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HomeMy WebLinkAbout0042 CASTLEWOOD CIRCLE�-- - - -s Town of Barnstable Building t Post This Card So That it is.Visible From the Street-Approved Plans Must be Retained on Job,and this Card Must be kept i Posted Until.Final Inspection Has Been-Made. Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a final Inspection;has been made. Permit NO. B-19-132 Applicant Name: William Callahan Approvals Datelssued: '01/14/2019 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 07/14/2019 Foundation: Location: 42 CASTLEWOOD CIRCLE, HYANNIS Map/Lot 273-067 _ Zoning.District: RC-1 Sheathing: Owner on Record: HOTETZ, DERON C � Contractor�NarnN,WILLIAM CALLAHAN Frarning: 1 Address: 42 CASTLEWOOD CIRCLE Contractor License: CS'095581 2 HYANNIS, MA 02601 Est. Project Cost: $5,635.00 J Chimney: Description' Insulation. Air Sealing. Weatherstripping.Ventilation Chutes Permit Fee: $85.00 I Insulation: Project Review Req: Fee Paid:,` $85.00 Date. 1/14/2019 Final: Plumbing/Gas �( Rough Plumbing: g g --w�—� \Building Official ' Final Plumbing: This permit shallbe deemed abandoned and invalid unless the work authorized'by this permit is commenced within six months afterissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and thee approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall-be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. - -- Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials aie provided on this'permrt• Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing ` Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&.Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. ' Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i , y oETM�� Town of Barnstable �c6 i 1 13 3 1• *Permit# Expires 6 mo hsfrom issue date # y regulatory Services Fee . S d i • 1ABNSTABM i - y MASS. 1639. `0� Thomas F. Geiler,Director { Y KE P RP' r Building Division - %?AR � i,(,11,; Tom Perry,CBO,.Building Commissioner . 200 Main Street,Hyannis,MA 02601 1-CANN OF BARNS TABLE www.town.barnstable.ma:us Office: 508-862-4038 Fax: 508-790-6230 E XPRESSTERI41T APPLICATION. RESIDENTIAL ONLY Not Valid without Red X-Fress Imprint Map/parcel Number Property Address [(Residential Value of Work_5:7 5_4 U Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addressh fPf Z rnn . Contractor's Name �. (�/,1.�' /�✓v d Telephone.Number Home Improvement Contractor License#(if applicable) 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 Workman's Comp.Policy# Copy of Insurance Compliance Certificate roust accompany each permit. Permit Request(check box) 5 . ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping, Going over existing layers of roof) Re-side El #of doors ReplacementWindows/doors/sliders. U-Value -maximum.44)#of windows *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 OtivnRr..l.etter of Permissipn. A copy of the Rome Improvement Contractors Licen required. se& Construction Supervisors License isSIGNATURE: t (?:\Wl'FI)✓ES11 QRMt building pelimt fon Ts\EXpi,,F,C -r The Commonwealth ofMlassachusetts Department of-finrlttstrialAccidents Office of Investigations .600 Washington Street i Boston,NIA 02111 wfvw,niccss•gov/dia: ; Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let?Ibly Name (Bus iness/Organization/Ind.ividual): Address: Q City/State/Zip Phone #: rS76Are you an employer? Check the appropriate box: � 1.Q I am a employer with. 4. [] I am a general contractor and roject(required): employees(full and/or part-time).* have hired the sub-contractw.construction Z.M I am a sole proprietor or partner- listed on the attached sheet.. odeling ship and have no employees These sub-contractors haveworking for me in an ca aci em to ee olition Y p. ty. p y sand have workers[No workers'comp. insurance comp.insurance.# ding addition required,] 5 We are a corporation and itstrical repairs or additior. ❑... 3:.El I am a homeowner doing all work officers have;exercised their myself 11.[]Plumbing repairs or addition y [No workers' comp. right of exerttption per MGL insurance required.] t c 152,.§1(4),and we have no 12.[]Roof repairs employees: [No workers' 13.❑Other comp.insurance required.] ''Any applicant that checks box 41 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 the 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 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 insuran information. ce for my employees. Below is the policy and job site .. Insurance Company Name: Policy#or Self-ins.Lic.#: . /. Expiration Date:. J'ob Site Address: c..GZ�S /P ,� City/Stale/Zip: yt�y Attach a copy of the workers'compensation policy declarattori page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.,T52 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 ofa STOP WORK ORDER and a fin( 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 c rtify under the pains and penalties of perjury that the information provided above is True and correct Si ature: ` Date: �s Phone#: 70`Co FFuing only. Do not write in thi's area, to be completed by city or town officik n: Permit/License# hority.(cirde one): Health 2.Building Department 3. Cityl'I'own Clerk -4, electrical InsAectar S. Plurrtbinp lnspeGtar 5 7HET° Town,.of Barnstable • Regulatory Services XUWSrABLP, ► 'cb , , Thomas P..Ge ler,Director g.division Tom Perry,Bufidii g Conurissioner 210 Main Street,Hyknnis,MA 02601 www.towu.barnstable.ma.us Office: 508-862 4038 Fax: 5087790-623 Pro e P ry Owmer Must Complete and'Sign This Section if_a Aiii as Owner of the subject property hereby authorize , Z —C'�' � to act on my behalf, in A matters relative to work authorized by this building permit application for (Address of,�ob) S dYl/-h CST p� Si tore of Owner ate • I C o4tJ Print ame if P—T*� applying for eft . Homeowners License Exem tiori F�m� please complete the P on the reverse side. , - i Z- pi. 0315401 CONTRACT# F 1T6�1ZED..M1 �. � �f INSTALLED SALES SPECIALIST NUMBER• CUSTOMER L� i 57 aL lDee_.. te. STORE NO. i. STREEr ADDRESS 2 --. :. . 0 -STREET ADDRESS 3�(a '' a _ b-e eic ui �-�_ _. .., CITY .. - STATE AP s .CITY .. .. STATE ....21F.... _ J _ .. TELEPHONE TELE NE .. .. DATE LOWE'S CONTRACTOR LICENSE NUMBER CASN BANK -ti} v REG CAF11 CHARM bIA,-MD— eUceftse Number A6 Other Sty' Lov1e ee Nuaibai�" a s ra r i AL,CT;FL.MA,MD.NV"54w unbmited TN#16DBS,only This is a contract between Lowe s.(as defined'in the Terms attdConiTittons)( e e°)artditte sfsove naineCustomer forttie mstallatton of goodsat the CustDIn residential prennses(the Premises"�at the fWtowmgfistallatigLr address y E � � r STREET ADDRESS CITY. .•J STATE .• ZIP - OC Shingle-_Classic _Supreme AOak Pro 30 _Oak Pro 40 _Oak Pro 50 —Other Color Years ..L iCr Ti/X Installation on a Story House witfi a Pitch Roof has layers of shingles(If more layers arefiound during installation,there will be an additional charge of$ r9 per layer per.squa re:),.. Customer must initial ` Tear off and haul away existing shingles and put on;[t,�.lb felt and specifiedshingles New Drip Edge will also be installed, 2 (city)New Vent Flashings will be `. installed. Remoye/Replace _(city)Ridge Vent.. Remove/Replace_.(qty)Low Profile and/or—(city)Turbine Vents.: Remove/Replace_(qty)Power Roof Vents. Additional_(qty)Low Profile" Item#or (qty)Turbine Vents Item# Additional—*0 power Roof Vents Item#. (Customer must supply electrical service), _ AdditiMal Soffit Vents._(city) Color: Item# Sis'amless Guttering _5" _6° Color ... Chimney Flashing®,Yes nNo': Sidewall Flashing El Yes El No Skylight Flashing .❑Yes ❑,No Remove/Replaoe (city)4x8 Decking or (If)1 x Decking Remove/Replace (If)Fascia NOTE: If rotted wood is discovered during Installation additional charges will apply..You will be given a quote and a change.ortier in mpieted and signed by the customer for any additional charges Customer must Initial 'Show top view of.roof where shingles 'Any work or matenal not specified is not Included in this contract.Any changes or additions will 9 be at an additional cha a for the material and labor. 8IB 110 he Installed. Additional`Specifications: The-Environmental Protection Agency(EPA)has requested that MaPls +•- _. .. Lowe's notify installation customers that lead based-paint_hazard'mayexist in dwellings:built: ='Tax' prior to 197.8 See,pamphlet EPA 747-K-99-001 for detaiis. Labor 3 0 _ { Total 7 - -- •Where applicable tabor is taxable; check local tax restrictions. Work is to commence upon reasonable�arvailability of Contractor which is anticipated to be / �!"` �/ [fill In"date].. Estimated completion date Is" '1—eC --// [fill.In date). ' NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s)are to be.installed under conditions agieed upon-at time of purchase and at the price appearing on this Contract form.This assumes sound existing substructure s,superstructure find points of attachments. Extra labor or material'incident ao installation necessitated. by defective substructures,superstructure,points of attachment,or the.,moving of fixtures or appliances t0 tie billed'at extra`cost to customer: DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND'OU:HAVE READ.THE TERMSAND C9NDITIONS CONTAINED ON THE'. REVEIItSE SIDE OF.THIS CONTRACT.:BY SIGNING BELOW,YOU ARE AGKNOWLED:GING THAT YOU HAVE READ,UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS CONTRACT.YOU ARE ENTITLED TO A COPY.OF THIS CONTRACT AT THE TIME OF SIGNATURE. WITNESS OUR HAND(S)AND SEALS)BELOW THIS :3 .DAY OF /�n 01 WITNESS (Seal) Owner (Seal) (Seal)x Specialist bove Spouse Gusto er aylmowledges recegpt of a true copy of this contract whist}was coRipletsiytfl7ed ircptior to Cus#omeYs-;execlttbn,hereof. If credR is extended to you you the btryer may car)cet tfiis transagttort of arty Nityaprior f 6t)t7dtti�tto �tra tthd basiness day after the date`of tf41s transaction. See the attached notice of canEelfaUott fofm foF an expiana6ddit �iit. , ' ,' 1 FILE COPY The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesd at 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: 2 �,Q=j --cre4nbelcy City/State/Zip: ©Q_��/ Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 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.❑Roof repairs insurance required.)t employees.[No workers' comp.insurance required.] 13.❑Other *Any applicant that checks box#I 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 subcontractors and their workers'comp.policy information. 1 am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. - Insurance Company Name:_61�,e5 Policy#or Self-ins.Lic.#: e pad �'a� Expiration Date:-9—/— a d Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: — Official use only. Do not write In this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.'Building Department 3.City/1`6wn Clerk 4.Electrical Inspector 5.Plumbing In 6.Other Contact Person: Phone#: -PSfen� Cc� ccu�G��,Z� G J u6 _a�nlgu&s.�noglrnt p9e4 3oN / aaFs,�ismlurpY !k2N NH6f DNI lAiaYY3Ab> QN0A3808d 8etzo'8Wolso - l0£i.mll a0vid ooianVy;Ivb, 8Z9 `v1 . . li>gZPYt15 uo7 sP-+aPnetS pns seof��a2i$ulPiln�fP p�eog � OS8551 :u4r,�.1}sl�l� i :ol u.[iilar pun 4. �di •ait;p ua;undxa aq�a ro3aq AE°o Asa ini?!^ 80.LOVW110D 1N3W4A02idM�`3pj0y !pul'ol p!IBA uotigl�,8aa ao osu*!'] )4/05/2010 09:59 5089677269 Above&Beyond" *42573 .P. 001/001 vix�tachutietts.-Department of Puwic.Sdetv Beard of Buildln; RchulaCii►as and St:t>zddrds Construction Supervisor License License: CS 82082 Restricted to: oo JOHN L REi$ 21 WEST WEiR ST TAUNTON;MA 0,-,M 1 Expiration: 4roW2 Tr-a- "AM • I ;� ,na eg I 8fs �Hifdrfl' r[ r an ar s B�a> o; u a s an. h`esL: So f �o a an ar s � . H'e7h'it:,,,ROVEMENT CONTRACTOR Construction Superviso.ticense k6tisttation: 155850 Lice CSC 82082 Expiration: 5/14/2011 , Tr'i 2..;3828 Ty;ae: private Corp oratron Expiry r1 416/2 Tr# 213 i3 ie�stncf►o�ta 00 ABOVE&BEYOND HOME IMPROVEMENT INC r JOHN REIS JOHN L RE Is -31 4 . 21 W.WEIR ST �` 21 WEST WEIR ST, TAUNTON,MA 02780 Administrator j T�n i ON,MA 02780 C_ omm> sroner. i r rt Mas"achusettN-QC)drt 1 ment of Public Safetj Board of Buildittw0. Re;Zulatjon..and Standards Construction Supervisor License License: CS 82082 Restricted to: OO JOHN L F2E 21 WEST WFJR. TAUNTON, MA o27W Expiration: 4/fi/�2 rrrt 24erx BHOti�KE. .,M u on an ega ; kot11 CONTRACTOR 8o f f o��' a ar s pROVEMENT Construction Superviso cense Rebisttation: 155850 Lice C 82082. Expiration: 511412011 Tc'i. 2,t3828 privi to Corporation E.- t3 4/6/2 Tr# 21313 Ty,e - = . ictro� _00 ABOVE&BEYOND.HOME IMPROVEMENT INC _ ' is = JOHN REIS JOHN LEIS 21 W.WEIR ST 21 WEST WEIR ST /-' - TAUNTON,MA 02780 Administrator / T, l1A ON,MA 02780' Commissioner t I ' Office of Con sum stration va er Affairs&Business Regulafion License or regilid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . Office of Consumer Affairs and Business Regulation Registratioma;U8688 10 Park Plaza-:Suite 5170 ExpiraVa = (8 011 Boston,,RYA 02116 lw gQ fament Card LOWE'S HOMES CEN-T- RS-NC` JAYMI RODRIGUEZ 136 TURNPIKE RD.SUITf"L00 SOUTH BOROUGH,- k_01'772 Undersecretary Not-valid without signature Lowe' s Companies 4/2/2010 11 : 50: 06 AM PACE - 2/004 Fak Server A�d CERTIFICATE OF LIABILITY INSURANCE 03/051NI/DD/YYYY, 03/05/2010 30DUCER THIS CERTIFICATION IS ISSUED AS A°MATTER OF INFORMATION MARSH ONLY AND CONFERS NO RIGHTS UPON THE. CERTIFICATE 100 N.TRYON STREET,SUITE 3200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CHARLOTTE, NC 28202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FAX(70.4)374-8500 7095-CASUA-ONLY-1 0-11 INSURERS AFFORDING COVERAGE NAIC# SURER INSURER A Self Insured Lowe's Companies, Inc. and Subsidiaries INSURER B National Union Fire Ins Cc Pittsburgh PA 19445 PO Box 1060 INSURER C.New Hampshire Insurance Company 23841 Mooresville,NC 28115 INSURER D:Illinois NationalIns Cc 23817 INSURER e Illinois Union Insurance Cc 27960 OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 'ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDFrION.OF ANY CONTRACT OR OTHER DOCUMENT,WITH.RESPECT-TO WHICH THIS CERTIFICATE MAYBE 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. R AOD'I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS R INSRE � DATE(MWDDIYYYY) DATE(MM/ YYYY) GENERAL LIABILITY ,_ � EACH OCCURRENCE DAMAGE TO RENTED X COMMERCIALGENERALLIABILRY Self-Insured 04/01/2010 04/01/2011 PREMISESEaoccurrence CLAIMS MADE ❑ OCCUR MED EXP(Any one person) $- I - PERSONAL&ADV INJURY $GENERAL AGGREGATE $ GENERAL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AG �( POLICY JECT LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT CA6647501 (AOS) 04/01/2010 04l01/2011 (Ea accident) $ 5,000,000 X ANY AUTO l ALL OWNED AUTOS CA6647502(MA) 04/01/2010 04/01/2011 BODILY INJURY $ . - SCHEDULED.AUTOS CA6647503(VA) 04/01/2010 04/01/2011 (Per person) _ 1 HIRED AUTOS BODILY INJURY $ NON-OWNED AIJfOS (Per accident) PROPERTY DAMAGE (Per accident) - $ e GARAGE LIABILITY - AUTOONLY-EA ACCIDENT$ - ANY AUTO OTHER THAN EA ACC' $ AUTO ONLY $ A_GG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 71.OCCUR CLAIMS MADE BE27471705 04/01/2010 04/01/2011 AGGREGATE $ 5,006,000 DEDUCTIBLE $ $ i RETENTION y WORKERS COMPENSATION AND - X WC STATU, OTH- - EWPLOYERS'UABWTY WCO20342251 (AOS) 04/01/2010 04/01/2011 L EACH ACCIDENT 2,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN - OFFICERIMEMBER EXCLUDED? WCO20342252(WI) 04/01/2010 04/01/2011 000,000 L.DISEASE-EA EMPLOYE $ 2, i (Mandatory in NH)II yes,describe under L.DISEASE-POLICY LIMIT $ 2,000,000 SPECIAL PROVISIONS below - OTHER Excess WC XWC4880417 04/01/2010 04/01/2011 WC:Stat/EL:$3mil;xs$2mil SIR`. - TX Employers XS Indemnity TNSC46242531 04/01/2010 04/01/2011 $8mil EaOcc/Agg;xs$2mil SIR 3SCRIPT.ION OF OPERATIONSILOCATIONSIVEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS vidence of coverage ERTIFICATE HOLDER ATL-001787259-05 CANCELLATION. #' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - 'I Lowe's Cornpanies,Inc. and subsidiaries _ - -30 ' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PO Box 1000 - BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND Mooresville, NC 28115 UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. - A ED REPRESENTATIVE 01 Mars Marsh USA Inc. Diana Bentley ,CORD 25(2009/01) ®1998-2009 ACORD CORPORATION.All Rights Reserved ) The ACORD name and logo are registered marks of ACORD i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map ' ;2�3 Parcel 60 [ I Permit# 0 33,3 Health Divis_ ion f ® —�T� Date Issued D 7102, Conservation Division_) 7 38dp Application Fee Tax Collector -- Q 2, P4itt �� �R Treasurer 7 x� a�- SYST MUST EE Planning Dept. WSTAUM N COMPUANCE SIM TITLE S Date Definitive Plan Approved by Planning Board EMON EWAL CODE ANU Historic-OKH Preservation/Hyannis TOWN REGUL TIONS Project Street Address `7 Z CA i-i5-Woo 1, CW, Village 14Y,4QIS Owner 04A-RLES l4O-FE-rZ. Address y� CASTLEc�ooL� �� Telephone 66.F' 7rl/ • 2-k,71 Permit Request IZ x /6 AFAQ N2GK Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -57 uo 00 Construction Type W00 0 DECK Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family / Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: D Yes ❑No On Old King's Highway: D Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other \J Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ,Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing �' new 3 Total Room Count(not including baths): existing new First Floor Room Count ti-- Heat Type and Fuel: ❑Gas ElOil ElElectric D Other C11 �' Central Airw ❑Yee ❑ o Fireplaces: Existing New Existing wood/coal tove: 0F'es uD No DetachecVgarage:-❑existi g ❑new size Pool:❑existing D new size Barn:D exis ing ❑new s Attached garage?©existin ❑new size Shed:D existing ❑new size Other: CD E'er' c� i> Zoning Boa d of Appeals A Al orization ❑ Appeal# Recorded❑ M, —) Commercfa ❑hes ❑ o If yes, site plan review# ------Current Use Proposed Use BUILDER INFORMATION Name 641ZE F2EE i4oniC:5 Telephone Number S0F 99 7! / / / Address n9 4cJT-rL STo,,J Avc- License# FAi 9"v&J i M,4 Home Improvement Contractor# f DD 6--D 3 Worker's Compensation# —WC- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE L�P ©2 FOR OFFICIAL USE ONLY ' ` PERMIT NO. DATE:ISSUED MAP/PARCEL-NO. ADDRESS - VILLAGE OWNER �. DATE OF INSPECTION: FOUNDATION FRAME , INSULATION FIREPLACE ' . Q r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' GAS: ROUGH IV FINAL FINAL BUILDING . , rrl vz r os ,es Ti t w DATE;CLOSED OUT ASSOCIATION PLAN NOa IL C^ DON ® ®PE MT-v o-n 5 BE STANDARD LEGEND NOTE:not all symbols will appear on a map 36 GOLF COURSE FAIRWAY V^ EDGE OF DECIDUOUS TREES c --- EDGE OF BRUSH ORCHARD OR NURSERY v-V-v-V EDGE OF CONIFEROUS TREES c� c MARSH AREA —---— EDGE OF WATER _-= DIRT ROAD DRIVEWAY �- -PARKING LOT PAVED ROAD — —- - DRAINAGE DITCH MAP 73 ----- PATH/TRAIL PARCEL LINE Nwno E MAP# �{ 21 F PARCEL NUMBER #terio —HOUSE NUMBER D� 2 FOOT CONTOUR LINE is 10 FOOT CONTOUR LINE y Elevation based on NGVD29 4.9 SPOT ELEVATION c STONE WALL -X,X- FENCE RETAINING WALL 11 1 ;- RAIL ROAD TRACK STONE JETTY - SWIMMING POOL ' 1� PORCH/DECK 0 BUILDING/STRUCTURE DOCK/PIER MAP 73 y Q HYDRANT e VALVE o MANHOLE o 1 POST OP° FL46 FOIE T O W N O IF B A R N S T A B L E O E O O R A P H I C I N F O R M A T I O N S Y S T E M S U N I T a SIGN ® STORM DRAIN N PRINTED nffi IN FELT *NOTE:This map a an enlargement of a **NOTE:The par d lines are only gmphk representatwns DATA SOURCES:Planimettia(manmade features)was interpreted from 199S aerial 0"mphs by The lames I'=I00'smle map and may NOT meet of properly boundaries they are not tare lomtioas,and W.Sa+NR Comppaantryy.Topagmphy and aegetaHon were Wepreted farm 1989 aerial photogrephs by 021 0 UTILITY POLE n TOWER w ' 0 10— - 20 National MayAowmcy Standads at this do not re0aw oAl relationships to p1woal objects Corporation.Pardo drK topography,and vegetation were mapped to meet National Map Aaan g Standards 110=2It FEET* adaVed sade• on the map. at o sale of 1°=100'.Parcel Ines were dWhW fmm M002 Tovm of flarnslable Awsofs tax mops. -o- 0GN POLE O EIEC11110 FAdgMconservationAgn 07/30/02 01:33:00 PM it i1 ER p C, F L;5 I , Town of Barnstable . ' ~°* Regulatofy Services rSTABIX. Thomas F.Geiler,Director �ATfGMp,(A�0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ' 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: i7Ui t-0 )2.04L pC-CK Estimated Cost Address of Work: `lam CAS-R-C J00p 0,T9 14YAt4di' ` Owner's Name: (4141uc5 40TETI- Date of Application: 2— 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 PENALT S F PERJURY I hereby apply for a permit as the age the er: .7 SO C looSo3 u/9 Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav ,r r . 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I du herebyr -pains d- en of-per' that-the-inforniadmpro-w -abnve_is-i Date 0 7, Signature _ • ' .,. •. . . :••r,,..• •.�—�� I Pl KU r I'hoae# • Print name . oMcW we only do not write in this area to be completed by city or town official ••"permitllicense# • OBuildingDepartrnent, city or town: ❑Licensing Board ❑Selectrnn's Office ❑checkif immediate response is required ❑HeslihDepartment, phone#; ❑Other eontactperson: ' n and Instructions Information , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 onthe grounds or building appurtenant thereto'shall not because of such employment be deemed to be an employer. MOL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew, of a license or permit.to operate a business or to construct buildings in the commonwealth for any applicant who has d. Additionally,nei not produced acceptable evidence'of compliance with the insurance coverage requiret.w r k until commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. 111111101 Applicants Please fill , the workers' compensation affidavit completely,by checking the box that applies to your situation and pply�g company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted the Deparbment 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 perrnit or license is being requested, not the Department of industrial Accidents. Should you have any questions regarding the`law",orif ygu aie required,to obtain�a workers' coinpensatiohpolicy,please ciZl he Depaipi iia at•the nu3nber•listedbelow.: . City or.Towns - Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of'& affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please rtjlicense number which will be used is a refeieace na15'6 -�T 6 affi&vits 1*�b'e'rritis tE? be sure to fill in tlie.pem - ;. theDepartm by'mail•6i FAX unless other arrangementshavebeenmade. 5' .,, 'M', _ The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. . please do not hesitate to give us a'call. The Department's address,telephone and fax number. V. :y The•Commonwealth Of Massachusetts .,..�. ._Department of Industrial Accidents Office of 111vesilgatlons ` 600 Washington Street , Boston,Ma. 02111 fax ff: (617) 727-7749 phone 4: (617) 727-4900 cit. 406, 409 or 375 _ �'fce�om �eae o�✓�aaoaclt.�aelta Board of Building Regulations and Standards.. . License or registration valid for individul use only HOME IMVEMENT.CONTRACT.OR before the expiration date. If found return to:. ^�^ Board of Building Regulations and Standards IEc-tiffs_►Re j tD0503 One Ashburton Place Rm 1301 E iratt2n _f{fy2004 Boston,Ma.02108 pplement Card 4 3 CARE FREE HO ` �W--�. ,' NATHAN PICKU'r� ' 2 239 Huttleston ave Fairhaven, MA 02719, Administrator Not valid without A ature J `�� ((` NQNE INPkUV[f1EN1 IONfRAtfDR ReQistralian' r100w Q "'''"'- (ypP� PriVd48 GoFPuraiiD C� f.Rk£ FREE HOW, w. 49NA PCCRUP ,:,, ,:;,••,,,;; 234 Huttlestow ave - F�irrfaven I'�4 0?119 ::��er.. r�mmnetirernnrx�li� �r,�,.'l�i'ir:,wxc�ri«r(!3 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR f Number: CS 021330 BirlhdMe, 03/0611955 Expires 03/05/2004 Tr,no: 17888 ftstAtted: 00 ` OANA J PICKVP g WATI:RFAtL RD MA 02743� Admnlatrotor � I I Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: (F AND t7 OR Search _ _ Search Results Reg. No. Applicant Street City State Zip Name Title Expiration CARE FREE 239 PICKUP Vice- 100503 HOMES, Huttleston Fairhaven MA 02719 DMA' President- 6/19/2004 INC. ave Treasurer Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 8/22/2002 '$` 0 CARE FREE HOMES PU1 GAME FORIEE HOMESt INC. 21 il H TLE9 ON l VOWE•klftHAVEN, MASS 02719 Toloph®n®UN497-1111 • Fax 508-997.1297 j 1 bCP I T - -- EV[-Jl!liIBER OF 11ACKS ;€nc.ludi ng cover sheet).___..._. _.. . SPECIAL, ICI `)'RIlf'.'°1'1ONS or COMMENTS: _____._._ _ -------------- -- 2x►d � 3 �o I + _ 3o i 'i 3o d- 0 f'lE.fz 2-A1 iIL I It :p � K 5 00, 7ooVol — , jr a be 1--1 o T14 r--9- L Ilk I - _ - 54P2.t-,.e. 10 2xID �sAT IG, tJ �G C�"6�L.�✓, J v!sT l-�A.1..�C.-�F'z. :_ �---�� �I��..I• L� -p i� It 1��1�-�Ov/ G,rrz�•t�l:-': _ I Co 1..p u SCALE: AGp ��� APPROVED BY: DRAWN BY DATE: REVISED I DRAWING NUMBER TECHNICAL IMAGE PRODUCTS • f�' �a P,l