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HomeMy WebLinkAbout0405 BAXTERS NECK ROAD III .� ; �D� � . I �� . -.--- 1 VQ Town of Barnstable _� Building�..., _ ..w. __ . .-,. �.w-,,-,... ; Post This".Card So That itis Visible From the Street-Approved Plans�Must be Retained on Job and this Card Must be Kept ELARNM 9� KAS&,a� Posted UntilFinal Inspection-Has Been,Made: Permit , i4JP ♦ G 1 111 'Why ewe a Certificate of Occupancy is Required,,such Building shall Not be Occupied until a Final Inspection made.T Permit No. B-18-948 Applicant Name: Lawrence O'Toole Approvals Date Issued: 04/04/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/04/2018 Foundation: Location: 405 BAXTERS NECK ROAD, MARSTONS MILLS , Map/Lot: 075-007-006 Zoning District: RF Sheathing: Owner on Record: OTOOLE, LAWRENCE W Contractor Name:',-,,Daniel J Mckinney Framing: 1 Address: 405 BAXTERS NECK RD Contractor.License: CS'093310 2 MARSTONS MILLS, MA 02648 `�� Est. Project Cost: $30,000.00 Chimney: Description: Removing and replacing cedar shingles,facia boards,window sills, i Permit Fee: $ 153.00 deck railing and replacing with new cedar shingles and pv6 railing, Insulation: Fee Paid: $ 153.00 boards and sills. Date: 4/4/2018 Final: Project Review Req: Plumbing/Gas Rough Plumbing: `-,,Building Official Final Plumbing: i •� � This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. -- - -~`Yr �` Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:' Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable I*REC,EIPT eece 200 Main Street, Hyannis MA 02601 508-862-4038 s63 ,�' � Application for Building Permit 2 `}- �15C Application No: TB-18-948 Date Recieved: 4/2/2018 (� Job Location: 405 BAXTERS NECK ROAD,MARSTONS MILLS Permit For: Building-Sid ing/Windows/RooVDoors i Contractor's Name: Daniel J Mckinney State Lic. No: CS-093310 Address: Pembroke, MA 02359 Applicant Phone: (781) 258-1082 (Home)Owner's Name: OTOOLE,LAWRENCE W Phone: (781)258-1082 (Home)Owner's Address: 405 BAXTERS NECK RD, MARSTONS MILLS,MA 02648 Work Description: Removing and replacing cedar shingles, facia boards,window sills,deck railing and replacing with new cedar shingles and pvc railing, boards and sills. eJ �_ c= ,...y 0 O —n 1 Total Value Of Work To Be Performed: $30,000.00 w Structure Size: 0.00 0.00 0. .. m Width Depth Tota[!Zrea M I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Lawrence O'Toole 4/2/2018 (781)258-1082 Applicant Date Telephone No. . Estimated Construction Costs/Permit Fees Total Project Cost.: $30,000.00 Date Paid Amount Paid Check or CC# Pay Type Total Permit Fee: $153.00 aiznolg $153.00 XXXX-XXXX-X)M- Credit Card 1819 Total Permit Fee Paid: $153.00 1_ lTHIS W NOT°A, RMIT t ' g Town of Barnstable *Permit# mo co Expires 6 months from issue date r7 Regulatory Services FOPERMee • CT Richard V.Scali, Director ED MA'S CT -1 2014 Building Division ' Tom Perry,CBO,Building Commissioner 1 OVVN OF BARNSTABLE 200 Main.Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 0— t NS{t Valid without Red X-Press Imprint Map/parcel Number �� �.li Property Address L 106 PQX�_r Qe,CA,C Qel f i^V `ar5�a M 1 S residential Value of Work$ 5S ,000 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address L-a c r 1 ' n I—Ica lc Contractor's Name Telephone Number �973 Home Improvement Contractor License#(if applicable) 16 t10 9-�- Email: J Pj5�M ( 1\,e— Construction Supervisor's License#(if applicable) ©(40 56 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner E0,1I have Worker's Compensation Insurance Insurance'Company Name r�)2r k l'e n tt 065! g 1 S� Workman's Comp.Policy# CU C,— &4 -ao Oa a 309 -5 Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to fDe UiS02 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requi SIGNATURE: Q:\WPFILEST0RMS\b l ng permit rms\EXPRESS.doc Revised 061313 k 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): �' �j� .0�\V\e Address: 'jO G6 vP, ��— City/State/Zip: ft CCv,, MA ODWPhone #: ?r I-5 7o-9r`-?3 A,r�e,/you an employer?ClWck the appropriate box: Type of project(required): 1.LS'I am a employer with 3. 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑Building addition [No workers' comp.insurance comp.insurance.: 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ p 3.❑ I am a homeowner doing all work officers have exercised their 11.[1 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 13.El Other employees. [No workers' 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 state whether or not those entities have employees. If the subcontractors 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. CC Insurance Company Name: c xe � Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 cerd nder pains and penalties of perjury that the information provided abov is true and correct Si ature: Date: t0 � L1 Phone#: 771 G70 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 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials , Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www,mass.gov/dia FrochannOn-ryan 17812937943 10/01 /2014 10: 17 #859 .00 02 CERTIFICATE OF LIABILITY INSURANCE DATT 10/;/20114" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DO ES N OT AF FIRMATIVELY O R N EGATIVELY AM END, E XTEND O R ALTER T HE C OVERAGE AF FORDED B Y T HE P OLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT B ETWEEN THE ISSUING I NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 lieu of such endorsement(s). PRODUCER Hannon Ryan Insurance NAME: Berkley Assigned Risk Services PO Box 457 A/c.No.Eia: 800 634-4589 ac.No.; 866 215-8118 ADOREss: PolicyServices@berkleyrisk.com Pembroke,MA 02359 INSURERS AFFORDING COVERAGE NAIC# INSURER A: INSURED Jason Standish INSURER B: ' dba:JBS Roofing INSURER C: 50 Grove St INSURER D: INSURER E: Plympton MA 02367 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MWDD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ee occurrence $ ❑ CLAIMS-MADE ❑ OCCUR ❑ ❑ MEO EXP(Any oneperson) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ PRO- POLICY ❑JECT ❑ LOG $ AUTOMOBILE LIABILITY ❑ ❑ LE $ Ee accident ANY AUTO BODILY INJURY Perperson) $ ALL OWNED ❑SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ HIRED AUTOS ❑NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ ❑ $ UMBRELLA LIAB ❑OCCUR ❑ ❑ $ EACH OCCURRENCE EXCESS LIAS ❑CLAIMS-MADE AGGREGATE $ DED ❑ RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE a E.L.EACH ACCIDENT $ 100000.00 A OFFICEIMEMBER EXCLUDED? NIA ❑ VVC-20-20-002309-04 10/7/2013 10/7/2014 (Mandatory In NH)If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100000.00 ' DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) Election Category Election Status Name All Entities/Insureds: Sole Proprietor Exclude Jason Standish Jason Standish CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 Main St ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ' Barnstable MA 02601 I Froc hannon-ryan 17812937943 10/01 /2014 10: 17 #859 P.001 /002 STAND-2 OP ID: PB 4COR0' CERTIFICATE OF LIABILITY INSURANCE FDATE 0/0 1 12 01 YY)• 10/01/2014 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 policy(ies) 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 lieu of such endorsement(s). PRODUCER CONTACT Hannon-Ryan Insurance PHONE Hannon-R an FAX Associates,Inc. A/c No E:d•781-293-5500 A/c No: 781-293-7943 166 Center St,P.O.Box 457 E-MAIL Pembroke,MA 02359 ADDRESS: Hannon-Ryan INSURERS AFFORDING COVERAGE NAIC# INSURER A:Atlantic Casualty INSURED Jason Standish INSURER B: dba J B S Roofing 50 Grove St INSURER C Plym pton, MA 02367 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE A S B POLICY EFF PO IC EXP LTR POLICY NUMBER MMIDO/YYY MMlDD LIMITS A X COMMERCIAL GENERAL LJABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR L143001805 09/30/2014 09/30/2015 PREM SES Ea ocwRENTEnence $ 100,000 MED EXP(Any one person) $ 6,000 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY PRO-JECT ❑LOC PRODUCTS-COMP/OP AGG $ 1,000,00 PRO- OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Pet accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ - DEC) RETENTION$ $ WORKERS COMPENSATION . PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB 1$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD V".Additional Remarks Schedule,may be attached if more space is required) usual to insureed CERTIFICATE HOLDER CANCELLATION BARNS-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Bamstable ACCORDANCE WITH THE.POLICY PROVISIONS. 367 Main St Barnstable, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD This contract, dated September 9, 2014,is by and between the owner and contractor Owner: Larry&Gail O'Toole 405 Baxter Neck Rd Marston Mills, 02648 Contractor: Jason Standish DBA JBS Roofing 1.General This contract is for the following work and materials to be performed by Jason Standish and crew On the property address above. The project is to strip and replace all roofs 2. Liability JBS Roofing is fully insured with liability and Workers Compensation. JBS Roofing has an unrestricted building licensenumberl04056, and home improvement license number164092. During this re-roofing project the shingles will be installed to manufacturers specs and done by the MASSACHUSETTS STATE BUILDING CODE 8TH ADDITION. This project is generally described as follows: Hang tarps to protect house.and landscape Strip off all existing roofs and dispose of debris in dumpsters provided by JBS Inspect roof decking and replace any rotted or damage wood. Plywood $50 a sheet installed.Trim boards $10 per foot. Crown molding $15 ft. Re-nail loose roof decking Provide and Install GRACE Ice and water shield underlayment on all eves at least 6ft,up from the gutter so it is past the exterior wall at least 2ft. Wrap ice shield around all roof penetrations like chimneys, skylights, pipes and at cheek walls where there is step flashing Provide and install GAF DECK ARMOR synthetic felt paper on entire roof deck Provide and install 8 inch drip edge on all eves Provide and install new custom lead coated copper pipe flanges for all pipes Provide and install 18" lead coated copper valleys in all valleys Provide and install ridge vent on entire length of ridges Provide and install CertainTeed shadow ridge caps Provide and install CertainTeed luxury shingles Grounds will be cleaned and raked free of nails and debris at the end of every day Provide all permits CERTAINTEED GRANDMANOR LUXURY SHINGLES $55,000 In the event we have to remove siding to replace any.bad flashing it will be an extra cost of$50 per hr.plus materials to replace siding. JBS Roofing will provide a 10 year workmanship warranty on all work. JBS Roofing will provide a full roof inspection 2 years after completion date,upon your request. No charge for this inspection. 13 �13 Upon acceptance of this proposal ayment shall be as follows: ,%%' deposit before start of work,balance due upon completion of work Once we receive singed contract and deposit we will contact you for color and approximate start date. Thank you Jason Standish ACCEPTANCE F PROPOSAL ---------------------------------- Owner: Q JBS Roofmg- 50 Grove Street Plympton,MA 02367 Proposal will be honored for 120 days y a zofulati°n anvnuy as"eSs Reg AOairs& tRPCtpR type w, i C°°S er M NS CON 1 IMPROVE;,p92 fndN�dua _'.ko ' OM tratior =a. e 6 3 1 �1215� S1�Np1 vu �Ps N N� , ' g tan � '- �.�;-, 'gTAND1S \� �-•�.-''�t;; �IIdecsecc9 .. < GRO50 p236� 4= P`YMOpTH, ass e`ar{tnent of Public Safiety , Ui achusetts 4 P board of 6 lations andtandai ` Eonitr+�ctton,Supen.itior License CS 104056 a J kSON B`STANDI 56 GROVE'ST :. 6T pton MA.02 N Expiration " Comm�ssionef � ¢�(�, �27 ... 6..-.eCai -29 .•is 'x. ... ..1. i License or registration valid for individul use only: < .-'before the expiratioh.date. If found�;return to: Office of Consumer Affairs and Business Regulation. 10 Park Plaza-Suite 5170' Y Boston,MA 02116 . y. ' Not valid without signat '. ilassachusetts .Deparen#of Public ";. board of Buildm �:: �afiety ;Regulations and Stand�rtis r? EonsCruction supervisor t •; License .CS'-10,4056 r JASgN B STANDI 50;GROV]EST Jf ,,;.. ,r PVln*on MA.0236T t ;Expiration:. !Corrlmissionii': .96118/2015 ;•. Aid mom FRONT ELEVATION HIGHPOINT AT PRINCE COVE - -- • 405 BAXTER NECK ROAD MARSTONS •, *41 REAR ELEVATION HIGHPOINT AT PRINCE COVE HIGHPOW AT Pgl=CM "�=_ ' � � _,I _i=� -Ili.; ,al f1■ ■n _ �� �_ _�_� � - . I :_ -_.�,,. -- \i ,,.. I I• :i is I: � 1 ill LI! � � I' '� i.:�i�i �L��� i�li.� !�,L� i� �i li 1:1 �._-1i —;li;' �- I I;i I � ;�' lii I I t • �1/� !I,I; iii iii iii : �:. I��_ iii iii iii �I/- ��I/•>��11•. ���I/': • • _ BAXTER NECK ROAD MARSTONS St DO mvmkmft awls• Aft daft Mv��Y�/yllq OfOM • My1��q V I� 1 1 1 RIGHT SIDE ELEVATION / SECTION Ai�lm nl omor m+ HIGHPOINT AT PRINCE COVE NIONPOIITATPUMMCM' LOT 06A Wvw Nm 0 riuisTCNs ILL„ 406 BAXTER NECK ROAD MARSTONS MILLS SECTION ELEVATION A-9 F. SI: DON St. Dan Aesook"s ArOWeaM�MI.ftmew—w. wr 1'1p K llwe�hrlw MOM AOL M-�1�M01 V v LEFT SIDE E•LE'VATION Mra"at arm Q�m HIGHPOINT AT PRINCE COVE HIGHPOW AT PC=C09! LOT f6A &4xmK«to ,�.ke" 406 BAXTER NECK ROAD MARSTONS MILLS LCI'T MEVATION r E'�:,_ A-4 Sl: DC mom V d EnIRrm REHM i OARAOL` SIDP L'LEVATION A1AOYm at aao.m, HIGHPOINT AT PRINCE COVE MIOMPOOITATPRNMCove LOT 06A a 405 BAXTER NECK ROAD MARSTONS MILLS GARAGE SIDE ELEVATION EX:._ A-5 MEN 1 .......... �--- / ��............................... 11i �Il� III/ �11/ �11/ III/ it • 41�Y S': DQN Oa'i Aw°°k°f'N IIp....�4 IlworWl�~O 0� see V=AREA 4 J� a UffO u. ai wu-a aver BATH 1 Nam 1 LAMM 411*4N 1 1 1 1 1 1 1 1 1 1 �r I 4a'-O° SECOND FLOOR PLAN / 1203 80. FT. INTCRIOR P.O.S.) 1280 SO. PT. EXTERIOR P.O.S.) NIBIIPOINT AT PIRNC!COVE HIGHPOINT AT PRINCE COVE MOST"a" LOT #6A 406 BAXTER NECK ROAD SEPLNAN MOOR MARSTONS MILLS E:'I _ A-7 M. Oen •ANoolalNDer b rrawpu.K a.rar �1 P d aIIE �I 'L_ OIRLOlOf=OIC[_IIOOtlI_____________________ � I 1 1 1 1 1 1 1 1 I 1 1 — 1 / 1 1 1 1 1 1 1 t---J L--_J 1 1 ►---J I 1 1 I r 1 1 — i IL_ � 1 1 1 1 S CM�AMe kAD 1 1 1 1 1 I � 1 1 1 r 1 , 1 1 1 ' � I 1 • 1 1 1 1 1 1 BASEMENT PLAN 2446 80. PT. IINTeRIOR PA.C.J .Il.olm.. 2656 SO. PT. (EXTERIOR F.O.C.) 0� cams. HIGHPOINT AT PRINCE COVE MIBNPbONTar I 0 We LOT 06A UNSTOW IIs" 405 BAXTER NECK ROAD BASEMENT MARSTONS MILLS . l W. A4 ST. Da St Dan • Amewoo lfrrr.r. 8..;. gmmjj—.l= s.. rae.. yr. w•we.w r 'i — w�aT• _- - __w�aw sus s. w L �81 SII7i a hfU IQeSf. u IJ �• I N S U L A T I O N N O T E S T. WINDOWS SeLecreD BT DeveLOP" SMALL HAVE A ILAXUNN mrVALne or 0454 INCLUDING STOR!! WINDOWS. L TIC POLLDNRIG DSNLATOII AND CDNSTROCTIOR OO 40HORT ReORRl NeM ARE S. EXTCRIOR DOORS r-XCLJAtRY rIL1T GL.AaD DOQIN SHALL HAVE A YAIDMJY r= NOFaeCTRRALLT MEATeD AND COOLe6 Lrom SPACeS, YOOWl=rIONS TO u-VAJAM Or OJ4. _ TIe BU L INS OeS MI Dlli SE 11011fllm lP AN d.ECTRIC ReSDiTANC! ICATING S. TIC TOTAL IYlJ1 Or DOORS AID WODows MALL NDT eXCeeD us OF TIS_ GROSS Ali R STSTeM 4 SCLlCTlD 6Y M OEvd.AP roR THIS e1RLpNs` IOT1rT ARCMITlCT a OOOR WALL AN A Ir M GROSS AEA OF TNe DOORS AG/WMDWi SeLeCTRO Ir NLL7f A STSTem w ODISSlOemm "m THLS aim *LS. BY M DEveLOPER DOd CXCWD TMe IM F-HPAIC A ALN M L Y ALL MUM MILLS ZMCLO L9DLT101lH SPAM GIWL!lC , B•Vr OF TIE OWMALL NRDSR ft"MAM MO.L Be IOIi,mom Tm4 GLA" rom SArr I mKA ATO]PL INSM.ATTON UAY Se ReOUIR!•D. S. AT=BOOR PAC C LMSS SOPMTTSR COIDITIOWD AND U COMDITIO ED SPACES KL ALL eX AIR Tta"WALLS ENCLO 7R eafW O'vER ltSPA NA PPEO O WIT%Rom• 1Sptr0!►AT gUOD t SNALL ReCZve OF Or GLASS Fla-" SATT oGLL. mFL R ALL eRTZRIOR WALLS AM CEILVM ENCLO"m ODIDITIOIeD=vAm TO mmam A 'E°«r 4. ARLb DOER eAfBlNr spaces TO Refxeve r OF GLASS Ftee+l GATT DI- VAPOR BARR=SENEATN THEOfTeRIOR FWUSS BOARD PSA N SLOt1 VAPOR SAM" Sir is"SULA SILATTON. w^T Se POLY a&4wTDIG OR FOB. PACING OM PHRLATtp1 L �Ov r INSULATI O[fOSID TO OtIT'61D!! AA TO RECIEY! S' OF ALAfR FAL'R OK TIL M e%TL`RDR'MALLS.M POLLONVR AA&M J01M SMALL 1lCD'Ye A CORTRSSM i INBILATM , BEAD OF CALL[ PRIOR TO ASBEIDLT : RRNION OR SAID JOMT TO SILL OR PLATe S ME WALLS SEFARATDIO OOIDTTIOflD SPA= rMW U)M eAVe SPACeS SLIALC BeLOIM SIRIPLOORIIG TO TOP Or RlSON OR BAD JDOT BMA It:WALL SOI.e PLATE NOTes ReC1eVe Ir•VS�OP OLASs PIeeR SATT INSA TION. To sLbPLDORIIIG BELL.RWo Rohs or CALA Um �' A2 m. SULLY VAN No. 29733 -� L O t A 6 16 N 7546'5j. W 28 �_18 20 22 24 18.3.72, 83l2, 30 ' 00 22 La 20 86 r O .4 PROPOSED 0 =e� 4 BOTTOM SLOPE asWATERUNE 0 EDGE OF FILL Y3 a�ci > a Z t Ijke WI e7J LOT GA 9 ve 43,589 SF TBM ® LOT CDR STK EL = 32.4' 32 30 A 28 26 4 16 O 23S Ss, 22 -i m CL 10' WAY 20 b • rn M / _ 18Af > mat➢,' �,�, � • � -"yK W y 28T4 4 fGFSTE�� C011FIED PLOT PLAN CERTIFY THAT THE PROPOSED LOCA11ON: LOT 8A — BAXTER NECK ROAD FOUNDATION SHOWN HEREON COMPLIES MARSTONS MILLS, MASS. WITH THE SIDELINE AND SETBACK BARN TIABLENAND IS NOTREQUREMETS OF THETDLOCATED WN OF SCALE. I 6w DATE 05-02-95 IN THE FL P s•s•95 PLAN REFERENCE PL BK 480 PG 43 DATE: THIS PLAN IS(lQJASED ON AN BAXTER•& NYE, INC. INSTRUMENT SURVEY AND THE OFFSETS REGISTERED LAND SURVEYORS SHOWN HEREON SHOULD NOT BE & CIVIL ENGINEERS USED TO DETERMINE PROPERTY-LINES. 812 MAIN STREET OSTERVILLE, MASS., 02655 APPLICANT: OXBOW REALTY. INC. 8826 (PPP6A.DWG) D E S I I._1 -?PtT� SrIGGT I c F IL. S I IJ GL.E FA M I LEI S E>D QOi�MS ��.$ P l.A'LJ ohl (t+L -t4 560 Gob x (507t) >YZ.S 6PD fo A L f�A�t T�Q W� - Q-!) SPTc T/'t-w v : 550 -P 200°70 = GA I I oo u cw S LOT u5� 'Loco CA -L. -rA*4W- Mfti Qj4TaI-IS S , MA L�AG►4 Fl ELO : LYSE (o PP-C—A-.9T 51 DEwA-LL hel<A . 264 s F TER eAP*clT-f ; 246¢ *Z.5 = G60 ePP SULLIVAN PocvmM A-Q.EA 3co 3a No. 29733 CAPAcwi : %oo x 1.o = Sao csPD •,,sad° TarTAL De--'j1 6N 9(o-. 6PD 11� 44 /�� -"r1141 L O l SYCF'.+h f... �LD 4 1 X 4' pQAST LgJOG+N S 6 'rrsrq L_ 30' �Oa�►1 D S�(STE M C' PI3 A-Ova=*J F-- 3' DLL..-•► .,1�, O O O O O O 4' L� 3 {.bT1= INSTALL a I•Si=R- S.T. ItiLET) DIST•. (Sou 1 4' 3' GALLE`1 A- 1 - 3-Cc To w arm FNDt!L'Ik+� Dg.1�L,�o�D PQo�L� a.,E ;Fac�T of Fi,r�sta 61ZADE GIB't'NC��T T��i�/�OL3• � AS aacsv,Qe-O IZ8 — 14.o AAO"4IFd-D 3 �► E c etn -� ��uts�1C. `feST PIT DATA PATE : 03• 44-•s8 ISIS p� - i ' . 1—'� ?ilcal� I'", (�o1r 15.E � •• �.�rtr-+ - ra.C. ��� __II MC'D 1377 sA a ill! MAP -75 QGL. -7-(. �y p Ho w1tTLt u• I � 133:� I -- • om/P T I m i lo' ' coan i£o Pu rr PL.-," TG,---,.T PIT LaT SA- I_-L= -•'�•A ' LOCAT,= •1 Ail I LLs MA Z C MP-- P-f T*I+Ar 1-t4= D.i.1ELI - If' E 05 -sr )ww coMPwe-% w rr►+ -r-HE •; 91 feu t�E Pn.,� 5�rl�.�csc Q���Q e M�'+•+TS S.e 14' OLD Q��•E-P.r=1,+C� cP TftE 'Tow u aF F!>AV-t4ST*4:1- E A-"D 1'S /� I AJCT C LCl4TP D w l T1-h 1.., TE E O PL.Pri N . DL gW 4(Qo PGa 412-1 UAL TT}7S PL�1'N IS /j 9ED oN /tn1 1N9TQ-._►Mt:.a�aT P1L,OrL'7r�MO��/1L. �1�� �/�O�'4 �uR�./�-f A-►�D 'T�tE �r� yrtou�..D +-ro•r !�E G��I(_ h a=1Y�11-IEC.>� � IKE� To e's"T)'��iL1 Sf•1 Pa.oD>�-T`Y 1-1+,+�'S. 0...� _ � �.._ . . . ��IG.Ari.�T G1�F�ve•QE�V.T7 � I•NL. 11/01'9.7 17:02 ' '$81 7,7 27 7122 - DEPT IND ACCID l L,oi;z�no�i.tuea�tlr ot ��G/a��aclzu�et �ttPartinenf o�J'.,tdu�frial✓dcccdenfl 600 l dhinylon..gh�l James J.Campbell &Ion, Mmack,-u& 02 f f f Commissioner - Workers' Compensation 'Ittsurance Affidavit . . (aamsce/ ) with a principal place of business at: J (Gir�sesWzfa) do hereby certify under.the pains and penalties of perjury, that: () I am an employer providing workers' Compensation coverage for my employees working c this job. insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. i am a sole proprietor eneral contractor or homeowner (circle one) and have Lured the contractors listed below who have the following workers' compensation porcies: zom tractor Insurance CompanyofPcilicy Numbei Contractor In urance mpany/Policy Numbe: Contractor Insurance Co p y/Policy Numbe; () I am a homeowner performing ail the work myself. 1 u.c!:...c;r4:=,:z-t cc;,y of c:: s_;e nent will be fo-e.zrced to&.e Office of lnve:dfdons of d;e 01A for coverage verification and that to ce,e'age as ree� ed under Sec::on 25A of MGL 152 c.❑lead to&�e Imposition of criminal penalties eonsistine of a fine of up to S 1,500.00 aac/ yea:s' imFrLscnment,-u`well as civil penalties in the form cf 2 STO P WORK ORDER and a fine of S 100.00 a day against me. Sign d is 2 day of G',/ 19 9� 'tense Permittee Building Department Licensing Board Selectmens Office Health Department ;r--/37 7r— TO VERIFY COVE PAGE INFORMATION CALL: 6 17-727-4900 X403, 404, 40Sr 40°, 37S n 41 ELEVATOR OPERATOR HOISTING ENGINEER FIRE PREVENTION 00'NONE 00 NONE 35 FRONT END LOADER 42 PORTABLE (COMPANY) 46 PORTABLE (INDIVIDUAL) 01 OTHER 28 ELECTRIC 36 CATCHBASIN SEWER- 43 ENGINEERED 47 ENGINEERED 0) 02 SPECIAL LIMITED 29 CRANES CLEANING MACHINE 44 PRE-ENGINEERED 48 PRE-ENGINEERED z I 1 1 1 03 AUTOMATIC PUSHBUTTON 30 SHOVELS 37 EXTENSION LIFTS 45 HYDROSTATIC 49 HYDROSTATIC Q N 1 LLf 04 FREIGHT 31 BACKHOES 38 SIGN HANGERS 40 SELF-SERVICE MFF 41 SELF-SERVICE MFF 32 ORAGUNES 39 SELF-PROPELLED: c SPECIAL LICENSE 33 CLAMSHELL RAILROAD CRANE CONSTRUCTION SUPERVISOR ` C OS SCOHFITTCH 34 CABLEWAY STEAM ROLLER 00 NONE 1A MASONRY ONLY {�O UJ p7 HRH ,G 1 6 2 FAMILY HOMES z Q 2 Lli OB FLUELESS /v T VT OIL BURNER TECHNICIAN J ��/ /±m�5 O 1 Z } 00 NONE VV hhh^^ _ J 10 GRAVITY FEED NAME 15 182OIL a. Z '' // BLASTING NO�//�/1 / STR/EEEETTfj/�/,,�J /� U Z F- 21 ASSISTANT �L%i // [�/\ V;//C_ ////�� L/ 'j,,�� O LU 22 QUARRY �/(� w W 23 TUNNEL 24 MARINE(UNDER WATER) CITY.OR TOWN STATE ZIP CODE 1 1 LL) 25 RESEARCH 8 DEVELOPMENT w 0 Q cl a- 26 BLACK POWDER ONLY LV 27 SEISMOGRAPHIC U)N ' 1D SPECIAL EFFECTS U Q IN Z IF EXPLOSIVE PLUGGING 2 1F TRENCH PRINT NAME AND CHANGE OF ADDRESS ABOVE OJ z 0 F-- 1 0 I - I COMMONWEALTH f DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE � j FOI�Hf@fn�ir!n,nn Ov11+*t MASSACHUSETTS BOSTON,MA02108 . C^.(c•!:.c..<„.,. ;er fCty!1C,yE�OI! L1. CENSF ,.t,:,ru1:. EXPIRATION DATE ; C 0N T R. i U P E R V I S{)R CAUTION S 4 I 1 4/ 19 9 b EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB rt{��^ �;� I (�/ t? 119? t)U��:d1 i PRINT IN APPROPRIATE n;dl trja. .:�� 0 0 6 6 y BOX ON LICENSE.,,,____._:_-,e 12 l:V E L Y i'� �. I R C L =. r k.' BLA411�G OPEF TORS — a5 i1 bZ1-41-827£, Z CE.�TFRVILLr 11 r'?-632 _ �, MUJT'INCLUDE OJA • PHOTO(BLASTING OPR ONLY) FEE: 1:, - 1 2 1994 f , NOT VALID UNTIL IGNED BY LICENSEE AND OFFICIALLY MAY �. HEIGHT: sTA EO- IGNATURE OF CO ISSIONER j DOB: THIS DOCUMENT MUST BE I SIGN NAME IN FULL ABOVE$tptIAT}1gE UN�•„-, CARRIED ON THE PERSON OF SIGNATURE OF LI NSEE -- "" THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. aIq/ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O S Parcel 00 ' 00 Permit# Health Division Date Issued �9 Conservation Division 1 C Fee 142/q r 21 Tax Collector 'G- Treasurer SEPTIC SYSTEM OMPLIANCE INSTALLED IN Planning Dept. WITH TITLE 5 ENVIRONMENTAL COCa AND Date Definitive Plan Approved by Planning Board TOWN Historic-OKH Preservation/Hyannis Project Street Address �`�� /4` �� /� Yam. Village MA/LJ / A) 9 Owner ' �, �BOk - /Lx Address �BS �i�k ��k 411 Telephone SOS -7 - 67? Z- -7 7,�--03 3 Z _Drbl4 l 2)4h4Wf- f_p / Permit Request �[.u� `eVU O" S'u &�q4tl . - 0 4- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain �� Groundwater Overlay Construction Type Lot Size 7 3�� Grandfathered: O Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ;N( Two Family Cl Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes *lo On Old King's Highway: ❑Yes Flo Basement Type:)91�ull O Crawl ❑Walkout O Other Basement Finished Area(sq.ft.) b — Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing /V ew Total Room Count(not including baths): exi ing new First Floor Room Count Heat Type and Fuel: k(Gas ❑Oil 0 Electric O Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes 0 No Detached garage:❑existing Cl new size Pool:❑existing ❑new size Barn:0 existing 0 new size Attached garage:❑existing 0 new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes .JVo If yes, site plan review# Current Use Proposed Use � BUILDER INFORMATION Name/ � )J f Telephone Number 7 79-4033)— Address d� ��+411�/�OzcT License# C.S Lo�o996/ `!4 zV Z 3 Z Home Improvement Contractor# 7,SSz 9 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJEC WILL BE TAKEN TO / EN54J {- CO/ZIJ SIGNATURE DATE �' 2 Z*00 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUEDr MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: / FOUNDATION 5 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL C, PLUMBING: ROUG •FINAL GAS: ROUGisi FINAL FINAL BUILDING r ` b. DATE CLOSED OUT ASSOCIATION PLAN NO. vi to t-'rJ 6 i0h) 6 C, %'�Cokcklr-Ta ft-r.--c till 4 'S o. Ua VP ?AX It, Ll Qi zs.f.: LIA-3 (A)2 -- o wum mr:RL 6E7 �T I Qtj I� .j �A- 67 VATtfl-ofaz--me 4%--4)MATiCALLY P.-Ar-eg' coal-C&TE MAU NAVEA MIFAIMM CoWVEI6,,JE- WTO I&tlkT DAt5r :,T-ZaW,4yA ofA000 0 5.1. eZ5 VAY�5 b4AKCI-rt-W F04 wak 15 L-W �ftat -44hLL 4,04POIEM i.A T.A.,nA CeDIMWoTWMJ A-ol 3K-0C.L*PALL W:k &VpjiqdAM *a- 40 PlAbfr!TVj1$ AT OFLJCL-g A Ca2'meX5- t %&Tee uae 'A VolrP. WAY45 WALLS I-LaalZ w IL cT SE Er or1Y, Moo WL O G LIO ITe 1700L CON:ST VATS I"Ou�InAT,ION - -- �? o PO r Z-3 �OF eNcrei , OL,DT P,LAA1 1-6GA7-/:5'•1/ MAPSTV4,e MILLS / C&C.2T/FY -7-AIA -T/+/E F-VI AJDArvi ._._t . ..... _.__. .._..._. .SNOG✓N:yE.2�GN/:CG�I.oL YS lt�/rf/ SC,A L E "d p OATS Y-/•��S"/OE.0/.c/E A,4/O SETBACAC' Q �� ieE.�E.2E�G'E- �2EQU/.2E�lE.t/!S AA.o /s La'r ,LGG,4 TEG 1•si/T�//�t/ T/,/E �LG�a.�G4/H dLeO PG A3 TN/S P.�.4.v/S .t/aT'B•�SEO �.v A.t/ �2EG/STE.2E�° L.4�/!� SU.eYEY�� /NST,eU�1Eic/T S!/.eYEY,� THE Q�T�r2Y/,L1.�a MASS. 0•�.4SET,�syoi,✓y S/•�t�� �t/oT 8� - ....... .. . . . . o)CSOW THE The Town of Barnstable 9�AMASS� Department of Health Safety and Environmental Services lF0 MAC a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT,APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by regi tered contractors,with certain exception's,along with other requirements. v Type of Work: o�Estimated Cost � Address of Work: q,2�_ /�%�J�✓ �� /t/, %� — / Owner's Name: #0611127 De gaoyq kJ Date of Application: 3 Z Z ozvo I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PEN IES OF PERJURY I hereby apply for a permit as the" gen f the o ne Z.SsZ Date Contractor Name Registration No. I OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts =jam a —.. - Department of Industrial Accidents • � ::-:'.. Office of/orestlgatioas . 600 Washington Street Boston,Mass. 02111 Workers' COm ensation Insurance Affidavit name: location hone# city ❑ I am a homeowner performing all work myself am a sole ro g workers' compensation for my employees.working on this job.::: ::::?.:?.:?:.;:??.;:.}:.;:.:::::;;<:;;:;;:;:;:<:;::;;«:;:<::>::««;<::::;: I am an employer �S ...... :...........:;:.:.::..:::.;;:::.:::::::;:::.::::::::::.:>;;:.;.::<.;:::.:::::::::::::::::....:::::::::::.:;:.::.:;;;::.:;.:::;>:::;:::::: ❑ p Dyer P?v�' ...?......._::.::::::: .;:::::::::.:.::::::::.:::::.:._:::::;:?.::::.::::.:::::::::::;?.::.;::::::::.::.:::::::::::::.;::::::::: :: :;•: am . om an vn ��ar'ss: e: a •e ton ci cv insurance— MINIM, I am a sole proprietor eneral contracto or homeowner(&cle one)and have hired the contractors listed below who have ' ensation olices: :.:.:.;:.:.:.;;;::.>;:.;;;;;:.;>;:;<.;:.: ?.:?.:;.:;.:<:.;:} . e following workers p ...........:::..:...:::::..::. :... ........... . comanon .... .............. .............................. address:• ::::::;;:.::: : �:-:•::: ::.. ... ::.: :..:' ' ..;::>:.;�:».;:<>..,,?::?.::,. . is .- ....:}'•:}::•}:.:'i�.:iii?�} r. : ..v :.v:,.... ................ .. . ... . .. .....:::::::.. : hone.#. ��� city: ................,..::. .............. ..::::...... ....�................::.:..............r. ,}.... .. r ..... n ... .4. .. ....Y.� ;:;:('r'r:i�i:}: �:i..:isy;i:;:~;: j �:::.ii:•:: i:is / ................................. '�'4v':vfif:•:ii:v::i fit}} <%!isi^:ir iii:?•:??:?•}:....v}}:?v::v............................. ...�.:•i?:�iiiiiii::i::;?;�:;::•;:::;`f:?'S ::; :titi:4ii ;:;%j4i`?tiff i::?'.. ::.::is i::�i�:i::?::iiY•i::: .. c any es s. ad dr a tv: ................... ..... ................................. ................. :............. Ex Failure to secure coverage as required under Section 2SA of MGL 152 can lead to the imposition of criminal penalties of a Sue nP to S1,S00.00 and/or one yam,,imprisonment as wen as civa penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby c the p ofperlury that the information provided above is trw.and coned Date 3 — sipa Phone# Print — official use only do not write in this area to be completed by c ty or town oiflciai permit/license f! ❑Building Department city or town: ❑Licensing Board ❑selectmen's Office ❑check if immediate response is required ❑Health Department contact person: phone#: ❑tther (m%wW 9195 P1A) I1�IEIfE11T 641�flAC�U�" - �irttlot: - tUiSt`i4Qt= luau a O m, TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 075 007 006 GEOBASE ID 42229 ADDRESS 405 BAXTER NECK ROAD PHONE Marston. Mills :'ZLP. - LOT 6A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO pERRM JJ,,7779g4 DDEESSCCgIPTION B ppMMTT #g7757 - AU�gogIZED" NEW DWELLING ' PERM TYPE BC00 TITL CJFICATE OF OCCUPANCY I CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: II BOND $.00 O� 1 CONSTRUCTION COSTS $..00 i 753 MISC. NOT CODED ELSEWHERE • 1ARNSTABLE. ' MASS. ' OWNER BURKE, RUSSELL J TR 039. N11� ADDRESS C/0 OXBOW REALTY INC � 725 CANTON ST NORWOOD MA BY IN I a DATE ISSUED 09/10/1996 .EXPIRATION DATE + TF BARNSTABLE, MASSACHUSETTS • =7'' :. - t - -'-Ttiatr:.{'�,'( `f'd.A�a� x , �- do-; ...,. __ -. -,:..:z. _ _ tA=075.007.006 ✓ May 15 t9 95 ~ PERMIT NO. NQ 37757 . .. APPLICANT John J. Delaney DATE ADDRESS 404 Main Street, Centerville 009961 • •'� •-. '" •-INO.) )STREET) ICONTR S LICENSE) PERMIT TO Build dwelling ( 2 1 STORY Single family residence NUMBERNG UNITS OF 1 (TYPE OF IMPROVEMENT) NO. - ---• - (PROPOSED USE) 405 Baxter Neck Road, Marstons Mills-` — -__.-- DINING RF AT (LOCATION) DISTRICT— (NO.) (STREET) --•_ ._. _.. ....__.....__�_...._._...__ BETWEEN AND (CROSS STREET) -- ----'••'- ' (CROSS STREET) _...._,__........ -_..... .. ,.. -�......, .._.....LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO 8E FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIO' TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #95-578 AREA OR PER VOLUME 3,870 SQ, Ft. ESTIMATED COST $ 350•,000.00 FEEMIT'$379.25 (CUBIC/SQUARE FEET) �• "" ._ . OWNER High Point Realty Trust ADDRESS 725 Canton St. , NOrwood, MA 02062 BUILDING 8Y FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF T.H O IS.PE RMIT DES-NOT M.RELEASE'TE APPLICANT iAbP"tTit Z oArLYi'i AS' OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 HEATINCG7INSPECTION APPROVALS ENGINEERING D ARTMENT -n,m e S 2 BOARD OF HEALTH C p. 9-3--91 OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOWHAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. , 1 �oV+J►�A"r+oN moo° � I • � � cr t i ; PD 1 ; ` f OF r sum ft 4 . 4 Ill A5 7t?a15 D(I.I ILLS L�GQT I�-• / G�2z/,cy T,�1i4T�Tf�/E-���e�T�a�-.._. . u�_._,-----. .� ., WI;9� SCi4L d O 0.4TE ;,r 14.tg45 7''.�.fE,S"/O,E.C/.ciE AA/O SETB.�QCk P ,AA1 -2�FE.eEA1Cf- �EQ!//.eEis�lE.1/!"S4 OF T.�✓�'?T�Wit/� 64Z,4 CT4 t 4.0 ANC iS ,�kT- � �-� . 6,A Tf/E 41G%&2V,,RG41W _ . . ado P� �t3 Pc. Tk 95 XT,E,ee�•N � TiS//S F,L.4.t//S i(/oT BASSO Oic/.4i(/ i AEG/tSTE.2E1�a L.�4�/O Sl✓�I�EYa� /NST.eI.1-41— t/T.SL6el/6Y U,SEp 7"O OETE,��/�E .�.l�T�./NES O�CBp�t./ I�E11LT`/ �a L• ",;$sscssor's Office(Ist floor) Man 0'7-l' -Lot w 7• d o(P Permit# 3/ r Conservation Office(4th floor) J`�I 3I Ct f /Ow) Date Issued S� Board of Health Ord floor) Engineering Dept. Ord floor House# oS ��s° ��, ✓: � Planning Dept. Ust floor/School Admin.Bldg.): KAM Definitive Plan Approved by Planning Board Awl -j gfi&j 8a 1 (Applications ss :30-9:30 a.m. & 1:00-2:00 .m. TOWN OF.BARNSTABLE4 V` Building Permit Application Pro'ect St t Addre Village AIve-'s-Trbv✓s ��M// 1//W Fire District �-© ^, 01 Owner ' / }lit/ H�/ti Address SSG/} AJ T U2U�(7 /yl�3 Telc hone - -267—ca,� o� QL�6Y� Permit Rcouest: G'40 lglk9'G� r Zoning District 0�517'0Flood Plain 2-OW5 C Water Protection /7 Lot Size 11 .S07 Grandfathered Zoning Board of ApReals Authori74tion Recorded Current Use -�• .���',, _`r/ � /J'f y Proposed Use Construction Type G��/ AL'"E Eaistine Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement tvce Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Tyne and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information •. Name ydl>J �'� Telephone number h S,040- 7, D33 'Z_ Addre �D � S'T --lot ss r License# �I/ ifslf+" 0092 d2,6 3Z— Home Improvement Contractor# Worker's Compensation # f✓Z /41,4 If NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. / ALL CONSTRUCTION D BRI �ULTING FROM THIS PROJECT WILL BETAKEN TO 02�yo2 I- /W� a-y/e Proiect CQs `� J Fee SIGNATURE DATE 2-BUILDING P T DENIED FOR THE FOLLOWING REASON(S) j BPERM T - 631 FOR OFFICE USE ONZY 5/15/95 075.007.006 ADDRESS 405 Baxter Neck Road - VILLAGE Marstons Mills High Point Realty Trust OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE Ilk ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: `��' ROUGH FINAL 7 FINAL BUILDING: DATE CLOSED OUT: C ASSOCIATE PLAN NO. .