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HomeMy WebLinkAbout0031 FIFTH AVENUE (HYANNIS) �,W,Er Town of Barnstable *Permit# -a-,I 15b Expires 6 months from issue daL- °s Regulatory Services Fee BARNSTA LE WAM 1 tee$ Richard V.Scali,Director Z,Pb '�'"� pry� 1 Building Division ,!� Tom Pe CBO BuildingCommissions MAY Nft O 200 Main Street,Hyannis,MA 02601 16 www.town.batnstable.ma.us ��F���� Office: 508-862-4038 Fax: (J_�-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 2 q�_ 1 q Not Valid without Red X-Press Imprint Map/parcel Number _I I ,/� Property Address 3 'e [((Residential Value of Work$ 0Q6 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1/-.(!n (' 5Q�A N �-�VA L1 e (JwrA� 2A .�d(� c�. Contractor's Name a,, �� LV Telephone Number_ Home Improvement Contractor License#(if applicable) l6 `� Email: �� Construction Supervisor's License#(if applicable) Co w/workman's Compensation Insurance Check one: ❑ I am a sole proprietor . ❑jAm the Homeowner I have Worker's Compensation Insurance Insurance Company Name �✓����✓� Workman's Comp.Policy# ouk3 Copy of Insurance Compliance Certificate must accompany each permit., Permit Req�(check box) �'Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to raAA pl. ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 re uired. SIGNATURE: Q:\WPFILES\FORMS\building permit formsVDTRESS.doc Revised 040215 The Ca;aanweah*csse�e�re 6a#Wmbi3gWa.t-sf APPEc= '��-�.rs' C�mpIrll--trra�.� t�a'�it�>�erst��` dar�I�erfrFc���usr�ers t Fnfarmaticm Pleases Name Addre yf i amp: i wO AC070( pl'It=j�-�9®R Are}tea an employer?Ch6ckfu Mprapria�bt= T of ecE _ I�a ct�nt,�rh sr Z 3� P �mT 1 i)= ��(fall�orpmtt me)* ❑hav5hizuafha�s Ides ❑ I am a sole pragfietttr orpa finer- listed on the attached shy 2- ❑ReTuodeE ship sand have m em€playmes Tlxse sub-mnicactam h-,-m 9- ❑Demlifiba urplogeeg a�ndhave worms' �o�dnrzn,-m any 7 e $ Q_ ❑1g arid�-an . [Na-wad' comp.fi=-dnce camp-ksmm Q1 I $- ❑ we are a axporatimand its 10-0 ElecEc.dmpairs ar additions 3_❑ I amahomEaWusr&Ding all IIIL c dH=hSve em*rtsed their II--❑Plmnbiag mpaim or additions my sea [No workers'comp- rightof em m am per MQ, 12-0 Roof zegairs MmEance 1-F c-152,§IM aadwehamz [No,W060nm, Comp_mcrxantp l *may aup)Yza�fiat cberi- tl auictalsn i�outrFa secfronhcimPshac�g iiwo3tes�mnmensatiau pc:Ticr3 �ffn�wnesubzr) Tbi&fiffin dLey mdaias_IIr=� ��t�—V�pmtm&acontiactns sn&�snLrwen adtina,tin mr3L s$ha33 cask this bar,must xtlsrbeh s¢z8 T;ri m gi SbeeY shuxi%thP name of�]E s<kscs amd s�cchether ocnotfrn3sg ss5-ve ea sIoyees. athe svh-ca�h.--M MMlDy th--7 I parade tires comp.pow n=bec it r err Inpet rhrrfis prox erg frorkers'catrr xrrcvrfinrr irc=r=ca far ray e T10yees. Ec'vty is filepri$c}acid jab sitg ir FAR,- � - TV��.1-e Go��N�= - POEL7#or SeFf-ias Ii(- ` =H U a L () `�.l EMpirafioQTats. lob mitt Addfess ' GJ CzlgfStatelTtp= SIR Vl1/If C 1"1 Altarh a:CIDpF of the-WOrkese compensafinn pol'rrT dadzmfiou page-(shaming the poHLT amaber=d ezpaa Dn dste): FaTInm to sew coFerage as retjuiretinztder Seca M SA of MIM c- 152 can lead to the imposition nfcsmimal g=Zflies of a fine tzp fo L SOQOD andlor one yearim ,as�aeIl as citzT gmalti in$fie f=im of a STOP WOKK OIDEPLaad a fin,- of up ttr$250-00 a day against the violatoL Be.wised that a raspy of ff3is stdzment maybe ceded tier file Office of Inresf§sfiom of the-DIA for Tnsacanm cov=mge veriF L £der F under thirpa s mid penaffar ufp&jiuy$ratffre i jprnut�uprcn�&d abavc is kua cad,,Fred Phme A: S z) 3-)-) 2smd �irt�au�,�, I?�trat rrrii�iff bus arecrf fa ha cErxtple4Eri b,��`crr fixt>�r�cs�iin.£ . cify or Town: l rcrTitfF icease# F�.g Anfharrtg toscle o��: . - L Darla of$eandt 2.$m-Efing Dg2rtramt 3,CaVFawn O=k 4_ElectricaI hispectar 5.Phunbfug EmTmtor fi.Qthrr Ca�ct 1'ersaYr: - T'IE�rgt;� - 1�iamarlrme:tt G==al Laws chapter 152 requires an r-nrployers to pmvidE workers'compensaton far ffie:�z employees, PrrlSQanf'tt]this stag,an employee is defined as'__every person in the smavim of acother rides any contract of hire, exp=or implied, oral orwrht=-" . An an pkye2-is defined as`-an individual,partnership,association, corporation or other legal=hfy,or any two or more offe foregoing engaged in a joint etrprise,and includirrgthe Legal represeatives of a deceased employer,-or the receives Cr trustee of as and Yidhsal,parineasbJp,association or other legal er>iity,employing employee;_ However the owner of a dwelling house having not more than fliree apartments and wbo resides therein,or the occupant of the dwelling house of another who employs persons to do mains nance,construction.or repair work on such dweIlmg house or an the grounds or buildmg appmttmant thereto shall not because of such employmm2t be deemed to be-an employer." MGL rive 152, §25C(6)also statr=s that'every-state or local Icensmg agency shall withhold the issuance or reuewa oof a&cerise or permit to operate a business or to ronst Tact buildings in the commonrYcalth for any applicant Who has not produced acceptable evidence of carupHan.ce with the ksurance.coverage required.' . Additionally,MGL chapter 152, §25C(7)stains'Neither the commonwealtli nor any of its political subdivisions shall enter into arty contact far the perfo=.ance of pnblie work until acceptable evidence of compliance vetch the i„man ce requirements of fins chapter have been presented to the contracting authority." 4plica.nts Please fill or± the workers' compensation affidavit completely,by chug the boxes that apply to your sitadon and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with the>z cci=ncate(s) of inc>_,,�a�ce. Limited Liability Companies(L.LC)or LimitrdLiability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation inenra„ce_ If an LLC or LLP does have employees;a policy is required_ Re advised that fh.is afdavitmay be submitted tD the Department of Industrial Accidents for confirmation ofin mance Coverage. Also be sure to sign and date the affidavit The affidavit should be retuned to the city or town that the application for the permit or license is being requested,not the Deparizieat of fndnst cial-Accidents. Should you have any questions regardmg the law or H you a_re req e-d to obt..' a v*orkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-i-�ce license number on the appropriate line. City or Town Officials Please be sr-fat the affidavit complefi,and priat2d legzbly_ The De m Department has provided a space at the'ta ot . o f the affidavit for you to fill out in the event the Office of Invesiigaiions has to contact you regarding!he applicant Please be sure:tin fill in the p=i11lieemse number which vr>ZI be used'as a reference nmeber• In addition-an applicant that must submit multiple pennitllitx_nse applications in any given year,need only snbmif one affidavit imdicafrog cun-ant policy infiuffiation(if necessary) and under-Job Site Address"the;applicant should write'an locations in (city or ' ;.own)."A copy of the affidavit that has been officially stamped or ma3ced by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for Rif=permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtdaiag a license or permit not related t'any business or commercial vcat.re (i e,a dog license or permit to burn leaves etc.)said person is NOT requYed to complete this affidaiZt The Office of Investigations would at to thank you in afivance far your cooperation and should you have any questions, please do not hesitate tD give cis a call. The Deparfinenffs address,telephone and fax number: ` lh�Camm�ciawi-,aja ofMamachus tt D-- a tit of 1 dial AQaide�ats �� Strom 1�cnz MA G21 I I TtL.t4. 617-727-4 Q�L 446 ur 1-3-77 hLAZS,{ R=4 617-727-Ti-4,4 Revised 4-24-07 ., tom!:Massacihdsefts•-iiepartment of Public Sa ety �. Board al BW ivi^g R gula4i ns 1hc L r°..s­-CSFA4) 746 ' ROBERT P EVAN,%JR 874.EDGELL RD- � Framingham MA<01701W ExpiraJon . Commissioner 10/30/201& ..-..._ - �• V/a (Garrvi�aa�:.raea��a���ac�uJe� � Office of Consumer Affairs&Busifiess Regulation OME IMPROVEMENT CONTRACTOR egistration T08807 Type n 8/25/201& Private Corporation piratio k9w r ROBERT EVANS,JR Robert Evans,Jr. 874 EGDELL RD FRAMINGHAM.MA 01701- Undersecretary . n Y r r 7 ® DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 05/02/2016 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: john duXbury EASTERN INSURANCE GROUP LLC AICNo : (508)270-5312 AC No): ` ADDRESS: jduxbury@easteminsurance.com 233 WEST CENTRAL ST. INSURER(S)AFFORDING COVERAGE NAIC# NATICK MA 01760 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURERS: ROBERT EVANS JR CONTRACTING INC INSURERC: INSURER D: 874 EDGELL ROAD INSURERE: FRAMINGHAM MA 01701 INSURERF: COVERAGES CERTIFICATE NUMBER: 49197 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MI D@ EFF APODI D� LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ NTED CLAIMS-MADE OCCUR PREMISES(Ea DAMAGE TO occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑P JECT RO LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED Per PER DAMAGE HIREDAUTOS AUTOS $$ UMBRELLA LIAB OCCUR r EACH OCCURRENCE $ 4 EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATUTE ERH ANYPROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? NIA NIA NIA 6HUB2E95021215 10/07/2015 10/07/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 a N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). ,The status of this coverage can be monitored daily by accessing_the Proof of Coverage-Coverage Verification , Search tool at www.mass.gov/lwd/workers-compensation/investigations/. f CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWII Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street " AUTHORIZED REPRESENTATIVE a cHyannis MA 02601 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Robert Evans Jr Contracting Inc Estimate 874 Edgell Rd ` CS 056746 HIC 108807 Framingham MA 01701 508-877-3500 fax Date' Estimate# 508-877-3550 4/27/2016- 1383 -rpejr@verizon.net Robertevansjrcontractinginc:com Name/Address T- r ;. . YEARS OF BUstiv Neeben 2� s 41 Chipman Rd QCME , Sandwich CX3fQTRACT ,. .-• P .� ;_ �: ;.. -:`.c�oaF�54czrae�.avp�t�v�f aE; -20 - E , _ s , Desmptnon Total ' STRIP.AND REROOF ALL OF HOUSE 315 6,500 00 ? -Strip off old roofing and dispose of property protecting siding and landscape with Heavy Duty tarp and using magnet for nails Inspect roof boards and replace were necessary First 100 ilinear ft.at no additional cost After that a Plus cost basis {$60.00 PER SHEET OF PLYWOOD}or$3.50 per ft.• of_ix8 board Install Ice Water Barrier 9 ft.from eaves overlapping onto fascia board and 3 ft. along sidewalls,in valleys,skylights,and anted chimney Install Synthetic Rhino roof undertayment to remainder of exposed roof -.install new 8"inch solid aluminum drip edge to eaves and up along rake boards Install Starter strip shingles along eaves and up rake boards Install new Certainteed Landmark lifetime Archttectural shingles Algae Resistant nailed with 11/4 inch galvanized roofing nails :<:=:Iratall Cobra ridge vent to peaks Install new aluminum counter flashing to chimney -Install new pipe flanges to pipes ' - `Install Hip and ridge cap shingles to hips and ridges Work site will be cleaned and swept of all mils and debris Clean out any gutters of all debris - -`Alt work and Workers are fully insured lifetime manufactures warranty and 10 yr labor warranty. " Contractor to obtain all permits t X'` t 'Total $6,500.00 Signature r, Signature d l:" t Parcel Detail Page 1 of 4 ' j 7' LfJ^Z ' Parcel Detall.M,, �.. Logged In As: Wednesday May 4 2016 Parcel Lookup Parcellnfo . ..... _w Parcel ID 246-193 Develop er Lot SLOT 410 Location 31 FIFTH AVENUE(HY/� Pri Frontage Sec RoadF77 - Sec Frontage w7„ =r village HYANNIS -�.. , ,1 Fire District HYANNIS l Town sewer exists at this address NOv Road Index Asbuilt Septic Scan: . 246193_1 Interactive Map �I F. �,a` Owner Info Owner GIATRELIS, DANIEL J& CO" %NEEVEN, LINDSAY E � ) Owner 1 streets 33 EAST 22NCS_APT;I street2 city NEW YORK State zip Country Land Info ....... .. ......... _. ......... .... ... ......... .......... ........ . . Acres,0.18 � �� use Single Fam MDL-01 Zoning FRB Nghbd F0109I Topography evelr - Road Utilities eptic,Gas,Public Water Location Construction Info _......,, _ _ ,_... _ _.......... Building 1 of 1 Year 1950 � Root tGable/Hi exr Wood Shin le Built s Struct I p Wall ., ,F. I Living 750 Root Asph/F GIs/Cmp AC None Area Cover Type Style Ranch wan Drywall Rooms 2 Bedrooms ,... Int ,..,.�.,� ..,„�,,.,n,,,�xFw Bath t».Ww.W ,,,->,..,,.,«..>..�, 3 , Model Residential Floor Hardwood Rooms 11 FUII 0 Half Grade Average __ Type Floor Furnace R orne4 Rooms �- stories 1 Story Heat iGaS��Found-n,:B k/POUr Ftgs Gross 1104 Area Permit History Issue Date Purpose Permit# Amount I Insp Date Comments Visit History Date Who Purpose 12/22/2014 12:00:00 AM Susan Ricci Cycl Insp Comp http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=17275 5/4/2016 f Parcel Detail Page 2 of 4 9/8/2014 12:00:00 AM Susan Ricci Cycl Insp Comp 7/7/2003 12:00:00 AM Paul Talbot Meas/Est 7/26/1999 12:00:00 AM Donna Dacey Meas/Listed-Interior Access Sales History--.. ..,.._ ...... _ Line Sale Date Owner Book/Page Sale Price 1 6/22/2007 GIATRELIS, DANIEL J & KAREN L 22132/179 $328,000 2 6/12/1991 DIAMOND, JOHN R & ROSEANNE 7568/220 $105,000 3 6/30/1986 NOWAK, STANLEY P &JANET A 5166/176 $103,000 4 2/28/1986 NICKULAS, LARRY D 4944/112 $625,000 5 7/5/1966 TELLIER, EDWARD A&JUNE 1 1340/531 $0 6----4/29/201"6- NEEVEN, LINDSAY E 296167fi71"� $325,000 Assessment History Save Year Building XF Value OB Value Land Value Total Parcel # Value Value 1 2016 $54,400 $8,600 $2,700 $240,400 $306,100 2 2015 $61,400 $9,600 $1,600 $225,100 $297,700 3 2014 $57,300 $9,600 $1,900 $225,100 $293,900 4 2013 $57,300 $9,600 $1,900 $225,100 $293,900 5 2012 $57,300 $8,900 $1,500 $225,100 $292,800 6 2011 $74,800 $3,000 $1,400 $225,100 $304,300 7 2010 $74,700 $3,000 $1,600 $230,000 $309,300 8 2009 $71,500 $2,400 $800 $235,400 $310,100 9 2008 $83,300 $2,400 $800 $266,200 $352,700 11 2007 $83,300 $2,400 $800 $294,200 $380,700 12 2006 $73,400 $2,400 $800 $282,900 $359,500 13 2005 $69,800 $2,300 $800 $143,700 $216,600 14 2004 $56,200 $2,300 $500 $143,700 $202,700 15 2003 $50,000 $2,300 $500 $62,900 $115,700 16 2002 $50,000 $2,300 $500 $62,900 $115,700 17 2001 $50,000 $2,300 $500 $62,900 $115,700 18 2000 $38,900 $2,300 $200 $41,300 $82,700 19 1999 $38,400 $2,200 $0 $41,300 $81,900 20 1998 .$38,400 $2,200 $0 $41,300 $81,900 21 1997 $36,600 $0 $0 $53,100 $89,700 22 1996 $36,600 $0 $0 $53,100 $89,700 23 1995 $36,600 $0 $0 $53,100 $89,700 24 1994 $38,400 $0 $0 $47,800 $86,200 25 1993 $38,400 $0 $0 $47,800 $86,200 26 1992 $43,700 $0 $0 $53,100 $96,800 27 1991 $48,400 $0 $0 $64,900 $113,300 28 1990 $48,400 $0 $0 $64,900 $113,300 29 1989 $48,400 $0 $0 $64,900 $113,300 30 1988 $40,500 $0 $0 $24,800 $65,300 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=17275 5/4/2016