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0454 CRAIGVILLE BEACH ROAD
��'Y C��� v i 11e�e��►�cl. Town of BarnstableBuilding , BAFOM t Post This Card So That rt is Visib` � le From the Street Approved Flans Must be�Retamed onJob anddth�s Card Muni be Kept 6"� Posted Unt>I#;Final Inspecti6 Has,Been Made �� �q � •�peeqq� �• . 3P 4.� uF $i', e X ...,t S ', LtFi-' r p y� ° :Where a<Certificateof Oceu anc fs Re.aired°such'Buildm shall Not beOccu ied;unt�I aF�na#Ins eMion.has b enrria�de" i �l1t Permit NO. B-17-3339 Applicant Name: INSULATE 2 SAVE,INC. Approvals Date issued: 10/04/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: ' 04/04/2018 Foundation: Location: 454 CRAIGVILLE BEACH ROAD, HYANNIS Map/Lot: 246-073 Zoning District: RB Sheathing: Coritractor`Name: INSULATE 2 SAVE INC. Framing: 1 Owner on Record`. WEBER,ERIC N&ROBIN LLOYD g Address:. 392 W 2ND STREET Co ntractor'License '-180747 2 BOSTON,MA 02127 Est Protect Cost: $4,521.00 Chimney: Description: Weatherization Permrt Fee: $g5.00 Insulation: Fee Paid $85.00 Project Review Req: r -� Final`. Date ° 10/4/2017 Plumbing/Gas .. � . ....- , -' Rough Plumbing: tr_ Building Official A Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six'months afterssuance. Rough Gas: All work authorized b this permit shall conform to the approved application and then roved construction documents for which this permit has been ranted. Y P PP PP PP P g Final Gas: All construction,alterations and changes of use of any building and structures shall,be incompliance with the local zoningby�lawsand codes. z � This permit shall lie 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 are prov ded on thispermit. Service: Minimum of Five Call Inspections Required for All Construction Work: w i Rough: . 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOINN. OF BARNSTABLE ,E 71 Map Parcel Application Health Division i �_P ° 7 3 P: 46 Date Issued Conservation Division Application Fee Planning Dept. i 1a'j ""]�`v"1'°^� _ Permit Fee k.r Y R Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Ll!�-y Crais v41,c Berth IR-d l ) ky An;xam4 HA Ol-&-7x Village W eS� N�j2nos' joo* M�4 Owner 5n,G L✓L Address 9;-V 6,?,Jydte &-cA Rdi IJ N11,a1►�9v4 h4 02, Telephone_ (017—777 I — 7 8�►� Permit Requestrr�1_ r1 G2low z��( I--e:5r (X dn-r R ~kY hr •. a f-11-11t � 2co2sS t��c��� {� �,r�►2.ry�'hose w rac# Flxp� 2.4 er ES1 ln� t� covwnn wd 1�, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati*Ifs-1( a 'F) Construction Type Lot Size Grandfathered: ❑Yes ❑ No If es, attach supporting documentation. Y pp 9 Dwelling Type: Single Family �' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Areas .ft. Basement Unfinished Areas .ft Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION ~ (BUILDER OR HOMEOWNER) Name 90 f; Telephone Number �,�Mg-6Ze?— le loco Address ( (O Crc-c-S¢ License # U 3 �(n f,yl l nA Home Improvement Contractor# 13-0A7 Email a���a,r.�r�.s�� Sa�.e,nx��' Worker's Compensation # Xws S(O Y117 Y/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "6M- Sevww 10Y0 ,A%o-a-4-4 1:;I( K-i ycr /h,4 O 1-7 d-O SIGNATURE �� ( �----- DATE mil' �- FOR OFFICIAL USE ONLY ti APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE ,.7 OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE l ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. DEBRIS FORM In accordance with the provisions of MGL c,40,s,54,a conditlonrof Building Permit Number is that the debris resulting from this work shall be disposed of to a properly-llcensed solid waste disposal facility as defines!by MGL c. 111,s, 150A, This Debris will be disposed of In: Republic Services Dum ster: 1080 Airport Rd Fall River, MA 02720 {LOCATION OF FACILITY} Signature of Permit Applicant Date IF DUMPSTER IS USED IN EXCESS OF SIX (6) CUBIC YARDS A PERMIT FROM THE FIRE DEPARTMENT IS REQUIRED k FOR COMMERCIAL,INDUSTRIAL,INSTITUTIONAL AND MULTI.-FAMILY RESIDENTIAL OVER 20 UNITS DEMO, RENOVATIONS OR ALTERATIONS OF THE EXISTING BUILDING: CIRCLE ONE **.HME YOU.SUBMITTED THE AQ06 NOTIFICATION TO THE MASSACHUSETTS DEP? YES NO The Commonwealth ofltMassachusetts x Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WiTH THE PERMITTING AUTHORiTY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): Insulate2Save Inc. Address: 410 Grove Street City/State/Zip: Fall River MA 02720 Phone M 508-567-6706 Are,you an employer'Check the appropriate box: Type of project(required): I.E 1 am a employer with 20 employees(full and/or part-time).' 7. New Construction 2M I am a sole proprietor or partnership and have no employees working for me in $, .Remodeling. any capacity.(No workers'comp.insurance required.] ❑3.01 am a homeowner doing all work myself.(No workers'comp.insurance required.]t 9. Demolition [�4,F f am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.C]Plumbing repairs or additions , 5.a t am a general contractor and I have hired the sub-contractors listed on the attached sheet. ]3:M.Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 14.QX Ot]leY Insulation 152,§1(4),and we have no 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. 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 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. Cam an employer that is providing workers'compensation insurance for my employees. Belo iv is the policy and job site information. Insurance Company Name: Liberty Mutual Insurance Policy#or Self-ins.Lic.#: XWS 56418741 Expiration Date: 12/10/201 T Job Site Address: "k kd City/State/Zip- ' I /'1A_01-to 7;L Attach a copy of the workers' ompensation policy declaration page(showing the policy nummbeY and 6piration date). Failure to secure coverage as required under MGL c. 152,§§25A is a criminal violation punishable by a fine up to S1,500.00 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I Ito hereby certify under it s XP e ties of perjury that the information provided above is true and correct Signature: �'" . . Date: h�ll Phone#i 508-567-6706 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#: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MapAl c husetts 02116 Home lmprovemen�C ,tractor Registration Type: Corporation z Registration: 180747 INSULATE 2 SAVE , INC. W Expiration: 12/28/2018 410 Grove St Fallriver, MA 02720 w Id 9�r�gM S 0 Update Address and return card. Mark reason for change. 3CA 1 0 2OM-05111 Renewal,•,Employment 0 Lost Card C��e�nanzirrio�zu!na�ll a� .�raau�uQ�l� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: . e°ia ration Expiration Office of Consumer Affairs and Business Regulation 12/28/2018 10 Park Plaza-Suite 5170 ` Ix .Boston,MA 02116 INSULATE 2 SA V •;iN. % ' Roland Langevin. � ( 410 Grove St Fallriver,MA 02720 ' Undersecretary Not valid without signature a ## " Commonwealth of Massachusetts 1 Division of Professional Licensure Board of Building Regulations and Standards Const, t�i�i�`9 rvisor CS-103861 ' ites:08124/2019 I " ROLAND LANGEVIN 66 HIGHCRE5 FALL RIVER MA�02720 Commissioner DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 712/8/16 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and 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 CONTACT NAME: Anthony F. Cordeiro Insurance PHONE 508 677-0407 AX No: (sDe) 677-0409 171 Pleasant Street EMAIL ADDRESS: hsouza@cordeiroinsurance.com Fall River, MA 02721 INSURE S AFFORDING COVERAGE NAIC# INSURERA:Liberty Mutual Insurance INSURED INSURER B: Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURER D: Fall River, MA 02720 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXP LTR TYPE OF INSURANCE ADDL-Mk SUBR POLICY NUMBER MM/DD1YYY MM/DD/YYYYY LIMITS A GENERAL LIABILITY y Y BKS 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE MoccENTurrence) $ 300,000 CLAIMS-MADE 5Z OCCUR MED EXP(Anyone person) $ 5 000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PROT LOC $ A AUTOMOBILE LIABILITY Y Y BAA 56418741 12/10/16 12/10/17 EONIBINde )DtSINGLELIMfT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS Per accident $ A X UMBRELLA LIAB X OCCUR Y Y USO 56418741 12/10/16 12/10/17 EACHOCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,,000 DED RETENTION$ $ A WORKERS COMPENSATION XWS 56418741 12/10/16 12/10/17 X WCSTATU- OTH- LIM EMPLOYERS'LIABILITYTS ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DYSCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) "For Insurance Purposes Only" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: P ' 1 RISE Engineering ENGINEERING 5 Dupout Ave,South Yarmouth,MA 02664 508-568-1926, FAX 508.-568-1933 CONTRACT Page 1 PROGRAM NGCC-HES ERED INTO BETWEEN RISE ENGINEERING NEERING AND T CONTRACT IS HE CUSrONEWFOR WORK AS DESCRIBED-BELOW - CUSTOMER' PHONE DATE CLIENT# WORK ORDER Eric Weber (617)771.7872 08/29/2017 220714 26009 SERWCE STREET 81LLIN0 STREET 7 . 454 Craigville Beach Road. 392 West 2nd SERWCE:CITY,STATE,ZIP BILLING CITY,STATE,LP West Hyannisport,MA.02672 South Boston,MA 02127 JOB DESCRIPTION AIR SEALING:Provide labor and materials to seal areas of your home against wastefiil,excess air leakage. This work will be performed $800.00 in,concert with the use o€special tools and diagnostic tests to assure that your home will be left With a healthful level of air exchange and indoor,air quality:Materials to be used to.seal your home can include caulks,foams,weatherstripping and other products. Primary areas.for`sealing include air-leakage to attics;basements,attached garages and other unheated areas(windows.are not generally addressed.) (10)working hours.:A reduction in cubic feet per minute(cfrn)of air infiltration will occur,but the actual number of cfm is nofguaranteed. AIR SEALING:Provide labor andmaterials to install.Q-Ion weatherstripping and a.doorsweep to(1)door(s).,to restrict air leakage. $80.00 ATTIC FLAT Provide labor and materials to install a 12"layer of R-44 Class I Cellulose added to(748)square feet of open attic space. $1256:64. ATTIC ACCESS Provide labor and materials to insulate the back of(1)kneewall hatch with 2"rigid foam board at R=10 or greater with $60.00 requued fire'rating and'seal the edge of the hatch with weatherstripping.. ATTIC ACCESS:Provide la bo a nd materials.to install(1) easily moved,insulating cover for the attic access folding stair. A small flat $237.65 surface of plywood will be created around the opening within the attic. This will allow the covers integral weather-stripping to restrict airleakage. VENTII.ATION Provide labor and materials to,install(2)insulated exhaust hose with roof mounted flapper vent to exhaust existing bathrooms an(s).Broan model#636 or equivalent. $237.50 VENTILATION:Provide labor a_nd materials,to install ventilation chutes in(90)rafter bays to maintain air flow. $314.10 COMMON WALLS:.Pibvide.labor,and materials to install 2"rigid board with the required firexating to(30)square feet of common WWI area. : $11550 BASEMENT,CEILING;Provide.labor and materials to install(32)linear feet of R-19 unfaced fiberglass insulation to the perimeter of $70;08 the;basemeat,ceiling atahe house sill. DUCT INSITI, DUCT INSULATION. $1 350 00 ' 1Y , fl i I ,• I I i RISE Engineering F1 S E 5 Dupout Ave,South Yarmouth,MA 02664 ENGINEERING CONTRACT 508-568-1926 FAX 508-568-1933 Page 2 PROGRAMTHIS CONTRACT IS' RISE NGCC-HES ENGINEERING AND THE CUSTOMER FOERED INTOB REWORK AS. DESCRIBED BELOW CUSTOMER PHONE DATE CLIENT F WORK ORDER Eric Weber (617)771-7872 08/29/2017 220714 26009 SERVICE STREET BALING STREET 454 Craigville Beach Road 392 West 2nd - SERVICE CITY,STATE.ZIP BILLING CITY,STATE,ZIP West Hyannisport,MA 02672 South Boston,NIA 02127 JOB DESCRIPTION LIMITED TIME SPECIAL INCENTIVES: For a limited time,National Grid will waive the cap on their Insulation Incentive. RISE will reduce your cost by 75%on all the weatherization work outlined in this proposal.This special summer incentive is available to homeowners who sign their weatherization proposal'before September 15,2017 and submitted to RISE.by October 8,2017.All work must be installed by November 15,1017. National Grid will also offer an additional S 100 incentive towards the weatherization work outlined in this proposal,amount not to exceed the dollar.value of your co-pay.This special summer incentive is available to homeowners who sign their weatherization proposal before August 31,2017 and submit to RISE by September 8,2017.All work must be installed by November 3,2017. Total: . $4,521.47 I Program Incentive: $3,711.10 Customer Total: $81.0.37, .. ...... ..... ... - WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM-0F 'Eight Hundred Ten.B 37/100 Dollars $81.0.'37 UPON FINAL INSPECTION AND APPROVAL'BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST.OF 1%WALL BE.cHARWb MONTHLY ON ANY - UNPAID BALANCEAFTER 301DAYS:SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIOMS.OF.RECISION, ULINO,ANDOPNTRWOR REGISTRATION. ^ RISE REPRESENTATIVE t .. GUSTO ... .ONANRE - { �5 NOTE:THIS CONTRACT MAY BE WITHDRAWNITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE Z�� , SIGN DATE ti . 30 - ppyS; , ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE • , _ SATISFACTORY TO US AND ARE HEREBY ACCEPTED..YOU ARE AUTHORIZED'To DOTHE WORK'' AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE: - - a +r� .T Town of Barnstable �►:. Regulatory Services +' Richard V.Scab,Director Building Division Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable:ma.us Ofew.508-8624038 Fax:508-7904230 Property Owner Must Complete and Sign This Section I, Eric Weber ,as Owner tithe subject property hereby authorize Insulate 2 Save to act on my behalf, in all,matters.relative to work authorized by this building permit application for: - • 454 Craigville Beach Road West HyannispoM MA 02672 r/ (Address of Job) -- A- i` of t)v�me Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:kUsem\dewUik\ApppataV.ocel.m msoftlwindows\INecwhe\conteat Outlook1LN69L.F21MRESS(2).doc 01/25/17 Town of Barnstable *Permit# v7 •e �`' "r+ latory Services Ei ee 6 months from issue date @[� : . e snxtvsrnsM MASS. �, JUN 18 ��1r Richard V.Scali,Director . 00 i639. �. Fp ` /�� Building Division 0 A]S M Ib oma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I _ Q Not Valid without Red X-Press Imprint Map/parcel Number f J Property Address fj�y �'�2t \\� d\-. "� �� �] p w �rr✓1-- ❑Residential Value of Work$ 3 . Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address qhejarw'Z n Contractor's Name rt IMP rL�-- (.J VN S/'� Telephone Number $� y g D 0 g S;IQ Home Improvement Contractor License#(if applicable) Iq 1 '19 k Email: )z 1Ar P� et1-i ,-ws 1_. rj P Construction Supervisor's License#(if applicable) 6 '�7 39�{ ❑Workman's Compensation Insurance Check one: NOI 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 must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Nole-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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&Construction Supervisors License is required. p SIGNATURE: F QAWPFILESTORMS\building permit forms\EXPRESS.doc• F 01/25/17 1 27m Carr morrrveahh�r;�FMmsad rusetGs DVart wreut afrnd=t5id Acddetrts ' — f] ce o,f fM.W-%fzgufirrars 600'Washington,9treet Boston,�102111 kb`fV14LT17amgd vldia t Workers' Campensfian.Inmmnce AffkLwit Sufldex,*,lC.4mtra4ciuncs/MecfacianslPhmihers AppHcamt Infw atian Please Print Lev 1 — Naffie - Addfes-- PC) 6rzo�, -7 r 2, Are you an emxplayer?Checkthe appropriate b= ' T of project r L❑ I am a 1 with 4 ❑I am a gedsmal connector and I � New (required): employer 6. ❑]dew r4nstmctsotx .� employees(fall andfor part-time)—* hate hired1he sub-conimct s 2_�I am a sole lrr ietar or partner- listed on.the.attached sheet.. 7 ®Remodel�g These sub-c=tradors hake soup and base ao employees• :- • 8. ]7emalifroa ' g forMMCapacity. er�rlayees anclhace v�oria=rs' Q :Y77. in. � 9. ❑B,ui4ding sd3itieQ .. jldo vradOreas' comp.inarance comp.;,,ntranr.,e•# regziiTed ,,, I ❑ We are a cotpozation amd its l ❑ repairs nr a des 3_❑ I ama homemmer doing all work officers have esgrcised their 11-0 Plumbi ngrepairs or adNfians ' myself[No worke a romp- of emotion per MGL' 1-❑Roof repairs mmn=e required]i., c.152,§1(4k andwe finite no 13.El other employees.[No workers' comp.insarar-w required-] •AnyRWHcmtdbstcbedsbox#1 must also SRoutthesectionbelowsbmd diea•Oroia campeasatiaupaycpinMM=Sfioa tSam maoxvrbosubmitdaisdSAndindczfmFfbEyRMdGin�-alf9rarkemdtMhueoutsideCoutaI+rsamst.submitamems5adseytiadicstiugsacTi' , TCant<ac(o; *Xt ehwI thfs box must attadr2d=sAdi6aasl shad shmingtlaensme:of the sab-c ssad stfevrbeem ornotftse adtieshrm employees. mnPlayear,Ihey=tstpmridLL6ek workmecump.policy nmmbm lam are erripr tlecrf isgrQtadrixg n�orkers'catrrperisrcfiati iasrirQixce f br�n}*emPlnl�ees �Selopv is thapaiic��ar�i jab sda '` isf ormathm ; Policy 44 or Self-ins.Lic-;l F-cpirationDate: Job Om Address CstylStatel p: Attach a copy of the workers'compensationpolr'cydeclarafioa page(shevving the policy,number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.15-7 can lead to the imposYliaa of criminal penalties of a. fime up to$L540:4U an&or on,e-yearinq isonmmt as well as dO penalties is the form of a STOP WORT ORDERand afore of up to$MOO a day against the violator,:Be adtdsed t'liat a copy of this statement n ay be forwarded fn the Office of IsvestigAtiom of the DIA for iisumncz coverage verification- •I do hereby cep rauder dui pains andpearaWks o pajudy ibatthe iiaf onuafzmt prm rled a5ova fg bars and carr'ect Si ure^ .✓'� Date- Phone jk ( C-g) a G. Of Ldal use aril}: Do licit write in tfdis area,to be rwiiap&ed by city arton ii official ` City or Tana PermitMi,cense# Lnuing Antlrority(dreie one): L Board of H•eaU 22.RuMing Department 3.City1rown Clerk 4.Electrical Inspector 5.Plumbing Inspector G.Other Contact Person' Phone#' 1 a — -- 6 ' ; I information and Instructions to wazk=e c��on far their employees. M -�In,c�Ge�reralLaws chaps l52 reej�es aII emgloy� e t parg=ttD tbys' ,an Moyne is defined as" Cya.Y pesos ia.Ifie service of moths$uader any contract ofhire, express or implied,,oral or " An errplayer is d as aaa mEviffiA pm ncsb�,associafivn,corporation or other IegaI may,or any`two or mere of tiZe foregoing=gagrd is a3o�ht ,and including tho legal sep==Eafives of a deceased emPloyer,or the receiyea or trustee of an individual,per,associaiinn or o$ieflegal entity,MnP1Oy5ng M31PmYMM-1 However then oven=of a dwelling house having not more than twee aparime fs-andwho residers ffierein,ar the OCCUPaIlt of the- dweIlmg house of ano$er wha emrploys perms to do maintenance,c-1,neh-uLt n"or repair wow on such dwelling house therefn shaUnotbecanse of such employmeatbe,.deemedt3 be an employe" or on.file grounds or building aFP MGL diaptnr 152,§25C(6)also sfafs tbAaeverysbrtz or local licensing agencgshall.wiffihold the_issaance or renewal of a license or pertain to operate a bmsmess or to construct bmldb3V in the commonwealtTi for any applicantwho has not prod-acedacceptable eyMenc=of cumplianaewith the insurance.eove_tageregaaed-" Adrlizionalb,M H.chapter 152,§25CM states aNaffim he nor a'ny ofifspoIifical snbdrvzsiMS sllaIl ear min a,Y cantina for-dle podium anco ofpnbho worts m tiL acxeptable evidence of comphancewiih.the msormM.. rn the ,T to m iio " of this have Been presented h'- Applicants , Please flI oil file wogs'compensation affidavit conzpleIy,by chwjdag booms that apply your,sifnailon and,if necessatY,snpply sob x(s)nam(-(s), addresses)and phone nzanber(s)along wr3tffie1r=tficatr(s).of „cnrance. L�.ited Liabl y Companies(fLC)or Lkdt5dTiabry P s(LLP)wr�no �mY other than the members or parfners,are not required to miry workers'compensation insarsnm If an TLC or LIP does have rmployees,apolicYisregnhed Beadvisedt3rattbisa�daykmaybcsnhmi�dtotheDepatfm�oflndustrial Accidents for confm ation of fi=.Enae coverage Also be sure to sign.and date the of davit: The affidavit should be�tamed to!he city or town that the appfieaiion fur the peonit or license is being reclaestA not the Departm.e of LnAnsty-;a1.A-=de itL ghorMyou bane any gocs'tzans regar g the law or ifyon are r=PM-Cd to obtain a Workers' mmpemsafion pofiey,please ca a the Deparbaent at the nmnbes lists bcbw Self-ins companies should entm their self-ms ,-ance license number on tiro appropriate Imo City ar TnWD.Offi ab - Please be sore that the affidavit is co�lete and.priced Iegmly. The D epulment has provided a space at tiro bottom of the affidavit for yours fill Dirt in ffia event tiro Office ofj vmdg tic=has to cordactyaM rega�g the applicant e to fill.in the eunii'1license mnnbex which wiII be T sod as a reface rmmber. In.addition,an applicant Please be,sure P that must sabmit multiple p ce:nse apph ai=m any given year,need only sabmit one affidavit indicating CUI rent polic or y fifo=ation.(ifnecessary)andunder"Tob 55eAddress"tine applicant shouldwrite:"sII locations zr (aY town)-"A copy offhe•aJ5davitthathas boa offiGiaIIp stm3ped cr madaed•byt)je city or townmay beprovided to the ' applicant as proofthat a valid affidavit is on file for future permits or ficenses. A new affidavitmu`st be fined oil ea Gh year.Where a home owner or citizen is obt ibing a license or putt not related in any basiness or commercial (ie.a dug license or paimrt in bmn Ieavr-s eb--.)said person is NOT repaired to coruplete this affidavit Tho Office .of In - -ten hl wouUm to thank you in advance for your coopera 6m and sbouId Youav he anY gII ons, please do not hesitate to give us a caIL The Depa tmezit's address,telephone and fax rmmbm- Depadmmt of lidmtid Arcidenta TeL=.P 617-72T49OG QExt 4-06 or I-9 MA9 R Fax#617 72`-7M re7ised4-24-07 p gav C> ° v W Town•of Barnstable Regulatory Services s Richard V. ScaA Director ►`� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 509-790-6230 Property Owner Must Corn lete and S' This Section ,P � If Using A Builder i � ���� ,as Owner of the subject property hereby authorize to act on my beh4 in all matters relative to work authorized by this building permit application for. (Addy s of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final "�=e are performed and accepted. f, er S&ature of Applicant Print Name Print Name Date QFORMS:OWNERPERMISSIONPOOLS Town of Barnstable r Regulatory Services Richard V.Scali,Director Building Division t t Paul Roma,Building Commissioner 03g6 200 Main Street, Hyannis,MA 02601 M www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: C" ta, �.o b�,ii (Af ICT 4/a►�[���f!P(.•— number Y street village' "HOMEOWNER": h�� (N�hhPr� Cp 17 ()-V _-7 gel—i 73 'C name �^ home phone# work phone# CURRENT MAILING ADDRESS: 7Sy ce41-1✓/�le ks-t4x f`1P �rN Z Ali � c� 7 L . ei hown ' 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 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 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 proc k es and requirements and that he/she will comply with said procedures and requirements. i of Hoix6wfi6r I-,' 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 EXFrd#TION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-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." Many homeowners who use this exemption are unaware that they are assuming the 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 would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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. Q:\WPFILES\FORMS\building permit fomvs\EJ(PRESS.doe 06/20/16 k xF r N Commonwealth of Massachusetts Division of Professional Licensure Y Board of Building Regulations and Standards Construction,,,$'If*fOger 1 & 2 Family . i t 06/02/2019 Y CSFA-057394 �r ires Or Pip ROBERT G 4 P.O.BOX 713% t i s MARSTONS MiL�S MAfIlt r ti i1 Y < , Commissioner C L �y , I ���� o-��aareaxcuealf�n/C'/l`�cs uc�a�elt a' Office of Consumer Affairs&Business Regulation r License or registration valid for indietul use only i sHOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: :}Registration: 14.1991 Type: Office of Consumer Affairs and Business Regulation E�sd 10 Park Plaza-Suite 5170 0• Expiration 3/3l2018, DBA Boston,MA 02116 HARBORSIDE REMODELING :r z : ROBERT WAI:SH 250 CAPTAIN CROSBY ROAQ X��•r = ,- � L'v CENTERVILLE,MA 02632`'` Undersecretary, Not valid without signature ,] ro Town of Barnstable Buldin � z g Post Fhis Ward a That is Visible From the Street ,Arfproved Plans Must� Retaired,on Jnb andthis Card,-Must i«e,Ke; 8' Posted Until ina InspectionHas Been a e. M ' .b, R g A Permit Where a Ce cate of Occupancy«s Required,su , Bildingshalt,Not be C►ccupied unto!a Ffi`at tnslsect�on has,bee made Permit No. B-17-1106 Applicant Name: James Curley Approvals Date issued: 04/25/2017 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/25/2017 Foundation: Location: 454 CRAIGVILLE BEACH ROAD,HYANNIS Map/Lot: 246-073 Zoning District: RB Sheathing: Owner.on Record: WEBER,ERIC N&ROBIN LLOYD Contractor Name: JAMES P CURLEY Framing: 1 Address: 392 W 2ND STREET Contractor License CSSL-099138 2 BOSTON,MA 02127 »Est Protect Cost: $10,000.00 Chimney:. Description: Strip and reroof approximately 20 square of asphalt roofslingles. ,Permit Fee: $51.00 � �� Insulation: F Project Review Req: Strip and reroof approximately 20 square of`asphalfroof � ee Paid: $51.00 shingles. 4/25/2017 Final: n _ _ tr Plumbing/Gas f Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorit'da by this permit is commenced within siz monthssafte� ssuance. � � Rough Gas: All work authorized by this permit shall conform to the approved applicat!on and the'approved construction documents'forvuhieh this permit has been granted. All construction,alterations and changes of use of any building and structures tWFbe in compliance with the local zoning bylaws anted codes. lk Final Gas: This permit shall be displayed in location clearly visible from access street or road and shall be maintained open for ubliminspectwn for the entire duration of the work until the completion of the same. �� x y �> Electrical The Certificate of Occupancy will not be issued until all applicable signaturesby'the Building and Fire Officals are provi 6d op this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing inspection g 3.AILFireplaces 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 ;- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .. f Map Parcel Application #0 l Health Division Date Issued s--I2—I� IPA Conservation Division Application Feel Planning Dept. Permit Fee. (�6" 0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address g S 14 ra Village Owner `C 6e rn.— Addressk1 rql1"r I r7 Telephone 17 7 Permit Request ::nQK-Q n;:a n/ ,�,.ICI�� TDeC K 6: 1 !� s gC� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed , Total new -90 Zoning District Flood Plain D Groundwater Overlay Project Valuation Azz,000 Construction Type Lot Size i� C 2__ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ rYes amily (# units) Age of Existing Structure 3 v Historic House: ❑ N n I Kin • } g go O Old gs,,Highway. ,❑Yet ❑ No Basement Type: 6t Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Areas ft. 6 Basement Unfinished Area (sq f_ Number of Baths: Full: existing �11 new Half: existin i new Number of Bedrooms: LI existing _new Total Room Count (not incl ding baths): existing new First Floor Roo Count ? Heat Type and Fun]. Gas ❑ Oil ❑ Electric ❑ Other Central Air: 'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use _ - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 11� �-�" t, Telephone Number Address !o IAZ License # CS AA -- o 7L 7enho 3 AIq 4�- Home Improvement Contractor# 1 1 Email 12ML , Ilia'f— Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE -f�aY1 I S� r - ,4 FOR OFFICIAL USE ONLY .l APPLICATION# DATE ISSUED MAP/PARCEL NO. t ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE .y t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' Y M FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f the c:onanonweaan ojmassacnuseus Deparbnent of IndustriaiAccidet& Office of InvaWgations 600 Washington Street Boston,MA 02111 www.mass govhUa Workers',Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Am3 icant Information n Please Print Legibly Name(Business organizafion/indmduaI): /�,pn,0AS- J 1L 1CIl 1oxc Q b in) Address: 160 _�/ I" City/State/Zip: 1 -/ `� hone#: y— Are you an employer?Check the appropriate boa Type of project(required: 1.❑ I am a employer with 4. I am a general COUt'"actor and I employees(full and/or part-time).* have hired the sob-contractors 6. ❑New 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 8. Demolition working for me in any capacity. employees'and have workers' 9. Building addition [No workers'comp.insurance comp,insurance$ rewired] S. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. rigbt of exemption per MGL 12.0 Roof repairs insurance required.]t c,152, §1(4),and we have no employees.[No workers' 13.(]Other comp.insnran6e required.] *Any-applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infoffiation. t Homeowners who submit this affidavit indicating they are doing all work and then hue 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 these 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 employee& Below is the policy and job site information. Insurance Company Name- ° Policy#or Self--ins.Lic.ff: Expiation Date: Job Site Address: City/Siate/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 Iea.d 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 stAement may be forwarded to the Office of Investigations of the DIA for insuuance coverage verification. I do hereby certify under thepains andpenaltier of perjury that the information provided above is true and correct S Dare• Phone#: 77 4 r,3-9 —0 8 Official use only. Do not write in this area;to be completed by city or town officiaL City or Town:. Permit/License# • 4 Issuing Authority(circle one): L.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#-. Information and Instrue,tiogs A Massacefts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"_..every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in'a joint enterprise,and including the legal representatives of.a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL'chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of it political subdivisions shall enter into any contract for the performance of public work rmtr1 acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone nuraber(s)along with their certificates)of insurance. Limited LiabilityCompanies L or Limited Liab� Partnershi s LP with no employees other than the P �- � �-3' P � ) members or partners,are not required to carry workers' compensation insurance. If ,an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their . self-insiiran z license number on the appropriate lime. City or Town Officials 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permithicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _ (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fut m permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number. The Co=oui�ealth of Massachusetts Department of Industrial Accidents Office,of Investkationa (500 Washiugtoan Street. Boston.,MA 02111 TeL#617-727-4940 ext 406 or 1-877-MA•SSA Revised 424-07. Fax#617-727-7749. wwwx1=.gGWdia r a r Town of Barnstable Regulatory Services I E Richard V.Scali,Director 1639. 0 Building Division , Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, po as Owner of the subject property orize hereb auth y to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ""Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Si ature of Applicant Pnnt Name Pnnt Name Date Q TORM&O WNERPERMISSIONPOOLS Town of Barnstable Regulatory Services pox Tatyy Richard V_Scali,Director 'Building Division ` t Ta$ Tom Perry,Building Commissioner f Mass. i639. ��� 200 Main Street, Hyannis,MA 02601 RFDi www.town.barnstable ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# 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 r 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 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 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. Signature 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 performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes&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 would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner 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 t amend and adopt such a form/certification for use in your community. Q:\VIPFILE_S\FORMS\building permit forms\EXPRESS.doc Re,,ised.061313 i e e � 9 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor 1 _ F.,mih ? License: C.SFA-057394 ROBERT G WAI4iI 160 HIGHLAND aVE '4 r *V. r Cotuit MA 026357 I �,,�.,. J1 � Expiration Commissioner 06/0212015 --.- �. Office of Consumer Affairs&Busincss Regulation License or registration valid for individul use only �; OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 141991 Type: Office of Consumer Affairs and Business Regulation ' 10 Park Plaza-Suite 5170 Expiration: ._313/2016 DBA Boston,MA 02116 HARBORSIDE REMODELING ROBERT WALSH 250 CAPTAIN CROSBY ROAD CENTERVILLE,MA 02632 Undersecretary Not valid without signature I ° a�� va u g allln Bla,J b54 m^' e_ 3JN3OIS3L H363M I1} 1 't . a. •.. <+F"wn'nYRk�.F"tLR96'NiP'b�vtreeeAN•¢J+ � , � .. - .. • � ' - •'. ., f mow.._. � _ . . qLA 8" Risers L 13'-8" 20'-4" ; '-(2) 8" Risers ' Septic Cover Y 15'-7" Planting Bed 23_8„ u 8' Nam (2 8" Risers yy{((( 13'-7„ y ` • . f 8 Outdoor " Planting,, Shower _ Bed ,Counter (by others) --- - -- HOUSE : Deck Deck Plan - Weber Residence Existing { 1/4" = 1'-0" - Acer.Design Studio 3/12/15 9L p �, i • '�des 16 x , a+ v S .� r � � i2�i.��- USG R<5 YEARS OLD* nstruction section above. glazing: Formula: (100 x b _ a) 100 x - _ % of glazing b a g is > 40 % proceed to "SUNROOM" section BLE 6101.3 1 , r T CRITERIA ADDITIONS TO EXISTING NTIAL BUILDINGS MINIMUM all Floor Basement Wall Slab Perimeter alue R-value R-Value R-Value and Depth 13 R-19 R-10 R-10, 4 feet lation achieves the full R-value over the entire ceiling \ , access o enin s). an existing building/dwelling unit where the total of the combined gross wall and ceiling area of the mation Form`(found in Appendix 120.P)' Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer Custom Map Abutters Map Size .■ Zoom Out fl➢ �,In - Full lip a =JPG Map: 246. Parcel: 073 Pro ert P Y Location: 454 CRAIGVILLE BEACH ROAD Info „r. Owner: SURABIAN,RICHARD&STEVEN- • a � ,7 k � I Location Information s + Map&Parcel 246073 Location 454 CRAIGVILLE BEACH ROAD rafi Acreage 0.41 acres �f " Current Owner N � 24B07B t, 11 t Mailing Address SURABIAN,RICHARD&STEVEN ILJ s} 24e074 I %SURABIAN,STEVEN TR ��`(t"' '• � `!i 246073 RICHARD SURABIAN IRREV TRUST 14 � »248072001 •�" r � 4 4 E '1230 ROUTE 28 - 1 * aase J r Yf �il SOUTH YARMOUTH,MA 02664 k a rr ; (Appraised Value(FY 2010) Extra Features $0- ) € Out Buildings $1,600: Land $161,000 F v Buildings $167,600 1 Total Appraised $330,200 x Assessed Value(FY 2010) Extra Features —$0- t Out Buildings $1,600 3i € Land $161,000 Set Scale. i" 45 s I, JuJX.2009 Coastal V I MAP DISCLAIMER. Buildings $167,600 J S Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS r.. BarnstableMA v1.2.3867[Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=246073 8/19/2010 BIKE Town of Barnstable Regulatory Services * BAMSPABLE, MASS. $ Thomas F. Geiler, Director Fn 9. rA,m Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 . August 12,2010 v Mr. Steven Surabian,TR 1230 Route 28 South Yarmouth,MA 02664 Re: 454 Craigville Beach Rd. Dear Mr. Surabian, This letter is in response to a complaint about the location of a shed and driveway at the above referenced property. Aerial photos from 1996,2001,and 2008 (enclosed)show the shed in three different positions and orientations and the driveway apparently crossing the property line.A recent survey(enclosed)shows the shed encroaching into the zoning setbacks and the driveway crosses the property line.This property is in an RB zone and has setbacks of 20'front, 10' side,and 10'rear.The shed must conform to these minimums and the driveway can go up to,but not over,the property line. " Based upon the survey,please be advised that the shed must move again to conform to the required setbacks and that the driveway can no longer cross the property line. You do,of course,have the right to conduct your own survey. Thank you for your anticipated cooperation and if you have any questions,please do not hesitate to call. . Sr r _ Paul Roma Local Inspector i Map 5 Page 1 of 1 h Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer Custom Map Abutters Map size ■■ Zoom Out JPG Map: 246 Parcel: 073 Full . i • 0••_4-N-. - - Property a0 Location: 454 CRAIGVILLE BEACH ROAD Info Owner: SURABIAN,RICHARD&STEVEN 41 cation Information _i _ ___ ___i Map&Parcel 246073 e.. Location 454 CRAIGVILLE BEACH ROAD - 24607a Acreage 0.41 acres . N 444 ..4 246078 (Current Owner _ _ _. N408 Mailing Address SURABIAN,RICHARD&STEVEN %SURABIAN,STEVEN TR 240072001 _ 246077 RICHARD SURABIAN IRREV TRUST x'4ae x464' 1230 ROUTE 28 SOUTH YARMOUTH MA 02664 Appraised Value(FY 2010) Extra Features $0 _ Out Buildings $1,600 Land $161,000 Buildings $167,600 fa Total Appraised $330,200 A. ._ ._ `3` ,•Y s essed„Value FY 2010 0I Extra Features 0 2 94 . _... _ ._. — - r .. ....... ... ........... x'430 Out Buildings $1,600 Land $161,000 Set Stale 1"= 53 I July 1996 Coastal I MAP DISCLAIMER Buildings $167,600 - J Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA vl.2.3RG7(Production] - http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=246073 8/10/2010 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer Custom Map Abutters Map Size ■■ Zoom Out I J B I I I E I j In N,-.,,n; �� ® �=3PG Map: 246 Parcel:- 073 Prol art 248072002 - - - - - Location: 454 CRAIGVILLE BEACH ROAD s!, Info x�a7a �i r n, 248075 4 owner: SURABIAN,RICHARD&STEVEN - ^. Y 444 '•- :*i Location Information ----------_---_f :ec+ Map&Parcel 246073 240077 Location 454 CRAIGVILLE BEACH ROAD 7,. xa24 Acreage 0.41 acres ' r Current Owner 24807oDt : ------.. --------- ----- h. x'488 ' >• ' `248070 Mailing Address SURABIAN,RICHARD&STEVEN 438 . %SURABIAN,STEVEN TR Y ae4 + 248073 v` RICHARD SURABIAN IRREV TRUST x'404 1230 ROUTE 28 SOUTH YARMOUTH,MA 02664 Appraised Value(FY 2010) e Extra Features $0 t, Out Buildings $1,600 - 4 EA �RpK+ Land $161,000 {LLE CH .,� r� i' Buildings $167,600 , n Total Appraised $330,200 - o- wA ✓. 2481840022�`+Mt439 O1 .. — —_. -- - + (Assessed Value(FY 2010) 296t 2401 5t M _ 248185 Extra Features $0 - . x.13< Out Buildings $1,600 ^"!'ISIAESt Land $161,000 Set Scale V = g0 I April 2001 I MAP DISCLAIMER Buildings $167,600 J Copyright 2005-2010 Town of Barnstable.MA All rights reserved.Send questions or comments to GIS BarnstableMA 0-2.3867[Production] http://66.203.95.236/arcims/appgeoapp/map..aspx?propertyID=246073 8/12/2010 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer Custom Map Abutters Map Size ■■ Zoom Out ➢ M I I In t0 'g=3PG Map: 246 Parcel: 073 Full N Property 240075 Location: 454 CRAIGVILLE BEACH ROAD Info Owner: , SURABIAN,RICHARD&STEVEN . Location Information r C--___.--.....___-.._....___.—_.__..—.__.._......__...._....__..__...._.- Map&Parcel 246073 Location 454 CRAIGVILLE BEACH ROAD -- 240074 Acreage 0.41 acres ... N444 _—_..—�_ + Current Owner 248078 + C_ _._.. +. q N438 Mailing Address SURABIAN,RICHARD&STEVEN l�l ✓ "tv %SURABIAN,STEVEN TR 245D71? RICHARD SURABIAN IRREV TRUST 248D720D1 r �, a 1230 ROUTE 28 �p454y SOUTH YARMOUTH,MA 02664 Appra+sed Value(FY 2010) Extra Features $0 Out Buildings $1,600 Land $161,000' Buildings $167,600 Total Appraised $330,200 Assessed Value(FY 2010) aRAl y V(E aFp RO Extra Features $0 24D184001 a'4ae Out Buildings $1,600 _.,.. .' L...,. Land $161,000 - �f Set Scale 1 = 53 I April 2008 I MAP DISCLAIMER Buildings $167,600 J. Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnslableMA v1.2.3867(Productions - - http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=246073 8/10/2010 ,. ern . . t. . ' c LOT 1 ����iii,RRR"n� PLAN BOOK 607 PAGE 21 TREEUN N/F JAMES W. TRIANT, ET UX. ellF PL s CLEARED'AREA�ros'2s- � N/F »o.0w N FOUND tit 5w5�� 5r �- 1 `fir 4 � � STONE W l� ! � okfCt, PLAN BOOK. 217 PAGE 17 . -s N/F RICHARD^ SURABIAN ' QN DEG< 3 ' W S � a 8 1� $ $ STAYLi H G 2 f z o #454ousE ` Assessor's map.and lot number. .............................. FTHET Sewage Permit: number ..... 1... �PTJC SYSTEM MOUAN TALLED IN CUM, T d�Qy o� Z BARNSTABLE. i Howse number .... ... ........ y�`�,......... .................... TiT 90 NAG& ly.,V Cst!''w!4�i'a` LCoDr; AND 11MPYa�O� TOWN OF ' BARNSTABL`E BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................. .I�o!?hk..... .... .... g-&g-..... ........... TYPE' OF CONSTRUCTION ................................IH.P..4. ....................................................................................,. i � �„Y•. .....r.......... 19. �/. TO THE INSPECTOR OF BUILDINGS: The Undersigned hereby applies for a permit according to the following,information: Location ...........;1. .........4�. / C?.UJ..4 . ....r-S ?9 � 5�..................I.�Y.c?vl/iY/5....0p?.7.............................. Proposed- Use ................... '' =f l. .............................................................. ............................................................ ZoningDistrict ........................................................................Fire District ......................................°........................................ Name of Owner .............. .. .. �VAU......................Address ........,, c........................................................... . . Name-,of Builder ....... /� KC�? ........CO.(....Address ........C�l��r?�.. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ...................:..............................................Foundation ............... . _-................................................. Exterior ............................. �tfi�L!V�?L ...................................Roofing ............... �JtT�r� ......................................... Floors .......FIA)b....................:. .Interior . !�t*, OC/�,........ Heating .....................//??./........PJ .................................Plumbing ..............�2.......19P.74............................................. cl Fireplace ...............:.......... �........................................Approximate. Cost ........:.............. .. . ........ ....................... Definitive Plan Approved by Planning Board ---------------_---------------19________ . Area :.. .. . .. ...... ... Diagram of Lot and Building with Dimensions . Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEWDWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ing the above 'construction. r Name I ........ ............ Ap Construction Supervisor's License .....��7.3S........... y v MDR , MR. 26330 Re air Fire Damage No .....,... Permit for ....... .......................... Single Fami1X..i�welling................... ........... Location ..454 Craigyille Beach Road ................Hiyanni sport.................. t. O Mr. Mort {s wner .................................................................. = " Type of Construction .......................................... .................................................... Plot ^''........................ Lot.................................... ._ ,'April '23, 84 , Permit Granted ...•....................................19 Date of Inspection 19 Date Completed •�6_� • ............................19 . v ♦f' Assessors map and lot number ................................ THE lov •� C/ � Sewa4e Permit number ........!!......... ...... ............:............ Z 9AH33TADLE. i Hopse number ................ ..ys.......................I...:........... ro Nasa p a639. `00 • CFO NPR a' TOWN, Of, BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...............: EO,<?/1Z.....tVkt??4 6 ........ppg�.................................................. TYPEOF CONSTRUCTION ................................ .................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........:./..v�.y......... . `'!°?. 1.4 . `.......��' -��� /... . ................../. ??.vi1/IS.... Oy2?.............................. ProposedUse .................... .............................................................................................................................. Zoning. District ........................................................................Fire District .............................................................................. Name of Owner .............. '....!�? ! .?'......................Address ........:5��/J�.............................. . . .......................... Name of Builder ....... ' /?4 KCJ?E37 ........1U1 Rk....Address ........0 .nl=.? ..! ? .......c�� 'I?dVs T'C'lgL ........... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ------� ..................................................................Foundation ...............................................................:.............. Exterior ...............................5.7,YI V.61-``"....................................Roofing ...............�51"4/i�]- '................................ Floors ...................................... .Interior ��� F.r OCI� .,l.c! 1 .............. .... /f'G' Heating ��p r ��/. ..................................Plumbing .............. .. � p • .....� .. f •'t Fireplace ......................���/Z�.......................................Approximate Cosh ................................... ....................... h Definitive Plan Approved by Planning Board -----=-- - 19 --'. =Areal . .... Diagram of Lot and Building with Dimensions ' Feey . ............. ...... ...... ................. 4 `� � i .� mil'/ � ice. ✓J y� SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIREDJOR :NEW DWELLINGS I hereby agree to conform to all the Rules and +Regulations of the Town of Barnstable egarding the above construction. Name ........ :.:'`---- ............ I Construction Supervisor's License ..,. 1....35.. ....... MORT, MR. A 416-073-000 No 26330. Repair Fire Damage I... ................................. ... ....... Per ml r ... . Single Family Dwelling ................................................................... 454 Craigville Beach Road Location ................................................................ Hyannisport ............................................................................... Owner ...Mr.'..Mort............................................. Type of Construction ........................................... .............................................. ................................. Plot ............................ Lot.............. .................. April 23,- 84 Permit Granted ............I............................19 Date of Inspection .................................19 Date Completed .......................................19 i Y k LOT ~1 1 x JJ PLAN BOOK 607 PAGE 21 TREEUN 14riP�f6 F N/F JAMES W. TRIANT, ET UX. is t - S 84105•2B" CLEARED AREA e N/F 110,00. N CB/DH 1 b ?v _ FOUND o fi� Cal i i r L6�o � C. _ STONE W 1 o PLAN BOOK 217 PAGE 17 .5 T� V t S(�- N/F RICHARD SURABIAN 6fP��5p f , w DECK � 3 $ $ sT�YnNC'2 z o / SPIKE ' ON SET -- -- Y PORE GVi t � I � • COBBLESTONE APRON '209.71 LANDSCAPE LIMIT "'�'. ;,� FEATURE 9QOO' TD CB/DH FOUND 971.86 G . -ROAD(�' PULE BEACH ams - 1931NTY fT .. ono-- ..p,+ �� 1 ! Y LOT 1RN- 1 p � PLAN BOOK 607 PAGE 21 TREELIN , v N/F JAMES W. TRIANT, ET UX: f},t`� �x At pia„ ✓ PL t CLEARED AREA S 84105'25. E N�F 110.00' CB/DH FOUND 18.3' SHED ads 5' U7 STONE WALL LOT 1 ~ PLAN BOOK 217 PAGE 17 N/F RICHARD SURABIAN f � TIP� Z a� DECK 3 y SORYHOUZ 2 o 04.54 ,,e / SPIKE SET / ON LOT LINE PORCH0./ 61 .. i I e • I � . I , COBBLESTONE APRON N/ 12M 71 I I LANDSCAPE umll _M _ - FEATURE WWAM 0 ND 971.8g (400 VADE 19 $RACH ROAD 31 CUNTY LAYWT) �►. „ mon