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HomeMy WebLinkAbout0101 CLAMSHELL COVE ROAD _ . ..... ... . ...... ... _ M s � �Y�-�� , � _r ��sr_ ,�.�...., 1-~ �.►,� All Town of Barnstable Permit# ' 102017 Regulatory Services Fperees 6 months from issue date 11 wetvsia�`� -- Mass Richard V.Scali,Director Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number 0 0 6 Q Not Valid without Red X--Press Imprint S(,:,/ Property Address /D / 0- 1/a , G�t� 1 / 0 0 y e- 9c?G [Residential Value of Work$ 1 000 0 D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 6_14W e+r dl 101 601m SAe, 1,1 CWe_ �U , , CO&I4 M4 U6 IS-- Contractor's Name I SSOc S II r Telephone Number S(OR /�37 Home Improvement Contractor License#(if applicable) (b C� Email: 1 i s Ore, bU�'� f, G 0 wt Construction Supervisor's License#(if applicable) CS— /0 1 37.r ffworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name ACE A yM e Irl Gu✓I _-51S, C o . Workman's Comp.Policy# 666 ).U/ 5 F7 S 7 3 7 — I b Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)[� Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to l�, otU e r ;�1J oct2+5 Co1"11'gi�� SCttVI'CQ„ �Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: '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. SIGNATURE: ZQIXA4A13 a6fiAl\ C:\Users\decollikWppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 oP� i II anxrtsTas�, 59. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Paul Roma Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize I -Re► e► SS�G� �rCS to act on my.behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 1ui o�SG� Signature of Owner bate 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\1NetCache\Content.Outlook\L7U69LF2\EXPF-ESS(2).doc 01/25/17 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name(Busmess/Oiganizatioo/Individual): Dc- Access: I CQ-u)Y r o e_ led . city/state/Zip: MuiIAAA o 1:b 3 5 Phone# SO 8 -7 3 7 - -0! Are you an employer?Check the appropriate box: Type of project(required): 1.Z I am a employer with _3 4. ❑ I am a general contractor and I employees(full and/or part-time)-* have hired the sub- cis 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees 'lese subcontractors have g_ ❑Demolition working for me in any capacity. employees and have wormers' 9. Building addition [No wormms'comp.insurance comp.insurance 1 required] 5. ❑ We are a corporation and its ME]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 12.Z Roof repairs insurance required.]I c. 152,§1(4�and we have no employees.[No workers' 13.0 Other comp.insurance required] •Any applicant that checks boot#1 nmst also fill out the section below showing their wodeta'compensation policy infotmatian. 1 Homeowners who submit this affidavit indicating they are doing all woof and then hue outside contractors mast submit a new affidavit indicaung saah koottmtors that check this boa must attached an additional sheet showing the same of the sub-camtsactots and state whether or not those entities have employers. If the sub•contsactass have employees,they must pmvide their warkers'comp.policy number. lain an employer that is proWding nvrkers'concpensation insurance for aty employees. Below is the policy turd job site inforntalion. Insurance Company Name: G P_ Am en,c,,✓1 �.f G D Policy*or Self-ins.Lic.#: 666 a 0 Q —5 F 79(137—//1 Expiration Date: �6 R e L/? Job Site Address: /0/ C layl She 6/ Cove/Co/ City/state/zip:L o 7d r , 1144 0163 r 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 cruel penalties of a fine up to$1,500.OQ 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby 1'under the pains and penalties of pegWry that 8re information provided abov is bue and correct u Signature: Date: 7 Phone#: EDP—7 3`) —y211 QQuial use only. Do not write in this area,to be completed by city or town ofe4aL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 VDAC 0. ace group WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6S62UB-9F75437-1 -16) NEW-16 INSURER: ACE AMERICAN INSURANCE COMPANY 1 NCCI CO CODE: 12165 INSURED: PRODUCER: OREILLY, DENNIS ROGERS & GRAY INS AGCY I 11 COTUIT COVE ROAD 434 RTE 134 COTUIT MA 02635 SOUTH DENNIS MA 02660 Insured Is AN INDIVIDUAL Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 06-08-16 to 06-08-17 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA m— _ B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: 1 Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, If any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B e; D. This policy includes these endorsements and schedules: o� SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE o� 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 06-22-16 PD ST ASSIGN: MA OFFICE: ORLANDO DA ACE 24M PRODUCER: ROGERS & GRAY INS AGCY I 2342X 012980 • I a Massachusetts De art ment of Public Safety Board of Buildingp Regulations and Standards License: CS-104375 t Consruction Su • pervisor DENNIS T.OREILLY 11 COTUIT COVE RD.: m COTUIT MA 02635 =_ Commissioner Expiration: 05/15/2018 �ce�omrmaaruuealC�o�C�/l�caaucliculeC�e .� Office of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. fl'found return to: Registration: Type: ; Office of Consumer Affairs and Business Regulation Expiration; -8/1612018 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 O'REI LLY&ASSOCIATES=$U IEDERS/DEVELOPERS DENNIS O'REILLY`�;vr�c = D J 11 COTUIT COVE COTUIT,MA 02635 Undersecretary Not valid without sign re Assessor's office(1st Floor): Assessor's mapf lotnumb r - !\ Conservation _��--' 1 �-�"��� @���' �� ®IN CQM Board of Health(3rd floor) ' �' TM 7'iTit, t SAUITULE . Sewage Permit number ENVIRONMENTAL C NAM& � Engineering Department(3rd floor): / House number T®�N RE�AULA�'0®r os Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only' ' y TOWN '- OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TOf� / �L a TYPE OF CONSTRUCTION _ WOO 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordirlg to fte following information: Location A 0 I L 07V/ Proposed Use Zoning District f F Fire District Name of Owner J-Yi('i� &tz)M Address Name of Builder l �f7/�VDS (dO� 1�C Address 43 �/ � /c7TJ Name of Architect Address Number of Rooms ��� Foundation 7y(J46 D r0/7 e Exterior 51ywy 2L. Roofing r, Floors /�/J�JLf)00 7> Interior , 1/ Heating CWC�� /OJT- G� 3/���819�l� Plumbing Fireplace �— Approximate Cost Z.3 Da U Area ) C;?,,� Diagram of Lot and Building with Dimensions Fee tl 7L / G'1-hgse,�-`LL C©Vr OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barns ble re t Jdi g he above construction. Name Construction Supervisor's License � � � �� � GORMAN, JACK No 35119 Permit For BUILD ADDITION Single Family Dwelling Location 101 Clamshell Cove Road Cotoit Owner. Jack Gorman Type of Construction Wood Frame Plot Lot , Perm Granted 'June 12 19 92 it Date of Inspection !' 19 Date Completed 19 �� ai i I AiCZ co! 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(4:2C:_ � Le LJ I I ' TOWN OF BARNSTABLE Permit No. 4_8 5 3 - r - .u.n.n Building Inspector t . Cash -- - - --- "Yr� OCCUPANCY PERMIT Bond g �q�g3 Issued to lames C. Bar,+' Address T,-t- 29 , ? n1 (71,amsh/ell Cove P-^c1 . rnr,.ifi Wiring Inspector /� Inspection date T' 3 Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department yy-- ? 01 Inspection date Board of Health Inspection date '' 1( 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. _. ...................... 19......_._ .............................................._..a............................................................ Buildin.- Inspector issor s map and lot number ....................................... f/ OF THE t0�• Sewage Permit number ... .3......7 .......... . ............ art► � ' Z aLB, i House number ......./.�J..lSYSJ B9BHST ....:...... `.,r.,..,. .,_. MUS7 t639- TOWN OF BARNVV2,0", ENVIRONAIENT4L':Cf BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....W61. LY0.....a.. TYPE OF CONSTRUCTION ................. G.G...... .....................t............................. ............ a ........................�9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permi t. according to the following information: Location ��..D. �,..2.i�t�..../:�.�......4:.!l ......................................................... ProposedUse ..................&I.t.4a.l.!!.6.................................................................................................................... Zoning District �.................................................Fire District .....(..�/ �.1.. ................. ...................................................... Nameof Owner .. .ts..... ...1 ! !�? R.............Address ...................................................................... P Name of BuilderJ ' Address........... � v.........a. . .... Nameof Architect ..................................................................Address ..............................................`...................................... Number of Rooms ...........1:....................................................Foundation ..... ......44/oG.!1 .................................... Cw Exterior ....��........�..........................................................Roofing .. ��................:........................................... FloorsL D Uj...........................................................Interior ........... y.'rG� /............................................ Heating �� ...Plumbing .. � �............... ............................................................... :..................................... Fireplace .......... ...................................................................Approximate Cost ..� j.<!- ......:.:.......... Definitive Plan Approved by Planning Board -----------_-------------------- _______. Area Diagram of Lot and Building with Dimensions Fee SUBJECT T9 APPROVAL OF BOARD OF HEALTH -To �® �3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all 'the Rules and Regulations of the Town of Barnstable regarding the above construction. Name '. Construction Supervisor's License73/ I i BARGER, JAMES C. 24853 1Z Story ................. Permit for .................................... Single Family... .............. ................................... Location ...Lot...#.2.8..........1.0.1....Cl.ams.hell Cove Rd. .... ....... .. .... .. Cotuit ............................................................................... Owner ..James....C Bar ................................ . .. . .. .... Type of Construction ..FraTe.................................... .... o ............................................................................ Plot ............................. Lot ................................ March 15, 83 Permit Granted ........................................19 Date of Inspection .................19 Date Completed .......... .—S3....19 • Assessor's map and lot number ......`e............................J. � FTNET Sewage Permit number ........ .............:.... ......................... /Lla4 � Z BAR33TSDLE, i House number ....... Q�....: rya 9� ' O i639• �0 0 mxt a' TOWN OF BARNSTABLE I BUILDING I NIFE CST O.R APPLICATION FOR PERMIT TO .....:,....... .�.�..L: ............... .... ................................... TYPE OF CONSTRUCTION 1 � �. 7': .a'.Z.� +� ' w. .................. ............. ....................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followinggiinffoormation: Location . (� �T ..e// �I.(.��1� /�..u.l��....��......0 �jT�!✓........................... ................................... ProposedUse ..................!��t<A!.. ,. .. ►:..........:.:.............................................. ..................................................... Zoning District ..........: ..f'....................................................Fire District .... .rl !./....................................................... Name of Owner ...... .....Address Name of Builder A f..5..... ...� y.. Z.........:..Address ...,?.4.'r..... !?.f.....G.,./.�- .... ..... �/r Name of Architect .........................Address Number of Rooms ........:..~�7................................................... .....13�oc.Z........................ ............ Exterior .... . ..........................................................Roofing .. 21 1.1. Floors ........147"U Uel...........................................................Interior ........... < �.� ............................ r / f Heating .......d.............................................................................Plumbing ............G...... ......I........�......................................... Fireplace ........../...................................................................Approximate Cost ��ai.11..�..v.... Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area .......................................... i Diagram of Lot and Building with Dimensions Fees" ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH IN r , OCCUPANCY PERMITS REQUIRED FOR NEW.DWELLINGS I hereby agree fo.conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name' .....�..;.../........ ............................. - Construction Supervisor's License ................................. I ' ��� ���� &=S �G BAJ�{,�]R, JA88ES C. — No2485.3..... Permit for _____ ' . .,. ' � . __S ' u l��..I7anui ��..Dvvelligg_____ - ' Location ...tap.x_..l0l.. Cos, e Rd. . —. — . t ! ' . . . �.-----. .---------------� ' James C Bargez Owner ------_��—_____ ........................ > � ]�� Typa of Construction —..����........................... --------------------------. ^ ^ Plot ---------' Lot ----------' ' . . � i Marob I5 82 Permit Granted / --------'�--_—]� Date of Inspection ------------lV . . Date Completed ------------]g .' ' ` ^ ^� ' ' ' . ' \ . . . . . . � . ` | `^ | + i a ' G/ O.4f,�e5Le— • S6.oD•-_ �v�_ „cva, �c 0 e 2V, zy. +o'� 1NdlLKM C. NYE y' No. 19334 t�°��rE�`�o`� GERTI Ff ED PLOT PLAN do+su LOCATION C o , .,7-- + --— E 311J11?3 ?•-yq T- sti+E �ov�,agr�o�c/ SCALE 1 _� DATE' PLAN REFERENCE � r... d �3`- 6 A xT R Y E N E 1�1C, . _(b RE6 STcRE'D LAND :50PVcyoas _ osTMvtL E — . MASS. :.:THIS..- Ft.A 1J •IS ,tJbT 6ASE� OW .AM . �T1STRt1ME1J1"' svRJ ?- T�}E oFFSETs ; APPLICANT; SHoULO NoT ME USCG To PE1'MM1NC LOT U*CS D S l•:trJ nATQ G•C/1. 6 F- t ,`t.,, C �rj;, ttc) t 4 + 4 a ;� ; : ', : : , Sey-pG TA.WV.•• 00 G.P, asPtxA� pt7_ ��� L �, o0o c,�`: .. . ( � . .p�P` i ; . ... • 1 ` �. . . ' BOTTOM ARCH qL 1 5 O 8:P6• G L ! :. 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