HomeMy WebLinkAbout0150 DOLPHIN LANE i�� � e��
' THE ram, Town of Barnstable *Permit# / 7- yjqAD
Ex�r�res 6 nths rom issue date
Building Department Fee ff--
anxxsresLE, : Brian Florence,CBO ,
'cbA , ,0� Building Commissioner,39
p
rEn ° 200 Main Street,Hyannis,MA 02601 � N
www.town.bamstable.ma.us �0�2 �j
Office: 508-862-4038 rom 8?oil Fax. 508-790-6230
EXPRESS PERNUT APPLICATION - RESIDENTI MNLY
J�
Not Valid_ without Red X-Press Imprint
Map/parcel Number o2 6 f - ('
Property Address Im DO k i' tj n t
Residential Value of Work$ -7� Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address mt Qo-o lV-0
o
Contractor's Name Ch� ,Uz U l cil Telephone Number
Home Improvement Contractor License#(if applicable) 70�cS 7 Email: KS0
cco—
j
Construction Supervisor's License#(if applicable) 102600
Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance•
Insurance Company Name
Workman's Comp.Policy# V<2-W C G 7 0 7 0
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 S� —
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximurri.32)#of windows
#of doors:
*Where required: Issuance of this permit does not ekempt 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 Contractori License&Construction Supervisors License is
required.
SIGNATURE:
QAWPFILESTORMSTMESS2017
1
?lie Conmiomveafth ofMassadiusetts
De p arhment of Industrial Aceiderats
f7ffwe,of Investigations
600 Washington Street
-- Boston,AM 02111
fi.'lVl1Ld11�g�YJ�difl;
Workers' Campensation Inmu=ce Affidavit:Builders(ContraciursMect icians/Plumbers
Wk2mt Infw-matku Please hjn
Na=(Snsinessfl g /�
Address
Ciig/State/ : W ! Phone--U,--- tN
Are you an employer?Check the appropriate box: Type of project(require*
I. I am a employer.W 4. ❑I am a general contractor sad I
T* have hired the sub-contractass 6_ ❑I+�eW oonstruction
employees(fall arndfor par�fiime). _
2.❑ I am a sole proprietor orpartuer- listed artthe attached sheet 7. ❑Remodeling
ship and have no employees. These sub-con1mc4ois have $_.❑Demolition
woAdng for mein any capacity:. employees and have wormers'- 9. ❑Buildtng acuitian
[NO Worlmrs'camp.Msura=e comp-
rewired] 5. ❑ We are a corporation and its 14❑Electrical repairs or adcSfions
3-❑ I ama homeowner doing all vrorle. officers have e =scised flmir 11- Plumbingrepairs or additions
17E]Roof mymnM a vwc6mrs' _ rigs.of ese�on per MGI. repairs
ce required-]F c.152,§1(4�andwe have no, o '
employees_[No,wormers' 13_❑{)therthat
coup_insmwce rewired_]
'Any apptic—ff=t diedcsboa F1 mn3t also Moutthe swfitmbeTwdwvdng dMkwo&ee co=peasatio-apari-y infommsd=
T l ameaamen who subunit t7x3s aftidzvA imxffxatmg they am dniug slf wa&sad&m hire outa&contracmrsm=st submit a nm affidseit mdicibna sudL
fCantractum1f=eheckthis box mastattachedasadditionalsheetsbouiogtbaname-ofthesob-couftwA xsaadstatewhethsornutiftseentitiesbaste
employees.Ifthesabt txctmhaveempleyee%tbey=Lsrpmvidetheir wurkerecomp.policy number-
I arrr art elrepiray�€r flirrl;is preat�eiir�g�vQrlrers'corrrperesrdirrrt insrirartca fnr m}T cnrpTnftiees B'etoav it flre policy ar�nT jab s��
informadom
Insurance Company Name:
Paficp or Self-ins_Lie_4,L- 4J770 7 0 2
Job Ste Address City/5#afet l j�l�
Aitl2ch a copy of the workers'c eusation.policy decla ration page(showing the policy mrws b� •and expiration date).
Failure to seraw coverage as requiredunder Section 25A of MGL c-IM can lead to the imposition.of criminal penalties of a "
fine up to$UOD 00 andror one-yearimprisoment,as well as civil penalties.in the fans of a STOP WORK ORDER and a fime
of up to$250_@ltl a dap against the violator. He adtdsed drat a copy of this statement maybe fkwarded to the Office of
Invvest gations of the DIA for insurance coverage ve ificatirm
Ida hereby c the puns andperraWzs o:fpar,jury'thattJre infonna6mil} rm-•tW a Mra 7- midcarrect
�iErtatnte: Date_
Phome i;�- ' ll ^ 36o ' Z 7
ofi7cial u$e rrrrly. De net t`wrke in d9s area,ter be campleted by city attown er�j'iciat
City or Town: PermitUcense#
ImuingA lhority(dadeone):
L Board of Health 2.Building Department 3.Qt3f£own.Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
formation and Instructions ;
M cachIIseffs Geheaal Laws cb.apta 152 regoi ms an OMPIUeas Yn provide w06eas'compensation for f cir employees.
P �.this ate,an employee is defined as'.everppersonin die service of another under any contract ofhhe,
express or implied oral orwritfrm
An VnployEr is defined as"an and t-partnership,associaiiv 4 ccaporsid or oth=legal erdi ty,or airy two or more
of the foregoing engaged in a Joint=t erp�and inch Ain 9 the legal representa&cs of a.deceased employer,or the
recejV=or trustee of an.individual,part mmhip,association or other Iegal entity,employing employees- However The,
owner of a,dwelling house having not more than 11ree apar(meafs and who resides therein,or the occapant of the -
dwwPlling house of anofer who employs pm win to do mai±=ance,construction or repair want on such dwelling h.ause
or on the grounds or building appvr�thereto shall not because of such employment be deemedt o be an employer."
MGL chapter 152,§25C(6)also states that'every sb-fe or local licence agency shah withhold the issuance or
renewal of a license or permit to operate a burskess or to constmcf bw-ldmgs in the corn—Gawealth.for any.
applicant Who has not produced acceptable evidence of compliance with th-
lia e ce cover age required."
Additionally,MGL chapter 152,§25CC7)states-N=fher the commemwealfh nor nay ofits poIifical subdivisions shall
enter into any contract for the pmfmmance ofpublic workumhl acceptable evidence of compliance with the msora ce._
reqodr�ents of dais chapter,have Been prese±ed to the contacting auhojit:"
Applicants
Please fill out the wows'compensation affidavit completely;by checking the boxes ffiat apply to your sifnation and,if
necessary,supply sob-contractors)name{s), addresses)and phone numbers) along with their cert ficate(s) of
insurance_ Limited Liability Companies(LLC)or Limit LiabilityParbaeships(LLP)withno employees other.than.file
members or partners,are not rearmed to carry workers'compensation insurance. If an LLC or LLP does have
employes,a policy is regoaed. Be advised that this affidaylt maybe subm_'+ed to,the Department of Industrial
Accidents for confirmation of insurance coverage- Also be sure to sign and date the affidavit. The affidavit should
beretmned to the,city or town that tine applicafim for the pecmit or license is being requested not the Departeat of .
, A c,oidejs- Shouldyou have nay gnestions regardmg the Iaw or ifyou are rcqufic d to obtain a workers'
compensation policy,please call the Deparbneat at the=nr bez lis-b:d below: Self-insured companies should enter their
s elf-filsura nce license number on fiie appropriate 1me.
City or Town Officials
f -
Please be sate that the affidavit is complete and prir:rd legibly. The Department has provided a space at the bottom
of the affida for you to fill out in the event the Office Of1avcSf9atiOnS has to r`m actyou mgmding the applicant
Please be sure to fill in the permiYlicense'=mbes which will be used as a reference number. Iu addition,an.applicant
that must submit multiple penmWlicense applizations m any given year,need only submit one affidavit indicafmg dent
policy hjfb ation_(if necessary)and under"Job Site Add._ress"the applicant should wnte"all locations is ( 'or
town)-"A copy of the-affidavit that has been.officially stamped or marked by the city or town maybe provided to the -
applicant as proof that a valid affidavit is on ftle for fofine'perits or licenses Anew affidavit must be fill-cci out each
year. here a home owner or citizen is obtaining a license or pemmit not relaird to any business or commercal veaime
W
e or to burn leaves etc_ said person is NOT rimed to complete this affidavit:
(Le a dog livens penut , )
The Office of Investigafions would luketo 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 mtuaber-
T CMS N?e�aItbE of Ma&sachuseM
Depatfmmt oflaE76sf dalAmid-enta
Office.of javeyugatmw
-Tt,-L 4 617- -4900 QMt 06 Qr I-V7-MA SAS
Fax 9 6t7 727��
Revised424-47 .ma..sV-gqV a
�ar�tr�tmzcaealC�o C-/�`a�ac�uJe(Ca
Officee of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC before the expiration date. If found return to:
Registration..,, Expiration Office of Consumer Affairs and Business Regulation
170787' `"' 12/18/2019 10 Park Plaza-Suite 5170
ROOFING AND SIDING OF CAPE COD,LLC. Boston,MA 02116
DZMITRY LABKOVICH
68 W INSLOW GRAY RD �� 0
W.YARMOUTH,MA 02673 Not Valid withoLiA signature
Undersecretary
Massachusetts Department of Public Safety
Board Of Building Regulations and Standards
License: CS-102600r •.„4
-Construction Supervisor
rev `�-
DZMITRY LABKOVICH
68 WINSLOW GRAY RD'
WEST YARMOUTH MA02673
� � Expiration:
Comm issio P�
��P. IpCYYl2972p921.1�P.2�C1L O ness Regulation
-
Office of Consumer Affairs Business Regulation
Registration valid for individual use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
TYPE:LLC Office of Consumer Affairs and Business Regulation
Registration Expiration 10 Park Plaza-Suite 5170
170787 12/18/2019 Boston,MA 02116
RO
OFING
G AND SIDING OF CAPE COD,LLC.
DZMITRY LABKOVICH
r P-
68 WINSLOW GRAY RD Not valid witho signature
W.YARMOUTH,MA 02673 Undersecretary
Construction Supervisor
Restricted to:
Unrestricted-Buildings of any use group which contain
less than 35,000 cubic feet(991 cubic meters)of
enclosed space.
Failure to possess a current edition ofthe Massachusetts
State Building Code is cause for revocation of this license.
DPS Licensing information visit: WWW.MASS.GOV/DPS
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fib Winslow Gray Rd i -
west Yarmouth, MA 02673
508-360-2 749
e-mail. asoccCa yv hQQ,cote
roofing4ndsidincgofcapecod,cam
HIC REG #170787; LTC# 102600
Job Address: 150 Dolphin Lane �
Name: Alex Bratnikov Town:. Hyannis,MA
Address: Job Phone: 612 9218304.
City: Other Phone
State: snail:4bratnik yahoo com ,
ZIP:
l�sti or:.,: Dmitry L bkov;E++ch
10/09t 17
We hereby submit speCi'Cation$and estirimates to f iish andAnstall new kite Cedar:Shingles
Grade A onthe following.areas>
s c;ificarians ns followa;
l. Remove existing siding-and dispose of debris; r
2. Inspect sheathing for Tat or other deterioration and advise homeowner of any additional work.; ,
1 Inspect existing waterways at window,door and corner boards and notify homeowner of any fi
additional'work;
4
4. Install Tyvek breathable house wrap.
S. Iizstall new window,and door drip cap flasliiing,
6.. tnstalf double.first course ofs lntg I'',tall-new siding usiii approx�atat S. >'exposure:
h txnjB:t g and boto' of wir down.and door opeiungs as owec (jmay not be ppssibl at alij A.i
T
7. Siding to be secured using rustreststant fastenersz inch fo l uaclt:above.`next'course;line. k .
8. Shingle joints to be at°least�/,,`away frprn fasteners Arid.1..�away from prevaous.eaurse oirits(to
minimize exposed fasteners when siding'shinglPs.):
9. Clean yard of all debris and uti ze.magnet to minimize exposure to property or personal
x.
damage from nails left behind;
10. Remove and re-install electrical fixtures,shower stall.
11.Last course to be hand nailed.using#S box stainless steel nails;
12. Remove and replace rotten trim around front door with PVC trine.
13. Remove rake-boards on both sides of the min house and replace them with PVC trim..
s
LABOR: $3,00.00
MATERIALS:$4,000.00(1'aiirelHhpse)I
e
.If acce initial here`
i
Note.No painting is.included in thus,parapnsal.
Job is estimated to c6mmence approximately, 4 weeks after deposit re `ive '«. 1
..� ...,.�..:... . ce d.un ess otherwise r �
noted here:
Work is scheduled to be substantially completed in approximately: days If acceptable, (both)
initial here:
Start and completion times are approximate and subject to change due to, but not limited to, the
following circumstances:weather delays,,additional work:on prev o .jobs;permitting delays,etc:
This is the entire agreement: Any discussions or verbal;agreement are superseded.by this agreement:,
gr ng to;be recognized:
Such a eetncnts,even:those ofthe smallest natxrrc must be in writi
Any work above and beyond the specifications outlined tn.t is preposal wi116e paced on`recl esL All;
additional word including ve(.time and'lumberyard runs, will:be'sutject tt extra.:charge«:In the
event of:rot repairs; riaof repairs or apy related work Tclutring-irr meclrate:attention, we wJ11:procedn
without customerapproval' °
Roofing-and Siding.of ope'Ctrd,:LLB�wamanty produc#.s.and workmanship (l Ot��/o Labor and,
Materials)for 10(ten)`Years after installatiotas:
Alr '
.. „_.,._.._ .M,F.,.«.,........_.,...,sue:,.w..,..., :w. .>:s.,
Aptance of Estimate ce ,.
The above prices, specifications and conditions are satisfactory and are hereby accepted, ROOFING
�� zq
AND SIDING OF CAPE COD,LLC is authorized todo the work as specified;
Payment will be made as such:
F
113 Deposit
1/3 Beginning of work
l J3 upon completion
Ea
Date: f AV20f, �
Signatures:
J�
Note: No work shall prior in be to the signing M� P gning of the contract.and transmittal to the owner of a copy of
such contract. You, the buyer may cancel this transaction at any time prior to midnight of the third
business day after the day of this transaction.
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Assessor's map and lot number ..._ . ... ... SGPTIC Gyrwj�'!;
.M-.1 INSTALLED IN CC MPLIA
V41TH ARTICLE 11 STATE
Sewage Permit number—.... ... . ` �
�% ` SAITAR`P C� N
yoFTNETo�° TOWN OF BARNS_ TABLE
•BAHB9TADL&,
M6 9• .e� _ BUILDING INSPECTOR
p�D YPY� '
APPLICATION FOR PERMIT TO .....&-%�...... .. ..... ... .. ........, ./.I.................................
TYPEOF CONSTRUCTION ................... ........................... ............,...................................................................
.,Ff..........197 I
t�
TO THE INSPECTOR OF BUILDINGS:
The undersigned her plies for a ermit accor ng 4to.; the
hefollowin4.........
tion:
Location �� ...... .... G � ...... d;-6 7 -
ProposedUse ...... .. .. ........ . .. . ... ........... ............ . . . ......................... ...........................................................
Zoning District ' Fire District
Name of Owner .. .. . . ... . ... ..................:........
Name of Buil er . . .... . ...... . . .... '... ... .................... Cdtlress ...... ...(.r�......... .. .................,2% ...............
Nameof Architect ....... ... /.........`....... ................................Address ....................................................................................
Number of Rooms ......................../........ ......... ...............Foundation ... .« .. ............. .................P-.r.
Exterior _ . ..�4 ........I!!!.[ ..... ........ .....Roofing ......... ... . ...................................
Floors ...... .. ................. ..................... ................. ...........Interior . ... ... ... ............... . �.......... ..............
-( ....... .... ..........Plumbing ................ ... ..........................
Heating ........ . .. .....
Fireplace .....................G .. ...... ...... Approximate Cost ....................,n1. ...a.Q............................
-0
Definitive Plan Approved by Planning Board -----------_-------------------19________ . Area ..-. ..............
Diagram of Lot and Building with Dimensions
Fee f "�
........�.f. �......................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
® t
Ji
I
1
p�
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I hereby agree to conform to all the Rules,and Regulations of the Town of Barnstable regarding the above
construction.
Name .. ...... 9..................................... ...........
Abramo, Peter & Clotilda i
I
No 17661 permit for ,,, add to Ingle
.... ........................
f ami 1v..dwe11 in.
.....................................
..............
150 h Dolin Lane
Location ......................Dolphin
t
West H annis ort
f
Owner .........Peter & Clotilda
...................... �..
Type of Construction frame
} Plot ............................ Lot ................................
t
Permit Granted ...........April 29 75 19
....�,�� ®aii�- .,
Date of Inspection .....:: v `�
- -
ti
Date Completed ../... ..3 ..73..............19
PERMIT REFUSED
....................................... ..................... 19
• ...............................................................................
' ................................................................................
...............................................................................
..........................................................................:....
Approved ................................................ 19
...............................................................................
.................... ......................................................... '
i
=' . ....... %.F-�
Assessors map and lot numbed......:... ... .
I
Sewage Permit number '��- -!'r�:!..._. f r .:�..<. .yt.�
TOWN. OF BARNSTABLE
BAHHSTADLE,MABEL
BUILDING INSPECTOR
L
APPLICATION FOR PERMIT TO
TYPEOF CONSTRUCTION ................ ...........................:.:..:............................................................................
..............................................
/ S. cry 19 1
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: .
Location ... 7} l - .`; _�11? z l� .t � '%.� '� '� �u' -'� ?' ............................ �-
ProposedUse .......... - f. s..... f 1..c.t_�r �? J.................... .........::r�..........................................
.... .. ,... .
^^1,
Zoning District ...Fire District
Nameof Owner ...... .....................r............................ .........A"ddress .........,..........
Name of Builderr`i/. .a��� s.:...?�...... lt-c ddress ! /J/ G /, ,°'......:. .........
t
V
Name of Architect .......... .Address
Foundation � '� ; C /- {`--
Number of Rooms .... .:.......................................................... ......
Exierior%,., .l .. ................Roofing .......... :.•... :...."'............................
Floors .......:A.......................................... �....... Interior ,Zz., . . 2 �--'
..................... . . . .....................
� r -
Heating /,'.F? c- 2_.�__ /Lf1 �'� ' .... Plumbing �l�C."'��::-.-::..... ........................
.................................. ............... ..... .... .:.....
Fireplace Approximate Cost ..................... .J..........................
Definitive Plan Approved by Planning Board ________________________________19________ . Area � � j f
........ ... ...........................
�,#Diagram of Lot and Building with Dimensions Fee ....�1........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r :
f
L� r
f
l�1
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name � ...........................-� .- �- -:.......
:v.
Abramo,� Peter & Clotilda
r
'17661 add to single
No Permit for
''family dwelling
. ...............................................................................
Location 150 Dolphin Lane
................................................................
West Hyannisport
...............................................................................
Owner .........Peter & Clo ilda Abramo
.......................... .............................
Type of Construction .......... . frame
. .........................
............................................ ...................................
Plot ........................ Lot ................................
Permit Granted ..... ..April. 29..............19 75
Date of Inspection ....................................19
Date Completed ......::............•..................19
PERMIT R FUSED
................................. .......................... 19
Apprved ................................... .. ......... 19
...............................................................................
...............................................................................
THE
TOWN TOWN OF BARNSTABLE
Z BAWST"LE, i
"6 9 a' BUILDING, INSPECTOR
�FQ YPY .
APPLICATIONFOR PERMIT TO .............................................................................................................................
TYPE OF CONSTRUCTION ld / .y. �/ o Sr
`. G o............ v... . .................................................
/.. e........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit/according to the
following information:
Location ... ......... .<�L.��1f.�. ....... . .. .......�.Y..:...? N ;�SyIJC n J.................................................
ProposedUse ...C..' .nal=. ?........ ........................................................................................
ZoningDistrict ....................................fJ...................................Fire District .............................................................`................
Name of Owner 72-7->. .&....F :../T..�' 'Iq.m—o...................Address
Nameof Builder ................ ................................Address .................... !.=..............................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exierior .................b .................Roofing ....5;�/e !�c L?':.........................................................
...............................................
Floors ........... .........................................................Interior .......!J..?�?.�f 1.. !.1.S../ :!=i�.....................
.......�!U.Q .... .............
Heating ........ /.G..N:r.......................................................Plumbing ....... .!v.!.'.......................................................
j I
Fireplace ...........h!.�:.N :r.................................................Approximate Cost .. ./. .:..fit.t�
Difinitive Plan Approved by Planning Board --------------------------------19--------, j
Diagram of Lot and Building with Dimensions
�-e
TocL. fv oS`i=
1
THE PROPOSED ivl�THOD UI
Y WATER SUPPLY, SEWAGE DISPOSAL:
AND DRAIN-GE i hERtBY A i=ctv ,d:LD
TOWN OF BARNSTABLE.
BOARD OF HEALTH
A LICENSED INSTALLER MUST OBTAIN SEWAGE
PERMIT, AND INSTALL SYSTEM..
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . . ... ......... .....�....� ...
Abramo, Peter L. /�..
14280 ~-DEC 11997ed
No ................. Permit for ....................................
...............................................................................
Location 1 Dolphin Lane
..............................................
West Hyanrisport
...............................................................................
Owner ...........Peter L. Abramo
.......................................................
Type of Construction frame
................................................................................
Plot ............................ Lot ................................
a
Permit Granted ......September 29 0 19 71
Date of Inspection ............19
Date Completed .......1... .9 ...7 ......19
Y r
PERMIT REFUSED
t
.................................. .......................... 19
r
...............................................................................
Approved ..,............................................. 19
...............................................................................
...............................................................................