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Home My WebLink About0127 AMELIA WAY .r- - !f'� _� i -P SS PERMIT II r Town of Barnstable *pmp-27( it# �nQp Expires 6 months from issue dab �° El C7 Regulatory Services Fee t � NISTABLE Thomas F. Geiler, Director 9 Building Division n PrFo rw't a �` Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number /z/ $ o o 3 o o p Property Address Arn-1- ��S�S �r C® f Residential Value of Work-1 37 3&v5• N/finimum fee of S2S.00 for work under S6000.00 Owner's Name&AddressV l Z'? 4LM--G t i� fiVA-ta ►N a'V S'� 1,��S �Zn . Contractor's Name ►(p __Teleph.one.Numbe��p 9zo —"V/ Home Improvement Contractor License# (if applicable) 139q q ®Workman's Compensation Insurance Y Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insuranttce Insurance Company Name e��^�'` ✓T�� `��vSt/�'�+ti G�- Workman's Comp. Policy#. lf!,4/(:Qn 3FA 6 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) (r Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over .existing layers of roof) 'Re-side (r Replacement Windows/doors/sliders. U-Value 3 (maximum..44) 'When iequired: 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 is required. SIGNATURE: I ev Keith C. Gilmore Enterprises, LLC / - - P.O. Box 17 Centerville,MA 02632 coo Date�;"gposa Estimate# 7/27/2008 11O1301 Name/Address Work Address Doug Robertson Doug Robertson 127 Amelia Way 127 Amelia Way Marstons Mills,MA Marstons Mills,MA 02648 102648 Project #I Front Door&Repairs Description *Permit to remove and replace the existing front entry door unit with half round transom and sidelights. *Install one new ThermaTru Smoothstar six panel style entry door with two three lite sidelight units and one half round transom window unit. *The sidelights and transom window unit will feature white grids between the glass and clear pine interior trims. *Install Azek PVC exterior trims to the new door system unit,two rake ends on the home and eight sections of trim on the garage door units. *Prepare and paint the new exterior and interior trims and the new door unit to match the existing finish. *Repair the small damaged section of roofing on the front section of the garage. *Install one new Shlage lifetime brass finish handleset to the new entry door. Total Labor& Materials: $6,738.60 Seudt *m Xmw 3mpta ement Needs Since 9989! HIC#134443 MA CSL#98047 Customer Approval Phone# Web Site (508)420-9934 www.gilmoreenterprises.net Keith C. Gilmore Enterprises, LLC = P.O. Box 17 A"qrosal Centerville, MA 02.632 U . Date Estimate# 7/29/2008 ROB02 Name/Address Work Address Doug Robertson Doug Robertson 127 Amelia Way 127 Amelia Way Marstons Mills,MA Marstons Mills,MA 02648 102648, Project #2 Roof Description *Permit to remove and replace the entire roof system on the home including the window ledges using Certainteed Landmark 50AR premium asphalt roof shingles with l 10 mph wind warrantee in your choice of color. *Install Air Vent Inc. Shingle II solid vinyl ridge exhaust vent and white aluminum strip soffit intake ventilation system with,Azek PVC soffit trims. *Remove and replace the flashing along the roof and wall transition areas using ice and water barrier,copper step flashings and extra clear white cedar shingles. *Flash into the existing chimney and skylight flashings. *Prepare and paint the new soffit trims to match the existing finish. *Please specify your choice of roof color: Total Labor& Materials: $23,501.67 Seining Vam Amw 9mpxauenwd.Neede Since 9989! HIC#134443 MA CSL#98047 Customer Approval Phone# Web Site (508)420-9934 www.gilmoreenterprises.net Keith C. Gilmore Enterprises, LLC — ® — P.O. Box 17 )"yosa` Centerville, MA 02632 Date Estimate# C o(D 7/29/2008 ROB04 Name i Address Work Address Doug Robertson Doug Robertson 127 Amelia Way 127 Amelia Way Marstons Mills,MA Marstons Mills,MA 02648 02648 Project #4 Window Replacement- Description *Permit to remove and replace two gable end casement windows using Harvey white vinyl casement windows with double low-e argon glazing, white grids between the glass and clear pine interior trims. *Prepare and paint the new window trims to match the existing finish. Total Labor&Materials: $2,124.10 Sexaittg.Vm"mom 9mpw"Ment.Neede Since 1989! HIC#134443 MA CSL#98047 Customer Approval�� Phone# Web Site (508)420-9934 www.gilmoreenterprises.net i 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 Legibly Name(Business/Organization/Individual): 144 1 4 it_M A .F'Yl-IC1c P"f;& 21 Address:— C) r3a K- City/State/Zip: (' ,6etlk(d, AQ a�6 b3' Phone#: Ar you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 0—3 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time)." have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. KRemodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.= 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 1 I.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption.per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 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 affidavi.t.indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors 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.#:_/& jc `7 Expiration Date: Job Site Address: 12-7 l�I t`•` +t't City/State/Zip:/No%r-S4070 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of _ Investigations of the DIA for instuance coverage verification I de hereby certify,u r the pains a penalties of perjury that the information provided above is true and correct. Signature: &2Date: Phone#• IJ�,B ) y20 'W3 y Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1 CORD..:•:::': I i � ft .... oATEYIlB1ArDDIYY> Y •:::::::v:::•:::.:�.�:::.:'.•:.•::.::�:• PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCMEX AGENCY INC. ONLY AND COFFERS NO RIGHT$UPON THE CERTIFICATE PAYS JOMN$TREE HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR WEST HENRIETTA,NY 145N ALTER ! COMPANES AFFORDING COVERAGE CCLVMY A GUARDINSURANCE KEITH C GILMORE ENTERPRISES LLC j Bar PO BOX 17 CENTERVILLE,MA 02632• Clow NY C CCMPAM i O THIS T.................... . . ..................... S IS 0 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. LLrnl TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EVIIIIIATION LIMITS (MMWNV) DATE(MK4KVM GENERALUABLLftY I _GENERALAGGREGATE :) OCOMMERCIAL GENERAL LIABILITY i I 1 O[=]ClA1MS MADE E=)CCUR I .I i PRODUCTS COMPAOP AGG ±b PERSONAL 6 ADV INJURY b OWNER'S b CONTRACTOR'S PROT O i EACH OCCURRENCE b FIRE DAMAGE(Any One tie) b i MED E XP(Any one person) i b AUTOMOBAE UABIUTY ANY AUTO 1 !COMBINED SINGLE LIMIT ALL OWNED AUTOS SCHEDULED AUTOS I BODILY INJURY i s (Per person) HIRED AUTOS NON OWNED AUTOS — BODILY wern)Rr `S i j PROPERTY DAMAGE !b I GARAGE UAB(UTY i ANY AUTO AUTO ONLY'EA ACCIDENT j 5 O i OTHER THAN AUTO ONLY EACH ACCIDENT !S AGGREGATE b ' EXCtSS UABILfTY I O UMBRELLA FORM I EACH OCCURRENCE b O OTHER THAN UMBRELLA FORM j I AGGREGATE :b • !b WORRBI•S COWVMTWN AND rm A 1 EMPLOYERS'UABILm x Aw ) H j THE pROPRIETOL i i I EL EACH ACCIDENT is 500,000.00 j PaAIwfts;ExE-cUTn* ®AWOL KEWC903816 I 02/04/08 02/04/09 ;EL DISEASE•POLICY OMIT j b SOO,OOD.00 OFIiCERS ARE' O EXCL! ! I !EL DISEASE EA EMPLOYEE i b 500,000.00 OTHER i OESCRIPTION OF OPERATMS(LOCATIDNSNENICLESISPECMAL ITEMS :: iE 'L�ATt±. SHOULD ANY OF THE-ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE SOONG COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRRTEN NOTICE TO THE CERTHFICATE MOLDER NAYEO TO THE HEFT, IILLlIf�� BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE No 08LIOA7Nx1 OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. ALITUMLO REPRESEMA WE Imo!`. <•::':®A130RG:!'IO RltrQlt:P9i1&::>:<� i .: �'/i , eur��r��ty��.uania�l��i� •, -I��aaa�ia.a�: ��. . 20. 2047—i0:34AM---Loveiette insurance Agency No. 9787 P. 1/2 DATE(MMODIYYYY) ! ACORP. CERTIFICATE OF LIABILITY INSURANCE 117 201 2007 PRODUCER (508)775-4559 FAX (508)775-4577 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Nbr shal I K Lovel et t e I ns. Agcy. ; I nc. I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 396 Win Street HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.Q Box 836 I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ! %st Yar nDut h, IVA 02673 INSURERS AFFORDING COVERAGE NAIC# j INSURED Kei t h C. 0 1 nor a Ent er pr i ses LLC i INSURER A The Provi dence IVIJt ual I ns. Co. 1000004 i PO Box 17 I INSURER 8' Center vi I I e, NA 02632 ,,SURER c !INSURER 0 j INSURER E I (COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CCNDITION 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 i POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I ILTRNSRpDD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION i GENERAL UABILITY fMCt�D000 DAY611rMmnrm I LIMBS ) CPPOO5335305 11/06/2007 11/0612008 1 EACH OCCURRENCE Is 1, 000,00 ` X COMMERCIAL GENERAL LIABILITY j DAMAGE TO RENTED $ 1 ( I I PRE PMICFc IFa nm rnn ) 50.00 { I CLAIMS MADE X I(( OCCUR A j I i I MED EXP(Any one person) $ 5,00 i i `PERSONAL 3 AOV INJURY I$ 1, 000.00 1 I ! ( I I GENERAL AGGREGATE is 2, 000,OO GENT AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG !$ R J POLICYU PJE° LOC 2,000,OO ' I AUTOMOBILE LIABILITY I I I I COMBINED SINGLE LIMIT i ANY AUTO i $ IEa acaaenp I i ALL OWNED AUTOS —r BODILY INJURY SCHEDULED AUTOS I I i$ I ( I I I (Per Person) 1 ! 'HIRED AUTOS I —, i f I BODILY INJURY )' ' NON-OwNEO AUTOS I 1 I $ iFeracudenU ! 1 — ( ! ! I I PROPERTY DAMAGE I I (Per acatlenq �$ ' i ( I GARAGE LIABILITY I I AUTO ONLY $EA ACCIDENT j. i I j ANY AUTO E � -I i I I I OTHER THAN A ACC $ ( t AUTO ONLY AGG ts EXCESSIUMBRELLALIABILITY I OCCUR r EACH OCCURRENCE CL AIMS MADE $ LJ I I I AGGREGATE. ___ ig J ) i I ! DEDUCTIBLE $ ! RETENTION $ ! $ (WORKERS COMPENSATION AND WC STATU OTH. I EMPLOYERS'LIABILITY I ( ,TORY LIMITS I i ER i I ANY PROPRIETORIPARTNERIEXECUTIVE I i II E L EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? j It yes,aescnoe under i ! I E L DISEASE•EA EMPLOYE $ I I I ; SPECIAL PP.GVISIONS Oelow E L DISEASE•POLICY LIMIT g OTHER Ii{ i DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT)SPECIAL PROVISIONS ILi berty NLtual V+6rkers ODrrpensation cert has been requested and W I I be faxed upon receipt ERTIFICATE HOLDER CANCELLATION I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE j EXPIRATION DATE THEREOF,THE ISSUING INSURER HALL ENDEAVOR TO MAIL i ' • M 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1( BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I John NtSheral JCHN ACORD 25(2001108) OACORD CORPORATION 1988 Board of Building Regulations and Standards License or registration valid for individul use only -- - HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 134443 Board of Building Regulations and Standards Expiration: 10/29/2009 Tr#' 260307 One Ashburton Place Rm 1301 Type: Ltd Liability Corpor Boston,Ma.02108 ENTERPRISES, LLC. KEITH GILMORE 28 HIDDEN VALLEY RD. � MARSTONS MILLS,MA 02648 Administrator~ Not valid without signature 1 . gyp. ✓lie omvrhoox[ue� j' Board of Building Regulatio sand Standards• l ,. Construction Supervisor License '' 3 LiceAse: CS 98047 f j E Expiration 7115/2011 Tr# 98047 Restriction:-.00;' i KEITH GILMORE ` PO BOX 17 tty � CENTERVILLE,MA 0263, ` a Commissioner p 00-35,000 cf enclosed space IA—Masonry only . 1G-1 2.0amily Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for i—evocation of this license. r OVIME?I o . Town of Barnstable. . Regulatory Services saiwsraBZE, nsnss $ Thomas F.Geiler,Director '0'fDru•'�e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 "'W-town.barnstable.ma.us Office: 508-862-403 8 Fax: 50$-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject ro e P P nY hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: Z7 laMe w . N �S (Address of J b) ture of Owner Date Print Name QTORN S:OWNERPERMIS SION TOWN OF BARNSTABLE- ' CERTIFICATE OV; OCCUPANCY ,r PARCEL. ID 148 003 001 , GEO$ASE ID 1 42611 ADDRESS - 1.27 AMELIA WAY PHONE+ (508)771-1040 V Marstons Mi1TS j: u' ZIP ; e , LOT 7 .& 7 'BLOCk � `SLOT SIZE' DBA DEVELOPMENT ' DISTRICT CO `+ iPERMIT +'. 10993+ DESCRIPTION SINGLE; F.AMILYIDWELLING j PERMIT TYPE B000 TITLE CERTIFICATE OF OCIYWa''i<tinent of Health, ;Safety CONTRACTORS: ' �: and Environmental Services ARCHITECTS:,^ � ? TOTAL FEES: "� r BOND � $.00 CONSTRUCTION COSTS $.00 Q� 753 MISC. NOT CODED ELSEWHERE, - 1pRN3fABLE. : OWNER BAYSIDEBUILDING,' INC. ADDRESS w P. 0. BOX 95 CENTERVILLE, ,MA J .' ,,BUILDIN IVISION DATE ISSUED 10/17/1995 EXPIRATION DATE BY t � ' DIVISION APPROVALS FOR CERTIFICATE OF, ,OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION BUILDING: `•' �:� ..DATE: COMMENTS%,r Jr f 'PLUMBING'' DATE: COMMENTS: " ELECTRICAL: �' DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME TOWN OF BARN STABLE TOWN OF-- OF OCCUPANCY PARCEL ID 148 -003:.001 GEOBASE IDS 42B11. ADDRESS 127 AMELIA WAY , PHONE .(508)771-1040 i MarStons Mills ZIP - LOT , 7 & 7 BLOCK LOT SIZE DBA \ DEVELOPMENT DISTRICT CO ' PERMIT 10993 DESCRIPTION SINGLE FAMILY DWELLING i PERMIT TYPE BCOO TITLE CERTIFICATE OF OC96DUfihent of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: TOTAL FEES: � . BOND $:UO . , ,CONSTRUCTION COSTS $_00 Qi► 3 , M MISCJ_ NOT CODED ELSEWHERE � EIAItNSTABLE. •' MAS& OWNER BAYSIDE -BUILDING;"I•NC. , 1639. A�O� ADDRESS EDl P.-.O. BOX' 95 CE9TERVILLE, MA BUILD!�1Y V DATE ISSUED 10/17/1995 EXPIRATION DATE BY ��''' t 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 MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION FOR N PERMITS ARE REQUIRED 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS: CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS , • IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 . 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH . I OTHER: SITE PLAN REVIEW APPROVAL f I _i WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION 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. 508-790-6.227. a TOWN OF BARNSTABLE BUj-I,DING PER IT ; PARCEL ID 148 003 001 GEOBASE ID 42611 ADDRESS 127 AMELIA WAY PHONE . (508)771.--1040 ZIP Marston Mills - SLOT .7 & 7 BLOCK- {; ;: '' LOT SIZE DBA Y 4'i 'DEVELOPMEAIT � +, DISTRICT CO PERMIT 9481 DESCRIPTION CONSTRUCT SINGLE FAMILY DWELLING PE IT TYPE BUILD TITLE " NEW RESIDENTIAL EMPA, rent of Health, Safety s r.� CO ,TIiCTORS: BAYSIDE. BUILDING, INC and Environmental Services AR HITECTS: � TOTAL FEES: $201.75 ' �tNE BOND $.00 CONSTRUCTION COSTS $1.55,000.06 " 101 SINGLE FAM HOME DETACHED 1. '3 i PRIVATE P`. LE, MASS. MASS. ' 1639. y� i OWNER BAYSIDE BUILDING, INC. , ADDRESS f - s P. O. - BOX 95 CENTERVILLE, ',MA` ti y - BUIL�, lN DATE ISSUED 08/02/1995 EXPIRATION DATE BY DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION BUILDING: DATE: i COMMENTS: + PLUMBING: r DATE: COMMENTS:' ELECTRICAL: DATE: w i COMMENTS: - GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE.OF OCCUPANCY WILL BE ISSUED AT THAT TIME.; cs TOWN OF BARNSTABLE 'BUILDING PERMIT PARCEL ID 148 003 001 GEOBASE. ID 42611 ADDRESS 127 AMELIA WAY PHONE .(508)?71-10401 • Marstons Mills ZIP. - � LOT 7 & 7 BLOCK LOT SIZE ' DBA DEVELOPMENT DISTRICT CO i ' PERMIT 9481 DESCRIPTION CONSTRUCT SINGLE FAMILY DWELLING PERMIT TYPE BUILD TITLE NEW RESIDENTIAL FDepatvfthent of Health, Safety COKTRACTORS: BAYSIDE BUILDING, INC' and Environmental Services ..AROHITECTS: ":TOTAL FEES: $201.75 Ox 80ND $.00 CONSTRUCTION COSTS $155,000.00 - 101 SINGLE FAM HOME DETACHED I PRIVATE P.4 ) IFFABLF,039. ; - MASS. OWNER .13AYSIDE BUILDING, -INC. IADDRES � r, Mf►� P_ O: BOX 95 CENTERVILLE, MA BUILDIN DI ON DATE ISSUED 08/92/1995 EXPIRATION DATE 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 THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANSWUST BE RETAINED ON JOB AND 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 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION 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. 5087790-6227:. BUILDING PERMIT TOWN OF BARNSTABLE `BUILDING PERMIT PARCEL ID 148 003 001 GEOBASE I'DN.42611 ADDRESA 127 AMELIA WAY PHONE Marstonb Mills ZIP - .y: "LOT 7 BLOCK- LOT SIZE DBA :DEVELOPMENT DISTRICT CO 'PERMIT 9481 DESCRIPTION CONSTRUCT SINGLE FAMILY DWELLING PERMIT TYPE BUILD TITLE -NEW ES/COMM BLD(DEPWftffient of Health, Safety CONTRACTORS: BAYSI.DE BUILDING, I N C and Environmental Services ARCHITECTS: TOTAL FEES: $201-75 CONSTRUCTION COSTS $1551000-00 C 101 SINGLE FAM HOME DETACHED 1 PRIVATE P ( ffrAJN ; OWNER znR r nt ADDRESS G_ T"' ��T r,�p� YCTL-V-D'LT�tTL"CIT4f'FS�.i262 Ct,ArmyT]yT T T r. ��- BUILI� ION DATE ISSUED 0B/02/1995 EXPIRATION DATE 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 THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND 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 (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPEC IOV APPROVALS PLUMBING INSPECTION 4PPROVALS ELECTRICAL INSPECTION APPROVALS Coe celp 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT J'cvNl, d Cl F 5-- 2 BOARD OF HEALTH OTHER: SITE PLAN REVIIrW APPROVAL _Nf0 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON.THIS THE INSPECTOR HAS APPROVED THE STRUCTION 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. 508-790-6227 r , rl•\. `O J i k° v° A��A CERTIFIED PLOT PLAN I CERTIFY THAT THE BUILDING SHOWN FOR . ON THIS PLAN IS LOCATED ON THE LOT.7 AMELIA WAY MARSTONS MILLS, MA. GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE MINIMUM SETBACK "CAPTAIN'S STABLES" REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING, INC. I e �tp�1H Of SCALE: 1"= 609 AUGUST 1091995 NOTE: UN PROPERTY LIES IN FLOOD ZONE-C-. 3` ti. •A .41, WELLER & ASSOCIATES P.O.BOX 119 YARMOUTHPORT,MA.02675 (508)362-8131 Assessor's Officeilst floor Map. -Lot Permit# 9y� 'Conservation Office 4th floor y—/3 4 Date Issued } Board of Health Ord floor Engineering De v Ord floor House# 7 Planning Dept. 1st floor/School Admin.Bldg.): "sMUMerestt, i Definitive Plan Approved by Planning Bard �— p l / 19 applications processed 8:30-9:30 & :�a.m. 00 p�m.) �� L` iy ��%' EP TEPA MUSS'BE INSTALLED IN COMPLIANCE P WITH TITLE 5 TOWN OF BARNSTABLE a ENVIRONMENTAL C®®E AND Building Permit Applicatio ` TON � .1LATIN35 v Pro'ect Street AddressVillage Fire District — r fhvncr Address Telephone 221 Permif Rcouest Zoning District Flood Plain Water Protection Lot Size - q5, Grandfathered Zoning Board of Appeals Authorization Recorded Current Use I/�,t./'.�� Proposed Use Construction Tvpe Z44x_J& Existing Information Dwelling Type: Single Fan-dly Two family Multi-family Age of structure Ru BasernenttvDe Historic House Finished ram' Old King's Highwav Unfinished 1/ Number of Baths No.of Bedrooms -3 Total Room Count(not including baths) First Floor Heat Type and Fuel w/',(Airn„ Central Air LLe0 Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Namc /G �J-LPXk /%L� Jam— Telephone number 7/— (6 LU Address j.�'� y License# 00 5-6, V5 �Q Home Improvement Contractor# 0 Worker's Compensation # &V 3Q-aa2 0 /-7 P o13 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �,Hn.� t. , Pro'ect Cost Fee .20 /,-7 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T ` r FOR OFFICE USE ONLY 08/02/95 9481 148 003 001 ADDRESS 127 Ame Z i a Way VII.LAGE MM OWNER Robert O'Brien DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ` e , ELECTRICAL: ROUGH' FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. ,} - is COMMONWEALTH I DEPARTMENT � d A------ dbo OF ONE ASHBORTON101 -PLACF �� jr� 31Beh q F MASSACHUSETTS L.;.:SOS'TOiSliA Y vS. :+�+" v. / Ali LICENSEr'e:; :;>'=CAUTION EXPIRATION DATE CONSTR. SUPERVISOR. 04/19/19 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE U(—.5 06/30/1993 005645 PRINT IN APPROPRIATE i 5 BOX ON LICENSE. BRIAN T DACEY ° 62 FERBROOK :LANIr BLASTING OPERATORS SS 027-46-S956 m CENTERVILL MA 02632 MUST INCLUDE PHOTO. _ PHOTO(BLASTING OPR ONLY) F I 0 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY SAW HEIGHT: STAMPED-OR-SIGNATURE OF MMISSIONER i I DOB: 04/19/1956 2 2 1993 THIS DOCUMENT MUST B ' « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON Or' IGNATURE OF LICENSEE {{{�� THE HOLDER WHEN EN. I, D lilt 44 1oR�® OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATIOK. R t� �+ p i COMMONWEALTH OF MASSACHUSETTS =_P DErAR!dZNT OF LND USTRIAL ACCID.UqTS 600 WASHINGTON STREET fames.: Canoo(!i: BOSTON, MASSACHUSETIS 02111 ;ornrssrone• WORKERS' COI OENSATION INSURANCE AFFIDAVIT (licensee/permittee) .with a principal place of business/residence at: d c2 6 3 'a (City/St=emp) do hereby certify, under the pains and penalties of perjury,thar. [J 1 am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number ( J 1 am a sole proprietor and have no one working for me. ( J 1 am a sole proprietor, neral contractor r homeowner (circle one) and have hired the contractors listed below who have the following wor crs compensation insurance policies: Name of Contractor Insurance Company/Policy Number _... Dame of Conrractor Insurance Company/Policy Number Name of Contnaor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE_ .Please be aware test wbilc bornrowncn who emoiovpersons to do ma.intenancr. construction or repair-oric on a 6wriiinc of not more tba.n three untu In wbj6 the Lomeo—ner lido resides or oa the rmuncu apnurtcnant thereto arc not reoer111�' considered to be cr-_otovrn unarr the Wom' cn' Cornocnsauon Act (C'A— C 152,sue. 1(5)), applicitioD by a bomcowoer nor it lieenu or Permit msv endrncc the ico sure of am eropiovrr under the Worken' Compensatioo Act ' I understand :eat a co or of this statc:ertt will be for-+arded to tine Dcov--rsent of lndusaial Accidents' Ofnec of lrtsurancr tot ee—c .tr n�aon anc :race: iaiiurc to secure cmrruc as rtcuircc under Scc n _5A of MCi 15= can lead to tlic imoosi 'on of a=inji ocr ecnstsnn¢ of: fine or ue to S1 500.00 and/or 1mprsson=.cr.t of uo to one and ow pcnaiues in the form of a Stop W0.1i orde- snd a fine of 5100..v a day a€a:ns: me. SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 EXCAVATION . & SEPTIC: DRISCOLL, JJ: (L) U S F & G - HGL 110093 (W) U S F & G - 7708711936 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C. MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 ROOFER & SIDEWALL: JOHN MEE: (L) AMERICAN STATES - 01CD1486783 (W) TRAVELERS - 6NUB448K275894 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U. S F & G - 7711099932 i SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 I DAVID BIK: (L) MERCHANTS INS GRP- 8CM0278579150 (W) TRAVELERS - 176K337-8-94 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF . (W) AMERICAN POLICY - WCC 186604 ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179 (W) EASTERN CASUALTY - ??? GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MPOO21014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES= KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 - 1 ri I -I nspw Gl- 2oOF 5w�.aG�—cs" i � /I I / Fl _ - • .:_. _ .j E 71L_ -I • I I I I I I , / Gu.p o o.�co r 5AY 510E ell 1 L O I N C.Go Ir•,c. 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F1FIL9KFl000INCi"' r er "tZGf>Fv+s rLDS•:FQa�•7r___._. .. Ix'✓-.SIst71�LN2 tjJLnEvu -_ � I� ZLa�SS7_u.Ry_P�pp7�P.�EL01�L:_GILCQE__ 14 o` 2- t- on 1-4 1•.a' • �AX95DI'..._RtuLo1N r_-f'::-1',�a.-". '.6-i /At'STIC 4 e�4 TEST IIOLE LOG DATE:.. TEST BY: WELLER&ASSOC. WITNESS: CD PERC RATE:'.`—'Z �i••//%c/c.�/_...__...__.._... / L77. 1� �2o,Ts�f•8 -E /�G� \ �P0 y9Q�{, art /may �� - 30.�3 er 5/3.7 (T DESIGN DATA DAILY FLOW: :C`/) P N / SEPTIC TANK:.'. W� - ---X 150%= GG°cam.. _....... I 1 ' USE:' /.5,0o UG./UlLe- 'sT SE�7Jc...T.9.✓c: 1 LEACHING FACILITY: .. CAPACITY: t SIDEWALL:.-/jo.8 - /V BOTTOM: //3,/ TOTAL: - !/yo,/x - 9Bo.Z'��:. / I c► --' o PIPE TO BE LAID 2"LAYER OF 3/8"PEASTONE LEVEL FOR 2' OUT OF OVER 3/4"-1 1/2" WASHED DISTRIBUTION BOX STONE ALL AROUND TOP OF FOUND. @EL. y/ oo ". FLJ 10" yY�o y �0.03 ALL PIPE TO BE 4"DIA.SCH 40 PVC RAISE ALL APPLICABLE MANHOLE °/Z Q.�ol3• `�•6iJ. COVERS TO WITHIN 6" OF FINISH Cl GRADE THIS SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL SEWAGE SYSTEM PROFILE SCALE: 1"= 10' ,.prri�nli' GENERAL NOTES ` 1. CONTRACTOR TO BE RESPONSIBLE FOR THE SITE-SEWAGE PLAN LOCATION OF ALL UTILITIES,ABOVE AND FOR h UNDER GROUND,PRIOR TO ANY CONSTRUCTION OR EXCAVATION. ��1 2. INSTALLATION OF SEPTIC SYSTEM TO BE IN COMPLIANCE WITH 310 CMR.15.00: TITLE V. PREPARED FOR ,3 ,S"/,� pi�ii nF ar4 �� 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY ��G /�C� '�� 'r� «, LINE DETERMINATION. o SCALE:./95/"Tc-a DATE: TR7 v NO WELLER & ASSOCIATES P. 0. BOX 119 YARMOUTHPORT, MA. 02675 (508) 362-8131 APPROVED BY: