The URL can be used to link to this page

Home My WebLink About0026 CONNEMARA CIRCLE r ( �__ _. `.�� . - .__._1 G_ ,- ram,_' - __ ._ •_ +tL 9, � � - - � - a ` � � * � • _ _ 5..: ` {.;�; e a 1... r ^ `� '.. .z • .. � 2, _ [ .: t �. , � L _ `i. - ,+ �. r n � .. _ �S Tr Message p Pagel of 1 Roma, Paul From: Perry, Tom Sent: Tuesday, June 28, 2011 11:56 AM To: Roma, Paul Subject: FW: THE IRON HOUSE, INC. -----Original Message----- - From: Ormont, Estee (SCA) [mailto:estee.ormont@state.ma.us] Sent: Tuesday, June 28, 2011 11:04 AM To: Perry, Tom Subject: THE IRON HOUSE, INC. - Tom - Call me after 11:30 —1 spoke with them and I am faxing information for them to comply with the law. However, you can still proceed to sent your complaint. Estee Ormont,Program Coordinator ' HOME IMPROVEMENT REGISTRATION/COMPLAINT DIVISION G Office of Consumer Affairs&Business Regulation The Transportation Building �cL Ten Park Plaza, Suite 5170 Boston,MA 02116 Tel#617-973-8738 Fax# 617-973-8799 r estee.ormont@state.ma.us . p 6/29/2011 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 C S ca 10-9-14 Town of Barnstable Thomas Perry CBO Building Commissioner , 200 Main St. Hyannis,MA 02601 a °' RE: Building Permits V Dear Mr. Perry, , e This affidavit is to certify that all work completed for 26 Connemara Circle,Hyannis has been inspected by a certified Building Performance Institute-(BPI) Inspector. Ceiling: R-38 cellulose& R-11 cellulose under decking Basement: R19 fiberglass in box sill and R-10 Thermag on foundation walls All work performed meets or exceeds Federal and State Requirements. q Sincerely, F ' William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 ( Parcel a� 9 Application # Health Division Date Issued I`^^J?'� � r Conservation Division Application Fee Ap, b Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address a•b COAn ma-0. CIO re�8 Village�4_ o�'S Owner Leap-fir Address Telephone 01 3 Permit Request i d �' I and �' y CL I'% (e 5 C —4-6 Square feet: 1 st floor: existing proposed nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 Q 0 Construction Type 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: ❑Yes ❑ No On Old Kings ighway^ 7 YQ ❑ No y � Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other '0 C> Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ff) ' Number of Baths: Full: existing new Half: existing u3 Number of Bedrooms: existing _new ra Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ 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: s Zoning Board of,Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION v (BUILDER OR HOMEOWNER) Name rl 1 CCILLACY IC&Ae docveT C, Telephone NumberSB �gg b�4 — Address 4UIIfTi f14+q tn.!7V-18 License# G 0 �- b 5w4 Y"a r M Mf OU 6 Home Improvement Contractor# l Worker's Compensation # W IAAC,3V S S 6 33 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO oN`tri6� SIGNATURE DATE f j FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: 4` FRAME INSULATION , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t: GAS: ROUGH FINAL ti FINAL BUILDING. DATE CLOSED OUT ASSOCIATION PLAN NO. w 'z y��y 1 r Housing �� ,® Assistance ll Corporation CW cod HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I G io� hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping & caulking of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the Weatherization work to be done at my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform Weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the Weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner(signature) Home Owner email: Date: <Q1 Agent: (Signature) ��' Z,/-- / 7` Date: HAC approved Weatherization Company: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction `i The Co:nmonwealth ofMassaehusetts 1lepar&zent of Industrial Accidents Office of Investigations - firs ,rF 1 Congress Street, Suite 100 7 '' - ,� Boston,MA 02114-2417 . www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legible Name(Business/Organization/Individual): Cape Save Inc, Address: M_Huntington Ave _T City/State/Zip: South Yarmouth. MA 026f34 Phone'#: 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with 4• 1 am a eiteral contractor and I U g 6. New construction' employees(full and/or part-time). have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed oni the;attached sheet. 7. emodeling. ship,and haw no employees These sub-contractors have & Demolition working for me in any capacity:: emplovees and have workers' comp;. insurance 4 9. ❑-Building addition [No workers corrm'insurance 1Q.Q:£lectrical repairs or additions. required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner:doing all work, officers have exercised their 11.0;Pluzrmiitg repairs or additions myself. [No workers' comp; right of exemption.per MGL. 12.Q Roof repairs insurance required:]t c. 152, §1(4);.and we have no employees.[No workers' 13.®Other Insulation. comp.insurance required:.] *Any applicant that checks box#1 must also fill out die section below showing their workers'compensation pokey information. t Homeowners who summit this aff idavit indicating,they ar11 e doing all work and then hire.outside contractors must submit a new affidavit t iindicating such. Contractors that check this box must attached an addilionatsheet showing.the name ofthe sub-contractors and tAte.wliether or.no t 1}tose'e'ntities lt2ve employees. If the sub-contractors have emplovees,they must provide their-workers'comp.policy numbtf: 1 am an employer that is providing workers'eontpensaton insurance far nzy employees. Belaty is the policy.and jobsife information. Insurance Company Name.: Wesco Insurance Company Policy#or"Self-'ins.Lic::#. WWC3085633. _ _ Expiration'Date: 04/09/2015 Z C' t. Job Site Address: o A Q�'.M R I -. C'r0 City/State/Zip:_ Attach a copy of the workers'compensation policy declaration page(showing the policy number nd expiration;date). Failure to secure:coverage as,restored under Section 25A of MGL c. 152 can lead to the imposition of criminal-penalties of a fine up to$I,500.00 and./or one-year imprisonment,as well as civil penalties iii 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 fol insurianc,el coverage•veritication: 1 do hereby certi under the ains and`:a»allies of er' that the in orinad6n provided above is true and correct S:iznature: _ _ Date :. Official trse.only_. Do:not write in this area,to be comploed.by city or town official. City or Permit/License;# Issuing Authority(circle one); E I.Board of Health 2.Building Department 3.City/TownClerk 4.Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person: __ -'hone.#: ,4co CERTIFICATE 4F LIABILITY INSURANCE °ATEiMMmO"Y"' 4/14/2614 THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT`AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT`CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poiicy(ios)must be endorsed. If SUBROGATION IS WAIVED, subject`to the terms andd-conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement.s. PRODUCER NA O ME:." Colleen CrOWl@]/ Risk Strategies Company PHONE )986-400 4420( 1 A/ No: 15 Paeella Park Drive AppgEss.ecrowley@risk-strategies com Suite 240 INSURERS AFFORDING COVERAGE NAIC p02368 i . Randol h M& 02368' INsuRERA:Selective" Ins.. of America. INSURED INSURERB:Safet Insurance C any 33618. Cape Save, Inc INSURERc:Wesco Insurance Company 7 D Huntiagt+on Ave INSURERD: INSURER South Yarmouth M& 02664 INSURERF COVERAGES CERTIFICATE NUMBER:CL1441475243 REVISION NUMBER: THIS IS TO CERTIFY THAT THE"POLICIES OF INSURANCE LISTED BELOW HAVE BEEN""ISSUED TO THE INSURED NAMED ABOVE.FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION"OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN;THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LlmrrsSHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. 1NSR - -" - -POLICYEFF' POLICYEXP LTR TYPE OF.INSURANCE INSR wvn POLICY.NUMBER MMIDDNYYY) (MMLRPA= LIMITS GENERAL,LIABILITY. . .. _.. EACH OCCURRENCE $ 1,:000,000 X COMMERCIAL GENERAL LIABILITY MMME TO RENTED PREMISES(Ea occurrence) $ _ 100,000 A CLAIMS4 ADE ❑X OCCUR S19944110 6/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000" PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $. 2,000,000 POLICY X FRO X _LOG $ AUTOMOBILE LIABILITY lEa COMBINED SINGLE LIMIT 1 D00 000 c B ANY AUTO BODILY IINIJURY(Per person) $ ALIOWNED "X SCHEDULED 208200 ll6/2013 1/6/2014 BODILY Pereccident $AUTOS AUTOS " l ) X X NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS I Per acc(dent $ X UMBRELLA LtAS X OCCUR EACH OCCURRENCE $ 1,060,000 A EXCESS LIAB CLAIMS-MADE' AGGREGATE $ 1,000,000 QED I I RETENTION.$: NIL 1994480 0/16/2013 0/16/2019: $ C WORKERS'COMPENSATION Officers Included For +nCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN x OR ANY PROPRIETOR/PARTNER/EXECUTIVE overage OFFICER/MEMBER EXCLUDED? N N/A. El.EACH ACCIDENT $ 50.0 000 }9/2014 /9/2015(Mandatory In NH) 3085.633 E.L.DISEASE-'EA EMPLOYEE $ 500,000 Ifyyees describeunder OESG`RIPTION OF OPERATIONS below E`.L:DISEASE-POLICY LIMIT $ 500,060 ' DESCRIPTION OF OPERATIONS/LOCATIONS MEHICLE$(Attach ACORD 101,Additional Remarks Schedule,ii'mare space Is required) Issued as evidence of insurance. Issued as: evidence of insurance. Thielsch Engineering; Ina. is listed as additional insured as respects General Liability As required by written contract. CERTIFICATE:HOLDER CANCELLATION msong@capelightcampact.Org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED IN Cape Light 'Compact ACCORDANCE WITH THE POLICY,PROVISIONS: Attn: 14argaret song PO Box 427/SCH AUTHORIZED REPRESENTATIVE 3195 Main Street Barnstable, MA 02.630 chael Christian/CLC ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION: All rights reserved. INS025(2o10os)-ol The;ACORD.name;and logo are registered marks of ACORD KZ % Office of Consumer Affairs Arid Business Regulation 10-Park Plaza ,Suite 5170 Boston,"1Vlassachusetts02116 - -Home Improvement Contractor Registration Registration: 171380. CAPE SAVE INC _ WILLIAM McCLUSKEY .' 7-D HUNTINGTON AVENUE SOUTH;YARMOUTH, MA 02664 ,TM ?_?> r �^ . 'Update Address and return card:Mark'reason for change. Q Address Renewal :Employment :Lost Card . ..SCA1 0_:20M-05/11 .. Office of Consumer Affairs&Business Regulation,,-' �{ License or registration valid for indrvidul use--only, OME IMPROVEMENT.CONTRACTOR. : -before the expiration date. 'If.found return to: t egistration `17t380 Type:.-- E Office of Consumer Affairs and Business Regulation Expiration �014/2016 Corporation I 30 Park Plaza-Suite 5170 r Boston,MA 02116 CAPE SAVE INC. *r WILLIA.M McCLUSKEY 3 ` 7-D HUNTINGTON AVENUE rf SOUTH YARMOUTH MA 02664 t Undersecretary Not vali �thout signature Massachusetts -Department bf Pubiic S"afety Board of,Building Regulations and:Standards Construction Supervisor Specials License: CSSL-102776 Au'* W ELLMM J MC C)tUSKE 37 NAUSET ROAD West Yarmouth MA Commissioned O6%28%2015 M I R r ,,P,ERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 01/04/12 TIME: 15:51 1 , -----------------TOTALS----------------- PERMIT $ PAID 120.00 ' AMT TENDERED: 120.00 AMT APPLIED: 120.00 CHANGE: .00 APPLICATION NUMBER: 201101906 PAYMENT METH: CHECK PAYMENT REF: 5178 Old �%Q�I�� I�fi�Q- �' �"`-� Town of Barnstable _ p : Regulatory Services Dare: 10 5 �oFTHET°tyy Thomas F. Geiler, Director Building Division Fee' !SBA NSrrABLE'� Tom Perry, Building Commissioner ro,*A-el) iesv �� 200 Main;Street' Hyannis, MA 02601 AlEDN A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNS-TABLE SOLID FUEL STOVE PERMIT Owner: C r i c, -t Phone: —2 —2 Install at: Z �' �e �� Village: AMap/Parcel: Z Date:—3 St A.O�Newksed B. I ype: Radiant Circulating C. Manufacturer: a Lab. No. Z D. Model No.: Chimney A. New/I xisti (If existing, please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? A V D. Pre-fab Type and Marlufzcturer -7 E. Masonry: Lined• nlined ! Hearth A. Materials: x�rr C %t B. Sub Floor Construction: _C e yi r i'<-��„� � �,�, .V Installer cz� Name: � � r�� i, �� Address: S .H 7 7 ' Phone: 3.� _ 7_7 ] ��-7 Location of Installation: "L 6" Ca,, P� C'� H.I.0 Registration # /S$ Construction Supervisor# OR check Homeowner Installing, no licenser quired APPLICANTS SIGNATUKE- APPROVED.BY: Please make checks payable to the Town of Barnstable *This constitutes an of stove permit after inspection, photographed, and approved by the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations _ d 600 Washington Street Boston,MA 02111 www.mass.gov/ditt Workers'Compensation Insurance Affiddvit: Builders/Contractors/Electricians/Plumbers _At3plicant Information Please Print Legibly Nazne(Business/Organizadon/Individual): Z�7_ -_, , i i /J 1iW 7 y{ S City/State/Zip: /-(' �, »%� � OZ 601 Phone.#: 0 - ;'71'- 7 9. -7 Are you an employer? Check the appropriate box: .Type of project(required) 1.�I am a employer with Z— 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 These sub-contractors have 8 ' ship and have no employees • ❑Demolition . �vorkin for me in an capacity. employees and have workers' g Y9. ❑Buildiag addition [No workers' comp.insurance comp, insurance, required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions ' •3.❑ I am a homeowner doing all�wozk. . ❑ , g P myself. [No workers' comp. right of exemption per MGL 152, 1(4), and we have no 12.❑Roof repairs c. insurance required.]f § 13.❑ other employees. [No workers' 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. tContractors that check this box must attached an additional sheet showing the name of the gub-contractors and state whether ornot those entities have employees. If the sub-contactors 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.thepolicy and job site information. / l Insurance Company Name: Policy#or Self-ins.Lic.Tr: t✓C 3 S -3 177 I/ - CJ�_ Expiration Date: /"0z Job Site Address: Z �" �''� -e.-0,7 - ` City/State/Zip: O-L 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 MOL 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 ins and penal s of perjury that the information provided.above is true and orrect. Signature: i ✓ Date: ` l� Phone k SO R 7 7 g.1 -7 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 ✓sze voo,Mo� oy✓vcaaaa view O'ce of Consumer Affairs&Business Regulation License or registration valid for individul use only —' - before the expiration date. If found return to: . = HOME IMPROVEMENT CONTRACTOR , Office of Consumer Affairs and Business Regulation Regisfratioh;-.L— 88 10 Park Plaza-Suite 5170 Expiration M4 2012 Tr# 291750 Boston,MA 02116 Type.jU�Partnershtp � MASS BUILDINGtSYSTEM t� rt STEPHEN BOBOAr ; ` - � - 24 ST.FARNCIS CtRCL�.�� HYANNIS,MA 02601 %' Undersecretary Not valid without signature 1)eit�irtrrscttt.tff-Put►Cac e 13oard of Ruil(littg Rtgynlatl(iiA aiul Stitirtllitdf ...Cotl� auction', u� eA isor.License : , + . re U A4icense: CS- 58987 Ra sited to: 00 YSTEPH�N E BOBOLA 24;t TRANCIS CIR ' HYANNIS, MA 02601 Expiration:.2/4/2012 t rsiert +ietkYer p Tint° 15862 d Town. of Barnstable. Regulatory Services f t uxxsxesr.E, v uAsa $ Thomas F Geiler,Director, Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis;Na 02601 www.town.b arnstable.ma.us Office: 509-862-4038 Fax: 509-790-6230. 'Property OwtierfMust Y ,Complete and Sign This .Section If Using A Builder I, r� /C,c , as droner of the s4ject.property hereby authorize � c��i-c ® �� "'to act on my behalf, in all matters relative to work authorized by this building permit application for Z° O C�eIA, 1-, A_r (Address of Job) Signature o Date", Phut Name :W If Pro erty,C e`r is a 1 'n for ermit ' Ie is tom leteythe ... �? PPYrg P P F Homeowners License Exemption Fonn on the reverse side. ` Q:FORMS:O WNERPERMISSION Town of Barnstable ��oF t�ray ti� o Regulatory Services 9rAB Thomas F. Geiler,Director BARNLMASS. � 16s� Building Division PrFD MA{A Tom Perry,Building Commissioner 200 Mai i-Street, Hyannis,MA_02601 " Rrww.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number strcct village "HOMEOWNER": name home phone# work phone# it CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory.to such use and/or farm structures. A person who constrgcts 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 building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,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. Signatim of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner perfomung work for which a building pern it is required shall be exempt from the provisions of this section.(Scetion 1 D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. 142ny homeowners who use this exemption are unaware that they are assuring thc responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In.this case,our Board cannot proceed against the unlicensed person as it vA•ould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her respormbilitics,many communities require,as part of the permit application, that the hDMrDWner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several tmwns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:hom=xcmpt +4 i ,x °TIC EMPLOYEES TIhe Com-monwe-alth of. ma:s s a,chus etts .DEPARTMENT .OF INDUSTRIAL ACCIDENTS . l Congress Street, Suite 100, Boston, Iv1A 02114-2017 617-727-4900 - httl2://ww�w.mass. og v/did As required by Massachusetts General Law, Chapter 152,Sections 21, 22& 30, this will give you notice that I (we) have provided for payment to our injured employees under the'above-mentioned chapter by insuring with: . T "LIBERTY NUTUAL FIRE INSURANCE CO. NAME OF INSURANCE COMPANY PO Boar 9102 Weston, KA 02493-9102 1-800-762-5626 ADDRESS OF INSURANCE, MPANY - WC2-31S-317211-031 10-03-2011 10-03-2012 POLICY NUMBER EFFECTIVE DAT.HS BRYDEN & SULLIVAN INS (508) 775-6060 I N S u RX7c—T7_A_GENT - PHONE # 88 FALMOUTH RD HYAMIS _ KA ADDRESS OF INSURANCE,AGENT CAROLYN BOBOLA & STEVE BOBOLA 24' ST F'RMXCIS CIR EMPT,OYER ADDRESS -s EMPLOYER'S WORKERS' COMPENSATION OFFICER (IF ANY) - DATE co MEDICAL. TREATMENT . The above named insurer is required in cases of personal injuries arising',out of and in the bourse of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report-of Injury must be given to the injured employee.The employee may select his or her own physician.The reasonable cost of the services provided by the treating physician will be paid-by;the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,- employees are hereby notified that the insurer has arranged for such attention ai the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Insured Copy a M ri t tt •� i f j`yap J'= � .�� ,1.t t r1'tLLI a. cu A i O Town of Barnstable Fennit:THE T° Regulatory ServicesThomas F. Geiler,Director BARNSTABLE, MASS. Building Division F1 39,,t 1` Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 :�� www.town.barnstable.ma.us / Office: 508-862-4038 TOWN OF BARNSTABLE Fes: sob-�90-6230 SOLID FUEL STOVE PERMIT Owner: A Phone: Install at: �� ZJ� Village: . �� Map/Parcel: �� r Date: Stove A. New/Use ro B�,Type: Radian /Circulating C. Manufacturer: E S S� Lab. No. 3 D. Model No.: 3 L�f- i- Chimneyy New/Existing (If existing,plea note date of last cleaning) i,,J lue Size /( h C. Are other appliances attached to Flue? Wasonry: e-fab Type and Manufacturer_e SS S A/Y�1 Lined/Unlined rth A. aterials: 00 Sub Floor Construction: nstaHer II I c_ Name: T CI-43S �Ini4U?��G /MCP 9 Phone: 4a�, Address: PI) �0X a5 ,►�577/C>!�-� Location of Installation: APPROVED BY: s Please make chec payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved F. +by the Building Inspector '' Q:forms:stove " Rev 122801 , r j Uf o kiwiyp* A u R. I 1115—t, •- a r � 9 .teap�`Sc Owl a � ,� ✓�� -N #,�+ yI 34, 'A CDFIt #$ �¢ fog 44 � ,�� d.; r�� Y �✓��i � + �'�"iu�, a qp �� .��. ��Pa'="`�"�� .'CW-i �,m � type11, �4 ¢4ASr.¢. ��+A �Y� k k, 4 rt.dr 8"` n nr Ale sYORK Ai f s A Y ..}lob A • 5*t to 4 Mi is Ato € �i .`fir �� .. '. � #�k� �`� ^"' i e • P .,. tea' rcd.A�.v-a P �'ss�Y 'X"�,2 1 1 illy" 9 ` o , M..W oil r +AF yr, -A �t ^� �� 'Y � '�,.tlf' •� . �.5 vr'~�1. tfi � P 1 fir. ' k 5— � # �'�r . limit 171 #; r r dw a * 3kk �'�� -mod � ,�' � }e�t�c.�. yw �. a �:, � & �,_ x ,' �m � ��qa.°,�.,,•. Y AMP ;�, �.'_�'� `rq �,p� ",a, � +' � �> `� � sin: ; � � z'•: 5 � � C .�� "?_ .raw ��- � 9X.�pT� �$ � •C ,y 3tepgl 1 �.{4 y, s "r co I m } Yt r a i ' � � � �.�'" � '� « 9 •�''. � � .¢ of w a �` 2'; `� � .; PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNI MA 02601 f � DATE:. 10/26/06 TIME.: 10:04 -----------------TOTALS----- - - PERMIT $ PAID 25 0O AMT TENDERED: 25.00 AMT APPLIED: 25 00 CHANGE: _00 APPLICATION NUMBER: 20064150 PAYMENT METH: CASH PAYMENT REF: CASH _/«y < )/}( » ro. { °�� )'Nssessor!jnap and lot number ..........- Sewage Permit number ....U ;MUST B SANITARY CODE AND T'- 1639- TOWN OF BARNSTABEE | BUILDING �� NNN0-0� N ��Nm INSPECTOR N NN �� == � �� mm m =�� M D ' ' (� / Z' _ APPLICATION FOR PERMIT TO .--..��.-.--f�------.--.-.-.-...-----..^...-----...^-..... ' �� f4�� TYPE OF ---'—.-_^,-_.�_��^__.��____.~_._._____,__._____.___ ' . �ux ' --.-' ��.��-.^ --.]9........ � / ^ TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby to the following information: z4 /_ p- /�� Location ��/��---�0��...��.n/Y/��/�/�--./��^^.�-.. ��^��----------------------- ProposedU»e -' /7ks/p/7/k[.le......................................................................................................................................... ( � Zoning District ----.-....--..-.-----------Rre District .--.---..--___________.____.. ` Nome of Owner /l�� A66reo � � ^-'`'f--``'"'--'~=-''='°~" ^--'' �= ^^'''/^^^-'"-"''=----_-^^'-----.--^^^- | Nome of Bui|6or '----'��/»��-----------.A66reu ...........��/h�-^..----.----..--.--.- - Nome of Architect -.IR� ..h vt�//-------'A66res ..... /7^v /J76:t _____________ � Number of Rooms ..............�/................................................Foundation �.� ��.��-.�, ....................................... Exterior .......7-/ /'/--./..... ----------RuoGng --/- 0�.[`-. I |�__________. ` �� iJ Floors --�`/��/�-.��.�^l�.�--------------.'|nK��r ---�.. .. __________`.. : Heating --' ^� ��' /��x ---------------'P|un�,ng --- ............................................ ' � Fireplace ------^--.7( .....................Approximate Cost !--- - Definitive Plan Approved by Planning Board 19--------, Area ___.��cwr �vr� ' ` Diagram of Lot and Building with Dimensions ' .............................................. | ' 4� �- SUBJECT TO APPROVAL OF BOARD OF HEALTH � �L��a«�� ^ -� ' . .^ . . . - ~� � J^ Ku ` � - ` , � | . � ` , ' \ ^ ' - - � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ` Nome \ ..:.- - ^ ��--- _-__---, `----- ----... Gray Oaks Dev Corp. A=2.91-279. No 213g.5...... Permit for .....I..vtory-dwe-l-Ping s t I ............... .................................... v,..........l........ i � Location 10t.A60....2,6••G. . 'onner�ara••Cir�....... .........H. c=is...................................................... f Owner ........ ray...Oaks••Dev,...Carq............... Type of Construction ........wood........................ .............................................................................. Plot ............................. Lot ................................ Permit Granted .:......... u ......19 79 ` s Jucme....22...:. ' ''Date of Inspection .......................... Date Completed ......................................19 PERMIT REFUSED ............. ........................................ 19 ......... :...fir.: � ..... � ; . ................. ............. ...... _a V ..................._ r'•.y`.^...........s......................... ,..� Approved ................................................ 19 .............................................................................. .................... .......................................................... s Assessor's map and lot number ............ ... �......:: � '..:..... THE of rot �. Sewage Permit number ... 33AHH9TADLE, i House number - ............ Mae& .............................. 9� 0 O 1 139• ♦0 TOWN OF BARNSTABLE BUILDING INSPECTOR i APPLICATION FOR PERMIT TO � Q TYPE OF CONSTRUCTION ................ �- ............ Sr /. •�'� .19.. .......�.. ........ .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: tl Location .�! ...........................................� ........................... ........ 'r`.1. . �.5.............................t: ......... ... Proposed Use ......�..?:..5.!�'''- ri ............................................................................................................................................................ ZoningDistrict ..........................................................................Fire District .............................................................................. Name of Owner .........Address ...i �)/r:" . /?/;.�..................... r w� Name of Builder . kk ........Address ........... Name of Architect ..../S..:.... ...............................................r� . .J� I Address ..... 3.. ,......<:........d.r.y../..../....f:... . .......................................... Number of Rooms ........................I.......................Foundation .. '.�..` ../.' .............................................................. Exterior / / / " S Roofing l 1 J �f N i ........... ................................................ Floors ...... �€ C �r Interior ' «?5:: ..................................................... ........ ........................................................... Heating ........ ...<':..yL....................................................Plumbing .........f........;.f: ................................................. Fireplace ...............................y�.c drir...1`Ifs li: �......................Approximate Cost .... ., ........................................................ t Definitive Plan Approved by Planning Board ---------------_---------------19________. Area .. -n. -. �.... . Diagram of Lot and Building with Dimensions Fee a................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ' f I a r , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ; Name _..- ... .... a...se,...;.s-:-s�i4+:%:1..x�.�G'L.�a.:A:ss=.usssl�ai.ibistl.:k�.�c..A.:.:C.a+...::.....�.a..y,a.•...-..,r:•. .. _...:..... .. .:,_ .� . _-.. .... .. .. ... .. ... _. Gray Oaks Dev. Corp. A=291_279 � � . , No ..... Permit or A AgQrVCir � -----------'J��------ _ Jot # 60 2� Location ---'`-----��-----'�^--^----'------ (� Dev.Permit Gr anted (.1unpa....22........19 79 . . � )................. ERMIT REFUSED Approved | � � � ' � ................................................ lQ -------------~--'-----'---' ---------''-----------^~'—'— L_ �� TOWN OF BARNSTABLE Permit No 2131)15 _ ti I VARISTAIM Building Inspector,. ♦ .rua 8 Cash �------ OCCUPANCY PERMIT . BondJJJ--- "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 tQ Gray Oaks Development Corp„Address Hyannis lot. FlAn/ ;>h rnnnz naar.!;4 r i rrl a_ tivanni a Wiring Inspector Inspection date 1 G Plumbing Inspector Inspection date ` Gas Inspector Inspection date Engineering Department �� t" /��/11i��1�� l� 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. _...._y ._..._, rBuilding�Inspector __ v i� ,,,°�y' "w,rrRaw;.•'+ � � * �.•�.� -�^°�a v t�. � .. -r.:4a �,�.` *zi ., ,�,r '�� a'�:m 4#'eL iks kT'�'1 = ! f•' 4,L tMi L: 1 j'+1`#y�rl 5 ,OR.S . q•. ( - e °e to E Lo•M a fi« �•� ie u•z ;x � t ,11 t714`M & 3 4'C.I. v- DIST. A I $ ,.. : n�Ir •e l P .6 _ JStq,.S 1000 BOX I I.000 I O'MIN. GAL. i PRECAST �OR o 24" SEPTIC TANK , BLOCK-'—- ;I MIN lul 1 I•'"I - , TAN � 6 ° SEEPAGE •i uPnFDII�M SI I;•'A8° PIT wtR1 rc 20' MJ N. -----'i• L ..�Iw —------- •III � � - -.,FOUNDATION _ I I I/2" WASHED STONE�� I10 WA-Y�..h ELEVATION SKETCH ir-- Io' —I , PERC.RATE= uhOFS 2M'.a/iHCH SCALE I"=4 TEST BY TOWN INSPECTOR P GAA UMF I` BACKHOE OPERATOR: SULLIVAM GAR DEL TEST MADE ONE TAN .. '�sv^: Ndti•`O.. xJ.4S ..C7;'ir—�_1/.. :y.F//:�,�;!' ..y.� .TUf/m .d :-ly /;.�/1:•ery.%.dt ::.D!.r..:.)t'u yL. 7'.NE GC•'.�✓//7/ � -t!Ii.•!.k .^2C� ;:.:•��,r,,..lJ6 Ji 7"-S :�^ Tti:. . r �' ✓ i oj i \t 0 -- nj 86 '93'-00"E _ /09\ r7C� y n�; L 109 _ N•a ba L7T - LCT 0 v t -+, 61 59 tV 11Ja -' r•J' O l N ct icy 1A I 10� _107�� / %Oro 10 10$ - - 3 La"F '.o f � 1a9 Lo r - n� u I0A 0 - 1 �Ip1 Icy �4 107 —, ��`��ii� toy , l05sk L.j//7�>... gA.tn[✓�lui.� UNi�.y Fc..o.., Fa.e. T/a�; .Syr-F M. . ... Ji'JE wh1�43 l,8 ., zcac./sF 1 47.0 GHc /vAi -7a n:c ZG 7 S,F 59 (7 iic.w 4y, 3)To TrJ2 A ,q gGCC To Tans c ?T, F` ELEVATION SCHEDULE ":7 PROPOSED SITE PLAN I. INV. AT FOUNDATION =�/07,�j.• a 2. INV. INTO SEPTIC TANK _ /a7i-i SEWAGE SYSTEM DESIGN DN 3. INV. OUT OF SEPTIC TANK, _ oG•87 LOT EAU CONNEI',iARA CIRCLE 1-1 4. INV. INTO DISTRIBUTION BOX _ lOS,77 E: I"=NNI`., p�'a , ' - SCALE �� <.i' F-.,i-< 1979_ S. INV. OUT OF DISTRIBUTION BOX C- 6. INV. INTO SEEPAGE PIT - =/oG•So CAPE COD SURVEY CONSULTANTS e ROUTE 132 7 BOTTOM OF PIT HYANNIS,MASS. -