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HomeMy WebLinkAbout0316 WHEELER ROAD .. RUF a' �.� n n '7' SI •+ rl , rl'' a h�/I tf ' +, at ] ,, � � � �� n +� a _ r ,AI '�, r' ��� ff c � ,� �f11 a 'Y' .. •0 �r+ �,��° .,, �,r. IY �.. s , "TM' n. ' ,YI . a .� o �I -4 ry • n .. , ' .. r , a � �� �� � r , o » J•� a IY' ' � ila� a !1 n i. � , n : 1I4 ,y 1, ;rr � .,' - �, � � ,n ' ri � 0 � n n � � '„q ❑ +. � �}r ., _ •, .� o .. y. d � •. + '1L•ro.r•J�r"`tia �'i�.° 0.1^+�`+,-„ m n h .>. F�. `' T'l _ �. n AAF21 F r Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 + 2/24/15 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 201500239 Dear Mr. Perry This affidavit is to certify that all work completed for 316 Wheeler Road,Marstons Mills has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey NOISIAIG 1" 31GViSNV9 J0 NMOJ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel— V S TOWN 0f'BARNSTABLE Application # '(9 Health Division Date Issued Conservation Division Application F 'e Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board C)TVTgTCjN Historic - OKH _ Preservation/ Hyannis Project Street Address 31 PX i Qr- �A 0J: Village- 1 l G��1+0 A3 M1 � 3 Owner KIWI Address Sa►'8 Telephone 5 6 t a 308 Permit Request A4d R' , Ce11%kt9 . 4 -�0 V60 S o kC l � Ai'(- s � [4 c W1 a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 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 ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes IN No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) II11 r Name W� i Ckelc. Telephone Number 208 3 9R 1298 Address License # C 6 Home Improvement Contractor# 1r Email Worker's Compensation #`WlnrC3.081 L 13TK ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I SIGNATURE DATE 9 t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE OWNER . t DATE OF INSPECTION: �Y FOUNDATION FRAME, INSULATION '. A FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH t FINAL GAS: ROUGH FINAL a FINAL BUILDING DATE CLOSED OUT , ASSOgIATION PLAN NO.- _ 1 �� �l/L� �� �, I '� '� � �:� ��� i Tise Commonwealth of Massachusetts ~�+ Department of Industrial Accidents �- .Y Office of Investigations '= 1 Congress Street,Suite 100 y - Boston,MA 02114-2017 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legiblv Name (Business/Organization/individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1.F✓ 1 am a employer with �—O 4. 1 am a general contractor and 1 6. ❑New construction employees(full andlor part-time),' have hired the sub-contractors 2.❑ I am a sole.proprietor or partner- listed on the attached sheet. 7. Remodeling. ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y9. [] Building addition [No workers'comp.insurance comp.insurance.* required.] 5. We are a corporation and its 10.� Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LF Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12T1 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[Zl Other Insulation comp.insurance required.] "Any applicant.that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this at1'idavit indicating they are doing all work and then hire outside contractors must submit anew 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 Use entities have employees. if the sub-contractors have employees;they must provide their workers'comp.policy number. 1 an:an employer that is providing► orkers'compensation insurance for my employees. Below is the policy and job site information. insurance Company Name: Wesco Insurance Company Policy#or Self-ins.Lic.M WWC3085633 Expiration'Date: 04/09/2015 r I e,r t Job Site Address: �� 6 l o �n,�,pe City/State/Zip: . 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 criminal penalties of a III tic up to S 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereb certi under the eaths and penalties ofpe4kd that the in orination provided above is true and correct. Si nature• Date Phone#: 509-398-039"8 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#: AC®� DATE(MM1001YYY17 �,,,� CERTIFICATE OF LIABILITY INSURANCE 11/10/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In.l1dU of such>endorsements. PRODUCER CONTACT NAME• Colleen Crowley PHORisk Strategies Company 166-0 . (781)986-4400 Arc No:178119e3-4420 15 Paeella Park-iDrive cerowl @risk-strategies.com .Suite 240 x INSURERS AFFORDING COVERAGE _ NAICS Randolph. MA, 02368 INSURERA:Selective Ins. of America iksuRED msuRERs Allmerica Financial Alliance 10212 Cape Save, Inc iNsu'Eaa-Nesco Insurance Company ` 7 D Huntiagtoa:Ave . I14SuRER0: INSURERE: South Yarmouth MA 02664 1 INSURERF: COVERAGES CERTIFICATE NUMBER:CL14111085532 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTRR _ TYPE OF INSURANCE - POLICY NUMBER.. . POLICY EF 'POD IC E P: •- LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTar- X COMMERCIAL GENERAL LIABILITY PREMISES Es occurrence) $ 100,000 A CLAIMS-MADE a OCCUR 1994480 0/16/2014 0/16/2015 MEDEXP(Any one person) $ . 10,000 PERSONAL 8 ADV IN AJRY $ 1,000,000 GENERAL AGGREGATE $ .2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO JECY X. LOC $ COMuINEu SINGLE LIMIT AUTOMOBILE LIABILITY IEP accident 1,000,000 BIx ANY ALTO BODILY INJURY(Per pePson) $ ALL X AUTOSULED 6796600 1/6/2014 1/6/2015 BODILY INJURY(Per ecdclent) $ AGE HIREDAUTOS X AUTOS OWNED Perecdde t $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CLAIMS*ADE AGGREGATE" $ 1,000,600 OED I I RETENTION ; fnl 01994480 0/16/2014 0/16/2015 $ C WORKERS COMPENSATION Officers Included for X I §STATM , oTH- AND:EMPLOYERS'LIABILITY ANY PROFRIETORIPARTNER/EJEWTIVE Y NIA overage. E.L.EACH ACCIDENT $ . 500,000 OFFICERIMEMBER EXCLUDED? 3085633 /9/2014 /9/2015 (Mandatory in NH) E.L.06EASE-EA EMPLOYE $ 500 O00 If yyes describe under DESCRIFTON OF OPERATIONS below E.b DISEASE-POLICY LIMIT $ . 500,000 DESCRIPTION OF OPERATIONS I,LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule;If more space Is required) Issued as evidence of insurance. Issued as evidence of insurance. Thielsoh Engineering, Inc: is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 'THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Attn:'Margaret song PO Box 427/SCH Aun10RIzEDREPRESENraTiVE 3195 Main-Street Barnstable, MA 02630 � chael Christian/CLC ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 , The ACORD name and logo are registered marks of ACORD I r Building Permit Authorization I, June Bottello as owner - hereby give my permission to °. Cape Save, Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Office: 508-398-0398 to take all necessary steps to obtain a building permit to perform work at my property located at 316 Wheeler Road Marstons Mills, MA, 02648 Signed Date i Office of Consumer Affairs and Business Regulation t 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 — - — Update Address and return card.Mark reason for change. sCA i c• 20M-05/11 Address Renewal 0 Employment ❑ Lost Card oT r`�n�nviconucecc�C�o��,lt'cid:;nr�cc�e//- __ ___ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: '171380 Type: Office of Consumer Affairs and Business Regulation Expiration: -3/14/2016 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH,MA 02664 Undersecretary Not va" rthout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialh. License: CSSL-102776 WILLIAM J MC C-i US 37 NAUSET ROAD s West Yarmouth MA d2 � Expiration Commissioner 06/28/2015 t TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 082 015 GEOBASE ID 4281 ADDRESS 316 WHEELER ROAD PHONE Marstons Mills ZIP - r•. LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIIT 21912 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#780)was 036869 PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: Im BOND $.00 ok CONSTRUCTION COSTS ' $.00 756 CERTIFICATE OF OCCUPANCY * ■ARNSTABM • MASS. OWNER BOTELLO, JUNE M i639' ADDRESSED 70 MEADOWLARK LANE INI`►I OSTERV I LLE . MA BUILP I ' S N B DATE ISSUED 03/20/1997 EXPIRATION DATE TOWN OF BARNSTABLE, MASSACHUSETTS. A= 082 015 r DATE July 111 19 94 PERMIT NO. N0 36869 APPLICANT owner ADDRESS (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelling ( 2 ) STORY single family dwellingNUMDWEBLRN OF G UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) j 316 Wheeler Rd, Marstons I'Aills ZONING AT (LOCATION) DISTRICT- (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT BLOCK SIO E BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION _ ��11 (TYPE) REMARKS: `Sewage # 94-47 AREA OR VOLUME 1866 sq. ft. ESTIMATED COST � 1751 000 FEEMIT s 168. 00 (CUBIC/SQUARE FEET) OWNER Jung M. Botello ADDRESS 70 Meadowlark Lane, Osterviiie BUILDING DEP BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM 'HE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUFDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2�iVAA 2 3 j 1 VH EATIN PECTION APPROVALS ENT BOARD OF HEALTH OTHER: *NkRE2Vdll=WAPPROyAL 9`7 3 7 WORK SHALL NOT PROCE D UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE TRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 7He•T°�.� TOWN OF BARNSTABLE ii . i E9HHSTAI & i "b BUILDING INSPECTOR 0 M a APPLICATION FOR PERMIT TO .. U.f.'IJ.....s�..<<:11.. ...1. e....l..c. Qr .:....... J. .`..(.�.I`i. ........ TYPE OF CONSTRUCTION .... ...........Ff-5?1 ►!l..^ ........................................................................... .�. ..........? -7.................i9.7..2: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .b!11.I1:<.: .. .l.........R.Q.—c X....... . �1. .14✓ ........1...1 l./.:�.......... . ?./....: .. 8.. ................. Proposed Use .....5.ri.Lt.QJ�� ............. `l. C.l. Zoning District '� Fire District .��.�1.. .'4.b........ ................... j ...................... . .. �� Name of Owner ..,�4i.J.1.......S.t2..�:�..IjQ......................Address ....A.k.l.qh.....U(Jat . ..........1�. ..u.V1..rl..�..s...... Name of Builder .. :. ....�1. . >...1.. ..f.l.G.....................Address .... ........ ......l:lcf.fl.�'/.1.f-1..... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....y Foundation ....�.D,,,,,f/"��!,�;�GY/ wa/.e:/.!':� l.:C.... ............................................................ Exterior .... d.............................................................Roofing ....A5.P.Aa/./........................................................ Floors .... A .A!d ...................Interior .....; 1/.4t.�R.�� ............... Heating t/f..�..1..::�.r ............1 7....1!l✓f�I�1'..........Plumbing .................................................................................. I 00 1 Fireplace .....C2.h.:e.._..............................................................Approximate Cost . . .:............ .......................... Definitive Plan Approved by Planning Board -----------__________________19 i Diagram of Lot and Building with Dimensions 7 — -- SUBJECT TO APPROVAL OF BOARD OF HEALTH fo / AllCal Uj Uj / � :y rr (� ury L 'r V < � � O� r , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .....(1 ar.... .. ......................... Bot�IIov Paul ' l �Rl2 one No —.�����.. Parm� for ------�--- ( � � ---._e f---l. dwelling ------------'—~--------^---' � �� �v0 Wheeler Road Location —...—...........-------------- .. � � Marstons Mills / —,.--------.----.-----------.. . �aol ' Owner --------..�.�����----.----- � � frame Type of Construction .......................................... , ----.-----.----------------- Plot ............................ Lot ................................ Permit Granted .......... .......... 73 � ( � Date of Inspection ------------lg � ` . Date ' Completed � ��� � . ~ !RMIT REFUSED � | � —. 19 � . ' ....... .......... -----'----- . x i ............ ......... ..................................... � ..................... ......... ....................................... .---------.—....—...—...—,.----.. Approved ,--------------.- 19 ' ( ' ' / --------.-------.--.---.—~...— � � ------------------.-----~... � U > THE Tn. The Town of Barnstable a BARNSTABM • 9�A , � Department of Health Safety and Environmental Services TFc +°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 26, 1996 Mrs.Jane M.Botello 9 Parker Road Osterville,MA 02655 RE: 316 Wheeler Road Dear Mrs.Botello: Please be advised that you do not have an Occupancy Permit for your house at 316 Wheeler Road. You may not occupy this dwelling unless and until a Certificate of Occupancy has been issued. Sincerely, Ralp rossen Building Commissioner RC:lb g961126 —� MR TOWN OF BARNSTABLE rtm . qBUILDING DIVISION367 MAIN STREET IJ OVEDHYANNIS,MA 02601 I_ . ' J-� O � ORWARDJJV ADDRESS ,�...���_ T. l-i AT7-EAAF�TED-A O7 DER EXPJRFD �9g� m = = CJ UNCLAtN�ED KNOB Qi a0 SUCJi ST©ETONFD NSUFFJC(ENT ADDRESS SUCf{p . Mrs. J tello 9Par rR d Ost it , MA 02655 i I I I I i I ' ' j . TAO ssor's office(1st Floor): nQ Ass ssor's map and lot number t%O _� ! o�THEI-q �o Conservation(4th Floor). } - �': ASSESS 6 S EM W11P `w Board of Health(3rd floor): r - " Sewage Permit number — ,y PARC �� . WITH'T@TLE 5 r639. EngineeringDepartment(3rd floor):� , �' UjIVIRONMENTA . House number � r � ON Definitive Plan Approved by Planning Board ; t 19 fN REGU�� � APPLICATIONS PROCESSED 8:30 9:30 A. and 1:00-2:60 P.M.only ' �Q✓�.J ,�`y dItd .TOWN ` O`F BARNSTAB� LE QD 1130ILDIHG , INSPECTOR APPLICATION FOR PERMIT TO �� \ ���� •� TYPE OF CONSTRUCTION 1 + 1 12 �2t 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: , Location 22 k Qn _ !1 APSAc�nc jm,1ir Proposed Use �J�► "l'. W o Zoning District A/" Fire District ) ARName of Owner ����� M. (�- el`c� t ess `10 Mrjck � k,Ac1 lt... r\ ��S fLa1 I\(k vS�FS Name of Builder Address - Name of Architect _NnA \ Address G1 %Aar k Number of Rooms Foundation Exterior Roofing Floors /I��Q � �/ / Interior Heating 77'� he- 0(d &1WeQ1_ Plumbing �T77S Fireplace / Approximate Cost Area Diagram of Lot and Building with Dimensions Fee t e6 a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable raga ing the ab ve construction. Name Construction'Siipervisor's Licensees � r BOTELLO, JUNE M. MAP-082 015 No Permit For NEW HOME i Location. 316 WHEELER ROAD MARSTONS MILLS f Owner -T .JUNE M. BOTELLO { Type of Construction Plot Lot , Permit Granted July 11', 19' 94 ; Date'of InslAection: Frame3���0 19 Insulation 19 Fireplace f y 19 , Date Qofnpleted, 19 , .. �'h yam, t- ` ! •� 1 �V��LE� �oAD . • • � L� • � : Power ' .. • 4-1 Ji f C�'2T/.cY 7-A,,47- 1-ac,a�--ro v CIA TD�15 M�c�S .Sf/OWN yE.2E0.(/COy1f�L YS �//�y , '`EgUi.2E�JE�t/TS o� 7-,4/�' Tot�siNaF F�•C-4it/ .2E.c'E,EE�t/C� B A r xjs/7 s CO ,4.vv rs Noy,. � oT � o cA TEv IW1T',1111V Th�E .�.CoaaPG4/y, - T///S ,a4XT.E.es B-4SE�0 d//.4if/ i2EG/STE.eEO ,L,Q.c/O �c-U.�Y�Sia� 11V--5 T,eU�/.�it/T 7//. ��-4SE Ts Sya�,,/y S.�rovL� ,tloT 81 'SEQ 7e-5,9 OE-72S-,P- i 64- `ova. :� ?� � ,,�I. �� � � /•.,. � � t� V �1' •� I. J 'I I?i ��III��II 5p _.tl -- LQ .2�j 1, ly EK:R MA RS`C BRRTITST - 80. E __EADOti FLI�AN�_r i • a�q q I.y 9, A \ 1 , 1 E EA s 6 j �co 'Cii{FRTPERFAfTAP 'I• 1 ` .E. 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Hyannis,Massachusetts 02601-1990 Tel.(50x 1 08)775- 75-1620 Fax(508)778.1218 May 2, 1994 Town of Barnstable Attn. : Building Inspector 367 Main Street Hyannis, MA 02601 Re: Jju.ne M. Botellc Dear Gentlel«en: This letter is to certify that Ms Botello has applied for workers ' compensation insurance through our office today. We have forwarded the application to the Workers ' Compensation Pool of Massachusetts, and expect to have coverage in force within 48 hours. Once we receive the Notice of Assignment from the Pool, we. will issue a certificate of insurance to you. If you have any questions, please call me. Sincerely, Kelly C. Bolton, CIC Commercial Customer Representative KCB/135822 ............. ...... ........ ............................. .. $.1..1.N..i....i.s......i ...............R.....................:.:.:.:.: ...!....C................................ ...................................................................................................................................................................................................: . ......................................................................................................................................................................... ..................... ........ ... .. ............................ .. ISSUE DA/TE(M M AD Ft /D /Y 19405 Y) ....... I. . . ...... .:,::.... ...... .................... ..................... ....... . ........... .. ...... ... M PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Dowling & 01 Neil Insurance CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Agency, Inc . POLICIES BELOW. 222 West Main St. PO Box 1990 Hyannis, MA 02601 COMPANIES AFFORDING COVERAGE COMPANY A Phoenix . Insurance Company LETTER COMPANY B INSURED LETTER. June M. Botello COMPANY C 54 Broad Reach #405 LETTER North Weymouth, MA 02191 COMPANY D LETTER COMPANY F: LETTER .............- X.:.......... . ......... .. ........... .. ........ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POLICIES. LIMITS SHOWN AAAY HAVE BEEN REDUCED BY PAID CLAIMS. Co POLICY EFFECTIVE POCY EXPIRATION LIMITS LTRj TYPEOFINSURANCE POLICY NUMBER LI DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERALAGGREGATE $ COMMERCIAL GENERAL LIABILITI PRODUCTS-COM P/OP AGG. $ M�CLAIMSMADEaOCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Anyone fire) $ MED.EXPENSE(Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ LIMIT ANYAUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) RGARAGE LIABILITY • PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ ........... ............ ................ ........... . ....... ...... OTH ER THAN UMBRELLA FORM ................ BINDER86554 --'05795 ....... A WORKERS COMPENSATION 05/p5/94 05/ 1 STATUTORY LIMITS -- ----- AND EACH ACCIDENT $100,000 EMPLOYERS'LIABILITY DISEASE-POLICY LIMIT s500,OOO DISEASE-EACH EMPLOYEE,$10 0 000 OTHER DESCRIP'r[ONOFOPEFtATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Operations performed ormed by the named insured subject to policy conditions and exclusions. ............ .......... ..................... SHOULD ANY OF'THE ABOVE DESCRIBED POLICIES BE CANCELLED ED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Town Of Barnstable < MAIL10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Attn. : Building Inspector LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGAT10N OR 367 Main Street LIABILITY OF ANY KIND UPQN THE COMPANY,ITS AMRTS-OR REPRESENTATIVES. Hyannis, MA 02601AUTHORIZED RV,*5W 6TIYE Dovslinq O'Neil Insurance Agency, Inc., .............. ................... .....**"*...................................... ..... . ................ .... . ....... . ............... ....... . .............. ....... . ............... . .................... . ............... . .............. ................... . .. ..... ......... .......... . ........... .. .......... ... ...... . .............. . ........ • 1 � rf r� TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE A;-/9/ JOB LOCATION ' Number Street Address Section Of Town. "HOMEOWNER" J G YYI ' 96'► ez� 17 1 - Name Home Phone Work Phone PRESENT MAILING ADDRESS City/Town State _ Zip Code The current exemption for "homeowners" was extended to include owner- occupied dwellings of six units or less and to allow such homeowners to engage an 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 to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be. considered a homeowner. Such "homeowner" shall submit to the Building Official on .a form 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, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE . a, APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction r , HOME OWNER'S EXEMPAION The code states that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109-1.1 - Licensing of Construction Supervisors) ; provided that if' Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor." Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q Rules for Licensing Construction Supervisors, Section Thisand awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board ,cannot proceed against' the unlicensed person as it would with licensed supervisor. The Home Owner acting as supervisor is ultimately responsible. To* ensure that the Home Owner,is fully aware .of his/her responsibilities, many communities require, as part of the permit appl .cation, that the Home Owner certify that he/she understands the responsibilities. of a supervisor. On the last page of this issue is a form ,currently used by several towns. You may care -to amend and adopt such a form/certification for use in your community. �� I`!%`� i�a�� ��-�r- � �.� rub ,o� � , ��� , - � .