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HomeMy WebLinkAbout0057 HIGHLAND STREET S7 �/��� lakc/ 5.�, o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued 12-- 177 111 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 5-7 1+1 t _L— K 'b S- y� � L_S Village A ,� �p Owner ' G[4 � L!F``� /-J IPA Q6� Address �� 4ice4/ ,4+j Telephone - VM� . 7 7 • 9 5J 1 Permit Request '�FUV` V — — �-r1 --gin Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family g/ Two Family ❑ Multi-Family(# units) Age of Existing Structure O 40 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: II ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing r -new Number of Bedrooms: existing _new m Total Room Count (not including baths): existing new First Floor om Coin , Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo /coal sto-9e: L'es ❑ No r- r Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0 existing -O n 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'> [��C i - '-L0�'�S� i �(�1� , Telephone Number _ _1 v Vc Address- _ PA /�'� License # rj2q Al � Home Improvement Contractor# Email Worker's Compensation # wyv G 3 cc g ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO BATE SIGNATURES I FOR OFFICIAL USE ONLY -APPLICATION# F f , kDATE ISSUED MAP'/PARCEL NO. ADDRESS VILLAGE OWNER �.. DATE OF INSPECTION: FOUNDATION z FRAME L INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING •-- --------� 4 i` DATE CLOSED OUT r s r A$SOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents s Office of Investigations I Congress Street, Suite 100 t Boston,MA 02114-2017 5 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): TEIXEIRA CONSTRUCTION, INC Address: PO BOX 754 City/State/Zip:SANDWICH, MA 02563 Phone#:508.496.0529 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 2 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑■ Building addition [No workers' comp. insurance comp. insurance.1 d.re uire 5. We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 11. Plumbing repairs or additions 3.❑ I am a homeowner doing all work ❑ g p myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are donig 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 those 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 employees Below is the policy and job site information. Insurance Company Name:WESCO INSURANCE CO Policy#or Self-ins. Lie. #:TWC3085693 Expiration Date:4/12/2015 Job Site Address: City/State/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 lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her erti und�thepains nd penalties of perjury that the information provided above is true and correct. Si ature: Phone#: 15849' 60529 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#: I— ACORU CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD 12/15/2014014 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 Janet Rioux NAME: Sylvia & Company Insurance Agency, Inc. PHONE (508)995-4553 FAC No:(508)995-4525 500 Faunce Corner Road EDORIe •]rioux@sylviainsurance.com Building 100 Suite 120 INSURERS AFFORDING COVERAGE NAIC# Dartmouth MA 02747 INSURERA:Ohlo Security Insurance Company INSURED INSURER B:Safety Ins Company 39454 Teixeira Construction, Inc. INSURERC:Ohio Casualty Insurance CompanV 24074 PO Box 754 INSURERD:Wesco Insurance Com an INSURER E: Sandwich MA 02563 INSURERF: COVERAGES CERTIFICATE NUMBER:14-15 GL BAP WC UMB 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TED X COMMERCIAL GENERAL LIABILITY PREM SESOEa olccurenre $ 300,000 A CLAIMS-MADE Fx_1 OCCUR BKS1555827504 /12/2014 /12/2015 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PIECTRO LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaccident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 6229630 7/22/2014 7/22/2015 AUTOS Ix AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOSAUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED X RETENTION$ 10,00C US055827504 /12/2014 /12/2015 $ D WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TnY LIMITS FR. ANY OFFICE PROPRIETOR EXCLUDED?ECUTIVE� NIA E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) C3085693 4/12/2014 4/12/2015 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF 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) Umbrella Policy is excess over the General Liability & Workers Compensation only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Shirley O'Grady ACCORDANCE WITH THE POLICY PROVISIONS. James O'Grady 57 Highland St. AUTHORIZED REPRESENTATIVE Hyannis, MA. 02601 Maureen Armstrong/JR ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25 rgmnnsmi Tha Annon nmma 2nrl Innn orn raniefararl m2rlra of Annon TEIXEIRA s construction , inc. Authorization for Obtaining Building Permit I / We hereby authorize Teixeira Construction, Inc to act as my/ our agent for purposes of obtaining a building permit at: 57 Highland St, Hyannis, MA Signed � - Date Signed Date Sandwich 508.888.2450 S. Dartmouth 508.990.0440 Fax 508.477.6934 P.O. Box 754 • Sandwich, MA 02563 • www.teixeiraconstruction.com r TEIXEIRA construction , inc. '~��e 1[r.iimc-ii[[f�ii�C�i/"^l�UJJ/i<•�rirrC/,J { Office of Consumer Affairs&Business Regulation =- ME IMPROVEMENT CONTRACTOR - _egistration: 118496 Type: !expiration: 3/26/2015 Private Corporatio, TEIXEIRA CONSTRUCTION INC. t l DAMIEN TEIXEIRA 23 HARLOW RD SANDWICH,MA 02563 Undersecretary Massachusetts -Department of Public Safety Board of Building Regulations and Standards ! Construction Supen-isor 4 License: CS-059763 i DAMIEN TEIXEI ;A 23 HARLOW RD. g Sandwich MA 02363 )I Ilk Expiration r Commissioner 02/13/2016 Sandwich 508.888.2450 S. Dartmouth 508.990.0440 Fax 508.477.6934 P.O. Box 754 • Sandwich, MA 02563 • www.teixeiraconstruction.com Town of Barnstable Building 511,11 s Post his Card5o That�t is U�sible Frorn the Street Approved Plans Must be;lteta�nedon"Job andthis Card Must,be Kept sasrw Permit rrnsa Posted Until'Flnal Inspection Has Been Made , Where a'Certificate of Occupa,ncYis Required,such Builtlmg shallNot be Occupied until a Final Inspection-has�been made Permit No. B-19-1788 Applicant Name: MICHAEL SILVA Approvals Date Issued: 05/29/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/29/2019- Foundation: Location: 57 HIGHLAND STREET, HYANNIS Map/Lot 307 158 Zoning District: RB Sheathing: t Rr, Owner on Record: OGRADY,JAMES MICHAEL ; § ' Contractor Narne: MICHAELSILVA Framing: 1 Address: 12 MINTON ROAD ` ' ContractorLic�ense� CSFA-106219 2 BILLERICA, MA 01821 fst.Project Cost: $24,000.00 Chimney : Description: new kitchen,and bathroom repair kitchen fl w ndows Permit Fete: $ 172.40 5, Insulation: Project Review Req: NO RECONFIGURATION. KITCHEN AND BATH R'EMO EL ONLY. Fee Paid: $ 172.40 Date 5/29/2019 Final: Al z Al ray Plumbing/Gas .,, w ✓ Rough Plumbing: .,, ,,.� :,,, Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonied by this permit is commenced within six months afte'rdssuance. All work authorized by this permit shall conform to the approved appl cat nlaMnd he approved construction document o w ch�thls permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonmg�by laws aii'd codes. This permit shall be displayed in a location clearly visible from access street or oad a`'nd shall be maintained open for public inspection for the entire duration of the Final Gas: pi 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 provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work:., as Service: 1.Foundation or Footing 2.Sheathing Ins 4 ' Rough: Inspection . a . fir, 3.All Fireplaces 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: :_ p Application Number.., . l 1........ .. * # Permit Fee....... 1,.....t� .........Other Fee..... i639- FD TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by... ......................... on...4l.? f l rt BUILDING-PERMIT nn ''') ............. [l..(.... Parcel . ..................... . .... APPLICATION Section 1 —,Owner's Information and Project Location - Project Address !y 41 L:;4,W '� S-r� Village J �. 7 �/' �dl//S Owners Name_ Owners Legal Address S7 , City- - � �� S State � /r9.�f Zip L Owners Cell# 23 E-mail Section 2 Use of Structure o co t Use.Group ❑ Commercial Structure over 35,000 cubic � 3 C� f � o . ❑ Commercial Structure under 35,000 cubic Piet z N P Single/Two Family Dwelling rCnn M Section 3-Type of Permit p0 rn k; ❑ New Construction ❑ Move/Relocate' ❑ Accessory Structure ❑ Change of use r; R ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck w Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar IE Renovation ❑ Pool ❑ Insulation y- Other—Specify IVF W A ju f �341_4 (�©b 011, Section 4 - Work Description . A4eu j / f�J�i�e cue 400 c 4 - / 'IN Application Number.................................................... Section 5—Detail Cost of Proposed Construction 2 Square Footage of Project Age of Structure ® Yi�S Dig Safe Number # Of Bedrooms Existing ," 1 Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal El municipal ❑ On Site i y Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane, ❑ Yes ❑ No Section 7—Flood Zone i Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No d Section 8—Zoning Information i i Zoning Distract Proposed Use Lot Area Sq. Ft. Total Frontage' Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No a T act„nriarr.ri• 1 1/1 i/701 2 I MICHAEL SILVA 82 WALTON AV. HYANNIS MA. 02601 J 508 245 2906 CS 106219 H.I.C. 175708 James OGrady 57 Highland St. Hyannis Mass 02601 Description : Kitchen remove old kitchen cabinets. Remove floor to uncover to floor joist then install new 2x8 sister to existing 2x8 floor.Then install new blocking on ends floor joist.then install new inch Plywood on floor.Then install new L.V.T flooring color to be pick by home owner.then install new. harveys casement window over sink.then cut knee wall match cabinet height.Then install new cabinet in kitchen.Cabinets and counter cost not included labor only. 12,800.00 Windows in dinning room Remove two windows then install two new Harvey$1,800.00 Master bedroom bathroom remove dry walls and install new fiberglass shower and sheetrock walls install new toilet and sink.then install new casement window .with new trim around door and window,with new base board . new install new cabinet over sink Install new L.V.T flooring Paint color to,pickby. owner $7,300,00 Bathroom off hallway Install one casement window and L:V.T Flooring.$800.00 for window and 700.00 for flooring. Wall fireplace frame small wall then install new ship lap pine$700.00 Total Labor and material cost$24,000.00 Down payment$8000.00 When demo is done Floor Repair $8000.00 Rest when work is done Michael sil a s O G y I 4 r {v lU! } y Fla n.� I I - a vii ♦ r M, i Note:This drawing is an artistic Designed:3/24/201 interpretation of the general Printed:3/26/2019 appearance of the design.It is A w 20�® not meant to be an exact rendition. r t ;n G E yi .. q • t 'o, Note:This drawing is an artistic Designed:3/24/201 interpretation of the general Printed:3/26/2019 appearance of the design.It is 2020 not meant to be an exact rendition. TOWN OF BARNSTABLE . KLIST ,,� -PERMIT CHEC Sign cuff hours for Health and Conservation are 8-9: a-M. and 3:30 4:30 p.m. A ce ps Mpneadon W e�, l ing,aid mcdow 1-13 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS " ❑ Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"xlr(plans may require a stamp by an architect or engineer). ❑Residential-5 Sets of floor plans no larger than 11"x 17" smoke/co detectors marked ❑ Worker's Comp.Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council(IECC) ❑Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑Performance bond made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: El Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ Construction plans showing framing detail(if new framing), ❑ Pools—Barrier details,pool specs(engineers design) ❑ Workman's Comp Affidavit and policy(if required) , FAMILY APARTMENTS ❑ Section 1 Plus: ❑Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA.02111 www mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Annlicant Information - Please Print LegiblyName(Busineworganization/Individual)• 04MU Ad-- LZI/4 Address: L City/State/Zip: ,w,� Phone#: Are you an employer? eck the appropriate box: Type of project(required): 4. I am a general contractor and I p 1 ( � ,�• 1.❑ I a employer with 0 g 6. ❑New construction ployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y aP t3'• 9. Building addition [No workers'comp.insurance comp.insurance.$ rime&] 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 m right of exemption per MGL yself[No workers'comp. 12.❑Roof repairs insurance required.]t c. 152,§1(4),and have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: ��l�iL_� ,_� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy numbd and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine ,of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u ains an p of perjury that the information provided above is true and correct. Si Date: �l Phone#: Oj kid use only. Do not write in this area,to be completed by city or town o,fj`icial l 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#• Information and Instructions Massachusetts 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 hi 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 inchrding 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 appmtenant thereto shall not because of such employment be deemed to be an employer." MOL 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 constrict 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 its political subdivisions shall enter into any contract for the performance of public-work until 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 number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the 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 sire 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-insurance license number on the appropriate line. City or Town Offlcials 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 permit/license 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 future 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 Commonwealth of Massusetts Department of Industrial Accidents Office of vavestigatiom 600 Washington Street _ Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 42407 Fax#617-727-7749 www,nim.gov/dia Office of Consumer Affairs&Business Regulation. HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 175708 06/03/2021 q. MICHAEL SILVA- MICHAEL D.SILVA 82 WALTON AVE. HYANNNIS,MA 02601 Undersecretary r. only . - individual use return to.. valid for if found Regulation Re9istrthe expiration date' and Business before Sumer p'"airssuite-110 OjftG 0.st%ln9ton street - 1p00 MA 118 Boston, a .: Not valid Without Signature c o c+ w,.. > - E cHN U. d 9 A a E c T c >« o o :_ a ES , CL p `o Commonwealth of Massachusetts Division of Professional Licensure c u H Board of Building Regulations and St A andards _ O"� Construction�S'oer}Agog 1 g, 2 Family c a oiu. CSFA-106219 �o 4pires: 06/28/2021 v 89 MICHAEL SILVA 82 WALTON AVENUE HYANNIS MA D2601 u � 7 Y ✓ r 4L M i Commissioner' y,, . MICHAEL SILVA 82 WALTON AV. HYANNIS MA. 02601 508 245 2906 ' CS 106219 H.I.C. 175708 James OGrady. 57 Highland St. Hyannis Mass 02601 Description : Kitchen remove old kitchen cabinets . Remove floor to uncover to floor joist then install new 2x8 sister to existing 2x8 floor.Then install new blocking on ends floor joist.then install new inch Plywood on floor.Then install new L.V.T flooring color to be pick by home owner.then install new . harveys casement window over sink .then cut knee wall match cabinet height.Then install new cabinet in kitchen.Cabinets and counter cost not included labor only. 12,800.00 Windows in dinning room Remove two windows then install two new Harvey$1,800.00 Master bedroom bathroom remove dry. walls and install new fiberglass shower and sheetrock walls install new toilet and sink.then install new casement window .with new trim around door and window,with new base board . new install new cabinet over sink. Install new L.V.T flooring Paint color to pick by owner. $7,300,00 Bathroom off hallway Install one casement window and L.V.T Flooring. $800.00 for window and 700.00 for flooring., Wall fireplace frame small wall then install new ship lap pine$700.00 Total Labor and material cost$24,000.00 Down payment$8000.00 When demo is done Floor Repair $8000.00 Rest when work is done. .Michael sil a s 0 G y , l� rf r Application Number............................................ Section 9 Construction Supervisor Name &1e, S/1-0 4 Telephone Number f Address A/City J State Zip e-�2101/ License Number Gs License Type Z_-5/ 'Expiration Date 2 4 .O Z ' r Contractors Email '�'l �L�l t' 16 &4O Cell`# SZ) (1-;- 2 ?0 6" I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building C understand the construction inspection procedures,specific inspections and documentation re CMR the own of Barnstable.Attach a copy of your.license. r. 7 Signature Date - Section 10-Home Improvement Contractor Name- %� rtZ l ! ��� Telephone Number Address?Gt1�L city h 4i._ s- State, l Zip Registration Number .� (' Expiration�Date e���� I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code.,I understand the construction inspection procedures,specific inspections and. documentation X' 7801, Town of Barnstable:Attach a copy of your H.I.C...�i� j . Signature Date Section 11 —Home Owners License Exemption Home Owners 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 APPLIC T SIGNATURE. Signature Date Print Name �12'i c �!¢�� �c% Telephone Number E-mail permit to: .. '"1 4-2&�ZIZI* L • � � n Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department :❑ ` } Conservation For commercial work,please take your plans directly to the fire department for approval l Section 13 — Owner's Authorization I, , as Owner of the subject property hereby authorize " _ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name t j , Assessor's map and lot mumber hll I Sewage Permit number ............................................................ THE TOWN s � TOWN OF BARNSTABLE j Z BAINSTADLE, i i "6 9 O MPY BUILDING INSPECTOR y 'Ed' t APPLICATION FO PER ITT // `` v v ov E K R M O ..................1 ./:..Cy...... ..................................7................................. / TYPE OF CONSTRUCTION t .............. .....!.....................19.. r� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... ... .?. .. .1...... .c........... ......... . ............................... Proposed Use ... ........... Zoning District ........................................................................Fire District ............... Name of Owner l ... ...... 0 ...........:....Address .. /. ...................../:®.....C......... ... .{t� Name of Builder � ��®d(�t?C'A�r @ � Address �.(� . 'Y' 6 � .... !clls .. ........... ..... . Name of Architect A ' ..............................................Address ....................................... ............................................ Numberof Rooms . .......... ............:..................Foundation ..................................... ...... ................................ Exterior .................. ..... .... ...................................Roofing ........................................ ........ .................................. Floors ................ .............................Interior .............................. ............................... .................... Heating ......................Plumbing ...........................Fireplace .............Approximate Cost .............<... ®�... F..`.' Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ................................. & �...... Diagram of Lot and Building with Dimensions Fee0* °/® SUBJECT TO APPROVAL OF BOARD OF HEALTH �- Y D 5;2�nnG 6 yy/MAI4 e I hereby agree to conform to all the Rules and Regulations of the Town Barnstable regarding the above construction. Name .... .: .... . .... ..................... ... .... ...../..''�.. .. f Sharrow, Lisa 20472 swimmin ool No Permit for .k�....... i ...................................:........................... .............. Location .........5.7:..Hi&h14?A.� tre. .................. } r ............... Hyann;Lz........... ... Owner ........... .......................... - Type of Construction ............................................................................... - Plot ............................ Lot ................................ Permit Granted ...........AugUst..9 ........:. -19 78 . Date of Inspection ......:19 ....._Pate -Completed ...............:....Cl/ ..ram 2719 PERMIT REFUSED ................................................................ 19 ............................................................................... .............................................................................. - ............................................................................... • 1, ........................................................ f Approved ................................................ 19 ..................................................................:............ .................... ..................................................... Assessor's map and lot number ................ ff Sewage Permit number .......................................................... ��QyoFTHEto�°� TOWN OF BARNSTABLE Z BAB.HSTADLE, i "6 BUILDING INSPECTOR APPLICATION FOR PERMIT TOI S wA�, 1 11-7 A!f fd� Jc7y ¢ : ,. ,...... .,,,,,,,,� / TYPE OF CONSTRUCTION .............................:......... two ..................................:...:............,........................................... ..... .....p.....................19... V TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 3-VA , 14 / i k J...... ............ ....n!.�/ .:............�'Y Location ................:..... !` ........,:. >f s .. ............................................. Proposed Use ...... .. .r''Sv.�l.�! G............ trPi /t,, r....................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .0 J5N )ff /� �� ..................... ............................Address ..:,,............................................................................... Name of Builder � /31�0.'Lf.*14'i14�,IJ[PtlE' hf V .:.Address l C/. ?K�1��.6. .....� ........1 !!i /!t .. .F Nameof Architect ..................................................................Address ....................................... ........................................... Numberof Rooms .................................. ....Foundation \....................... .............................................................................. mkt Exterior ....................................................................................Roofing .........................................:.......................................... J \ ! \ r Floors .Interior Heating :............................................................Plumbing .................................................................................. Fireplace E.Approximate Cost . �0 ....................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot Lot and Building with Dimensions Fee +�✓" SUBJECT TO APPROVAL OF BOARD OF HEALTH 'r't?C'Z?-7- ON - rf f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. c1)I �' Name .. ... ......... ........... ` t ' .. I Sharrow, Lisa A=307 158 20472 swimm' g pool No ................. Permit for ................ .. ........... ................................................. ....... ..................... 57 Highland t eet Location .................................... ... ....................... Hyannis ............................................................................... Owner Lisa Sharrow .................................................................. . Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Au. ust 78 Permit Granted ........... .........9................19 Date of Inspection ......... ..........................19 Date Completed ........... ......................19 PE IT REFUSED ................................... ...... .� .�19 i A �i ". .............................................. ................................ ............. .......................... Approved ................................................ 19 ............................................................................... SI ., . Y 6 .. . il � r 1# ter. ✓ c, 4 0 {I{ ..*-II,i-�..,.."-I-�,�.:,.,.--.�,�.,�.,..--I";jt,i�`�.", ..�,o�,....,:I,.:,-��1!:,,-�::�!;,,,��:,,,-,I,,-�::,I�"-,.!�:..�.�.,...�....,��:,.-,-...,..�-—-,,....-,.,.;,-.-..'I,,.- .t, n 2 i �� k ,r. . O y ... h r .. f �'. p `' ) - .; -�� - I . . - ?�rl - ;, � ,�_--,,_- - --.,.- - ��,,..I ,. ��v �,..�, , 11.l., .� ,�:7 1�....� , - ,.--, I .:t- ,. .:,.. i �. V M s { ..- '" - .r _ .. F t .J1. 1. 11 �I' { � . ,v ,� .�11 .—, ,. .1 � p :� . A/ 1 is \A 2� �. � � I. a� /� ' / I c ,,. 'p: d r �': t.�t ♦ y .. -: .';, ' r t. a.. z ya y { w 3, K r: Y1 2 e I t c x < a x a ~ s. 'Ili rr 'Cx x:b I_4 4 A (. .gyp: fi' _ .,rR- ti T 1. �' 4. d i. I } a " _g 'ci.'_ -1: ",ol .i i B7 Sri N 4 m$ �,� 1 S - '.Y,. _ .. ;, -, .� _ iX.: ;$F _d '} u ! . ____Lim ,r t q 'q v .. ',. ... — t11 i x. if , w , .. T ,5-^ _ s t r - _ .. r W Assessor's map and lot numbe ..... 0..�... .::l ti... THE x Sewage Permit number ........................................................ Z BAHBSTAIILE, i g House number ........................................................................ 900 MAS eye 639- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................. lQ./........ :N................................................................. TYPE OF CONSTRUCTION l l:;r'� !1` ::`:................................. ............................................................ ��....... .................19.��� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......:15-7...... .'... ... .............................................. ................................... ProposedUse ...........D ......... ........ ?/.�,' !' � ...................................................................... ZoningDistrict ................................................................::......Fire District ........Ay............... ............................................ /?.A .�? 2. �v� ..........Address -,�7...f Name of Owner ....... l e d..C. .............. .............. Name of Builder -.a�!2A C1Z7 "�/t.`..!.�'�"....►�7 0�.. Address ............ . .. . . .. : ......... .. ........../,;(............ ....... `�.... Nameof Architect ..................................................................Address ..........................`...........,.............,................................ Number of Rooms .............1...........................................:.......Foundation ��..............�v.....Mr!�:............TT. ... Exterior .....:..+�..�..4......'v�.t��l.y ...:.. / /! ......................Rnofing ..... C�.fe4? ...................................... FloorsK?.... '.I ....°� Q`^1 :17 :• L� .......Interior .`.�.: �1V..1,... Heating .................................................:...........`....................Plumbing ..............................��................................................... Fireplace ..................................................................................Approximate. Cost ..............QI. ��.. .......................:....... Definitive Plan Approved by Planning Board ________________________________19________ . Area ../n..,o .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations o e Town of Barnstable regarding the abo construction. Name .... ......................................................... .... Construction Supervisor's License .. �_S.....le..�.. . S HARROW iNo Permit for ....SOLW ADD I TION.. .............................. Single Family Dwelling ............................................................................... Location 57 Highland Street ................................................................ Hya n nis . ............................................................ Owner Sharrow ................................................................. Frame Type of Construction .......................................... ...................i............................................................. Plot ............................ Lot ................................ 86 --,,Per�m i, Granted .......Oc.t.o.b.e,.r. 2.. .8............19 .... . . .... . . .. 'I . 11 Date ri- of,Inspection .....................................19 Date Completed .........3......... ...............19 L Assessor's map and lot number ..... If.THE 40 T OWN OF BAR. NSTABLE BUILDING INSPECTOR ...17 ec�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Nome.of Architect ..................................................................Address ---'_----------------------- ` � | ' Number of Rooms .............//..................................................Foundation ..+AiL /7����~i'^�-- . x��= Emerior —'*°�.r—. -- .� -------.RooGng —' -�—..----------.— ` Floors �*���^� .� �~+V �1 ��/ _.�Interior nJ�-T�l��-_ .h L�../)77�9�/^ / ` � Heating ---------------------------.F1umbing ---------------------------. | 4�8�� '- Fireplace ---------------------------AppnoximooeCou ----./:r+..—.,----. Definitive Plan Approved by Planning Board lQ--------, Area � ------ ~_ Diagram of Lot and Building with Dimensions Fee ........^r..r_�/q _____ SUBJECT TO APPROVAL OF BOARD Of HEALTH ' _ ' ' - / ^ � ` � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS - —^ | hereby agree to conform toall the Rules and Regulations construction. ' � Name ................''_.=.—`.:.°---1 ^^ �-^ �~��� � C� Construction Supervisor'sLicenso '��.��.^�'-T..�—.-8.. K SHARROW A=307-158 No 30102 Permit for ......SOLAR ADDITION ................... ........ Single Family Dwelling ......................................... Location .....57..Highland Street .. ................... ....................Hyannis........................................... Owner Sh.arrow..... . ............................................... Type of Construction ................Frame .......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted October 28, 19 86 Date of Inspection ....................................19 Date Completed ......................................19 ���1° 1111*7 Assessor's map.and lot number .4................... z .:............... gyp%TH E TO SEPTIC SYSTEM # Sewage Permit number-�9V. INSTALLED IN COMPL1 9TADLE i House number WITH TITLE 5 'oo M639• .. .. .............................................................. ENVIRONMENTAL CO®E MAY ale TOWN OF BARNST°A E' TIONS BUILDING INSPECTOR , APPLICATION .FOR PERMIT TO ... ........S.v N.... . �................................................................ TYPE OF CONSTRUCTION ...�:.WN ........................................................... ............................................... I.............................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a,permit according ttoj the following information: Location ....�� ....�`�.1.(. '' -�j�`'9.......:!a h...............!.4.X� N �.. ............... ............................. . nVl . .. ............ .................. ..... .... ProposedUse ....... . . . ...: ` ..... . .. ...................... ................................................................. ZoningDistrict .......................... ...4 .............................Fire.District ........ .. . ............................ ................................... Name of Owner ...(A:S .... � ..................Address ..........� .�....................................... . ....... Name of Builder . .......................................Address ... W 1 l�w N....izU......v...r.. .�.V.1..1..... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .. ............}..............................................Foundation .��`....1'�Pl�....^..SL P..(.��........................ Exierior . y..l.......................................................Roofing .....Q\-1�\\10 . Floors \ ...............................Interior .............................................................................................. ............................................. Heating .U,`-5 ..............................................Plumbing ......... �.......L�.................................................... Fireplace ............ �J....................................................Approximate Cost ... .. V ...................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ......... ... .................. Diagram of Lot and Building with Dimensions Fee ............ ..�. SUBJECT TO APPROVAL OF BOARD OF HEALTH b Clow T►�f' lot Il OCCUPANCY PERMITS REQUIRI FOR NEW D)VVEkL�NGS-) I hereby agree to conform to,oll the Rules and Regulations of the Town of Barnstable regarding the above construction. NameA ..... ........ .. ................................... Construction Supervisor's License ...0.0...f. .L....... 1 SHARROW, LISA i Nr�......�:.... Permit for ADDITION/.Sun Room 28 l ....................... r Single Family Dwelling 7 .................. i ` Location ..�..7...T�]..gkx�,.��?.Gl...:s19Q.et............... " .................Hit.ann i;s............................................ - �• `- �, - r e Lisa Sharrow 1 S Owner, Type of Construct ion......Frame....... ......`........... 4 YP .... .....`........`................................................................... Plot ............................ Lot ............... ,Au ust 31 83 , Permit Granted ..............g................ ........19 - •Date of Inspection ....................................19 t Date Completed .......... '*..19 4. !T ' 8 ~i $J t a Assessor's map and lot number ..:.,....... a l ............ THE Se age Permit number ...... d +► Z BARNSTADLE i House number .. .......................................................... +� A t63 _ 0 m a' TOWN OF BARNSTABLE .a BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ ............................................................... TYPEOF CONSTRUCTION .... lv `............................................................................................................ ................................................19........ TO THE INSPECTOR OF`BUILDINGS: I The undersigned hereby applies for a permit according �tof the following information: Location .....G.-)... .........�.1...�....:.......... .Y I�fy iv�........ �.:�...:.............. •I ProposedUse ........ ...... ..'. "L ��................ ..............................................................I......................... ZoningDistrict ............................+ ........................... .Fire District ...... .. ........................................................... Name of Owner ... .....` ��JKRA,: .............. '..Address ...` ,?�. ! ................................................... Name/of Builder 1,... Y'�.. ..�.........................................Address ..� <1.J1 l� v�?`�....I u: .�7. .1... .. >..`.. .�..1...... Nameof Architect ......... ........................................................Addres's' c1 .....................................� ................................ Number of Rooms .........................................................IFoundation ... .....1' Exlerior ...... 1„�-?.` .gym ....................................................Roofing ..... ...................................................... Floors ......................................................................................Interior ........................................................ Heating .......................... a....:...............................................Plumbing .........��� ���.� �:� .................................................. Fireplace ............... .................................................Approximate. Cost .... ...................... ............ Z ! Definitive Plan Approved by Planning Board -----------______-----------19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i f 1 i OCCUPANCY PERMITS REQUIRED�'FOR NEW DWELLINGS' I hereby agree to conform to all thet Rules and Regulations of'the`Town,of Barnstable regarding the above construction. C NameA..............................� ....��. ............................... �1.. Construction Supervisor's License ...o.�}. ......�... j. SHARROW., -LfSA A=307-158 No-254&K.... Permit for ......Sun Room Addition Single Family Dwelling ............................................................................... Location 57 Highland Street ............................................ Hyannis ............................................................................... Owner ,Li.sa Sharrow Type of Construction .Frame .............................. Plot ............................ Lot ................................ 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