HomeMy WebLinkAbout0019 ARROWHEAD DRIVE Y
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is Card SoT the Stre' £.A rov' Rlans IVI'ust lie Retai'nedo.naJob>and"rth�s•Card=Must beFKe''t 4 '�
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Posted C1ntilFinal,Ins ectionHas`Been Made.a.: •` ` ` F
Permit
Where a Certificateof Occu anc;' isRe uiredsuch Butldm shallNot;beOccu ieduntila.--Final,Ins ecUon has,been,made s
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Permit No. B-19-2931 Applicant Name: BEARSE, ROBERT P JR& BARBARA J Approvals
Date Issued: 09/09/2019 Current Use: Structure
Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 03/09/2020 Foundation:
Location: 19 ARROWHEAD DRIVE, HYANNIS Map/Lot 271 103 Zoning District: RB Sheathing:
Owner on Record: BEARSE, ROBERT P JR& BARBARA J iv Co ractor'Narne Framing: 1
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Address: 17 ARROWHEAD DR # ContractorLicense 2
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HYANNIS, MA 02601 _ E Est Project Cost: $.0.00
Chimney:
Description: 12x12 shed I Permit Free: $35.00
I _ Insulation:
*Fee Paid $35.00
SHED REGISTRATION ) ,
i Dante 9/9/2019 Final:
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Project Review Req: I 7� ���
Plumbing/Gas
Rough Plumbing:
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Buildin Official
�. . ��a • '' �� �
,, Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authonzetl by this permit is commenced within six,months after issuance.
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All work authorized by this permit shall conform to the approved application and theapproved construction documents,'for�whwh this permit has been granted. Rou h Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zon ng by laws and�codes. g
This permit shall be displayed in'a location clearly visible from access street or roadnd shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. AT,'i >
a� r Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by thezBuildmg andilFire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or FootingUz
' s
2.Sheathing Inspection Rough:
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3.All Fireplaces must be inspected at the throat level before firest flue lining installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation `
7.Final Inspection before Occupancy
Low Voltage.Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT final:
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Town of Barnstable .
THE rti Building Department Services
Brian Florence, CBO
! RARNST-AZ , . Building Commissioner ".
MAS4
200 Main Street, Hyannis,MA 02601
prED www.town.barnstable.tna us
Office: 508-862-403 8 Fag: 508-790-6230
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SE=REGISTRATION 2 ,► s
RESIDF,NTTAT,ONLY �A
200 square feet or Iess 6/� d s
A AkDL,)#r9 P i2h V
I,,ocation of shed(address) V' e
Property owner's name Telephone number
Size of Shed, Map/Parcel#
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Si a Date.
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
You must file witkPld.Kings Highway r
z
Conservation Commission(signature is requited) ,
Ggn7f�hous-for-Conser-vation_8
PLEASE NOTE: IF YOU ARE WMIIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A.REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BF ACCOARANIED BY A
PLOT'PLAN
Q forms-sbedreg
REV:08/6/17
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F \ Driveways
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Map printed on: 9/9/2019 p purposes y p y graphic Town of Barnstable GIS Unit
This ma is for illustration oses only.It is not Parcel lines shown on this ma are only a hic
'f adequate for legal boundary determination or representations of Assessor's tax parcels.They are
Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi
O 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624
i reflect current conditions,and may contain such as building locations.
1. Approx.Scale: 1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us
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THEN0RF0L9< DEDHAiilii GROUP@
October 4, 2016
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH... 139, SEC. 3B ,
Building Commissioner, or Inspector of BuildingsD
c/o City or Town Hall
367 Main St.
Hyannis, MA 02601
Board of Health or Board of Selectmen
c/o City or Town_ Hall
367 Main St. m
Hyannis, MA 02601
Fire Department or Arson Squad
c/o City or Town Hall
367 Main St.
Hyannis, MA 02601
RE: Our File No.: P1615686
Insured: ROBERT BEARSE, JR.
BARBARA BEARSE
Address: R ARROWHEAD DRIVE, HYANNIS, MA
Policy No.: H1180438A
Loss 'Date: 09/30/2016
Loss Type: Building or Other Structure Damage
A claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be
applicable. If any notice under Mass. Gen. Laws:; Ch. 139, Sec. 3B is appropriate, please direct
it to my attention and include a reference to the captioned insured, location, policy number, loss
+ date and claim or file number.
If no reply is received from your office within ten days, we will assume you have no liens of any
type against this property, and the claim will be paid in our customary manner.
Sincerely,
Linda E. Babineau
Property Claim Examiner
1-800-688-1825 x1253
NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109
DORCHESTER MUTUAL INSURANCE CO. [W@
Telephone:(800)688-1825
FITCHBURG MUTUAL INSURANCE CO. Fax:(781)329-1818
f
�pF1HE A Town of Barnstable *Permit,�
�P Expires 6 months fj om is, a dige
y Regulatory Services Fee
+ BARNSTABLE.
MAC
3q. Thomas F. Geiler, Director
i6 �0
ATEO MP't A
Building Division
Tom Perry,CBO, Building Commissioner
206 Main Street, Hyannis, MA 02601
www.town.barnstab le.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
f Not Valid without Red X-Press Imprint
Map/parcel Number _ _ V
Property Address _ � �'DG�/ ea S�J!`L�/ �� ���✓
L residential Value of Work � O Minimum fee of$25.00 for work under$6000.00
Owner's Name& Address
Contractor's Name /eLr 601vi'l- /�C_. D/1,-, Xf4.,Ar 9 f/ai�GTelephone Number 776
1 lome Improvement Contractor License#(if applicable) dl;2
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one: MAY 12 2009
❑ I am a sole proprietor
❑ 1 am the Homeowner .SOWN OF BARNSTA5LE
[�] 1 have Worker's Compensation.Insurance
Insurance Company Name
Workman's Comp. Policy #_
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)
Eli'Ke-side
❑ Replacement Windows/doors/sliders. 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.
A copy of the Home Improvement Contractors License is required.
SIGNATURE: 2
--- --
1'1-11.1•.S\PORMS\building permit forms\EXPRESS.doc
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RONNIE TAYLORA J j
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CENTERVILLE,MP 02362;
_.�. VlassachusdIs. Dc paRkm t ons and Standards
Board qt Buddrn"Rc,.ula
Construction Supervisor Specialty License .
License: CS SL 99910
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BONNIE TAYLOR h
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CENTERVILLE,MA'02632
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Expiration: 10/2612011 "
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Board of piration d d for Indw a•
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�\ 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 Ledbly
Name(Business/Organizationtindividual): 10
Address: Ct2z,
City/State/Zip: Phone.#: 77
Are u an employer?Check the appropriate box: Type of project(required):
1.Ly'I am a employer with 4. I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors6. ❑New construction
.2:El I am a sole proprietor or partner- listed on the attached sheet 7. .E]Remodeling
ship and have no employees 'These sub-contractors have 8.'0 Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'.-comp..insurance comp.insurance.$
required.] 5. E] We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself.[No workers' comp. right 6f 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 alio fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. -
tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. If the subcontractors have oyees,they must provide their workers'comp.policy number.
lam 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.#: Expiration Date:
Job Site Address: 7 /(4-, � �i�• Z& & City/State/Zip: 04
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 crimbW 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 un pains and p es of perjury that the information provided above is true and correct.
V
Si tore: Date: /d` "a 7 _
Phone#: 774
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#:
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 foregoingg-engag in a join -enterprise in7u-dmgXlie leg -represen YiVe3 of leemedempiuy�r,or the= ---
receiver or tiustee 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-contractors)name(s),address(es)and phone number(s)along with their certificates)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 offiicially'stamped or marked by the city or town maybe 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 C6mmonwealth 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 11-22-06
www.mass.gov/dia
I _
01/26/2009 15:35 5084204474 EDWARD A GRAZUL PAGE 02
- - - 1/13/2009 4*00 :51 PM PAGE 2/002 Fax Server,
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IsCand Siding and Roofing
a division of ELT Cowtruction, Inc.
31-1Ianni Circfe
Centerville, wtA 02632
Proposal to: Date: March 18, 2009
Bob Bearse
1 Arrowhead Drive
Hyannis, MA 02601
We are pleased to submit the following specifications and estimates for re-siding:
Remove fake rakeboards on gables
Remove existing cedar siding on 2 sides and back of house
Install Tyvek Housewrap
Install Grade A R&R white cedar shingles
Install I x 8 and 1 x 4 Azek pvc trim to replace removed rakeboards
Clean up and haul away debris
We hereby propose to furnish materials and labor- complete in accordance with the
above specification, for the sum of:
Eight thousand nine hundred dollars...........................................:...:.....$8,900.00
To use prestained shingles...........................................................add $1,500.00
Terms: Payment in full is due upon completion.
All material is guaranteed to be as specified, All work to be completed in a workmanlike manner according
to standard practices. Any alterations or deviations from the above specifications involving extra costs will
be executed only upon written orders,and will become an extra charge over and above the estimate. All
agreements contingent upon strikes,accidents,or delays beyond our control. Owners to carry fire,wind
damage and other necessary insurance. RLT Construction,Inc.carries General Liability and Workman's
Compensation Insurance. Ce►lificates of Insurance provided upon request.
ACCEPTANCE OI, P>ROPO!'-44L: and conditions are
satisfactory and hereby accepted. You are authorized to do the work as specified.
Payment will be made a5,outlined above.
Date of Acceptance: S j2 -Oct Signature co, Z"-
Start Date: As Signature
Tefep hone 508.420.5243 a,uf508.776.8914 Facsimile 508.420.1776
Emaifmicheffetayfcr 5@comcast.net %assYaC #134286