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HomeMy WebLinkAbout0050 GROUSE LANE J� ���us�- ���� �� 11 � BUILDING DEPT. � �aaApplication number..... AUG 14 2020 Fee � TABLE M;, . TOWN OF BARNS Building Inspectors Initials.. .................................. sw � �'irw W. H SCANNED Date Issued..�... �...�........................................ Map/Parcel..... `P. ...a.s.h....................... ... .... .... .... TOWN OF BARNSTABLE g l Gl EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION � / Address of Project: b �pi p U S� t/\)• R i�•9�o�1 S NUMBER STREET VILLAGE Owner's Name: A3Q B f -bV ��L 1 C I y7 Phone Number Email Address: Sbs MAL i c i a c) 6 wg)L Cell Phone Number Project cost$ 1 e Check one Residential ✓ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize S�rrz f d T N1A T1/V l/, INC. to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Siding Windows (no header change)# LJ Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to S 4 _ 1 F"T C CONTRACTOR'S INFORMATION Contractor's name )CAM 6L Qa T9 ,Q)r- PAll y j 1 k6 Wc, Home Improvement Contractors Registration (if applicable)# ) l q -7 ,;3 (attach copy) Construction Supervisor's License e)S I j (attach copy) U Email of Contractor M I K 1 E 4Je1 Pq 1 A)_f, Phone number `7 7L)-R7— 'R�U ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food'served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer 4 Model /I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature' -/ Date 9 /6��w All permit applications are subject to a building official's approval prior to issuance. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards .Construct 8il"S Spe.rvisor CS-0513111 EX,pires:08/03/2021 x MICHAEL G O'BRIEN 437 COTUIT RD MASHPEE MA-;_02649 w t k l Commissioner - �"'�"'"'�- , P t 7,P. /,/71/72G/ICUP%!.'G/�/J�%//U'2"J.•ICGCJLCCdPIIi Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE;.Supalemeht Card Registration Expiration 1:.1.97337:`.. .:r: 08j21 J2021 STEWART PAINTLI'JG';INC. MICHAEL O'BRIEN. �,�, 379 IYANNOUGH ROAD:::,; HYANNIS,MA 02601 Undersecretary Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 1000 Washington Street -Suite 710 Boston,MA 02118 r Not valid without signature �� ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/11/2020 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: Linda Sullivan DOWLING & O'NEIL INSURANCE AGENCY IPA/"c No.Ext: (508)775-1620 (FAX No: E-MAIL ADDRESS: Isuilivan@doi'ns.com 973 IYANNOUGH RD INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURER A: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B STEWART PAINTING INC INSURERC: INSURER D: 379R IYANNOUGH RD INSURER E: HYANNIS MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER: 562941 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 LTR TYPE OF INSURANCE JUM WVD SUER POLICY NUMBER MM/DD POLICY EFF MM/DI POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1-1 OCCUR DAMAGE ( RENTED PREMISESS Ea occurrence) $ MED EXP(Any one person) $ Fp-- N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY71 PRO-JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE Pe r acciden $ AUTOS t $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A - AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? NIA NIA N/A 7PJUB4N65493A19 10/21/2019 10/21/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS 1 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/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Robert and Joy Malicia ACCORDANCE WITH THE POLICY PROVISIONS. 50 Grouse Lane AUTHORIZED REPRESENTATIVE Hyannis MA 02601 ' J `-,, 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 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)08/10/2020 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 have ADDITIONAL INSURED provisions or 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 Tina Reeves NAME: Dowling&O'Neil Insurance Agency PHONE (800)640-1620 FAX A/C No Ext: AIC.No): 973 lyannough Road E-MAIL treeves@doins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Hyannis MA 02601 INSURERA: Evanston Insurance Company 35378 INSURED INSURER B Stewart Painting,Inc. INSURER C: P.0.Box 1067 INSURER D: INSURER E: Centerville MA 02632 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $TO RENTED- 30Q000 X BI/PD Ded:2,500 MED EXP(Any one person) $ A MKLVlPBC000634 10/31/2019 10/31/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO ❑ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIABI CLAIMS-MADE AGGREGATE $ DED RETENTION$ I$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Job:7749-Malicia,Bob&Joy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations,and endorsements.Nothing contained in the Certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Robert and Joy Malicia ACCORDANCE WITH THE POLICY PROVISIONS. 50 Grouse Lane AUTHORIZED REPRESENTATIVE Hyannis MA 02601 �y'` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Sheldon Stewart Estimate sh el don @stewa rtpa i n t.corn ACCEPTED Stewart Painting Inc. 379 lyannough Road Hyannis MA 02601 508.362.8023 CONTACT JOB ADDRESS ESTIMATE ID DATE Joy&-Bob Malicia Revised with shed,shower wall,roof wash 7749 05/29/2020 50 Grouse Ln Hyannis MA 02601 bobm a I icia @gm a i Lcom 508-577-8941 Estimate Item Whole House&shed House Trim and Siding: Low pressure wash with water,bleach and Jomax,Roof Low Pressure wash with Bleach,Water,Jomax Front Painting list Floor: Dental Fascia,Soffit and Freeze Boards,Corner Boards,Down Spouts Remove& Install (No Paint)(2),Window Casings(3), Vinyl Shutters: Remove,NO PAINT,Install(6),Door Casings(1) Front carpentry Repair Angled bay window: replace left&middle sill noising,replace right full sill,replace 2 casings,Window: 1st FL,R&R W/AZEK,2 sides(2), Window: 1st FL,R&R W/AZEK,sill noising(2),Full sill,Storm Window Rem ove& Install(3),Caulk all gutter seams Left Painting 1st Level Rake Boards,Gable Vents(1),Window Casings(1) Left Carpentry repair Window: 1st FL,R&R W/AZEK,3 sides(1) Left Carpentry Shingle replacement R&R shingles Back Painting 1st Floor: Dental Fascia,Soffit and Freeze Boards,Corner Boards,Down Spouts Remove&Install (No Paint)(2),Window Casings(2), Door Casings(1),Bulkhead(Exterior Side Only) (1) Back Carpentry Repair Door kick board R&R with Azek(1),Door casing R&R 2 sides with Azek(1),Corner Boards 1st level R&R(9ft.)with Azek(1),Replacethe right shower wall and install,Remove 2 shower roof panels over shower section on right Back Carpentry Replace shingles R&R cedar shingles,Remove and put back 2 shower walls tosidewall,Remove dishes,brackets and 2 old brackets on roof&seal holes Right Painting 1st Level Rake Boards,Gable Vents(1),Window Casings(2) f Hem Right Carpentry shingle replacement R&R Shingles Wash total:$240.00 Wash Painting total:$2,480.00 Painting Carpentry Repair total:$1,827.00 Repa it Carpentry Shingle replacement:$13,685.00 Shingle replacement Shed Siding&Trim; stain Tota 1 $19,032.00 A second pa ym en t of 1/3 of th e tota l con tra ct a m ou n t is due upon start of th e prof ect. The rem a ining 1/3 balance is due upon completion.* *If theowner is notavailablefor a walk-through on theday of completion, an allowancewill be made for withholding 10%of the balance due with the withheld amountduewithin 2 weeks of completion. Credit Card/E-Check Payments Credit Card or E-Checking Account information will be required tohold on file upon signing of contract.This information will be used for Progress Payments. For jobs tota I i n g over$10,000.00,progress payments will be required th rou gh ou t th a course of th e j ob. Date Estimators Signature Date-- Customer Signature 06/12/2020 ESTIMATOR SIGNATURE DATE 06/12/2020 CUSTOMER SIGNATURE DATE Estimate#7749 for Joy&Bob Malicia. Total value:$19,032.00 t r r A PERMIT,PAYMENT RECEIPT y d � TOWN OF BARNSTABLE o, BUILDING DEPARTMENT ', 200 MAIN STREET HYANNIS, MA 02601 r DATE: 07/27/10 TIME: 13:32 -----------------TOTALS----------------- PERMIT $ PAID 35.00 AMT TENDERED: 35.00 AMT APPLIED: 35.00 CHANGE: .00 APPLICATION NUMBER: 201003813 PAYMENT METH: CASH PAYMENT REF: Tow' of,Barnstable Regulatory Se -v><Ees oFtt+e ram, , �. �. Thomas F. Geiler,Director ]Building Division e w BARNSTABLE, * } - y MASS. Tom Perry, Building Commissioner 1639. `0 AtFo 3�a 200, Main Street, Hyannis;MA 0260 t wwiv.town.barnsiable.ma.us --_ --- DT Office: 508-862-4038 508-790-6230 • Approve...., Fee; Permit#:Ad/O el 38/f HOME OCCUPATION REGISTRATION Date: 1 711U n J Nar ic: 2a 1 u4 Finnic # Address: Village ,/ Ut4 y it Nanie of Business:----------- -------- -------------------- .. --- ---- ----- — ---- Tyne of Business: �d r� t���/ SCr��CC� Map/Lot: K. INTENT: It is the intent of this sectioia to allow the r;esideuts of.the Toiwu of Barnstable to operate a''home ocCupatioll within single family dwellings,subjectto'the-provisions.of Sectiou 44.4 of the 7,cmiiig or(ivauce, prodded that the actiiity Shall not be cliscerillble front outside file divelling: there sliall..be no increase in noise or odor;el o visual alteration to the premises Which would suggest airything other than a residential use;.no increase in traffic above riornial residential volumes; and nq increase iu air orgroundiaater pollution. After registration airith the 13iiilcliug Inspector,acustomary-home occupanon.shall be pernnttecl,as of right subject to the folloawiug conditions: • The actl%%is carried on_by the pernianqJit resident of a.siiigle family resideiltiaf diwelling unit, located witliiii that dwelling unit. y Such use occupies iio`more than 400 squa-reFeet of space.: • "there are:iio extern it alteratious to file diielliiig'ivIlicI are riot customary ni i'eSl(lelitial bull(hngs<ilid there is no outside eviderice of•.sucli use: w.r • No traflicM11 lie'gea rated in excess of normal residential volumes. •. `Elie use does not.involve the production of ofle isive noise,Vibration,smoke,dustor other particular iiiatter, odors,electrical disturbance;heat,glare; liuniiclity or other=objectionable eflects_. a There is no storage or use of toxic 6r hazardous naterials, or fl:uiiniable or explosive materials, in excess of normaI household quantities.. • Any need for parkinggenerated.by such,use shall be islet oil the same lot containing the Customary Home Occupation,and not.within file required front yard. • There is no exterior storage or display of materials or equipment. Customary Home Occ a riliou other tlia i one win or one • There r are no comniercl, vehicles related to the C } t . he e- pick-up truck not to exceed one ton capacity,ancf.one trailer li6t to exceed 20 feet iii length and not to exceed it tires,parked on the.same"lot coiitaiuiii;the Customary Home OCcupatiou • No sign shall lie displtiyed in(licating the Custonia y Hoiue 0( lif ion. •` If tile.Customary orie Occupation is listed or a(lVeitised as a business,the street address shall.not be included. e No person shall be eriaployed in the Cust61lialy Ho ire"Occupation who is'not a permanent resident of,(lie I, the ulldersigne(l, have i•ewl and agiee alith theabove rest` ions for my home occ upation I dial legisterirag, Appliruit: 1 Date: ., a y.. .. YOU WISH TO OPEN A BUSINESS? For Your Information: "Business Certificafies COST $30_00 f (WHICH YOU MUST DO BY M.G.L. or 4 years. A Business Certificate ONLY at 200 Main U Hyannis. Take the completed form give REGISTERS YOUR NAM g you permission to operate). You must first obtain the necessary.si natur Town the. Business Certificate that is required by law.; P orm to the Town Clerk's Office, 1'' FI,,'36 S g es on Jn 7 Main t: Hyannis,annis, MA 0260�1(To thisf m 4 wn Hall) and ;'et S - ; Fill in please: °�- APPLICANT'S t^" M t YOUR NAME: DATE: BUSINESScc�lGGu 70X- aa? ji4?j YOUR HOME AUUK SS� - 561 ° -� NAME OF NEW BUSINESS HONE # u3� u Home Telephone Number: IS THIS A HOME.00CUPATION� uJ � '� Have -___YES NO f:: TYPE OF.BUSINESS You been given"a r Se/1//Lc pp oval fr© the building division? YES ADDRESS OF BUSINESS NO When starting MAPIPARCEL NUMBER a new business"there are several thin s Barnstable. This form is intended to assist you hi obtaining g you must i o order to be in compliance with the rules and re ul Yarmouth Rd. & Main Street) to make sure you have thena the information town. you "may need: �, _You MUST g ations of the Town of e _ permits and licenses required to le a0'TO 200 Main St. (cor appropriate erm This NG:COti1 rat ner ,of - g Y' pe e your• bus- BUILD! ness'in this S10 ER'S OFFIC - . is'ind'ivid I h .� MUSr ` <; en rifQrme a y p rmit equirernents that pertain to_this COMPLY w►rN H�type of business. RULES AND REGULATIONS OCCUPATION Author"z ignatur ** - CO(�PLY RESULT FAILURE rp MENTS: _ MAY ULTIN FINES.= i 2. BOARD OF HEALTH l This,individual. has ee inf rmed of the pe if eq;uirements th n 'at pertain to this type of business. COMMENTS: A orized Signature**_ 3. CONSUMER AFFAIRS (LICENSING This individual has been informed of the lice sin' requirements g quirements that pertain io,this type of business. Authorized Signature** COMMENTS: