compensation Insurance
Insurance Company Name OWN OF BARNSTABI:E
Workmen's comp. Policy 4d
Copy of Insurance Compliance Cer'tifieate thust accompany each permit.
Permlt.Reyuest(check box)
❑ Re�roof(hurrienne nailed) (stripping old shingles) All consiruotion debris will be tokon to
❑ Ito-roof(hurricane nailed)(not stripping, Ooing over existing layers of roof)
[� Its-side
>'f
�. Repko®meat Windows/doors/sliders. U-Valu (rp aximu of doors
nl .35)#of windows
"whtue required; 188udnao of this pormh dope not ex
eanpt eompllunnice with other town department ropuludono„i.e.I4161ork,Conservation etc.
Property Owner must sign Property Owner Letter of Permission.
A copy of the Homo Improvement Contractors Livonia Construction Supervisors Licenso IQ
requlrod,
SIGNATURE: I L.�L1�
QAW FiLESWORMSAIlding pasmlt rormelEXPRESS.doc
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Pailnro Eo oacure covrruge es rtsquired under Sectaoat 25A ofMGL e. 152 Cn»lead to the impowition of criminal penalties of a
fine UP-to$1,300.00 And/or oare.ybar ilrovo=ta1l,as WWI as t h it peualtie9 fn flip form of a STOP AtORK ORL113R rrnd a tine
of trp to'230.00 a day aggimt dw vgol,gdar- Ba edubad that a copy of thin Stttttement may be forwattJbd to fllo O ft r of
1'nvt�5dPtiCatr of tale MA far ituara re coviemp veri4�,tian,
X do Jtieo�by certi y�tdrr lhopaiarr p�trfpcngnTTlies afjvev�ury rTiat rYta Liar»irrto'on prm.Jr/ ua�e +�ryu�a�►J correc�:
� a ertr nrsnc,y_Q,bs coApIdtMP e^n bij'ml YLic e�tnolsosee�n ti G oiffi]Ya^L
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y or Ttwi:
uingA-uthorPtp(all-cJe o11a)r
oed of EtAlrlr Z.BultllJlg Dspat'tWertt 3.Ciiy/PmrnC1er1c 4.?lrerppc or
5Ix ��tact Person: Phorw M.
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Town of Barnstable
Regulatoq Services
'' ea`A r Thomas N, Geller, Director
Building Division
Torn Perry, Blillding Commissloner
200 Main Street, 1••lyannls, MA 02601
Www,town,bArlrata b lo.rn a,us
Office: 518-862-403 8
��IYWwrYlalr� ,��Y�rrrllry�,.,rr�„���� Fax; 508-790.6230
��IYMYIIrM1Y11YifMYr/rIIYN�Y/IYMvM1OrLr�r/r1
I4041180WNER LICENSE EXXMP1-lor4
Please Fril►t
DATE: 9
JOB LOCATION: w _ j
w -� nbcr `- Area( K Iinga ,
"HOMEOWNER" nnn►a _! 1 -=-���a�. �: y` f b
home phony p
work phone/l
CURIZI N1 M�11LNG ADD{cESS: 1�,��)
air' Raj rJ`fiL�Vy')111 G'T 0 L y--�,.
state x_Ui coda
The currant exemption for"hutneowiug', was®xtendod to Itio[t►de S:a�IAlecl Uwelllntrs ot'aix units or less and to allow
homeowners to engage an (ndivlduegl ill'Itlrrg who does not possess n license,12rov_ Ided thit die owner riots as surer an�-
DEFINITION Ole HOIKEOwNIR
Persons)who owrJs'u parcel of land on which he/shu rnaldes or Intends to reside,on which there Is, or is intended to be,a one or two--thmily dwelling.atlachod or detached strnlotures accessory to such use and/or farm►structures. A person who construers more thah one
hortee in a.two-yearpalriod shall not be considertod a horr►eowner, Such"homeowner"shall submit to the Ouliding Official on a form
acceptable to the Dili-{ding Official, that he/she ahali I�M Mile al h work performod e' buildln a (Sootion 109,1,1)
Tho unduraisnad"hoinaowner"assur•n®s responalblllty tbr'oomplianue with the State Building Code and other applicable nodes,
bylaws, rulas send reigulatlona.
The undersigned"homeowner"certlfles that he/dhe undurstands the Town of Barnstable Building Departinew MInIrnum Inspection
r ir000dures and ioquirernents and that he/she will comply with said pr000dures and requlramenra.`
VV
S no'""
of HonreoI'""
IL Approval orla'a'd1,170 foforul '
Note; Yhroo-family dwellings contalnln8 35,000 Cubic feet or larger will be required to comply with the State Sullding Code
Section 127.0 Conatniction Control.
HonllrowlYEA18 ExEMPTION
The Coded(ula►I 111nI; "Any homeownerpu4nning work for whioh a budding permit Is raquimd shall ba exempt ftorn the provisions orihts section(Sau(lon
f 09"I"{-Licensing ofoans7niutfon 5uperyisoiar);providad that if the honiauwner engaged a pdrson(s)roe hire to do>!uah work,{hAt BUoh Holnoowncr shoe)act n
supervisor."
Muuy horMON1106 who Lisa rhiv axernpdon ado unaware her they are Assuming Ilia responsibilities ol'a su clyisor soc A
L ioonsing Conairuciloo Superrldors,Soollon 2.15) This Inck oruwaroncas often real►I1%In serious problame,partloularly whop the honquownerr Ililvii Y,(Icega�Deese„s�r
in idle out,out Board aimot proaaoq jealnsl dis unlloollsed person At II would will,a llooneed Supruvisor. The,hoineowncr aodng as Supervisor la ellitnately
roapunylbla.
tuo
lim
1b cns'un Grj the old rds on is Ihlly swore p rvIl or ton th,lbgr pu,marry upp(n,r11110M loqull'o,as part of(ha p4rmll applloallon,thul Iha homeowner
comity such
ho%ho'undarstands tha uss 11,your
o od m o 5uywvleot. On tha fast pogo of Ibis Issue la a fbrm currently used by yeverol►owns. You may cure I umond and
adopt suoh u forn✓oeNlfloa(lou Pot use In your oomrnunlry.
Q:IWPPILBSI10RMS 6uIIdirij parmli tlrnnslElXPRESS.doc
RaYhod 0721 I0
U/Z0 39tid S3-ldV.LS E0Z91LLEl051 91:0T OTOZ/ZO/60
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Assessor's map and lot number ... ....... .......... :i...........:
INSTALLED IN COMPLIANCE
Sewage Permit number .�� .:.... � c41Td� A�?Tly''`' =1 �' ATE
. ���.
F �. SAWTARY CODE AND TOWN
4' ?"ET TORN OF BARNSTABLE
16 BUILDING INSPECTOR.
'' �D NPY Or• - -
61 si ri ! tt
APPLICATION,-FOR`PERMIT TO e.K:.ex-r.............: I c
r' TYPE OF CONSTRUCTION
...... ....................................19.a
TO THE; INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 19 � �_ oar, c.,� .�s s
..................':`:O..t....... ............N. .. .. . ...................a......................................` ...................................
ProposedUse .........`.v:r"eQQ.:`^.........................................................................................................
ZoningDistrict ...�.B........................................................Fire District ....................:.........................................................
�1 Q 1 1
Name of Owner . . -�.Q»<.< �,. '1 avr:Qr.`;....�r�. T'.�..Address ...°- ..4......:.
I � •
Name of Builder .. ��4���../ �,— Address ... . ���oo� �� QMniS.
Nameof Architect .......... .......................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ...........tOC�.....................................................
Exterior � SJ!%....S. r.:^. I2S .......Roofing ....... .. ? ..5�n..n. ��. ...............................
Floors ..............01.4t.-.Y—.Pct.................................................Interior .......... .. .nww).`..................................................
Heating ........... .............................................Plumbing ..........1\)0r\N`�.-...:.....................................................
Fireplace to .......Approximate Cost io� O O
�............�►.V.............. ........
Definitive Plan Approved by Planning Board -----------_______-----------19________- Area .... 4,....:...........
Diagram of Lot and Building with Dimensions Fee 5—J................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
(77 0 Y-70
-7o
_400
ze ,.
17'
M
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. /
Name �. C-.4 � ?.itji.).........
Strand, Peter & Margaret
No Permit for ......A!M..�P.. .
---�s+*++z .������+e�-----------'.
`
'
Location'..........Z�q�. . ----'' '
. .
—'------... y�UAg�gi------------..
. ^ .
'
Owner' ---.. ./�.]���@@g��t.. —
d
Type of-^ Construction ---.fXA149.....................
�
...............
Plot ..--------- Lot ----------.. .
'~ .
. ~
` '6ran/a6 —. l� -----'lg 74
. ' .
Ooto of'Inopac�m1 ���!��.�..�..��!.��—.]q-~^ .
/ /
� Date Co'mplete6
/ /
�
`
,
\ 'PERMIT REFUSED
' lV
i ^ ----'--'-------------
� .----.----�-----.—.—.-------..
^
`—'-----^''�—'--~—'~--~--------'
\ ' `
'r---'—^'---^---'------^^—^'—^�...
--. --.. .. - '
\ ' . ' ' —.----'------^`^--'-- ^^'
Approved ................................................ lQ .
/ J- '
..'�-----------.--.--..--------
' . `
. ,
`.............. —........ ............ ......................................
^ .
��_^_
Assessor's map_ and lot number ...... ..� . �`' C / "///7G�
0
Sewage Permit number C�i�.:....:��:......................
y yo*THETo�° TOWN OF BARNSTABLE
ii •
P i BARNSTABLE. i
a 9 OURDING INSPECTOR
---APPLICATION. FOR, PERMIT TO ...... 4'...c,.: .........S.:.A:C.A�'&.An....... elm):``.. .:5...:
TYPEOF CONSTRUCTION .................................................................................—.�...............................................�..,(
.......`l.....................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location o`Z 3 lYv s r•p 5�. 1... ! ^ r S:...............................................`f
....... ........................ ..... �...
ProposedUse ...... ............. ! ...............................................................................I................I........ Y
r
Zoning District ..........................................Fire District
.............. ..........................................f. .........
P a �Yl r r ra r10 ) S
Name of Owner ...Q...,....�'....r..........�..��.�...Q•::.......rr................Address ....°�.:.3... ...�:�..�.......................:..n.......`.:�,�c3;<,�n�S.
Name of Builder .. �,`,� �. .. .V C--:� �CI"�'dr....Address ...�. �.....!:5.7. 4 uJao� . .......
:...j. ......�. ......
Nameof Architect ..................................................................Address `............1........................................................................
Numberof Rooms ......... .....................................................Foundation ..... J�t3c� ......................................................
Exterior �'�'� r.....5. .r,y 2 S Roofing .......L'. .?tRc i �- S��n��Q1
...................... . . .................................... f
Floors .................................................Interior ..........C4:ca\Ns!+A\...................................................
Heatinge �.p. :.<- Plumbing ..........N�.!v,c`�.- .............
................. .................. ............................................
Fireplace N v .Approximate Cost
Definitive Plan Approved by Planning Board ________________________________19________ . Area .........s ...� .a...Y..........
Diagram of Lot and Building with Dimensions Fee ......
................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1
'70
-400
a'
' 1 �
wwwwrw.n�M.r
I f;reby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....0er! �,...... ...... �i. .........
Strand, Peter & Margaret Vsi�ne
No , 17148 permit for add.............
family dwelling
Location 239 Gosnold Street
............................................................... 0
Hyannis
...............................................................................
Owner Peter & Margaret Strand
..................................................................
Type of Construction frame
................................................................................
Plot ............................ Lot ................................
Permit Granted ....19............Jane..14......... 1974
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
................................................................ 19
...............................................................................
i
................................................................................
Approved ................................................ 19
...............................................................................
.................I.............................................................