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HomeMy WebLinkAbout0081 KETTLEHOLE ROAD 81 �=tN �►� a e i I i Zl UPC 12543 No. •o�p�ST-CONSJe^�� HASTINGS,MN } n FROM TOWN OF BARNSTABLE BUILDING -DEPARTMENT � _ 367 MAIN STREET Mr. Francis.Lahteine HYANNIS, MA 02601 Town Clerk Phone: 775-1120 " L _ SUBJECT: FOLD HERE DATE April 17, 1981 MESSAGE Work has been completed.under Building Permit #21125 (L. & W. Babson). Please release Bond. / - SIG DATE REPLY SIGNED "N87•RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. > TO T TOWN OF BARNSTABLE BUILDING DEPARTMENT 367 MAIN STREET Mr. Francis Laht�ine HYANNIS, MA 02601 TowYt Clerk '� Phone: 775-1120 SUBJECT: f FOLD HERE DATE April 17, 1981' MESSAGE Work has beat completed under Building Perbit #21125 (L. & W. Babson). Please release Band. } , SIGNED�,� DATE REPLY /J{/ r a • 9 F � i SIGNED N87•RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY r PRINTED IN U.S.A. -• _- s sue,:.. -r 3-vr-�__ ., .. � �.- '- '� - _ :�. _- ._ � ---,. .. .. TOWN OF BARNSTABLE Permit No. __--21125 t sAna n, a Building Inspector Cash __-- 'Oo OCCUPANCY PERMIT Bond _ X y4� No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector."— , Issued to L. & W. Babson Address Box .753, Sandwich, 14A lot f43 81 Kettlehole Road, tlest Barnstable Wiring Inspector /f` �" Inspection date Plumbing Easpector Inspection date Gras Inspector/( �1�� � f�- Inspection date � a �� r r Engineering Department �� �� -/ � �f�� Inspection dated - / 7 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. "M� /' Building,Inspector LAU o 0 FAMILY ROOM r �,I h CA�E��L LA�C ] Iszl+e� C-L- 14'-O"X 12. LI\J106 QWNI DINING 2ooM . t ti UP OPEN To FLOOVQLAN C-NT Flo L4) YL14 5ATHNIASTEP- 6EDIzQ0M 6A LT 50X SEDp�oN� , BED ROOMA 34'x 58' L VJ. 8At350 Q COPPOQATION. r4M2PLAM 00.144 • i irl �MR- oil ;. ,: 9j Il,,,,p. 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I �L All i rii for j -C j iif) Nc �>� t.,s • 1 .� i � 1 / 2L Mid V—e IT f D0 NA,LD J. ,yG MikRTEN5ZZ 115 5 f- v, 7 .lM�'P$ftVIQ.u1_. / ,/� f{ /E .♦ eT. E1aM �; 4i�v>9L. b. PEA C-LCA,4 STDN+� { © 36 G� b r Town Of Barnstable *Permit# " DDT &q Expires 6 nronlhsjrom issue date Regulatory Services ao Mnes. Thomas F.Geiler,Director � ,6,� g o �elT gfo�° Building Division C Y -Tom Perry,CBO, Building Commissioner T 2 4 20 200 Main Street,Hyannis,MA 02601 T��/ 46 www.town.barnstable.ma.us N OF EARN Office: 508-862-4038 Fax: 508-790 19A8t E EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 5 - (Residential Value of.Work 26pn Minimum fee of$25.00 for work under$6000.00 l Owner's Name&Address Contractor's Name ��A..9Jt^,� "Zft�'i Telephone Number .5O e5 -�1 S Ll Lk l Home Improvement Contractor License#(if applicable) t'2_%01 S: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance �0P , t>JG (�w Check one: *�t� ❑ I am a sole proprietor Q __ �" Iham the Homeowner h"�` ave Worker's Compensation Insurance l,Ji6, C,4-L \�;. q, Insurance Company-Name Workman's Comp.Policy# '1 `�1 2�s Miz:;, O�A O`ZS Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �Re-roof(stripping old shingles) All construction debris will be taken'to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement 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. Home-Improvement Contracto cense is required. SIGNATURE: I Q:Forms:expmtrg Revise071405 f, i The Commonwealth of Massachusetts Department of Industrial Accidents -jt; Office of Investigations 600 Washington Street U t f Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluinbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address:_ City/State/Zip: � 1�B. 1 0�1pb� Phone #: 5 c.r5 �1s cl Ar eu an employer? Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I6. ❑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. l 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 11.0 Plumbing 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and thew 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: Policy#or Self-ins.Lic.#: C,2 t 0AA '0 2;Expiration Date: 1 u Job Site Address: I tI, ,TT� 1�� nG �b3. City/State/Zip:&,� � J�} 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 andpenalties o jury that the information provided above is rue and correct Si ature: Date: inJ 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#: i OLIVER KELLY 9 PEREGRINE LANE SOUTH YARMOUTH PH/FAX 508 775 4498 MA. REG.# 128957 MA 02664 INSURED August 19, 2006 Proposal submitted to Mr. Paul Robberson of 81 Kettlehole Road,West Barnstable We propose to supply all materials and labor necessary to remove and replace the existing roof at the address above All debris to be removed to town transfer. Aluminum drip edge to be installed on all eaves. Ice and water damage protection membrane to be installed on first three feet of eaves Remainder of deck to be covered with#15 felt paper. 25 year limited warranty 3 tab style shingle to be installed. Bathroom vent pipe boots.to be replaced with new. Cobra ridge vent to be installed on entire length of all ridges with hand nailed caps. Repair/Augment chimney flashing as necessary. Protect all walls,windows, decks, plants and shrubs etc. during roof strip Obtaining of town permit. At a total cost of$3500 For use of 30 year limited warranty architect style shingle add$200 Payment Schedule;40%with signed contract,balance upon completion. Respectfully submitted, Oliver Kelly Proposal accepted by, ��- �°� Date �3/ y /2006 �61t1.1t�.. QQ f3 fL-Soo _ If acceptable,please sign and return copy and keep one for'your records: This proposal.is.valid.for 45 days from date above I�erty Muted Greup _ Poaox rM Mutua Tdjq&mc(N%653-7893 Fax(603)431-5693 May 25,2006 TOWN OF $ARNSTABLE 720 MAIN ST HYANMS,MA 02601- RE: CatjT ate of Workers Compensation Insurance. Insured: OLIM KELLY . 9.PBRB6RINIB LANE SOUTH YARMOUT$MA 02664 PolicyNumbec. WC2-31S-3388044M Fffective: 12MV2005 Asphadw. 12a&2006 Coverage afforded undwWbd a Co Law Of L of the&ftwimig slate(s): MA F�m�lgyers iabilitv:. . Bodityb&WBy.ACddent: S 100,000. Bach ccJident Bodily Injury by Diseases S 100,000 Bach Person BoftlsjwybyD&mm S 500 ow. PolicyLumts _ As of this date6 the abave-m�oed policyholder is insured byLibmiyffiatual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the teams,exclusions and conditions, and is not altered by any requirement,team of condition of any or other documents with respect to which this certificate maybeissued. This certificate is issued as a matter of inforpuatioa onlyamd con tixs no right WOR y00,90 certificate holder- This certificate is not an insurance policy and does not amgod,extend,or alter the coverage aged by the policy listed above. ifthls policyis cancelled beforefl dated egit6fim date;LIntlyWhMal will endeww to uGhW7on of such motion... - _ AUW=&EpR tIA3rM ICYDdtJItIl►i. am AIMMOM ThhC.CM0 ismbyLIDgIY` CROW@swspdh=cb aStsafihafedby&— cc: Insured:. OIfiTFsRKGIZ.Y SA1�IDRVfflRIIVl&iRtAI�ICBA NGYINC . 9 WSREGRRIE LANE 12 ENTERPRW RD SOiTPHYARMOUM MA QM4. - HYA1�9�,'MA 02601 Asgssor's map and lot number ....... V THE t0 79 SEPTIC SYSTEM MUST B Sewage Permit number ....................{. 1 ............................. INTAR LID IN COMPLIAN BABB9T/IDLE, i House number WITH ARTICLE f l STATE rasa ...............el.................................................. o �� �� O 1639- 9� SAINITARY CODE AND TOW aMaYa` TOWN OF BAR NA BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...).&A/ Q a2`-y�C3 y �" Y X l`/ E�� -2 S .. /................................................................................... TYPE OF CONSTRUCTION .. QC. /2r, e ..2 edeG�P�fe 34...........................19 ZL TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... .9..�... -j.....CS..2TT�+"(1 ae 2....eci. .......6...... ! ProposedUse .......... ........................................................................................................................... Zoning District M.''A< K!R- ale .............................Fire District "�7`��! .-... ........ Name of Owner �.. ..�...� (( �...........................Address ....ea 7 � ...... .. .... ....Name of Builder ..... .. Q fJ S'..............................Address .........�.�lJ.. �?c3� .. ....... .............................................. Name of Architect Z.M.l�...........................Address ......(�`�.g1;. .....f..°`'� .................................. ..............................Foundation �SOQ, 60le .4y....(..:O.�G�f�7.c.. Number of Rooms ........r....................................................... ............ ........ .... Exlerior ....�W... b...'e......0,0..J,-.. ..................................Roofing ...../..7YA/ ....... .'35 .................................. Floors // .......®4/f...................................................................Interior ......lllpG...!J... ....�.:..... �f.-Sl..�!e Heating ............................................................Plumbing ....... /G S rt C ..................... . .................................. Fireplace �sC < G .. �. �.......Approximate Cost ............. aQQ....... Definitive Plan Approved by Planning Board ---------------_—-----------19_______. Area .. ..1.k. ` Diagram of Lot and Building with Dimensions Fee ............... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 �S . ►sue col'f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ..... ......... L & W � =="s9« A=105~54 I ^ ' ' � 21l Nt --��...... Permit for BUild..simgla--- ............ wui.l.y'wvelli-ug.................................. ! i Location ---.Kattlebol�..Boad_______ . .........................W,...Baupestabl-e--------' Owner ---J,',&'.W..Babaon---------'' . � Type ofConstruction ..........wood'�remmy.......... ! --------------------------. � Ploi ---------' Lot —..43-------.. _ ' � � � Permit Granted ................Mamh'26.......l9 ?Q .' ' ~~_ Date of Inspection 19 ' Dote J7 � . � � � PERMIT REFUSED ' -----_--------------.. 19 � | � � ------------'-------------- � ----.—.--.------------------ .—.---..—..------~—.—.—..—.----- � � . --------.—..^...—.--.—..—~----.— � Approved � � � ................................................ l9 ^^` —^-----.-.------.—.-----..---.. � � .................. ............................................................ ` r - Assessor's map and lot number ......:. � E t0 Sewage Permit number ..::...... ... Z EARNSTODLE, i House number .....:..........: ...:................................................... y MAea �p t639. 0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............... ... .....: ...... ......... ....... .. .. ....... ......... ......... ......... . ........ .............. l TYPE OF CONSTRUCTION .. .. ...... ... ...... ......... ................................................... .............. .................................19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ % ....... . ........' ::..... .......:.. ProposedUse .............::.;:.....:.........::............. ............................................................................................................................ Zoning District .'/- .. �. Fire District ... ...... Name of Owner .. ........ ......... ......... ...C...........................Address ......... ........ .......... ......... ........: ...... .. ................ Nameof Builder ..'..... ......... .......... G..............................Address ......... ...... ....... .................................................. Name of Architect .... .a. ...........................Address ......:.:, i Number of Rooms ........a ..Foundation ... ....... Exierior ..... ..................................Roofing ......::. ......... ......... ....................................... Floors . ..................................................................Interior Heating ...........................Plumbing ........................................... ...................................... Fireplace ............................... ........ Approximate Cost .... ...................................................... Definitive Plan Approved by Planning Board -----------____---------------19________. Area ................................... Diagram of Lot and Building with Dimensions Fee ......:. ::............... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r f i it I hereby agree'to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... ....................... ............................................ - -� . � L & w ua000u .~ ` A=lO9-54 No .21125 .. Permit {orB—AiI --.--—..ci . , _______.. . | Location .D�t ��.J� .................................. i { ................W.... .................................. � � Owner ` ) � ' � ' /',- of � Construction_— _ ' � ----------. � ' | ` Dote of ) � �A � � Date Comp/et�m . � � � � � PERMIT REFUSED � ' � — 19 $ � ------- � ' -------- . .—.----._-------..--.----.--.. . ----'--~'-----''—~'^-------^—~' � Approved ---------------- lQ '. ' -------------`—^-----''—^'—'—^' � / `----------.-------.--...—~.— '