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Home My WebLink About0052 COMPASS CIRCLE � a Compass �i r, fJ I _ or 14 r �oftr Town of Barnstable Permit# Expires 6 nior ont issue d Regulatory Services Fee * taxxs•rAsi,s. . 9 6 ( Thomas F. Geiler;Director 11 02010 OF B Building Division { `� ARNSrjgS�E Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY. Not Yalu!without Red X-Press Imprint Map/parcel Number Z Address Q/!'! S C � r !n ® co .ential Value of Work /�_ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name ti,�1Y1�� n� ��Telephone Number '/O/'-'c�� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I ar,4 sole proprietor ❑ the Homeowner I have Worker's Compensation Insurance Insurance Company Name if° '(y/L;�UQ//f Workman's Comp.Policy# - Lqs Copy of Insurance Compliance Certificate must accompany each permit: Permit Request(check box) ❑ Re-roof(stripping old shingles)'All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of roof) Z [[ #of doors cement-Windows/doors/sliders.U-Value 3, (maximum .44)#of windows � *Where required: Issuance of this permit does not exempt compliance with otber town department regulations,i.e.Historic,Conservation,etc. ***No'te: Property Owner must sign Property Otvner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Re.vi.cPri ngnQno t: 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 Legibly Name (Business/Organization/Individual): 50.e,I q t Address: 11,37 pork 90-4 _ D /-1��-- City/State/Zip 42=t5ocJer" K Phone#: q0< 6 7/ 6 7 Are you an employer? Check the appropriate box: .Type of project(required): . 1.91 I am a employer with 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6: ❑ construction 2.❑ I am a sole proprietor or,partner-. listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, Demolition ' workingfor me in an capacity. employees and have workers' Y P tY 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. 0 We are a corporation and its ". 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their . 110 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑.Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors'must submit,a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have. employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation.insurance for my employees. Below is the policy and job site information.InsuranceInsurance Company Name: U O Policy#'or Self-ins.Lic.#: U� Expiration Date: d % l® eN Job Site Address: L, 6A .City/State/Zip: /V:� 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 and penalties ofperjury that the information provided above is true and correct. Signature: 2- Date: Phone#:" /� (a 7 I 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#: s itioll tab 9535 17 rz RAN SN iJ is K 1 - t e3eRi i rat aid?will.. S awl to pmolpss z w• 9 JV !I"ttrl- I C t.1r LI tE tl.[ [ 1( ttV Utrtf [ ..0 OP ID PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bunter Insurance, Inc. HOLDER.THIS CERTIFICATE.DOES NOT AMEND,EXTEND OR 389.Old River Road, P.O. Box 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RZ 02838-0001 Phone:401-769-9500 Fax:401-769-9502 INSURERS AFFORDING COVERAGE NAIL# INSURED Moon Associates Inc. INSURER A: National Grange insurance Co 14?$$ DBA Gutter Helmet DBA Renewal b Andersen of 'RI INSURERB: Seacon Hutual Trw-=anca Co. DBA Gutter' HeyMet Roofing INSSLI RC: DBA Moon Works - 1137 Park East Drive INSURERD: AToonaocket RI 02895 IMURER E COVERAGE$ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIP.EMEN.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PRAY PERTAIN,THE IN.AIRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDMONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY WAVE BEEN REDUCED BY PAID CLAWS. NK LTR NQ TYPE OF INSURANCE POLICY NUMBER RATE R NNDDiYYYY) DATE(MWDA-A ta-t-EC11 RUN- LIA9TTS GENERALLLIBIL[fY EACH OCCURRENCE $1000000 A X COMMaCIRL GENERAL LIABILITY MPS26619 09/16/09 09/16/10 PREMISES(Ea=e) $500000 CLAIWiS MADE ®OCCUR ACED DXP(Any one person) $ 10 0 0 0 PERSONAL B ADV INJURY $ 1000000 C-ENERRLAGGREGATE $2000000 GEN'LAGGRERATE LIMIT APPLIES PER: PRODUCTS-comp/op AGG $2000000 PRO- POLICYJECTLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO BIS26619 09/16/09 09/16/10 (Eaecdclent) $ 000000 ALL Q I`IED AUTOS BODILY INJURY $ aCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per aocldant) PROPERTY DAMAGE $ (Per w6dart) GARAGE LIABILITY - AUTO ONLY-EAACCOENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $2000000 A X OCCUR FI CLAIMS MADE ' CUS26619 09/16109 09/16/10 AGGREGATE $ _ DEDUCTIBLE $ IX RETENTION $10000 $ WORKERS COMAPe4MMON X TORY LIMITS i Eft AND EMPLOYERS'LIABILITY Y I N B ANY PROPRIETOWPARTNERIs(ECUTIVE ❑ 28586 10/01/09 10/01/10 E.L.EACH ACCIDENT $500000 OFFICERMEMBER EXCLUDED'? (Mandatory in NH) E.L.DISEASE EA EMPLOYEE $500000 It yes,describe under E.L.DI'EASE-POLICY LiM1T $5Q0000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION RETIEWAI+ DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 . DAYS WRITTEN ' r4aME TO THE CERTIFICATE TE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Renewal BY Anderson REPRESENTATWGS. 1137 Park East Drive AUTHIOR REPRESENTATIVEWoonsocket%R1 02895 I. ACORD 25(2009M) Q1%8.2W9AC0RDC0RPORAT1ON. All r4ft rued LA cA R "newal U ��/�/ de Customer Name: 1� ,t t } ��/�r� [,.J�/ '�'�1J� J Year Builc: ��?� Renewal b Andersen Sales Agreement Address; SS G! Customer ID#; 1137 Park East D irive of RI,C1;&Cape Cud (� � City,State.Zip; h I d Order Number: Woonsocket,RI 02895 hneotihv SOLACEMENT an AndenmC�q ar Phone-Home: Phone-Work: Page:_of Date: liecnre#RI-30839 Rl-12259 MA- Email; 119535 CT-562725 UNITS Tadadeal Measure oimuiAom / /U ff �BhLG_ GRILLES to Room tpum 8 $_ ! L I =roe a �s � i oilt � t i, $ � g g &I INS sus L G ' s eL 5T D3 •2 w — s Poi gr 3 2-7 I Wr6 { Co s 3 � _ roL ST 21 z3 Y K ON Y-4 0- S aleWlt 3 X3 �r Propoaalt nit er�aa,ve,rexie e,uW door m br rn+�i kri�r WOW „the ,.•i M �V}t�ell nr ar C� to o rtaes i Sub Total e.P ti Pro1 vaMl fiu;ul m it fabieee to feeepiwre by butlt<yr oaf Renewd try A.niarsrn�taneRsr m {]mfn n M d D"d Nam $Trice S sub Total WX v Stu llI/ /"/Y Cu ilpr+al cries s nr„n Sub Total Wft"a C.H. ,,,e� erbr a,nanie«h m iblr�h ra cmabrw.wt tout. D ,�gCcs�ne c �i -- +Rt for.hi<b�eceunJcnppred�r,o fir armum atrtpl6,ttar agtcttta!ru frW accWw.b' wr�inehrnc,f. Mint.6ad{k W 6tpRnflf this I:evetSe Side for Terms,and Condl o�of Sale.You,the b �aaee x r ofthe d see at any ti. dor to midnight of the third businesusrd�ay�a#ter i !��/�I� Q� W6.. Total /` this ion a See attached of cancelLhdon for an AeeaptW Q 0 Tort ML—ft neous Qcclia or Expmsa Salta Tax L e49a arm G*" C (cmy~rent to n,ye.ctedh!atpm.ooiumn u dshd Work parmti CM AdOr"Oran ftmAtudied Accepted l •/^�`'� WY/H cbdffa Mq� ry„e Special order Net" Twat amoHft or Agretoo" � ffdo om smn.oan Nnw,va[by Aa�nen Mmrgcr Vrypnawue Y l�/ ti F7�t DeposkNeq*edNY aeam�alarimre rem un ae ate.bk m,tpeianaoftwdtnAdtffww ueeendnmpslroPta d.y ,�^i atialanae Des on CompleponU Customermawaermxd, a,he do diM�b�an+o nia debm�ee rrkc irrclnda tabu..material..inirall+dnn. Customer r.moeraidwewCdpnrawnewwtrmomam XYow-InsiafWdw, ri,dc• hmeian: m aro nro tam,Sea whifp-pnwwal by ilottceemtrer removal•and aiepoml of produces teptxcd. aCC 823/ TOWN .OF BARNSTABLE Permit No. ___-___-�__ 4 e - . t 3.Un.,� a Building Inspector cash ----____---- ' t OCCUPANCY PERMIT Bond _= 1' No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to m Constructim CO. Address South Yarnouth, MA l ot- -1 U 1;7 C cs ri rrl p_ Fliraxani a Wiring Inspector Inspection date X. . Plumbing Inspector r Inspection date Gas Inspector i ` 1 Inspection date y Engineering Department � �✓.�-C-*-�% ,.�'��:�.-r� Inspection date" --,-,,_.. THIS PERMIT WILL NOT BE VALID, AND_THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 1/7 .,,-/f...................... 19. Building Inspector - • Y eta}'• A. +�e + I ..5 +, •" ; - � ` jr •s ,(�• . .. •. ,.. � - �. AD r 4. ,.. uj , s 41) �Ld ,+ .'�_.��.+-.-_�".- .. -_ 4 _.." ..,�_a..._ •,. .a .��..s ' _ .,- _ ... .. -, ..._ ._� - ..a_ _ .� _.• - __� f ssesor's map and lot number 3 1.Q / a Sr--PTIC SYSTEM MUST BE a 6 Sewage .P,e�mit number .......... —,..�.....�....................::............. INSTALLED IN COMPLIANCE WITH ARTICLE II STATE OF THE Tp�y w TOW 1�I O.a." "BA R 1 r S T,N4 l m 'RIDE AND TOWN Z BAHHSTADLE, • �,.' "6 9 �t� ILI- ,G- INSPECTOR MpY a,e - �. ' ' APPLICATION FOR PERMIT TO .................. Bu . .....:a'�d,/.,7 ...::.<.......................................'.......................................... TYPE OF CONSTRUCTION ...........+.......WQ,4a,.Frame.PWQ,lling.... .......................................................... ..........1.0.-1,9.........................19....7.8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .nn..........compass Circle. Hyannis.'...Ma.'................................. ................................... ProposedUse' ...........................Dwelling......................................................................................... .....I......................... ZoningDistrict `........................................................................Fire District ............................................................................... Name of Owner `.......... ...�..�....&Pk�.. <Z&4..1�8dress ...��c-�u::�'�..... ..�1�. .................................. Name of Builder .. �......./.::`.. ....................Address ... .lit. �..fQ.E? . Nameof Architect .................... -::—............................:...Address ................ .................:....................:........................... Number of Rooms Foundation Concrete — Full ................................. ...................... Exlerior White cedar Shingles...,Roofing ...............Asphalt Shingles .................................................................. ................ Floors ............................. P t .......................................Interior ................ .................................................. Heating Hot water Oil Plumbing ................................................................................. .................................................................................. Fireplace ........................One..................................................Approximate Cost .. ........................................ Definitive Plan Approved b Planning Board ________________________________19_______`. Area ......�3W.. pp Y g Diagram of Lot. and Building with Dimensions Fee as f SUBJECT TO APPROVAL OF BOARD OF HEALTH I 0' �{f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � 9 Nam .A �. �� .... e Theo Construction Co. ` | / 20823 | ~-'— -- - - —' — - ' ---- -- ---- . oua ono —�� .�.�— Permit for ------.��--' ° single familydwelling /----..�...................................... � . . . ^ Location .........52. �.. —_---.. | ` . ~ . . ---~.---..RX�I�i�.'`-----..-----. Theo Construction __________. ..Co..__.. ~ .. Type of Construction .--.---.��----. - ^ -- -� ~^ �__,_�,,___,______^_.__ , ._�____ ' ' ~ | + Plot —/.`--...--. Lot ----��---. .. � ~ Permit Granted ..0ovember..16 Permit __ ............lV 78 ^ " D6ta of | l� � ' Inspection ---. . 41 "°'= Completed = = ^~ / ~ . � . � PERMIT REFUSED_ ...—.—'---.-.—...-.—.—.----.—. 19 � /Al _____...__,____._.___________. .. ~�--'—~'--~'~^^^—`^'~'�—^'--~~^':................... ...----^--.---.-.--.---.^...'..~.~... .---.--..—.—.--.....,....,—.—.~.,...... . Approved ................................................ lA ~ .---------.—.—...,,--.---.—.----. � " . . / ----------,---------,.---.... . ` ^ \ Assessor's map and lot number ... ......`................ ....f...... Sewage `P&mit number ...................k ..-............................ yoF7NE'To�y TOWN OF BARNSTABLE Z BARNSTABLE. i a "6 0 AIPY BUILDING INSPECTOR � l I' APPLICATION FOR PERMIT TO ...................Bui...... ld .................................................................................................... TYPE OF CONSTRUCTION ...................Wood Frame Dwe1.1 i.ncT ......................................................................................................... ...........!.0.-101.........................19...7 S TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location r' 4- Compass Circle, Hyannis, dia. ............................................................................................................................................................. ' Proposed Use Dwelling ............................................................................................................................................................................. j . Zoning District ........................... .......................Fire District .............................................................................. Name of Owner ! /i r` � .... ! .*. ... !..Address ... *<�: .. ...�...: ..,H .................................... r Name of Builder C!�`' �....................Address Name of Architect ...................Address .................. ........................................................... Number of Rooms i`..............................Foundation Concrete .. Full Exierio. White cedar Shingles ...Roofing ...............Asphalt Shingles r ....................................... .... ` ..................... ...................................... Floors carUets '.....Interior ............:..D.rvwal.1................................................... ................................................................................. t HeatingHot t+Fc1t...r 0]..........................Plumbing /,�;"................................................................................................................... ................. Fireplace .................I......One..................................................Approximate Cost ..$22 ,000 .00 Definitive Plan Approved by Planning Board --------------------------------19_____--_. Area ........p.$0....................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i . I ' I t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. e Name f...... ...... Theo Construction Co.- A=310-399 i No ...,,2a823 Permit for ......�one story v I ............. x single family dwelling i ............ .: ............................................................... Location .........52 Compass Circle I ...................................... t Hannis ' Owner .......Theo. ...Const. ruction Co. ...... . ...... ......................................... Type of Construction frame.................... k Plot ............................ Lot .... (-:L:5 A............... November 16 78 Permit Granted ........................................19 r Date of Inspection ................ ...............19 Date Completed ......................t..............19 y PERMIT REFUSED ................................ d��, .. ...... .r... .. r ....... ..... fi............................... i ............................................................................... Approved .............`................................... 19 ............................................................................... ..................... ......................................................... t