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Home My WebLink About0126 CHASE STREET 41� I.Y ��3 �oFt rgt=, Town of Barnstable *Permit 00. Expires 6 months from issue date Regulatory Services Fe , * BARNSTABLE, Thomas F. Geller,Director MAss 1639• �� Building Division AtEp�,t a g Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 307 y y a dr Y Property Address [Keesidential Value of Work�1-2, �a� . ` Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name /91-r- G(4tir Jr/c— C,",a ,1`/Air Telephone Number 7-7(y Hoe Improvement Contractor License#(if applicable) 7 Ho Compensation Ins urance surance Check one: ❑ I am a sole proprietor �I am the Homeowner I have Worker's Compensation Insurance X-PRESS PERMIT Insurance Company Name d14, JUL 21 2008 Workman's Comp. Policy# TOWN F BARNSTABLE Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 4 ❑ Re-roof(stripping old shingles) All construction debris will be taken to i ❑Re-roof(not stripping. Going over existing layers of roof) [4Ke-side i i ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is repuire�,;__.r... :. ••—•----..---•- � I UU I SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc ! Revise020108 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ' 1 Name(Business/organizstion/Indivibd): "�- Atidres s: City/State/Zip: Pi'i /v��`e MAA Phone.#: TffLF 7 A, Pf IX Are you an employer? Check a appropriate box: Type of project(required)- 1.�am a employer with A 4. I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2.❑ I am a•sole proprietor or partner- listed on the attached sheet 7. ❑REmodeling ship and have no employees These sub-contactors have g. Demolition employees and have workers' working for me in airy capacity. 9. ❑Bt'ilrtmg addition comp[NO workers' eOmp.•insitranG' .insrlranr,C No workers' 5. We are a corporation and its 10.❑Electrical repairs or additions r6q3.❑ I am a homeowner doing all work officers have exercised their I I.(]Pbm3bing repairs or additions myself[No workers' comp. right of exemption per MGL 12❑Roof repairs insurance ram-)t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other camp,insurance required.] *Any applicant that clucks box#1 must also EU out the section below showing their wrn9c='cmnpms4m policy infmTmtimL t Homeowners who submit this aSdavit indicating they are doing all work and then hire outside contractors umsl submit a new affidavit mdimting such. %Conbactozs that check this box nnrst attached as additional sheet showing the name of the sub-cant wtnts and state whether or not$rose entities have employees. if the sub-contraetois have employees,they must pmvidb their workers'comp.policy mmnber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name= J Policy#or Self-ins.Lic.#: (� Expiration Date: Job Site Address: e�l0 1/J 60 U' City/State/Zip: I A44A,-7 r Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to sectn:e coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the WA for insurance coverage verification. - I do hereby certify u e pains-an enalties of perjury that the information provided abovee�is true and correrx Si e• Phone#kUlf Official use only. Do not write in this area,tb be completed by cuy or town ogw-!aL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Towu 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 budding 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,it necessary,supply sub-conhactw(s)name(s),addresses)and phone numbm(s)_along with their certificates)of insurance. Limited Liability Companies(LLQ 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. Bc advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sore 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 hulustrial 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 Officlals Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple perruittlicense applications in any given year,need only submit on.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 future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (Le. a dog license or permit to brim 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 Dcpattmenfs address,telephone-and fax number. The C6mmonwealth of Massachusetts Department of h0ushial Accidents Office of Investiptions 600 Washington Sheet Boston,MA 02111 TO. #617-727-4900 ext 4-06 ar 1-M-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/(::ia r., • ,yam �� i�mvrzoauuea`bi o�✓vcczaadc�ivaelta ', Board oABuilding Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration•, 134286 Expiration ,,/22/2009 Tr# 133426 .F Type DBA i' i RLT CONST C IN D8A ISLAND rDING&ROOFIN RONNIE TAYLOR ' 31 MANNI CIRCLE < CENTERVILLE,MA 023R2 Admroistrator I JJ .� iYlassachusetis - �epartMent oI'Public SaI'etj Boars) of Buildiri� Refrulations and Standards Construction Supervisor Specialty License License: CS SL 99910 Restricted to: RF,WS RONNIE TAYLOR 31 MANNI CIRCLE CENTERVILLE, MA 02632 C ummissl .��t� Expiration: 10/26/201, Tr#: 9999 0 i License or registration valid for individui use only,.' before the expiration date. If found return to: Board of Building Regulations and Standards . One Ashburton Place Rm 1301 Boston,Ma.02108 �? 0twalid;without signature Restricted to: RF,VvS iA- Masonry only RF- Roof Covering i WS-Windows and Siding f ' SF- Solid Fuel Burning Devices DM-Demolition only �I Failure to possess a c i Massachusetts State current edition of the n Code is cause for revocation of th sg Refer to: license_ WWR,Mass.GOV/DpS F islandSiding and oofing . a division of RLTConstruction,Inc. Proposal To: July 5, 2008 Walter&Mary. Alessi 126 Chase St. Hyannis, Ma. We are pleased to submit the following specifications and estimate for siding and trim replacement. Remove existing cedar siding and paper. Install Tyvek house wrap. Install grade A R&R factory stained Maibec white cedar shingles using stainless steel fasteners. Remove existing peeling trim on windows, corner boards, rake boards, bulkhead, facia on front of house , including front gutter and 2 gable end louvers.' Install new possibly Azek pvc trim or Body guard a treated pine product using stainless steel fasteners. Clean up and haul away debris. We hereby propose to furnish material and labor- complete in accordance with the above specification, for the sum of For cedar siding $12,800.00 For 1/2" rigid insulation add $1,500.00 Trim replacement, bulkhead,Azek gutter,vinyl louvers etc. To be done on a Time and Material basis at$40.00 per man hr. Materials cost etimate is $3,000.00. PAYMENT TO BE MADE AS FOLLOWS: Payment in full due upon completion All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and.above the estimate. All agreements contingent upon strikes,accidents, or delays beyond our control. Owners to carry fire,wind damage and other necessary insurance. RLT Construction,Inc. carries General Liability and Workman's Compensation Insurance. Certificates of Insurance provided upon request. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as futlined above. Date of Acceptance: 7 Signature Start Date: g O Signature 31 Manni Circle Centerville, ?Massachusetts 02632 Telephone 508.420.5243 and 508.833.5249 • Fax 508.420.1776 • Elmi(caperoofer@caperoofer.com • u ..n Town of Barnstable *Permit R 3 Y Of�tiE.rp� Expires 6 months from issue date Fee o�Jr Regulatory Services g �Director v M" 9. m Thomas F.Geiler, o�:y°'• X-PRESS PERK Building Division Peter F.DiMatteo, Building Commissioner O C T 1 2001 367 Main Street, Hyannis,MA 02601w Office: 508-862-:038 TOWN OF BARNSTABLE Fax: 508-;90-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY t/ Not Valid without Red X-Press Imprint Map/parcel Number 3 �/0 / / 60 Property Address a" H Value of Work 3 9 0 0 Residential Owner's Name&:Address Contractor's Name 61-r 6414 j Z �, j 1,4 J t(� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License=(if applicable) 1 ' (5Wor*kman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeonner [ /i have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy Permit Request(check box) 2"Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windo«-s. U-Value (maximum.44) ❑ Other(specify) *where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.a». L G Signature Q:Forms:expmtre:rev-0 70601 INC i,A, .s The Town of Barnstable NAI Inspection Department NO►�,' . 367 Main Street, Hyannis, MA 02601 . 508-790-6227 Joseph D. DaLuz Building Commissioner December 23, 1992 Ms. Mary Alessi 21 Lexington Lane Millis, MA 02054 RE: A=307 144.004 126 Chase Street, Hyannis Dear Ms. Alessi: , Records on file in this office indicate that no inspections were requested or performed in connection with the work authorized by Building Permit #34399 to remodel a single family dwelling located at 126 Chase Street, Hyannis. If I may be of any further assistance please contact the office. Very truly yours, ar R. `�� earse Building Inspector RRB/gr TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE ) [8, 19W JOB LOCATION Af 11_11AJW f Number Street address Section of town "HOMEOWNER" �JNI'y 1� 06GSx_f (50�� `l32 Name Home phone Work phone PRESENT MAILING ADDRESS /(� G2aS$ Ss�- � I6C1--r i ty town State .Zip1COde The current exemption for "homeowners" was extended to include owner-occu ied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sY who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered 'a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work_performed under the buildingermit. (Section 109. 1. 1 The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE-----� APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings . 35, 000 cubic feet, or lar ,er will to comply with State Building Code Section 127. 0, Construction Controlquired HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a-building permit is required shall ,besexempt from the provisions of this section (Section 105. 1. 1 - Licensing of"Construction Supervisors) ; provided ,that .if Home Owner engages a person (s) for hire to do such work, that such Home Ownez shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction Supervisors, . Section 2. 15) . This lack of- awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case 'our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home 'Owner actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home 'Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 0 F Assessor's office(1st Floor): �� Assessor's map and lot number 6_J poi TwE To` Board of Health (3rd floor): G?' )—c7 -7 wAj Sewage Permit number MAST �OtiN� Engineering Department(3rd floor): f �� DARISTA Er.,a House number � �~ °o �6y0• �� Definitive Plan Approved by Planning Board 19 I APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only Stab,1 , P R J v TOWN :; OF BARN . rva==0n o BUILDING INSPECT ed " 0j, fire APPLICATION FOR PERMIT TO �,n -'�'—-'r , � '�&Vm uq j-e TYPE OF CONSTRUCTION (�00-1) ✓ 3f 19 4/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Ge-/0TL 5 Proposed Use Zoning District Fire District Name of Owner `� P Address Name of Builder bY A066<S Address Name of Architect Address Number of Rooms Foundation Exterior t s �� Roofing Floors Interior S:4f r X&C-le- Heating Q/L Plumbing C,Li / w� Fireplace Approximate Cost 5�® Area area CA4--5e Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ` r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License f�'� ANDY / MARK PEARLMUTTER No 34399 Permit For Remodel & Renovate Single Family Dwel inq 'Location 126 Chase Street- Hyannis Owner Andy Roderick & Mark Rearlmutter j r Type of Construction Frame Plot Lot _ V J� Permit Granted June _ 18 19 91 ' Date of Inspection 19 Date Completed 19 i E '.� 0 • ss • 1 J z y OWNER OF RECORD OF 126 Chase Street w_ -• Hyannis, MA Ronald Rudnick & Richard Salter, Trustee R. & R. DenturesVealty Trust 86 Horsepond Road West Yarmouth, MA. 02673 ., .-...,..+ti....,..rr.v.",r1-ram...-..'y"`".rrRn-....-+" Y"''�"`"rk"."�eq"`_`�:"4r."r.,.,,.+-..'e"""'*''�f-r^`j'^w.+'�"_-.::..,�;,�_,h„1'"'f P,-,'�r�`1..�-e�.'•L.�""''7,.�,.•,--.,a '-v--7w'�.., t :,.rr�'+r...,r,.,.,.,"'�7 Assessor's office(1st Floor): l/ `t` Assessor's map and-lot number Board of Health(3rd.floor): !J �- � Sewage Permit number ��0 / u '•`CowN�C /�1 Z IAHd 9T►DLL i Engineering Department(3rd floor) / S�'Yl) "I� b clue House number `u q Oo �6}0• Definitive.Plan Approved by Planning Board 19 PROCESSED 8:30-9:30 A.M.'and 100-2:00 P.M.only _ APPLICATIONS y - TOWN OF BARNSTABLE BUILDING AMSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION INaOD Ft�� 19 9/ TO THE INSPECTOR OF BUILDINGS: �. The undersigned hereby applies for a permit according to the following information: Location ZooGfS� ? ST I Proposed Use r/N • Zoning District R~ g - —,Fire District Name of Owner �y l�6DGfvt�s jY1lK P Address Z Gf1 £ Sr n, 1� Name of of Builder Address Name of Architect — - Address 4 P Number of Rooms . Foundation E o,yc,e:fr� Exterior, 6fb*K 5/1/AJ6 G� Roofing I�SO� SHi�GG� Floors WX/-) Interior 5 � /Loc-e— rHeating Plumbing G4ilf.Q 1,Pv0 Fireplace -- Approximate Cost SOO Area .ho /��c a CLt ✓SC; Diagram of Lot and Building with Dimensions Fee i h, 0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ^^ ! 1 I he eby agree,to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.- _ i Name Construction Supervisor's,License' d W u e-r 5 � � RODERICK, ANDY /PEARLMUTTER, MARK 3,0 7- No 3 4 3 9 9 Permit For Remodel & Renovate Single Fam; 1l), dwelling � 'f Location 126 Chase Street i Hyannis Owner. Andy Roderick Mark p,—�=rlmutter, Type of Construction Frame Plot Lot h Permit Granted June 18 , 19 91 Date of Inspection 19 Date Completed 19 I F � PERMIT COMPLETED _ ��y �� tom" /�f/�/F� G� . i V`� � - a