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HomeMy WebLinkAbout0026 CASTLEWOOD CIRCLE �O ;: 1 . a Town of BarnstableBuilding BAW . Ptlost This Car.'d SoThat rt is Vlsi:bJe From.the Street Approved=Flans Must beReta�ned on?Job and this CardMust be Kept MA POsteds�Untll�Final Ins �ection�Has:Beeri Made �' y� �':i63 ,� ,q n s.. p m 3 Viz. ..' ., r s Permit �+° . Where=aCert�ficte of�,OccupancysRequiredysuc�h Bwldmg shallzNotbe Occupied until�`a`�Ftnal lnspect�on has�beenmade Permit No. B-18-935 Applicant Name: Mark Mordini Approvals Date Issued: 04/02/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/02/2018 Foundation: Location: 26 CASTLEWOOD CIRCLE, HYANNIS Map/Lot: 273-065 Zoning District: RC-1 Sheathing: Owner on Record: GATES,GAIL Contractor�Name`° MARK E MORDINI Framing: 1 a " Address: 26 CASTLEWOOD CIR � _ 2 YContractor License CS{057645 HYANNIS, MA 02601 Est Protect Cost: $17,678.00 Chimney: Description: strip roof shingles and re-roof per GAF specs(16square),ice and Permit Fee: $90.16 water shield 6 from fascia and 3 from rake boards" m valleys, �> insulation. Fee Paid $90.16 install vented vinyl soffit,install ridge ventilation,wraptall fascia and ,, Final: rake boards to make maintenance free,instal l=gutters ands Date 4/2/2018 downspouts Plumbing/Gas Project Review Req: Rough Plumbing: g Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a6fhorized xby this permit is commenced within si monthi after issuance. Rough Gas: All work authorized by this permit shall conform to the approved which appli at and the-approved construction documentsyfor this permit has been granted. All construction,alterations and changes of use of any building and structures.shallW 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. nM V Electrical " The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work '� �� y Rou h: 1.Foundation or Footing . ,..� :' . „ ,. � ,.. . g 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: S.Prior to Covering Structural Members(Frame Inspection) 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. Finale "t ersons 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 1 Town of Barnstable - , 200 Main Street, Hyannis MA 02601 508-862-4038. 2 ,� �a Application for Building Permit o Application No: TB-18-935 Date Recieved: 3/31/2018 Job Location: 26 CASTLEWOOD CIRCLE,HYANNIS -r, a t Permit For: Building-Siding/Windows/Roof/Doors ,o Contractor's Name: MARK E MORDINI State Lic. No: CS-0 7645 '0 DPW on Address: North Attleboro, MA 02760 Applicant Phone: (508) 80-0156 rn CD (Home)Owner's Name: GATES,GAIL Phone: (508)771-0470- (Home)Owner's Address: 26 CASTLEWOOD CIR, HYANNIS,MA 02601 Work Description: strip roof shingles and re-roof per GAF specs(16 square), ice and water shield 6' from fascia and 3' from rake boards and in valleys, install vented vinyl soffit, install ridge ventilation,wrap all fascia and rake boards to make maintenance free,install gutters and downspouts Total Value Of Work To Be Performed: $17,678.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area 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: Mark Mordini 3/31/2018 (508)280-0156 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Date Paid Amount Paid € Check#or CC# Pa Total Project Cost : $17,678.00 y Type Total Permit Fee: $90.16 3/31/2018 $90.16 !XXXX-XXXX XXXX- Credit Card ..._ 4147 Total Permit Fee Paid: $90.16 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel��� Application# 00 Health Division Conservation Division Permit# Tax Collector Date Issued I'o//Cl0C-. Treasurer Application Fee 6.0 0 - Planning Dept. Permit Fee 1 Date Definitive Plan Approved by Planning Board f� / Historic-OKH Preservation/Hyannis — Project Street Address G C/i S-r`& wy o b ; c ) 1 c-.G t e. Village Owner G-'f L- &A r"e-5- Address,�-6 CMTLe,woo ®ClgCGS IPA Telephone Permit Request c,-rAIe-A efp' I'>✓eW UllA JD 06 (VeW iN5VL'Ji-rioN S c,`r ALL k, w nyc:rwe)d� �'S, JLew i,y7er-/0'L (Gd� � �/ ►,. Square feet: 1st floor:existing proposed •--- 2nd floor:existing proposed Total new " Zoning District R C— _ Flood Plain Groundwater Overlay Project Valuation, Construction Type MJ"rCt21 D(L- � `y Lot Size 4O X /D Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. c; NO -r Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 3`iyJ > Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes. ❑No c� Basement Type: V Full ❑Crawl ❑Walkout ❑Other n n. Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing ONko— new — Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ` Gas ❑Oil ❑Electric ❑Other ('-l0 Central Air: ❑Yes )d No Fireplaces: Existing ON C New Existing wood/coal stove: ❑Yes ;MQNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization=-L]-.Appeal#_- —_ Recorded❑ Commercial ❑Yes )l No If yes, site plan review# Current Use N en a w✓ ✓� -� f�-� ► Oa'vuQ� Proposed Used BUILDER INFORMATION Name/ b 04 A jS 0!S Ue-�1 Telephone Number 6_e& eol Address de/�IF V License# C. r_�, 0 0 /g/ �� l°✓/'d 15 lI? 0 6 p Home Improvement Contractor# /I � Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO j-� A02-A) s1AfD� e L11r✓J, r/t- SIGNATURE _ Cr'ICY DATE "' E FOR OFFICIAL USE ONLY ti PERMIT NO. l DATE ISSUED MAP/PARCEL NO. +ADDRESS VILLAGE OWNER DATE OF INSPECTION: , FOUNDATION FRAME //� g INSULATION © fe b _ 70-a (0 FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. r _ F i t• The Commonwealth of Massachusetts Department of Industrial Accidents < Office:of Investigations - 600 Washington Street , Boston,MA 02111 ',M 5•' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �-F� 6h) X s f j O )s V e('� \ Address: �,' e. P City/State/Zip: Phone#: �;-O -77/ , Are you an employer? Check the appropriate box:. Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.�C] I am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp. insurance. Y P tY• 9. ❑ Building addition � [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself[No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their worker'compensation policy information: t Homeowners who submit this affidavit indicating theyare 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 sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of erjury that the information provided above is true and correct: Si-imature: � �' � �" Dater Phone#: ®� 1 / 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 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-contractors)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 c f 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 permi0icense number which will be used as a reference number. In addition, an applicant that must submit multiple permittlicense 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 fixture 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 Iand'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 5-26-05 www,mass.gov/dia Town of Barnstable Regulatory Services anxr�sT�t�. ' Thomas F.Geiler,Director y MASS. 039.� Building Division ATfD MA{A. g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Permit no. Date AFFIDAVE1 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 registered contractors,with certain exceptions,along with other requirements. Type of Work: -J,I'✓ C91 1 bf'u Estimated Cost 4y 0 Address of Work:. O'-� C i t', wo o <' L rz-0 � AMI 15 ✓'/� Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): 7Work excluded by law ❑Job Under$1,000 E]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 PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: q� C) 2> C_s 00l8� 6 Date Contractor Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 Table JS=b(eoni�oued) Pmeriptive Packages for One and Two-Family Residential Buildings Heated with-Awil Fuel MAXfMUM MINIMUM Glazing Glazing ceiling Wall Floor Basement ; Slab HeadulVCooling Arm'C/a) U-valuer R-value' R-value' R-vauuu° Wall pesimew &Iwpmem Emciency, Pats'age R-value' R-value' 5101 to 6500 Heating Degree Days Q� 1Z% 0.40 38 13 I9 1 10 6 Normal R 12°!. 0.52 30 19 19 10 6 Normal S 12%. 0.50 38 13 19 10 6 857TUE T 15% 036 38 13 25 NIA NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA N/A 85 AFUE W 13% 0S2 30 19 19 10 6 85 AFUE X I s% 032 38 13 25 N/A N/A Normal Y I S%. 0.42 38 19 23 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AF1JE AA IS% 0.50 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY: G � � WO d[i C rL 1i A wo 1. 51 17 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ?7 o 3. SQUARE FOOTAGE OF ALL GLAZING: D 4. %GLAZING AREA(#3 DIVIDED.BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES:. NO: q-forms-®80303a r �oFt tok, Town of Barnstable do Regulatory Services * B"NSMBLE s Thomas F. Geiler,Director pie Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 - I, , as Owner of the subject property hereby au orize to act on my behalf, hereby auCotize in all matters relative to work authorized by this building permit application for: (Address of Job) / l Sign tune of Owner Date Print Name Q:FORM&OWNERPERMISSION Results Page 1 of 2 Licensed Contractor Look Up Select the search method: I License 177-1 Maximum number of matches: 25a Enter Search terms separated by spaces. 11810 Select Search type: OFAND r OR Seam Search Results City/Town Name T lce Lic. # Restrict a ion '-, treet State Zip Type HYANNIS BOISVERTR, THOMAS CS 181 00 01/31/2008 15 CHE ST MA 02601 SALEM ffA UCHERRICHARD CS 18103 00 12/07/2007 3 GARDNER ST MA 01970 FREDETTE ROBERT 28 FALMOUTH HEIGHTS FALMOUTH F' CS 91810 00 06/11/2009 RD 02540 DANVERS HURTON, BRIAN P CS 71810 00 12/15/2007 44 HIGHLAND MA 01923 MEADOWS IJ IPSWICH JERRETT, ERNEST G CS 18109 00 09/23/2007 6 LESLIE RD I®01938 RUTLAND KATINAS, DAVID J CS 81810 0 00 06/10/2008 4 FERNWOOD DR rKFAI 0�� HURRAY, RICHARD BURLINGTON P CS 18106 00 OS/20/2008 PO BOX 845 01803 CHELMSFORD PARLEE, CHARLES AlCS 18102 00 OS/25/2008 4 PROCTOR RD MA 01824 SUDBURY QUINN, MICHAEL J CS 18105 00 OS/31/2008 PO BOX 62 ®01776 Total of 9 Records matched. Back to Home Page f http://db.state.ma.us/bbrs/contract.pl 9/27/2006 �1:e �ji oy�»w,uuea/,A�i o�,�eoac%uavl�d Board of Building Regulations and Standards License or registration valid for individul use only before the expiration date. If found return to: HOME IM ff:ROVEMENT CONTRACTOR Board of Building Regulations and Standards Regist_raui_b�110657 One Ashburton Place Rm 1301 xp o 2006 Boston,Ma.02108 rp3e individual THOMAS R 130I6m13- THOMAS BOISV •1��=-Y= I p�` � � � �d�tiy 15 CHERRY ST HYANNIS,MA 02601 Administrator Not valid without signature . ✓!LE V/04Y1/IJtO'IEUlCILL(fL O�✓l�LllOdd�ftll6E�6... a ' BOAR©'017 BUILDING REGULATIONS • icense: CONSTRUCTION SUPERVISOR 1 .CAS 001810 i A. Bi• ` 11944 � l fD b ptre (T -`-1006 Tr. o: 4666.0 RWnc'keg THOMAS R B /; 1,5 CHERRY ST G— 6 • HYANNIS, MA 0260` "� 1 Commissioner Proposal Cape Cod Insulation, Inc. 455 Yarmouth Rd. Hyannis,MA 02601 508-775-1214 Fax- 508-778-5735 DATE ESTIMATE No. 1-800-696-6611 r. Insulation,Gutters,Suspended Ceilings 9/13/2006 3737 capecodinsulation.com SUBMITTED T O JOB LOCATION OC ON Tom Boisvert Remodling 15 Cherry St. 26 Castlewwod " Hyannis Ma. 02601 JOB SPECIFICATIONS PRICE Ceilings with 10",R-30 Kraft faced batts with proper vents installed at eaves. 3,050.00 Exterior Walls with 3 1/2",R-13 unfaced batts with polyethelene vapor barrior. Stairwell with 3 1/2",R-13 Kraft faced Batts. Basement Ceiling.with 6", R-10 Kraft faced batts with support rods. ' Bath walls with 3" unfaced batts for sound. p :; �,..,4 S' -pr•.,J r ✓•,n:,Nr a k:-'.':. ,. 1, tt'_ f.c qx G Seamless,aluminum gutter installed ori'rear of house using existmg.downspouts: - - 1`50:00 M, �.. ' L��. .�M.y YR ham+ ?.j�•, ` �i pt '?' }yn '�J`.7'��� . CONTRACT;PRICE $3,200.00 r Chris Legere i � chrislegere@verizon.net Proposal is,good for;30:days.unles"s otli' 'ise noted'Owner is to ke6o jobsite'clear of any work hazards.Any'alteratiori or deviation from the above specifications will become an extra charge over and above the estimate, All agreements contingent upon strikes,accidents or delays are beyond our control. Our workers are fully covered by Workmen Comp Insurance and we will fumish you a copy upon your request.Owner to carry any other necessary insurances. Payment is due for the l amount invoiced upon receipt.Invoices unpaid after 30 days will be subject to a 1 1/2%monthly interest charge. Customer is responsible for any collection costs i inc`utred. Thank you for.the opportunity to bid on your project:`We do not warrant against and shall not be liable for any damage or injury,including but not limited to mold accumulation: Acceptance Signature. ._ oor'� U C7, F� Cj� u A j -r? ay J 3 �i a� 4VIA 7C I o9:40am From-SOUTHEASTERN INSURANCE AGENCY 508-7900557 T-133 P.01/01 F-951 `rpM vr�■ ■ n �w■ ■ m v■ e..■r �r■o.,■ ■ ■ ■■�vv■ •��■�vr. U1/L4/LUUb c�a (_T08)997-6061 FAX (508)990-2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION _1Qoutheas-t;irn Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON HE CERTIFICATE 439 State Rd, HOLDER.THIS CERTIFICATE DOES NOT MEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY T JE POLICIES BELOW. P.O. Box 79398 N. Dartmoath, MA 02747 INSURERS AFFORDING COVERAGE NAIC# INSURED Benab y Inc INSURERA: Arbella Protection Insura ce DBA; Disaster Specialists INSURER 5- PO Box 480 INSURERC: Sandwich, MA 02563 INSURERD. INSURER E. THE POLICIl OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INCCATED.NOTWITHSTANDING ANY REQUIRI WENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PI RTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS ND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EPF2CTIVE POLICY EXPIRATION LIMITS GF:NEitAL LIABILITY 8500032800 01/01/2006 01/01/2007 EACH OCCURRENC I a 1 000 000 X C OMMERCIAL GENERAL LIABILITY DAMAGE TO RENTE $ 100,000 ]CLAIMS MADE Q OCCUR MED EXP(Any one Iraon) S. 51000 A PERSONAL&AOV 11 JURY $ 11 000,000 GENERALAGGREG TE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP OP AGG S 21000,000 POLICY JECT LOC A11T0140BIL8 LIABILITY 84716400002 01/01/2006 01/01/2007 COMBINED SINGLE .IM)T ANY AUTO ALL OWNED AUTOS (Ea accaccident) S 11000,000 X SCHEDULED AUTOS BODILY INJURY $ A (Per person) X hIRED AUTOS 8001LY INJURY X I NON-OWNED AUTOS (Per accident) $ El PROPERTY OAMAG $ Ill acWdont) GARA';ELIABILITY AUTO ONLY-EAAC;IDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ E=112t,S/UMBRELLA LIABILITY 4600032805 01/01/2006 01/01/2007 EACH OCCURRENC: $ 11000,000 OCCUR CLAIMS MADE AGGREGATE .$ A S 11000,00 DEDUCTIBLE S , RETENTION $ $ WORKERS COMPENSATION AND 9098140106 01/01/2006 01/01/2007 WC sTATu- OTH- EMPLOYERS'LIABILIT/ A OEti6E REXTU fiD ECUTWE E.L.EACH ACCIDEN S 500,000FFICMM C If vea,desait a undo/ E L DISEASE-EA E PLOYEE $ 500.,000 SPACIAL PROVISIONS Palo* E.L.DISEASE-POLI. OTHER Y LIMIT S 500,000 F PERATIONS 1 LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT r SPE•CIAL PROVISIONS l operations performed during policy period t CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE ANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER Wit L ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE H)LDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REP ESBNTATIVES, AUTHORIZED REPRESENTATIVE loan Martin ACORD 25(2001/o6) FAX: (508)394-6289 tACORD CORPORATION 1988 0-1 y ` -Ap oo . + „� � � ham- �lll��� Ci' �: � .•, f y, r_ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel bQX Application# � 'Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Feel b .�- Date Definitive Plan Approved by Planning.Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner Address Sq 11-c - Telephone Permit Request ,NA S 1 Loves K c �.�. V' /1 — V1A L)Xaj t Square feet: 1 st floor:existing �I�- proposed 3 �. 2nd floor:existing --"proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation t'O Construction Type , Lot Size Grandfathered: ❑Yes ❑ No If yes,.attach supporting documentation Dwelling Type: Single Family El" Two Family ❑ Multi-Family(#units) t <� Age of Existing Structure Historic House: ❑Yes ❑No On Old King Highway❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout ❑Other °A � Sty Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) y.�=- Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing L new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 0"Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If ye­s,site plan review _ Current Use - y= "Proposed Use UILDER INFORMATION Name S a S+<A-����,� c S-f S A Telephone Number Address ✓� License# ��!�7 3 r '� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE+ L .�-a FOR OFFICIAL USE ONLY PF♦ 61 P-RMIT NO. DATE ISSUED f MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Table J=b(coutinued) Prescriptive Packages for One and Two-Family Residential Buildings"Heated with fouil fuels MAXIMUM MINIMUM Glaring Glazing Ceiling Wall I Floor I Basement Slab Heuing/cooling Area'(%) U-value= R-valuer R-value' R-value° Wall perimeter Equipment E1$ci=cy' package R-value° R-value' 5/01 to 6500 Heating Degree Days' 1231. 0.40 38 13 1 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 i 38 13 19 10 6 8SAFUE T 15% 0.36 38 13 2S N/A N/A Normal U 13% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 2S N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA ISM. 0.50 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): (,U+4'S- NOTE: OTHER MORE INVOLVED METHODS OF DE G ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATI � - Nam^ �/.�/✓V .� _ BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a f AWE A Town of Barnstable Regulatory Services v ss BI'E 'M Thomas F.Geiler,Director e16.19. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 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 registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: ` all Owner's Name: _�Z—�S& Date of Application: '� r 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 PENALTIES OF PERJUR I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:wpfiles.forms:homeaffidav Qf\ lRG VVIItIItVItIYGKLL/t VJ 111 KJJILIatLtJ'C�LJ Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia' Workers' Compensation Insurance Affidavit;Builders/Contractors/Eleetricians/Plunabers Applicant Information Please Print Legibly Name (Busaesalorganization4nEvidup: S Address: City/Statelip VV`� • Phone M. so'�- !K 3 Are an employer? Check the•appropriatebox; Type of project'(required): 1,FI aim a employer with- )--0 — 4. ❑ I am a general contractor and I 6, ElNew construction employees (fan and/or part-time.).* have hared the sub-contractors 7. Remodelin 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ g ship and have no employees These sub-contractors have & D-fe:molition working for me in any capacity. .,workers' comp,insurance, 9. ❑ Building addition [No workers' Comp.insurance5. LZ1 We are a corporation and its required.] officers have exercised their 10.7 Electrical repass or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I1.❑ t lnmbmg repairs or additions myself.[No workers' comp. e. 152,§1(4),and we have no 12.❑Roof repairs •insnzaace required.]t , employees.[No workers' camp.insurance required.] 13•❑ Other su *Any applicant that checks box#1 mast also fill out the section below showing their workers'compensation policyinformeticn: t Homeownen who submit this affidavit indicating they ere doing eM work andthen hve outside scab actors must submit anew affidavit indicating:such ;cw b actors that check this boz must attached an additional sheet showing the name of the sub-cantnsctora and their workers'COMA policy infosmadoa. ram an employer that is providing workers'compensation insurance for.my employees. Below is the policy and job site Insnrancd Company Name: Pow;or Si .Lie. l V Pa j Job Site Address:�� ''�- /State/Z' e Attach a copy of the workers' compensation pdiey declaration page(showing the policy nu er and sap anon date). Mure to secore-coverage as required undet Section 25A of MGL a 152 cari lead to the imposition of criminal penalties of a fine up to$1,500.90 and/or one-you impris=ent,as well as civil penalties in the.fonn of a STOP WORK ORDER and a lime of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DLk for insane.coverage"Incatia I do hereb ce er e p ins nd enald of a 'u that the infor anon provided above is true and correct Sr tine: Date: O Phone \t t c'r�i li3E �tY £�i i�3;�4ti'e�i,'�$�e c�ied•�' '.� �{,� , City or Town: 7ermh/Liceme# ` Luu.ngg Authority('~ircle one); 1.Boz*d of 1Eealth 2—Building Department. 3.City/I owa Clerk a.Electrical inspector 5.Plumbing Inspector 6.Other Corrtacuersoc: Phone#: , Board of Building Re ulation nd Standards License or registration valid for individul use only HOME IMPROVEMENT CONT CTOR before the expiration date. If found return to: Regist ion: 108642 Board of Building Regulations and Standards Ex iration: 8/20/2008 One Ashburton Place Rm 1301 ype: Private Corp bonBoston,Ma.02108 (BENABBY INC/DISASTER SPECIALIST RICHARD LENNOX 9 Jan-Sebastian Way' Sandwich,MA 02563 Deputy Administrator Not valid without signature ,.r t r ri Board of Building epulations One Ashburton Place, m 1301 Boston, Ma:.02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE;..'::. ;m:,; Birthdate: 11/07/1961 Number: CS . 055731 Expires: 11/07/2006 Restricted To: 00 RICHARD J LENNOX PO BOX 480 SANDWICH MA 02563 �;. , =;mot' •'.;,:' Tr.no: 3660.0 Keep top for receipt and change of address notification. DPS-CA1 it 50M-04/04-G101216 _ _ ✓/ze '(Oomirrw�uuea�t a�,%�aaaac`ivaetla ; ! l BOARD OF BUILDING REGULATIONS 1 License: CONSTRUCTION SUPERVISOR I i Number:LCS, 055731 �� I 06�-' --- + Tr.no 3660 0 d pire�„�11//-OP j l Rtr�cted� 00 :r ! RICHARD J LENNI �Q PO BOX 480 SANDWICH, MA 02563- Commissioner II t• I I Town of Barnstable P� °; Regulatory Services I _ Thomas F.Geder,Director Building Division. �1 Tom Perry, Budding Commissioner 200 Mafia Street, Iiyaanis,MA b2601 www.town.b arnstabl e.ma.us ffice: 508-862-403 8 Fax: 508-790-6230 Property O ner Must Complete and Sign This Scction• -If Using ABuilder as Owner ofthe subject property hereby authorize to act on my behalf, in all masters relative to work authorized bythis building permit application for. Ak (Address of Job) I Sig of Owner Date Print Name Q FORMS:OWNER?.MESS:ON SINE TOWN OF BARNSTABLE Building Application Ref: 20062323 i BASTABLE, Issue Date: 08/16/06 Permt RN 9 MASS, �ArFG 339. A�� Applicant: BENABBY,INC Permit Number: B 20060911 Proposed Use: Expiration Date: 02/13/07 Location 26 CASTLEWOOD CIRCLE Zoning District RC-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 273065 Permit Fee$ 307.50 Contractor BENABBY,INC Village HYANNIS App Fee$ 50.00 License Num Est Construction Cost$ 75,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND WINDOW REPLACEMENT AND INSULATION REPLACEMENT THIS CARD MUST BE KEPT POSTED UNTIL FINAL AFTER FIRE,CHANG WINDOW TO DOOR,REPLACE DOORS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LENNOX, RICHARD 1. BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 480 INSPECTION HAS BEEN MADE. SANDWICH, MA 02563 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS NO,RIGHT.TO OCCUPY ANY STREET;<ALLY bR SIDEWALK OR ANY,PART,THEREO TE1vIPORARILY OR PERI4IANENTL'Y; ENCROACHEMENTS,ON,PUBLIC.PROPERT,Y,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING MUST APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OFTUBLIC SEWERS MAYBE OBT ROM;THI . EPARTMENT OF PUBLIC WORKS „ THEISSUANCE OF!THIS PERMIT DOES NOT.RELEASE;THE APPLICANT FROM THE:CONDITIONS` ANY PLICABL UBDIVISION RESTRICTIONS* Y' MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WO 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST UE ING ST LED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELE ICAL,P MBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPRO D T E VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONST C N RK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS.NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED C TRACTOR HAVE CESS TO GUARANTY FUND(as set forth in MGL c.I42A). A � 1 Yfi *-�R y BUILDING INSPECTION APPROV S PLUMBING INSPECTI ROV ELECT CAL INSPECTION APPROVALS 1 I 2 2 2 3 1 Heating Inspe A ovals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I Map -a1 o�3 Parcel Application# ga 9 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee co Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address D?6 C.S�le-Loon �_ Village X6,mw.ts Owner (xiw.( 6rg,d es Address +,Ma, S Telephone - 4C 2�W Permit Request TkS 6JJ_ a a,f K Y LI 4u)-iD ft d k kV.u.=a_ 4 1ke— 1950_� (.6 /i✓i'sac al � � v L o6wa val Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay YProject Valuation VD Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. r- Dwelling Type: Single Family a'- Two Family ❑ Multi-Family(#units) -`+ Age of Existing Structure Historic House: ❑Yes O'ffo On Old King's Highway: ❑"Yes Z13170 Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full-existing new Half:existing new Number of Bedrooms: existing �' new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑'Electric ❑Other Central Air: Comes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial -❑Yes --U-No If-yes,-site-plan review-# Current Use St�u►�� yea-"-, Proposed Use &4)-la kits BUILDER INFORMATION /Kr��CLe- �S� a Telephone Number ���- Name Ale Address License# ' T )2!j/ Aum Gqg oZ`�`l Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOJY� �Dl SIGNATURE 4Calder DATE 3I FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O:Box 338 ,!1 IN 1 Ph 3: 2 2 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: O Building Commissioner or Inspector of Buildings (Board of Health or Board of Selectmen O Fire Department TOWN OF Hyannis TOWN HALL MA RE: Insured: GATES, Gail Property Address: 26 Castlewood Circle Hyannis, MA Policy Number: HNN7025031 Type of Loss: Fire Date of Loss: 5/28/2006 File#: 104588 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the ' .addresses indicated above by First Class Mail. N. LAGUE Adjuster 5/31/2006