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HomeMy WebLinkAbout0058 BUCKWOOD DRIVE X"PRE PERMIT of Barnstable *Permit © / Expires 6 months from issue date AUG - 8 2007 Regulatory Services Fee ✓ TOWN OF BARNSTAB(-F Thomas F.Geiler,Director r-7( Building Division 9 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number / �b Property Address E�4eesidential Value of Work_ Minimum fee of$2 U10 for work under$6000.00 Owner's Name&Address ✓h A7 j L Y due Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Eg—jiravie­Worker's Compensation Insurance Insurance Company Name�]r7 >u 4 v S Workman's Comp.Policy# 7(J --"Jd'fb 7 4 IS Q 6A Copy of Insurance Compliance Certificate must be on file. . a Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ? .•T(/� t �/� ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. of flie Home Improvement Co tractors License is required. I SIGNATURE: Ce Q:Forms:expmtrg Revise061306 +' The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations . 3 d 600 Washington Street Boston,MA 02111 www.mass.gov/dia - Workers"Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aimlicant Information Please Print Legibly Name (Business/Organization/Individual): . �? •Address: / &?M 1,ftv4Z. Ott+Umy— City/State/Zipa 42 -Iylk . Phone-4: 0 77tS5 ,&Qka Are you an employer? Check the appropriate bog: --Type of project(required):. 1.❑ I am a employer with 4. am a general contractor and I employees (full and/or part-time).* have hired the sub contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• []Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers'comp.insurance comp.insurance.$ 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 11.❑P ing 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 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 sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance far my employees Below is.the policy and job site information. Insurance Company Name: v v Policy#or Self-ins.Lic.#: ��'/)� �i U'4/�A Expiration Date: Job Site Address:_.52� L>"A 41MO 7)LI City/State/Zip: H V/ ,d_ 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 tip 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 the pains•an ties ofperjury that the information provided above is ue and correct signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: w 1 � ✓�ze &'Xmzaruaea d o/,/Mwadwea �4 BOARD OF BUILDING REGULATIONS License: CpNSl RUCTION SUPERVISOR Number CS 002881 ' Birt d to+02/14/1943 E Expires 02/1',4/2008 Tr.no: 16666 Restnctetl CHARLES E COREY- 1694 FALMOUTH RD4115 G— CENTRERVILLE, MA 02632 F j 'Commissioner - ! i r , °���aaeac/u , Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR. . Registratiori 136066 Expirafion lug fi7F12008 -/ Type UBA ' COREY&COREY HOMEsIM ROVEMENTS CHARLES COREY 1684 FALMOUTH RD #115 CENTERVILLE,MA 02632 Deputy Administrator s I ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) n 04/09/2007 FROWUM THIS CERTIFICATE IS ISSUED AS A MATT OF INFORMATION SCHLEGEL INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND. OR 34 MAIN ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WEST. YARMOUTH, MA 02673 INSURERS AFFORDING COVERAGE NAIC# +RED INSURER a NORTHLAND INSURANCE Paul Suakmiller INSURER B: TRAVELERS DHA BUCKNILLER ROOFING wsuRERO. INSURER D.' Hyannis, MA 02601 NNSURERE: _ 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 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OW&EFFECTIVE POLICY EIKPIRATION LTR Vim TYPE OF WSURANCE POLICY NUMBER DATE DATE LIMITS A GENERALLUVIIUTY CP46959503 05/15/2006 05/15/2007 EACH OCCURRENCE $1,000,000 X RENTED COMMERCIAL GENERAL LIABILITY PREMISESO(Ee otauenCe) ' E 50,000 ,._ CLaMSMAOE. S�OCCUR_------__._ _-- MEDaCP{Nyaae.pereae) --- s EXCLUDED - PERSONAL 6.ADVINJURY 31,.000,000 GENERALAGOREGATE s2,000,000 GEM AGGREGATE LIMIT APPLIES PER. PRODUCTS.COMPIOP AGG s2,000,000 POLICY JPRO' LOC AUTOMOBILE LIABILITY . coMBwED SINGLE LIMIT e ANY AUTO Ma awiftni) ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Por�a) $ HIRED AUTOS BODILY INJURY $ NON0WNED AUTOS (Pei accident) PROPERTY DAMAGE $ (Per a=kwo) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ ^-- ^ AUTO ONLY: AGG s E%CESSAXIBREW LIABILITY EACH OCCURRENCE s OCCUR ❑CLAIMS MADE AGGREGATE $ _ s_ I DEDUCTIBLE s RETENTION E $ WORKERS COMPENSATION AND 7PJUB-7430A7-06 04/11/2007 04/11/2008 X TORYLIMTIs1 ER B EMPLOYERS'LUIBILITY E.L EACH ACCIDENT $100,000 ANY PROPRIETOFWARTNERIDWMTIVE OF°FICERIMEMSERDCCLUDED9 ....__..._. E.L DISEASE-=EA EMPLOYEE'.—3_1.00-1-00a--- SPECIAL PROVISIONSb*m E.L DISEASE-POLICY LIMIT s rJ'00,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BYENDOMEMENT I SPECIAL PROVISIONS PAUL BUCOaLLER IS LBCLODED FROM HIS WORKERS COMPSIRSATION CERTIFICATE HOLDER CANCELLATION IOREY & CURTLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION L694 FALMOUTH RD DATE THEREOF. THE mum INSURER wLL ENDEAvoR To MAIL 21 DAYS WRITTEN "ENTERVILLE, MA 02632 NOSE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Do SO SHALL IMPOSE NO OSu*AT= OR LIABILITY OF UPON THE INSURER, ITS AGENTS OR _. _ REPRESENTATN AUTHORIZED REPRESS WORD 25(2001/88) C ACOR0 CORPORATION 1988 i M V •' '-1 UTAL INVESTMENT S 4450.00 Including Senior Citizen Discount SOFFIT AND RIDGE VENTING OPTION: Supply and Install SMART" SOFFIT VENT SYSTEM on Both of the House Eaves. � httt)://www.dcii)roducts.com/httnl/smartvent.htm Supply and Install AIR VENT SHINGLE VENT H RIDGE VENT on the Entire Main Ridge. TOTAL INVESTMENT 190.00 POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing'Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$60.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. i WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please Male Checks Payable to: CHARLES COREYam. CREY & COREY Warranties the Shingles and Labor for 5 years. CERTAINTEED Warranties the shingles and labor 100% for the First 5 Years and then on a pro-rated basis for 30 Years Total if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a 70 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. Any alteration or deviation from above specifications,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. Owner to carry fire,tornado,and other necessary insurance upon the above work.. This proposal may be withdrawn by us if not accepted within thirty days. CREY & CREY carries Workman`s Compensation and Public Liability Insurance on the above work- DATE OF ACCEPTANCE: D ACCEPTED BY: SUBMITTED BY: N LYN CHARLES CO HOME® R COREY y EPTIC utj Y�TEIvl i�dl V . J ..•�. � .,- ym -OJA . �e r, Assessor's Wrap and lot number��... !ti WITH TITLE J /�� of T E ro M Q� Sew6 e'Permit numberqV Tg ........... i R House number .................... BARNS ABLE, .. ...................................... 90o rb a ♦� 39 A/fC 'E0 MAY a TOWN OF ZAM!NVS BLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO. .. .� G ..E% =�C .. u .... ....... ... ........... TYPE OF CONSTRUCTION �....�..fl....!0............../.:���,,.��...�-. , c f , ................................................19........ TO THE INSPECTOR OF BUILDINGS: r • , The undersigned hereby applies'for 'a permit according to the foll•ow'ing information: Location ....�.0.......... ....... D..O..,.".......04........... .......... ............ Proposed Use . � ................Fire Districtr�Zoning District IC7.1.......:............... ... ...'�J...S................:............... M1 Name of Owner .AA.AfelA; 7......./.V// 44�A:.Address .awl.. ....4i9.A.G... , CZ-1.. . .....5�41 `/ // Name of Builder• ......../�................................ ./.............,.....Address ......./•I/ //f . Name of Architect ....................................................•..:'...........Address ............................................... Number of Rooms Foundation ..1.0...........,l�o l' .......... .C?f Exterior ........... .........t,..G/....................................................Roofing ....../ .5.../ ` 11���........................................... Floors .. ....................................................Interior ...........St. l................................................. .......... Heating ......... .......................................................Plumbing ......... / Fireplace ......... ,/.!f'. ..............................................Approximate Cost .......3.Q.f�D.1/M1....P... .....:...............:.:.. , . Definitive Plan'Approved by Planning Board _________-----------------------19________ . Area ...�� ............... ' Diagram .of Lot and Building with Dimensions Fee ... - ...... • SUBJECT TO APPROVAL OF BOARD OF HEALTH �d OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .c ....... . . .. . .. ... ............... �0 � �� � C!� hlA1kI i1O, E RNE S T r�No .2 9..-%'Permit for ...9 .Atory......... r �. Single Family Dwell. nc�................ Location Lot„a.......5.8...Buckwood Drive _ ...............HYxgxlis................................................... Ernes Marino Owner ...............t................................................ Type of Construction �:xam�......................... YP .... r ,............................................................................... Plot ............................ Lot ................................ Permit Granted April 5, 19 84 Date of Inspection ........19�- c �� Date Completed ... ...........................19 1 s t f Assessor's map and lot number, .° .5.f .�`�„ ,.,t � ,. . f THE TQ� J ... ! . 4i O Sewae3 Pecroit number ..E......................................... ..........�... .!. ........:.�1 t............ t BAR33-TABLE, i House number .. rasa fa .................................... 9�p i639. Q MAI a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO t +' 'a na-e-°. � � -C"+'° ¢' �-�e- 7 TYPE OF CONSTRUCTION ..............f-k....OAL ............../., :::'�:// ! ....:................................................... r ............. .19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....6.. e. ....... '....... 11 / /.(/!+,!? ....... r` ............../r� fJ `..'.j. ...... '"`� .. ............. .... ProposedUse ............1 . .......................................................................... ......................................... Zoning District ............. -............. .......................................Fire District .................�...`.yL�/,r/ ?5 Name of Owner r I�1'�........ ! .a...Address .. ... Name of Builder ` ..............Address .......X ....................... ..................................... .................... Nameof Architect ...................................................................Address .................................................................................... Number of Rooms .......... ..................................................Foundation .;!���.....e.' Exterior .......... ....... "'.!`...................................................Roofing ..... r .�` /a�r' .G! ............................................ Floors ..............................................Interior .......... .t.'..!.. ............................................................ ........................... Heating .................................................Plumbing ........ ........................r� ......................................... Fireplace rf/ !°e ................................................Approximate Cost ........7 .. e2.4p'r,. p (%i ................................ Definitive Plan Ap proved by Planning Board --------- - 19 - - Area .................................. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ' f 1 t' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...: . !.'..l ............................................................ MARINO, ERNEST A=272-56 W� No .2b.2A9... Permit for ,One Story ..................... Single Family Dwelling Location' ...Lot 3.r.._ 58_ Buckwood Drive ..... ............................. Hyannis .................. Owner .,Ernest Marino Type of Construction Framc i .......................................... i ................................................................................ Plot ............................ Lot ................................ Permit Granted April 5, 84 Date of Inspection ....................................19 Date Completed ......................................19 r i - `• � � .• - : - 'Lod-'3 Z SN 0. 61gy. I ' O� RICHARO A. •���c� BgXTER �Nri.24W40 7'/0.t/ yid TNA7 T1-1E E-r/5`r F� pA r� SNoWi�/ CoMO�y,51 W/ri/ ScA�'� A/•/,C;'SETBACf---' ,eE�vi.2EMEN�S' of THE ,9Ati ,54,67 AwO /S �/aT � Cs`!"A • I G.��.,`e� t ) �' c 'i�it=�' .aA X T6,e es ,V E /NC. OATS- T/y/S R, .4it//S A/DT B•4SE0 D.</ A.t/ E.2Y/,Cl..� M.4.55'• ' pFfv'E'T,S,sya�/�Y ss�vLp .t/oT 9� AP•v/-/C,Qi�� ��Nr'--7''/����i✓La •i R ' 26249 r o�� TOWN OF BARNSTABLI'; -Permit No. } ILUSTAU Building Inspector cash ��p p670• S`�' -------------------- _______ NO OCCUPANCY- PERMIT Bond, X . ` 10 �o Issued to EMeSt 1qax-1II6 Address i �t 3, _�58 Buckwood;Drive;,-"Hyanrl�.s- Wiring Inspector Inspection date Plumbing Inspe t ray/ Inspection date r Gas Inspector Inspection date Inspection date De artment !/ V7 Board of Health t Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILLDINNGG CODE. l ...•...../d.:......... , 19.I! ................................................. Q Building Inspector FROM TOWN OF BARNSTABl E j �'t .'Francis. Iaah BUILDING DEPARTMENT Town Clark MAIN STREET HYANNIS, MA 02601 _ 'H4'�ari.r%'�`at.s Yr+n-.&e<v�A.:a•+s�s.-e t� - p Phone. 775-1120 SUBJECT:, FOLD HERE' ?C DATE - ocl caber 10, 1984 4*pt-w�, WT©rk has been cgw1eted Runder Permit 26249 (Ernest 3Marino) Please release Bond. .. s SIGNS` l 1 .. DATE - - . REPLY . - SIGNED N EfT-RM1 _ RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY i PRINTED IN U.S.A. SENDER:SNAP OUT YELLOW*COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.