Loading...
HomeMy WebLinkAbout0047 CARLA ROAD r s �.. . . � r -,1A Town of Barnstable Vermit# Building Department 11 es6monthsfromissuedate 1aaxsre1111, : Brian Florence,CBO 1679.s Building Commissioner 1 . t 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax.508-790-623Q�e�+ EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY 01,4141 OFNatVdidwi(haatRedX-Px4fs,lotprint. 8A (ti7A Map/parcel Number l,a( Property Address 6201 \ G a It Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ohn krr!;X 1 (—) (104 L-n 14y4(-yl,j 0&w Contractor's Name �44 h P� Telephone Number SV e 766 Z?d 2 7 Horne Improvement Contractor License#(if applicable) I L(?Of) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name C114+ Workman's Comp.Policy# 5 sq Oil/ Copy of Insurance ComplianeCCertificate must accompany each permit. Permit Req est(check box) Reroof(hprrieanc nailed)(stripping old shingles) All construction debris w ill be taken ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of rool) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows it of doors: *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 requ' ed. SIGNATURE: C:\UseW decollik\AppData\Loeal\Mi erosoft\W indowsUNetCache\Content.Outlook\9NNOKXY W\RESIDENTILONLYEXPRESS.doc 09126/17 s O� MAM Twtii o ga"ELAMSTASM � s�fia e fnu&4;A�` g2ssil,lsinrs lnoreenrtmnaat 1J 11114111� i/i.�/Ql L111L.11L Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, To Hi perf f• ,as Owner of the subject property hereby authorize /C -e-i �,�'�f (/d/1 S to act on my behalf, in all matters relative to work authorized by this building permit application for: j Cam✓��, Gv� f yc��,,, Alf- (Address of Job) Signature of Owner Date J Pecr Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users`decoWk\AppData\ ocal\MicrosoftlWiudaws\lNetCache\Content.Outlook\9NNOKXYW\RESIDENTILON-LYEXPRESS.doc 09/26/17 CERTIFICATE`' LIABILITY INSURANCE °�'�`�"`°°"Y"Y' 3/20/17 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 ICOVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AAND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INURED,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 NAME: JULI MCDOWELL Schlegel & Schlegel Ins Broker PIvuNE (508) 771-8381 34 Main Street A y :_ (508) 771-0663 West Yarmouth, MA 02673 ADDRESS: schle elinsurance@gmail.com __ INSUREKSJ AFFORDING COVERAGE NAIC 0 --- -- --- --- ----- - .:>__._ — -- INSURERA:MOUNT VERNON INSURED INSURER.BTCNA --- -- a - TIMOTHY KEATING DBA KEATING _--- — -- !--- 1NSURER C CONSTRUCTION -- - 54 LOWER BROOK RD INSURER D: — - _—� INSt1RFR E_ SOUTH YARMOUTH, MA 02664. — — INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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:Lurrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: INSR _�- — .— ....._.__ _ INSR A ABPEOFINSURANCE A�L� GL 2548791u� l Pao 01�74 3/2o e' EACH OCCURRENCE LIDS$ ] QOO OOO p, GENERAL LIABILITY i X COMMERCIAL GENERALLIABILITY I I D 3 TO RENTED CLAIMS-MADE; OCCUR I ` -MED EXP^(Anyone person) $ 10 000 _I I IMPERSONAL&ADVINJURY $ 1 000,000 GENERAL AGGREGATE $ 2,000,000 ' GEN'LAGGREGATELIMITAPPLIESPER —� r—� t (. PRODUCTS-00MPfOP AGu^ i $ Q .000 000 POLICY PRO- I LOC I —1--=i- _CT {$. AUTOMOBILE LIABILITY COMBIN IN ELIMIT'. � Co accident �$ ANYAUTO ) i BODILY INJURY(Perperson�$ AILOWNED SCHEDULED I AUTOS AUTOS BODILY $ HIREDAUTOS AUTOSED j PROW PEKTY DAMAGE I.(P erPCGtlenl) $- I ; T$ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1 EXCESSUAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ ORKERS COMPENSATION B W YrN 1 6S59UB0224N3721.4 3/9f � 3/9/ie �WG`STATUT AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE ,, t OFFICE RAIEMBEREXCLUDED7 �i'N/A! I ( EL EACH ACCIDENT I$---100,000 (Mandatory in and I i I E L.DISEASE-EA EMPLOY— E�EI $ 100,000 If gas describe under DESCRIPTION OF OPERATIONS below` i E.L.DISEASE POLICY LIMIT $ 500,000 DESCRIPTION.OF OPERATIONS/LOCATIONS.I VEHICLES (Attach ACORD 101,Additional Re"Oft,Schedule,if more space k requ red) TIMOTHY KEATING HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSATION POLICY CERTIFICATE.HOLDER CANCELLATIO N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, .NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RE PRE TA I Q 1 8-2 0 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marts of ORD Phone: Fax: E-Mail: rite Commonwealth of'4fassachusetts. Department of Industrial Accidents -- offce of tan estigativtt.s 600 Washington Street Boston,M4 0111 _�j-"-' ttniat:ntassgoujilirr Workers'Compensation Insurance Afffid3,%it:Builders!Contractor_slElec.t6dans/P2umbers .Applicant Information Please Print Legibh Name(Business:(Jrganizatiowb&idual). City'StafeJZip: G l ttJ - D 2�� Phone Sd - 76� 2na Are you an employer: Check the appropriate boa: Type of project{required) 1. I am a employer with / d. ❑I am a general.contractor andT r . have hired the sub contractors 6_ Q New constiuctiou employees(full andor part-time). 2 ❑ I am a sole proprietor or partner- listed on-die attached•sheet % .Remodeling Theme sub-contractors have ship and have no employeesfi. Q Demolition working for mein any-capacity. employees and have workers' g Q'Building addition NN workers'comp.insurance comma.,in�urauce required] 5- Q We are a corporation and its iD.Q Electrical repairs or additions 3_Q I am a homeowner doing all work oflficers'have exercised their 11.Q.Plumbing repairs or additions myself.[No workers"comp. right of exemption per NfGL 1_2. Roof - airs insurance required:] c.15? -§1(4).and we.have no: Q 13.Q O er . employees.[You;orkers' ..4??.. comp.insurance required_] ~?5:aPPA xc that c�ecli s tiux=I mx ab 521 au the sf an beitrw spozyine tit ircrar$4xs'ca mpMs$ti4upglUc}bifo maiioa ' +Homeowners who submit this affidam indicating they are doiae all worts and than hire outnde toutiuctors must submit'a new affidavit indicatmg such- :Contractors That check this bmt mustanacbed an additional'shee•t'showing the usme-of tbe-sub-conrrattors and state whether a not those enriHes have employees. If the subcoutractocs bss:e eniploy.ees;the}•:must provide their.workers'cusp,polio.number. I out apt emp1cq er thar is providing warkers''conWitsotion insurance for ntyemployee!k Below is rile policy and job site- informaBon Insurance Company\ame: (_/V'l . Police#or Self-ins.Lic.»: / �J�J�O Z2 'f�y? -72l y Expiration Date: Job Site Address: 1:f 7 C G!/c, l� Cih•:'State'Zip; 0&0/ Attach a cops of the:a or Ater s'coTpensadon poLc�deciar anon page(shoeing the:pohct.uunnbei and ea rrafion dice) Failure to secure coverage as required under Section 25.A of I�SGL c. I5`'can lead to the imposition of criminal penalties*of a Sae up to.51;500.00 aad or ire-year imprisonment,as well as civil penalties in the form of a STOP R ORK ORDER and'a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement mad be forwarded to the Office.of Investigations of the.:DIA for insurance coverage.verification_ I do Jterebt certifj under tbepains and penaUics of perjnrs tit tIte itiforntation protzded a//bot-e is true and correct Siena ture: Date Phone 9. SO A- ?d d 2 7 0 z_. . -OfJiefal use onlj,..Do not write in This area,to be completed kr cihr.or totsanofcial City or Tour PermitlI:icenseif Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector a.Plumbing Inspector 6.Other Contact Person:, Phone if: 0 3 I Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration143053 Type'. Expiratio 018 bBA ztf , KEATING CONST. TIMOTHY KEATING l7 } 54 LOWER BROOK R'Q, SO.YARMOUTH,MA 025E4 Undersecretary s Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSSL-099351 Construction Supervisor Specialty TIM B KEATING 54 LOWER BROOK ROADr'- SOUTH YARMOUTH MA-0., Expiration: Commissioner 05/11/2018 C�/G'fee�pomunxovz�uea� io� Office of Consumer Affairs&Business Regal f j HOME IMPROVEMENT CONTRACTOR Registration:..,:2 43053 Type' Expiration � �8 SBA { KEATING C0NST. TIMOTHY KEATING 1 i _ r 54 LOWER BROOK RR:y��—�_----- ` Construction Supervisor Specialty Restricted to: CSSL-RF-Roofing CSSL WS-Windows and Siding V4du?e�t0$&ssess a current edition of the Massachuse s State Building Code is cause for revocation of this license. DIPS Licensing information visit:WWWMASS.GOVIDPS j License'oregistcation valid for individual use only \ before the egprrahou date. if found return to: Office of Consumer'Affairs and Business Regulation 10�1`arTclaza._Suit S uite'$170 B.ost*_41A 02116 Not valid without signature o�1HE rq,,, Town of Barnstable Regulatory Services • BARNSTABLE, MASS. $ Richard V.Scali, Director rFo�,,nrA Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 14, 2016 John Perry o ; 47 Carla Rd. Hyannis, Ma. 02601 RE: 35 Carla Way, Hyannis Map: 248 Parcel: 211 Dear Property Owner(s): Please find enclosed a copy of a letter sent regarding the retaining wall at 35 Carla Way. Respectfully, Jeffrey L. Lauzon Chief Local Inspector jeffrey.lauzon@town.bamstable.ma.us (508) 862- 4034 4 y l �Q,. .VE �y 'down of Barnstable *Permit# al..b Expires 6 moj' rom issue date +rnss. Regulatory SerViees Fee - 7 C. 16.39. .�� Thomas F.GGeiler,Director PERMI ' Building Division Tom Ferry, Building Comnussioner APR 0 4 97/ 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax:..5i EXPRESS PERMIT APPL[CATION - RESIDENTLAL ONLY Not Valid HYRhout lied X-Press IrnprinY Map/parcel Number 2 1 Property Address L 20PT-) �k P,NN I5 Resider tial Value of Work �� 1T AUnimum fee of$25.00 for work under$6000.00 Owner's Name&Address (!P�ej_A 20�t� rt �j,�,rllCl. contractor's Name c z � m� 'Telephone Number Tome improvement Contractor License#(if applicable) Q�`�L4 0 :bnstruction Supervisor's License#(if applicable) --1 H l Q 40 ]Workman's Compensation Insurance Check one: T am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance isuranceCompanyName 7orkman's Comp.Policy# l p q OPy of insurance Compliance Certificate roust be on file. :mat Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to Tie-roof(not stripping. Going over existing layers of roof) Re-side Replacement Windows. U-Value • a2_ (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. Con rcois Lice nses requiredHome itu rovement at i . nature Dnns:expmirg ise063004 i d i Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, JOHN PERRY, OWN THE PROPERTY LOCATED AT 47 CARLA ROAD, IN HYANNIS, MASSACHUSETTS. -� I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: /. 0.Ao �� OWNER'S ADDRESS: 47 CARLA ROAD, HYANNIS, MA 02601 OWNER'S TELEPHONE: 508-771-6766 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 50 -428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: e G 2f Home Improvement Inc. I, Gary Gustafson,Production manager Of Capizzi Home Improvement, hereby authorize Lisa Haworth, to.sign on my behalf for permit applications filed through the town. $ igned: Gary G stafso Date: i,sa& Date: a 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 .(800) 262-5060 FAX(508) 428-1547. Clients:4?293 CAPIHO^�1 =LL DAT A�ORD;� CERTIFICATE OF LIABILITY INSURANCE E(SL4 rL`QiYYYY) PRODUCER I al�estQ7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INF ORMATION Rogers&Gray Ins. Agency,lnc, ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Routs.134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P. O.Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICISS 6SLOW. South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC INSURED Capizzi Home improvement, Inc. INsuRE= National Grange Mutual his, Cc. Capizzi Eiterprises, Inc. INSURER 3: American intemat onal Gr C 1645 Newtown Road INSURER c Cotuit, MA 02635 INSURER 0: COVERAGES IrJSURER e —� 'I HE PCLICIFS CF INSURANCE LISitD BELOW HA`JS SEEN ISSUED TO TIE INSURED WAh4ED ABOVE=0R He POLICY PERIOD INDfCA'eD,NOT�VITHSTAIvD(NG ANY R=GU(RE,dE�T,T c41A O CONDr ION OF ANY CONTRACT OR OTHER DOCUVENT WITH RESPECT WHICH THIS CE;!TIPICA i E MAY 6E ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERAAS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGA i EE L WITS SH9wN, MAY HA!/E BEEN REDUCED BY PAID CLAIMS. IN 'H LTR r' TYPE OF INSURANCE ?GLIDY NUlABER POLICY EFFECTIVE POLICY EXPIRATION ATP M/ Y AT='MG1f !YY 'LIMrrS A �]C�*MMERCIAL LLIABILITY MP0107Q7 06108X6 I06i'08107 E;CHOCCURRENCE $1 000,000 GS_:: L L IASILI7Y I DA.V�ETEP:TEP $500 ObQ LAI}+s.naDE UC..UR ,MEDane pers n; $1 0,000 PERSONAL a AOV N URY $1,000 00b GENEP.ALAGGRECATE 32,QQQ Qaa GEnti AGGREGATE Utn17 APPLIES PER: PRODUCTS•CCVPICF AGO $2,000,000 P .PGLiCY JECT LGC AUTOMOBILE LIABILITY ANY AUTO -MMSINFO SINGLE LIMIT $ jEz accident) ALL OYYNED.AL7OS SCHEDULED AUTOS BODILY INJURY $ (Per person) I HIRED AUTOS ANON-OWNED AUTOS BODILY INJURY $ (P---r acc dam) PROPERTY DAMAGE $ iY��em dent) GARAGE LIABILITY AI TO ONLY.EA ACCIDENT $ 44Y AUTO I I I OTHER THAN EA'ACO $ AUTO ONLY: AG $ I EXCESSiUMBRELLi LIABILITY I EACH OCCURREACE $ j OCCUR ❑CLA'MS MADE AGGREGATE $ DF.OUCT1BLE ,..__. ..... j RETENTION YIORlCER3 COMPENSATION AND- 1764953 � 12125106 112,(25/Q7 lOR STATL'- GTH• , EMPLOYERS`LIABILITY 70RY TAT"' ANY PROPRIETOR.PARTNERIEKECLITIVE - E.L.EAOH ACCIDENT $500,000 GFRCEW'_SER EY.CLUOED? Ityca,descrye under E.L.DISEASE•:EA EMPLOYEE $500,000 SFECIAL PROVISIONS to cw EL DISEASE•POUCYLIMIT $tJ QQ,QQQ OTHER DESCRIPTION OF OPERATIONS i LOCATIONS!VEHICLES!EXCLUSIONS ADDED 3Y EN DORSEtdENTI SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPRA r(ON DATE THERSOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL 1 it DAYSYyRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENT S OR R=PRESENTATIVES. AUTHORIZED REPR_SENTATiVE - ACCORD 25(zool cs) 1 of 2 "2 3$ DMW © ACORD CORPORATION 1983 \ l ne uommonweatln of IVlassaenuseits fir► Department of Industrial Accidents •. `' Office of Investigations a 600 Washington Street Boston, ll'IA 02111 S+'v 4".mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Busm. ,,/Org=zationdndividual): Address:. 1-645 Newtown Road I CI. /State�Zi : Tel. 428 9518_ SOD 26,5D60 ty pone : e .ou an employer? Check the appropriate box: Type'of project(required): I am a em ployer u=ith `4. Q I am a general contractor and I '6. New'consfiiction ebJploye:es Oult a d/or part-time).* have hired.the sub=contractors 2.Q 1 arr a.sale proprietor or p artner- listed on the attached sheet. 0 geraiodeling ship and hAti,t no employees The c—mb�outractozs Have 8. 0 Demolition tivottiag:forme in any capacity. workers' compsivance. 9. Building addition [No workers' conq) i>zsin auce 5. Q We e a corpbratlon aid its regmred 1 officers have egercisei3, z i 0.❑ Electrical repairs or additions 3.0 1 am dldiiieowner doing al work right of exeurption.pet MGL I I.Q Phunbing repairs or additions myself jTo workers'comp. c 152,§I(4),and we have no 12"_Q Roofiepairs insurance reclnired.7 fi •.6m 46yees {No workers' 13.� Other corcip �rn ee regnri ] *any applicant that checks tiox m 1 must also fill.but the section lxlow showing their workers'cozgpeasahon policy infom3ation: f Homeowners who submit$iis affidavit indicating they s�doing aQ woik and theu'hn e outside contractors must suliit a new affida lit iIIcttca3ing such retractors ems#cfieck this bos must attsched an additional sheet showing file name ofthe sub contractors and ifien woF3cers comp polieymforination I&n cm employer that isproyzding workers"CompensazYoiz: z surunce f or my Employee $elow is the pol cy0d j lb site cnformatzon r CO-- r + � ,�v*TwL`, p. r r `�Q �.ram.: _ (` 1/� , C\ , Policy##or Self-iris.Lie. #: �Cy: E tlon Date Tob Site Address:. City/State/zip: 4tfach a copy of the workers'.compensation policy declaration page(showingthe,policy nnznber and expirafnozi bate). Faih.ae to secure coverage as required under Section 25A of MGL c. :152 can lead to the imposition of criminal pe-nalties of.a ine.up to$1,500.60 and/or`one-year imprisonment, as well as civil:penalties - the form of a STOP WORK ORD: Ali d a_fne )f p to 250 }0 a.Clay n tthe-vioiator --B,e:ad' 6d thata copy oftlus statement maybe"forwarded to file Office of nvestigations ofthe',DIA for insrrance coverage verificaiioii "do hereby.ce under the. ains andpenalties ofpe r�i.ihatrhe hrft ormation provided above is true and correct. attire: Date: 'hone — O ftxial use only. D.o not write in this area,to be completed by city or town official, City or Town: Perrmt/Licease # Issuing Authority(circle one): J. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other ..CogtacITferson: ......... - -• .. ---Phone rr:....-.. ... _....._._ .. $_ .. .. - • '.. _ Jlae �arnirr�aruue�r,�C/a a`',.��uaet7a Board of Building Regulations and Standards Construction Supervisor License License: CS 74640 • Birthdate: t1/2911975 ` • 4 Expiration: 11729/2008 Tr# 6430 Restriction: 00 a, GARY GUSTAFSON . 8 SHORT WAY Commissioner SANDWICH,MA 02563 , E 4 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: Registra Ii:m::100740 Board of Building Regulations and Standards E- irati, � One Ashburton Place Rm 1301 p 6/23/2008 Boston,Ma.02108 Type Supplement Card CAPIZZI HOME IMPROVEMENT l bARY GUSTAFSON i # . 1645 Newton Rd. 45 Cotuit, MA 02635 Administrator t valid with t sig tune Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Eontractor.Registration Registration: 100740 1 Type: Supplement Card r 4 Expiration: 6/23/2008 1 CAP IZZI HOME IM PROVE MENT,JNIC 4�9,- � i € GARY GUSTAFSON 1645 Newton Rd. Cotuit ,MA 02635 ' Update Address and return card.Mark reason for change. )PS-CA1 0 5OM-04/05-PC8698 Address 0 Renewal Employment Lost Card Town of Barnstable Regulatory Services F THE 1p tic Thomas F.Geiler,Director Building Division - snnNSTnsr.�. » v MASS Tom Perry,Building Commissioner �AlED t,AA�a,� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 08-790-6230 Approved: Fee: Permit#: 7,6 d 0 oz HOME OCCUPATION REGISTRAT ON Date: �! J!o K� NameKeuln- Pleam Phone#•__S-G�' -�S!G"It Address Y� CaIrk, �04d. Village: Name of Business: / ' I Coma rul* -e S Type of Business:��_ 14G k0ciir---mapa-tdYiaa L r SG IN TENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. + If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: S b3 Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1*'FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) s ,r. DATE:_ Vo ax- . h Fill in please: APPLICANT'S YOUR NAME: Keul f) 1 a RIM k � BUSINESS YOUR ME ADDRESS: C.C' C rm a a TELEPHONE # Home Te ephone Number . NAME OF NEW BUSINESS o . ZCr J TYPE OF BUSINESS: ✓n Ge S IS THIS A HOME OCCUPATION? Y_S NO: U1 Have you been given approval from the wild g divi io ? 'YES:NO 1 ADDRESS OF BUSINESS C o G.I MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules.and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth . Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has b n informed of a permit requirements that pertain to this type of business. Authpriz ignature* COMMENTS: O 2. BOARD OF HEALTH This individual has b info ed o the per requirements that pertain to this type of business. Authorized Signature** COMMENTS: .We& 146-0 6 Jxf 1)IS f'S b2 lilyU /?O h�42 3. CONSUMER AFFAIRS (LICENSING AUTHO ) This individual h n infocq=d of the I PQedsi a irements that'pertain to this type of business. Authorized Signature** . COMMENTS: - .�a¢ ar.'.".+v�... r. :yap-•.�w".'y�.u...`. +.:,...••„ ,.. .,.. ... Via. ..+ w.,ruw^.: y -.-....-. +.:-,r=;W z _ �..,,... w n Yes - ,..t ,:n," b ,,.., �-- .r�.•.' r' .,,,,. ..4wR+.+w`x.'..'.+"y' '." ,3t ;Y 'b..+. Yx-+ - - `�?✓ a O 1000 ® w a 'V 0057 - 00 o o, o 10500 . 5-9 ` 1 a 0 11000 �n O p 0 1100 y 0 0 115-00 Q00 r q, 50 15070 lxs SO Np 51LVIA ASU#� W - p, � 197 31 /23470 V", Q COPY- OF- PORTION O -PLAN FILED IN ` Q) BPRNSTABI;E. PLAN:'B OK 165 , PAGE; 41 G> 110 900 6 2.00 3 o 116. 78 W i R' 8 45.0 35.7 2, . 0o ado �, Qa: g�8 4.7 a s y AG PQ 6 42 �. _-� IV8705 .2.30 'Ee P' : so 85.00 i P s343 105.00F 42 °v°4� 44 o ,� o • ® o ® tic? 8 4 �s 1 2 1 2 5 . o g 3 /L 1 �`' 6 o N! s l 0 9 50* � 0 -9:6�>> y 10 � 5-1 �3.3 w . 109Z0 `w `stuu-PAI 43 s ,�,�(� ;. .21.78 3 4 se—Aor's map and lot number .......f.17'. ............ z Sewage Permit number d�' � ?IN,Ero�`I TOWN OF BARNSTABLE 33MUST"a. i .r 639�.eO� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........Flord Ji and,RRKk7.i�;.�. 5�,7 zria................................................... TYPE OF CONSTRUCTION ............................................... Septemb.,er 1.7, ................................................19.13.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......50. Carla Road..West.. Y� ¢..ItIcLSs................................................................. ................................... One Farml Residence: UDe, Proposed Use ............. .. �.. Residence: Hyannis ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner Floyd and Ronald Si.1vi.a 6 Linda Lane Address r?........................... .. Y. ................................... Name of Builder Ronald ...+ via Sil ...............................Address ..0 texva: e••9ue• 1� fIya zs post Name of Architect None. ...............................................................Address ..........................................................,......................... Number of Rooms ................6................................................Foundation Gemerit,-Po=.ed................................................... Wood. Cedar Shi les ...Roofin Exierior .................................... `�........................................ g ....Ashal.t................................................................... ......0 'k t:.and. ................................................Interior ..Shset-•Rook....................................................... Floors ••••• HeatingForced hot water. „•....,_Plumbing ....plastic,.and cOpper........................ ................................................................... .... ....... ............. one: Fireplace ..................................................................................Approximate Cost ..............2Q.f.QQQ.•pQ.................................. Definitive Plan Approved by Planning Boarcftti _5}___________________19 L1___. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............ �r SUBJECT TO APPROVAL OF BOARD OF HEALTH 76 g �81z AFL. FL, _ j D (� 4316,. n t S-roP7 I i�5.v0 C/•7,QLi¢ /t'Ol�D I hereby agree to conform to all the Rules and Regulations of the Town o�nstable regarding the above construction. / Names -.......................................... Silvia, Floyd & Ronald / -No ....16f>ls.. Permit for .........:.........5............. single family dwelling ............................................................................... Locatio�njCarla Road .......:............................................ ....................RYa nni s............................................ F'l &.Ronald Si$via Owner ............. .....................A .......................... Type of Construction fame .......................................... c� C ................................................................................ I Plot ............................ Lot ........... 0:............... September 27 73 Permit Granted .......... r...... .. .. ..... .: Date of Inspection0 Date Completed .....A Aa.4. ... .. 19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ...........................................................................:... Approved ................................................. 19 ............................................................................... ................................................................................ 1 I I ' �,; l 1 ' .l j� � �� 1 � � i � j f ] j�� � �: 1 i i '. 1, � l: +�, :��•_ J; 1 � , ' I �.� + , � I � . I i I � � � j � � i � I i i i °: I � � I I I I : I I i I + � I � i � � � i i I � I 1 I I i I I � � � � I i I I ._ I -- - - ---'--- ._ __ i __ __ __ _ . i.. I � � � I � I� � I ^I I i ' I I i ! i I I � I � i i � I ' I I � i I i I I i I ! � I I � ' I i � I ! i i i I I i I ; i I I I i i I i ! i � I I I i � � I i 1 � I ' I I I � ! I I I I � I I ! 4 � i i I I I i I I I f I � I I � � � I �_ L r ' � I � ;,. � I I. I � ��, �� � � � i� I I I 1 � I I I ' is � � � � ' I I � � I i i � i i 1 .. � i i i ! 1 i ' i I i ! I j ' � i I I i � ! � � j I � I � ! i i I i I i t i i � � i � � � � j � I � 'I I I � � I ! I � • i � I I ! ! I I I I i I r i I i I I I I I i i i I • i 1 � I I i I i I I I t • I I ' � i ! i i � I i � � { i i ! I i I � I I i i I � I I �� I I I I � � ! I 1 ! i I , I i ': I ! � i i j I f � I I � I I � � I I i I I � I I I 1 I �. I ' � I I I i I I 1 i i i � I I i. i I ! I � � i ! I � I I ! ' I i I i 1 I i I I i � i I I I I I � I I ( I i � ! i i ! I I 1 � I I i � 1 I 1 I i i i i ! � i i - ! 1 I I� I. I I I ! I I ! I I I I I I I - I I I I i I I � ! I I I � i i 1 Y. I I I � I ! � � , I I � � ' � - i ' � i i i I I I i I r � I � � I I � I � I � I I � � ! I j I I i � I i ! i I1� I y �.i 1' i 1tt 1 t - I1� _ 1 4 � i71j , j I i I;, I ta s A O',� 3� ! s I I ; I I i j i E I 1 F 1 { f �' f E ± i � � ; i. � j j •� ? � ( i is E Assessor's office(1st.Floor): t Assessor's map and lot number ✓ �C �; i .� � ' i p`�w E tp Board of Health(3rd�floor):✓� _�� 5 , � ^J n�-'-J� • �� , b w Sewage Permit number Engineering Department(3rd floor): ' f ;DSSsus LL House number ` _ ) SEPTIC SYSTEMMUSS° Definitive Plan Approved by Planning Board r. 19 i 1NSTALL D IN CINI L IAN`4 s o rar d� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only � `� tiv § 1. ��TOWN OF B A R � A�B, r E u a BUILDING INSPECTOR APPLICATION FOR PERMIT TO YTo✓� It���L L�iU la . TYPE OF CONSTRUCTION ��%(j G�- C 19 9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ' Location � ar l4 804 7T Vgj1 n i s Proposed Use ,S 1 de Su ki R4rC'I�'� Zoning District Fire District Y�►NI�IS Name of Owner 0An 0 Per r Address 1 7 Q?r A R 66 /T Vann I'S Name of Builder S42;ro ` Ra/0d;M?4S Address 35 /a I?d 11yanY)iS Name of Architect /U0Y)e Address Number of Rooms 40,01 Foundation C6 AJCX CT£ SGNX�/L�B�S Exterior Wh&e- Gedgr SAii�)q&S Roofing A :5 a/,)4( Floors )ON yload C4r pet Interior Heating 5,2red Mot Ata-- Plumbing /Van e Fireplace No Approximate Cost 5, Oj 00e 60 Area ,'i!•D - �`- Diagram of Lot and Building with Dimensions Fee 4 bh \� SeptIL lea I fps 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 con tructi Name Construction Supervisor's License `,PERRY, JOHN D. No' 3 4 31 5 Permit For Add to � ti Single F _Mi1y Dwnl1 ; M4 Xocatior 47 4ar1a Road Hyannis Owner { John D_ Pt-rrv x Type of Construction 'Frame r v� r-*: # j -•1 - ,�, r ; Plot Lot z '•f� � I 1 � ^;tee •'i , i- - .1 f � x �...... _ =. �- _ -+ _ ranted A -I 0 "19Permit 1 - -r Date of^Inspection' 19 • •. t ` _ ._ �i ... .' � i+ � t c .'r ;^tj` ` 'fit � � � �._..... 3 �J T{ "' „ Date Completed- -n4 _19 1 • i Assessor's offioe (1s t floor); Asse or's ,map.and lot number ...,R.C;;�VF.-.5P1 ..9..; .PIWSYSTEM ��� Q�`I"E Board of Health (3rd floor): q - ',i F�TZ-,\LLED IN COMPLIAKVE Sewage Permit number .......f.:.��.'. .. .a. ..................... Wt'�'H TITLE 5 L BlSd9T11DLE, Engineering Department (3rd floor): �,;�, «$k � ��� ®D� +oo "639. 0� House number .................................... ` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... .. ti?.''�r. .......� ! .............6k�°"....r�......Z..C.4 TYPE OF CONSTRUCTION ....... Q.B d........Fg.! /? ..! ............................................................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned here/byeapplies for /a permit a,ccyording the fo lowing information: Location .................�1.../.......�!°�!^G.�......oe.d...I........... .. . ..... �............................................................ Proposed Use ...........��. `/ �— ............................................................................................................. ... ............................. . l ZoningDistrict � (J ��"� '- 0 5 ...................................................Fire District ................................. Name of Owner .............L`:.r.(4....................Address ...... 7 C .l''L�- nn . ......... .............../��......... ...... ..... Name of Builder ......... ..rp.>......�A4046 LOAddress Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....................--.-...................................Foundation ..... �A"Cv-c l C ..................................................... Exterior ...................Jl.fiSLC `, 11.1.......Roofing ............ 5/P.�l'?�L / Floors ......................... ......c.!. �...%:'...........................Interior 4V Ajooz: It S 4C'_ V Heating .................................�OitJ.. ..............................Plumbing ..................... .Q. .C........................................... Fireplace .............................Approximate Cost POD ..................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ...........s�20. ............. Diagram of Lot and Building with Dimensions Fee Ga ................ .. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t (c OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega dXve construction. Name ............................................... ............. Construction Supervisor's License ....0.1 Q.. .®1........... PERRY, :JOHN No ...q1lqg. Permit for ... Enlarge Garacxe Accessory -�2... ........... Accessory....... ..... Location ......4.7...Carla...Road......................... ....................................................... . john Perri Owner .......................... ................................... A Type of"Construction ..,.Frame......................... .... ....... 0, ............................................................... ................ Plot ....... ................. Lot ................................ Permit Granted ....5.eV 19 87 Date of Inspection ....................... 19 Date Completed .....................................1.19 Assessor's offioe (lst floor): �� _ / o%TNEro Asset 's .map and lot number ...R.C;.;* ...5�IJ9. ... ,Board of Health (3rd floor): � �� �� 7 Sewage Permit number �.................................. .... . B9D39TA.DLE, i Engineering Department (3rd floor): y 'tea �s 9• House*number .................................`:....,...........�...1....�I.�.� ''gyp mo ale APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF -BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... 7.A1..............61c.N.r Z. C.4r� ............ ...... TYPEOF CONSTRUCTION ....... O,D aI F +.............................................................................................. F •---.........r..................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ULocation �7......C�!rA .....F�-..d...,1...... . . .................................................... .. ProposedUse ...........`5d /� �— -...............................................................................................•.:..................................... Zoning District ..........................................Fire District ................... .G Name of Owner ... �. .. ..........pQ!r. .. .....................Address ...... Name of Builder ... ..J.ro�......�ALbd/��}S �C/9'/� p ......................Address ............................................................./............. �(1 Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... ......... .......................... Foundation ..... G.E....C.............T....C............................................ Exlerior J� /.fis LCs ......Roofing ,0 S_"ev •�L / Floors . "'.C.v..g..�..�'...........................Interior ..................(.ZI/ Jt T Lr � V i ................I.................... Heating 'V ' . .............................Plumbing Fireplace 'v..'�................................Approximate Cost `j / .!> ....................................... .......................... Definitive Plan Approved by—Planning Board ________________________________19________ . _-Area .........2.ZO ....................... Diagram of Lot- and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t LdJ- X N----� . t f . �i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the:Rules and Regulation s°of the Town of Barnstable regarding t e above construction. Name ..... ............................................. M'' 4 .. ................... , Construction Supervisor's License ...Q1:aS..................... r PERRY, JOHN A=248-212 N 31180 Permit for ....-Enlarge Garage Accessory to Dwelling Location .....47 Carla Road ........................................................... Cente T, 1 P Owner John Perry r Frame........................ J Type of Construction ........ . N .r........................................................................... Plot ............................ Lot ................................ f Permit Granted ..... eP..t.e....1.Q.,.•.........:.19 87 ,r Date of Inspection .....................................19 Date Completed ......................................19 y- Y ^..�.-. . • _. .Y•.,nry ,t'r ,,.-1'Ia,.yF 1.- .^"''S,._ � a7T-""r'+•y.i,; rry r.... rT... r lY .a � ..Yl i ,tv .. .'.-. w.r i ,''+!n; y.... '^u .rdil r... Y.. Assessor's office(1st Floor): L/ Assessor's map and lot number 7 �p�THE pp` Board of Health(3rd floor): C�'L Ci9'Y2 Sewage-Permit number ,rvt5 / Stu f2c�r'9, w Z i Engineering Department(3rd floor):- 311AU5TALLEy rasa House number °o +639a Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2;:00 P.M.only TOWN . ,OF BARNSTABLE C= BUILDING INSPECTOR APPLICATION FOR PERMIT TO �f�(� :p TYPE OF CONSTRUCTION /y(� C !C C !,/30 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location i Cdr �Q Road lfgn h l 5 Proposed Use Rc--S l Gl C Y) 1.A 1 SO 0 �l Q'Q M ..,i Zoning District Fire District Name of Owner Ton l? 0 r r V Address 7 Car A /q d, /r 1/aiin f S' Name of Builder 1/rO5 'Ra/OGT;Ma_V Address 3 5 . C q'r ICY RGI' 11Vann 1 S Name of Architect /V o17 L Address Number of Rooms 40,0 Foundation C6 A)C.<C-r r Exterior whrt C -Cd.gr Sh i n q lP S Roofing 5 k a/� � Floors Pl y WGGQ — Car he-t Interior Heating fore rj yo� W/ Plumbing Non e Fireplace No Approximate Cost 5. Oj 0 Area , Q� Diagram of Lot,and Building with Dimensions. Fee © �. Ale seotIC a o 7' > .,,MGM Ai i 11 / / 5i ~ Y 4F^ 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 con ructio r Name Construction Supervisor's License • r a� � PERRY, JOHN D. A=248-212 No 34315 Permit For Add To Single Family Dwelling Location 47 Carla Road Hyannis Owner John D. Perry Type of Construction Frame Plot Lot Permit Granted April 30, 19 91 Date of Inspection 19 Date Completed 19 M PERMIT/:�)`y% COMPLETE