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HomeMy WebLinkAbout0435 CEDAR STREET 0 �ll��^ n RECYCIfp ' UPC 12543 �o Now 53LOR �OpST.CON`Jen HASTINGS, MN - la�t .. ;. ..".' a ;• -,:. .. ;..� ... . -.....-., K.till .,rl�id�G ,..7F rn JfA�' ...... � l� 6 04 r Town of Barnstable *Permit# o�bbry D g Expires 6 months from Issue date $ Regulatory Services Fee r7 y g Thomas F.Geiler,.Director s639 ♦0 Eoru't° Building Division ti +P �s Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA rn 02601 OCT www.town.bastable.ma.us 2 Office: 508-862-4038 FaxTS(')Wb-�30 4 2��6 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY v eAR�ST � 2 Not Valid without Red X-Press Imprint 8�E Map/parcel Number Property Address C,, 0e - S`�-fa-�l.z Residential Value of Work 6-)03 Minimum fee of$25.00 for work under.$6000.00 Owner's Name&Address ti► �a Q.1� as �► Contractor's Name ��,.s�ri� -1 k•"� Telephone Number SOS Home Improvement Contractor License#(if applicable) art>c15 Construction Supervisor's License#(if applicable) �rktnan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ the Homeowner rr __ ` I have Worker's Compensation Insurance W�� +� Insurance Company Name Workman's Comp.Policy#t�c S S 7> 14 OVS Copy of Insurance Compliance Certificate must be on file.. Permit Reque (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 ElReplacement Windows. U-Value (maximum.44) •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. -`k Home Improvement Contracto icense is required. A4 „ GNATURE: ��Rns:expmtrg e071405 r - The Commonwealth of Massachusetts CA ( � 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 Legibly Name (Business/Organization/Individual): Address:_q L Fs kx) City/State/Zip: � bb�-A Phone #: SO kA�J �j Are on an employer?Check the appropriate box: Type of project(required): 1.Are am a employer with `� 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hired the'sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. $ ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I L❑Pl bing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12. Roof repairs insurance required.] t 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below.is the policy and job site information. Insurance Company Name: Ls g`( Policy#or Self-ins.Lic.#: t�1��3 l S 33 c�S�0`I 0` r-, Expiration Date: Job Site Address: 42 C�P,9_ City/State/Zip: o S�X- 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 imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties o erjury that the information provided abov ' true and correct L Si ature: Q Date: inL Phone#•_O,T�, Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Boar o Bui me g gala ons an tan�ards� One..Ashburton Place -Room 1301 Boston. Massachusetts 02.108 l Home Improvemei t Contractor Registration Regl*sgon: 128067 Type: InclMdual Explret= 6/140D7 Oliver Kelly OliverKelly 9 Peregr�n' Lone S `$` S. MA 02e64 , Update Address and return card.Mark reason for c6aoQa OP84QA1 4 eG"le1-010191e Addrw [] Renewal r-I 6mploymeat [] Lost Card ao;aq�enttpy , i+rou 9�,r•... r;' O VW'4>< 00044A 4108AP)l Julio i r rrlr; j .,J�� . tj, AlIGN Julio I�arMbul.�'4 }�f I'r_,.,:fGC.;r:•`, . awl, e4o".4916ey dGL'WAUNOO iAgWIAO!! I WON "MIPIM$Pug 1000e146V smpilmeJo pjvoB Liberty Mutual Group Mutual. PO Box 7202 1�'llutuais Portsmouth, NH 03802-7202 Telephone(800)653-7893 Fax(603)431-5693 September 27, 2006 • .':ilk l ., .. GRANGE CONSTRUCTION 24 COMMONWEALTH AVE SOUTH YARMOUTH, M.A 02664- RE: Certificate of Workers Compensation insurance Insured: OLIVER KELLY 9 PEREGRINE LANE SOUTH YARMOUTH_ MA 02664 Policy Number: WC2-31 S-338804-025 Effective: 12/28/2005 Expiration: 12/28/2006 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability: Bodily Injury By Accident: $ 100,000 Each Accident Bodily Injury by Disease: $ 100.000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date; the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms; exclUSiOnS and conditions; and is not altered by any requirement; term or condition of any or other documents Nwith respect to which this certificate may be issued. -Phis certificate is issued as a mailer of inforinatioii only and confers no right upon you; the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. 1_f this policy is cancelled before the stated expiration date; Liberty Mutual will endeavor to notify you of such cancellation. ` Q AUTVIC-10R`1ZED REPRESENTATIVE 1-I13ER"fl'\MUTUAL INSURANCE GROUP This Ceniticate is executed by 1ABERTY N,IU"Il1AL 1'NSUR_\NCE GROUP ms respects such insurance as is:dlorcled by those companies. cc: Insured: Producer of Record.- OLIVER KELLY SANDPIPER INSURANCE AGENCY INC 9 PEREGRINE LANE 12 ENTERPRISE RD SOUTH YARMOUTH, MA 02664 HYANNIS, MA 02601 9r_7noob 5 TOWN OF BARNSTABLE , ' BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date / // Rec'd B Assessor's No. Oa —0�3 Last Name First Name &L ORIGINATOR Street Villa e 6e State Zi Telephone: Home Work / Descri tion• v COMPLAINT M 7 INQUIRY Reques or's Sigilaturp24- COMPLAINT Street Address LOCATION A= OFFICE USE ONLY INSPECTOR'S Date Ins ector, ACTION/ I COMMENTS cJ O L; [FOLLOW—UP ACTION /-1 9-R q - ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR.) MISCI TOWN OF BARNSTABLE Permit No. -_--:2642 1 I Building Inspector ,mWS& cash OCCUPANCY PERMIT Bond Issued to Jr. A. S. Carpe:.try Address Lot #5.1, 435 Cedar Street, Barns!able Wiring Inspector <<_ Inspection date Plumbing Inspector% Inspection date Gras Inspector Z Inspection date Engineering Department` Inspection date_ '� ' .G Board of Health Inspection date 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. "� Building Inspector ,o _ f ` PENTRY, J.Q.S. i` Dwelling & Garag M` 28428 No Permit for ............................... Single Family Dwelling ........... .................... 435 Cedar Street Lot 51, ,, Locatign ........................ West. Barnstable ... _•. ... J....... .......A. S. Carpentry Owner ............................ •.................� Frame Type,of Construction ::......::_.. ,r �. ' .. •`.v.. Jam. Lot:1..:... .......................... Plot r. Permit;GrantIT ed ....., Pt' Date of Inspection .•�•�• • . 6.; Date Coml leted .C.�- '�• •Z... :' ....19d<C��, f- 0 -1 \\ •/ 4' �. . PRM ] T PM I A�-r T 1. N F' " ' f A r1 c 1:2 E I O ( ARD 528,� P E RM 11- C 10 Y R Tv, PE VALUE C.L-.'—E4Y NO YR %C;-,P E W I"DE:I 0 C ON M E T B28428 85 ND C) AID 1)1 87 100 NE;,; W B 2 STORY Ribs' 6A. LOC 0435 CEDAR STREET CTY 05 TDS 500 WB KEY 52864 ----MAILING ADDRESS---.._.__ - - PCA 1011 PCs 00 YR 00 PARENT HEALEY, RICHARD A & MAP AREA 85AB iv 391784 MTG 1003 LAWRENCE, BETTY C spi SP2 SP3 435 CEDAR ST UT UT2 . 05 SO FT 2424 W BARNSTABLE MA 02668 AYB 1985 EY8 1986 OBS 100 CONST 0000 LAND 37500 imp 139400 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 176900 REA CLASSIFIED iLAND i 37, 500 ASD LND 37500 ASD IMP 139400 ASD OTH #BLDG(S) -CARD-1 1 139, 400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE - #DL LOT 51 TAX EXEMPT #PL 435 CEDAR ST W BARNS RESIDENT"L 176900 176900 17690G #RR 0260 0176 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE 11/87 PRICE 315000 ORB 6033/114 AFD 1 jT 0 LAST ACTIVITY, 02/06/89 PCR Y TOWN OF BARNSTABLE permit No. Building Inspector cash _ 019. OCCUPANCY PERMIT Bona Issued to J. A. S. Cnrpzritry Address Lot i51, 435 Cedar Strut, blest Barnstable Wiring Inspector � � -�� �- Inspection date l r Plumbing Inspector, 10 Inspection date Gas Inspector v �t/��,-' : f ' � Inspection date s Engineering Department ,y Inspection date Board of Health Inspection date 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. t . . .�........ ...... ........., ..... ............Building`Inspector �.»� .... ^5- ...• ..r:. l� +.�.:.. � 'S 3.�l?g? +•'r �+�,'x rr_. a: .. cv v,�.... _'r:`di � - r ✓ sti..o�,;:�"•�1'.+�:+ . f A t I TOWN OF BARNSTABLE Permit No. --_2�428. 1 RMN F Building Inspector cash --_-- .iia OCCUPANCY PERMIT Bond _—X_- - Issued to J. A. S. Carpentry Address Lot #51., .,435 Cedar., Street, W4st Barnstable / ~ti A Wiring Inspector ��� Inspection date Plumbing Easpeeto v Inspection date Gas Inspector v / 1 %%C�7 Inspection date X Engineering Departmgnt�W/;O� ��� � Inspection date 2 Board of Health } — �y y �y Inspection date q- 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 imo OF THE MASSACHIISETTS STATE BUILDING CODE. d ✓� a _, BuilAing Inspector jys ,.k."`�`. .s '�,,. _, r::i��L3 ,_.. 4 C .r .mow♦ '.�. �,ti» ;t �a; i'�"�;4t y'� :� '4°� !�» 1�.'; .�'�'�.� b",: ,. .,; f; •r•.�' .. .. a•.s .a.. �: t y`-' ik..:.` ,1,,;. �. .�,y,;:::+P+, t'i,,x,yq.�,:s.1 .r �J � e.r`.�, f TOWN OF BARNSTABLE BUILDING DEPARTMENT t sesasr : TOWN OFFICE BUILDING rua .631. HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building DepartmentF��� DATE: "fl9 l 1 eI.- An Occupancy Permit has been issued •for the building authorized by Building Permit. #._... ._. y°2 ................_....................................... .....:._._....... _........�_ issued to`�€,��. „(rW/-'.Oe'd ef_.� _ !.��... Y Please release the performance bond. Assessor's map`and lot number ............... EE SEPTIC SYSTEM MUST ��?MEtO 5 - -7 5 • INSTALLED IN COMPLIANC �o Sewage Permit number .......R... ..... •y••••.•••••••..•••• WITH TITLE 5 House number •................ ....�.. 3- ................ ......'-":.... ` ENVIRONMENTAL CODE A 9 ea LE. TOWN REGULATIONS °°•oo�aY-a,•e� TOWN OF • BARNSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .......... . �--12 `...... ..:................................................... A_:........:.............., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi g info ;fion: Location �C! .............j .�.......... . ........ ............................ r ProposedUse ......... ......... . ....... ......................... .. . ......................................................................................... Zoning District ...........Fir District ............................................... G�...........�� -..:% ... . ........ Name of Owner .. A C�. T l " " s 1® G ...... :............................. ... ............. ..........Address ......................... ..... ...................f..l........:................. Name of Builder ..V..(.11�!... .. ..f—^..............:.....Address ......... ZN.... /.:..,..r..(...... .................:... .... ... Name of Architect ..... ........... 5.6.N........Address ....................�,•�.�.,�-e......................................... �^ t/ Number of Rooms ...........�/................... Foundation ..... 1 Q..........w .. o. .� ....................... Exterior ..... .. � . ..:. .. Roofing .....A.-� ... �d/d... Floors ) ......... ....^ . . .�.`/!it/.�✓. . ...................................Interior ... . .. ..�.. 1 B ^•-r Heating or.n : .. .I.r.{...(A S..........Plur bing /�- LJ/ T 1 ��� /.. ............... ............................................................ Fireplace .......... .L'i ...................................:.........................Approximate. Cost ODO.......... ................... Definitive Plan Approved by Planning Board - Areaw.�'. Diagram of Lot and Building with Dimension g 9 Fee ......��........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bar le regarding the above construction. Name ../ :..................... Construction Supervisor's License .. ✓ J.. '..1./. `UAROPENTRY, J.A.S. 28428 Dwelling & Garage "�No ................. Permit for ......................... .......... Single Family Dwelling ............................................................................... Locatign ) Lot 51, 435 Cedar Street ................................................................ West Barnstable ............................................................................... J. A. S. Carpentry Owner .................................................................. Type of Construction ...................Frame....................... ..................... Plot ............................. Lot ................................ Permit Granted ......i ePt.!... ........... .....19 85 Date of Inspection/77:f..,f.... .19 Date Com I ted ...190% 3 37, /285F 0 N , EKtsT';rj�� N 1� F6VND,4r.10a \� 57 p32 N 03 � o 10" 176.75 ST I CERTIFY THAT THE FOUNDATION SHOWN ®OES.NOT VIOLATE A'NY EXISTING ZONING REGULATI-QN THETOWNOFsrr��LL SP�RN�T,�gLE, iv/1 �� Foy Imo)U P.M'" I 0 N CC RT1 FICATIOK� ot SS �.•� -E-�OS 1-::i`1 67R RAYN+ A►�l -PRO.P8r ra OUR V ,._./�� 6L. tq) a7t, �i. Assessor's map and ,lot number ............ . ..... ................... . ..� THE t0 QQ Sewage Permit number .........0.5... ...�..5.. ................... Z BARISTAIILE, i House number ................ .. ............................. r raes �p 2639. \00 TOWN OF BARNSTABLE BUILDING., INSPECTOR - ` S/©.,tom.�// APPLICATION FOR PERMIT TO .............. . ..U/.. .......................................... ............. 1......:.......... TYPE OF CONSTRUCTION ..........".y1:.1�/ .1.7r...... . A . . ..... ,.H .. ............................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following infor ation: Y 401 ,[ ) T_ Location40/ � /� ��� ..................................... ..................................................... ;. ProposedUse .......... -�.......................................................................................... ?� Zoning District .......... ... .:. ...!...............................................Fir District Name of Owner 1�� /YI `� ( (Ns L> VV: / .........Address............. . ................................................. Name of Builder ..V...C .(`!...` .... ..-� .......Address .........a ................. Name of Architect. Number of Rooms ........ e� Foundation ...... ....:.. ......... .... .w t. Exiei or ....... ..... / ....................................... .......�f! 4.l. ... . . Roofing A.Jam. ... . ........... Floors :. .Interior .... i e g QYc� - r rA S g Heatin .... ..... ...... ................................. .. ..................Plumbin ............................................................ Fireplace .......... .e.5............................................................Approximate. Cost ....... �! Q�................. .. .................... -Definitive Plan Approved by Planning Board _____ 1_ �_'__________19_ Area . Dia ram of Lot and Buildingwith Dimensions >. Fee ...... ..... .�........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH S� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS f' I hereby__agree to conform_ .toe all the Rules and Regulations of.`the Town of Barnstable regarding. the above construction. ` r' Name .. ........... ................................... Construction Supervisor's License �.�� CARPENTRY, J.A. S. A=108-013 No ..284.2.8..... Permit for .....Dwelling. ...& Garage. . . ...... . . ...... . ........ Single Family Dwelling ............................................................................... Location Lot 51, 435 Cedar Street ................................................................ West Barnstable ............................................................................... Owner ....J. A. .S.......Carpentry...................... Type of Construction Frame............................... ................................................................................ Plot ........................... Lot ................................ Permit -Granted .....Sept_.LZ.................19 85 ..Date of Inspection ....................................19 Date Completed .......... ............................19 .2 ,5