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HomeMy WebLinkAbout0201 HINCKLEY ROAD a �� �� , - �.. • L►ruvaranrs, e The Town of Barnstable � Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 27, 1997 Ms.Lee Canto Kelsey Commonwealth of Massachusetts Department of Mental Health 259 North Street Hyannis,MA 02601 Dear Ms.Kelsey: Pursuant to Emergency Amendments to the Fifth Edition of the State Building Code//Sections 631,636 and 638 dated December 24, 1996(copy attached),the following properties do not require any inspections from our office until further notice. Properties: 1493 Newton Road,Hyannis 357 Main Street,Hyannis t201,Hinckley Road,_Hy R!is 209 Main Street,Hyannis 148 Sea Street,Hyannis 32 Sea Street,Hyannis 69 South Main Street,Hyannis 800 Bearses Way,Hyannis 225 Main Street,Hyannis 182 Main Street,Hyannis 59 School Street,Hyannis 148 Cedar Street,Hyannis 120 High School Road,Hyannis 59 School Street,Hyannis 15 Sterling Road 270 North Street,Hyannis 270 North Street,Hyannis 209 Old Yarmouth Road 209 Main Street,Hyannis Founder Court Apt. 720 Main Street,Hyannis 241 Village Market,Hyannis On the other hand,it appears that the following properties are group residences or limited group residences and must be inspected as required by the Mass.Building Code. Would you please make arrangements to complete and return the enclosed applications along with the required fee of$15 for each group residence. Upon receipt we will send a building inspector to make the inspections. 336 Sea Street,Hyannis -Angel Road Residence(Group Residence) 47 Cedar Street,Hyannis-Sea Winds(Limited Group Residence) 78 Pleasant Street,Hyannis-Kit Anderson House(Limited Group Residence) 50 Bent Tree Road,Centerville-Oceanside(Limited Group Residence) Sincerely, Ralph M. Crossen Building Commissioner Enclosure E5S PER of Barnstable Fspires 6 orn issue date ' _RegulatorySemces Fee ; „► SEP 18 2012 .9cL 1 e� Thomas F Geiler,Director hJ Build' OF $. A �g Division Tom erry,CBO', Building Commissioner 260 Main Street,Hyannis,MA 02601 www.town barnstable.ma us 0ffice: 508=862-4038 Fax: 508-790-6230 ' EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numb Z I .�II�1 �Z Zeside .Address ntial Value of W ork Minimum fee of$35.00 for work under$6000:00 Owner's'Name&Address wz tt - Contractor's Name &;Se ,`..` ,Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) orkman's Compensation Insurance, Check one: ❑ I am a sole proprietor ❑ I e Homeowner have Worker's Compe onhisumce Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit,, Permit Request(check box)' ' ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to �. s e-roof(hurricane nailed)(not stripping.-,Going overmdsting-layers of roof) E y Ke-side % _ #of doors Replacement Wmdows/doors/sliders.U-Value ®°.3 0 (maximum. #of windows EJ Smoke/Carbon Monoxide defectors 4 floor "plans marked with red S and msp'eztions required- separate Electrical&'Fire Permits required. *Whcre required: Issuance of this permit does not exempt compliance with other town deparmnent regulations,'Le.Fiistaric,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 ` ' ed.': SIGNATURE: QAWPFTLESWORMSIhuilding permit formsVWiESS.da 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 Applicant Information Please Print LeLyibly Name(Business/Organization/Individual): . Q r� Address r City/State/Zip: Phone.#:. Are yoy.an employer?Check the appropriate box: Type of project(required):. 1.rua/I am a employer.with 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. - emodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY t 9. ❑Building addition [No workers'comp:insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. 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. I 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 subcontractors 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.#: Ci � � Expiration'Date: Job Site Address: 2 l&_kh� City/State/Zip: h!t Attach a copy of the workers' compensatio policy declaration page(showing the policy numbe 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 Investi atio the DIA for insurance coverage verification. I do hereb c , ify and a pains pe ties of perjury that the information provided above is a nd correct Si afar Date: Phone#: 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).: A.Board of Health .2.Building Department 3:City/Town Clerk 4.Electrical Inspector S.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 in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity;employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,.or the occupant of the ..,dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states.that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of 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,b 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 sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple 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 burn 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: e Commonwealth of Massachusetts Departmcnt of Industr al Accidents Of-flee of Investigations 600 Washington Street Boston, MA 02111 Tel.#617-727-4900 ext 406 or 1-M-MASSAFE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia OFFICE: (508) 997-1111 ;; MA. Builders Lic. #021330 FAX: (508) 997-1297 Home Improvement TOLL FREE: 1-800-407-1111 RE FREE AoWmeslnc. Contractor's License WEBSITE: #100503 MA. www.carefreehomescompany.com 239 HUTTLESTON AVE. (RT 6) • FAIRHAVEN, MA 02719 #15179 R.I. NAME . 06 �L Re DATE ADDRESS_ f_�o r ��LJ�"� — /�� / (/�(.`( (/e ,Zki/r®c,DECow,S ADDRESS OF "�IH�O�ME 67Q7_ EMAIL ADDRESS CELL JOB DESCRIPTION r a4 AS/C- ?L` &J A!Mick IT &Af Scheduled Start ©GTr' Scheduled Completion A. Replacement of missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2)layers of shi gJe , eac additio I layer to be charged @ ft2. D. Replacement of rotted roof boards/plywood to be charged @ ft2. E. Existing chimney flashings will be reused;replacement, if necessary, is not included. F. Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this Drder is contingent, however, upon the want of strikes,fires, and any natur isasters,the ability to obtain materials, or any other :onditions beyond the control of the Company. ` 3ost of Project$ 7/ ?tx PAYMENT TERMS �� C)l= � Qi(/ Date You,the Owner may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. You,the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting mone rider is ontract and enforcing the terms of this contract, including but not limited to, reasonable attgIM7yNees, inte a i rt c ts. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY B NK SP CES ,ARE F. E HOMES, INC. C ED ly: Buyer acknowledges Owner: receipt of fully completed copy of this Agreement Owner: .11 contractors and subcontractors shall be registered by the director and any inquiries b ut a contract r o subcontractor relatin a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617)727-8598 1 Client#:33723 CAREF ACORD. CERTIFICATE OF LIABILITY INSURANCE r "'IK o,D2) 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 CONSUME A CONTRACT BETWEEN THE ISSUING INSURER(%AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:B the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 andorsemengs). PRODUCER NAME: Herlihy Insurance Group Inc. PHONE E'.SQS 756-5159 Ne;508-751-5747 51 Pullman Street CUST Worcester,MA 01606 -CUSTOMER ID s: 508 756�159 cusln INBURER(S)AFFORDINGCOVERAOE NAIL• INSURED A Inc INSURER A:Peerless Ins.Comp. 239 Huttleston A Care Free Homes INSURER g,Interguard Insurance Company venue Fairhaven,MA 02719 INsuRER c:Safety Indemnity Insurance Comp INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE AMID POLICY NUMBER LIMITS A GENERAL LIABILITY CBP8929704 3910112012091011201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL.LIABILITY DAMAGE Ppgmaa:=�Mo $100 O00 CLAIMS-MADE F x]OOCUR MED EXP(Any one ) $15000 X BUPD Ded:250 PERSONAL a ADV MURY $1000 0001 GENERAL AGGREGATE s2 000,000 GEWL AGGREGATE LONIT APPLIES PER: PRODUCTS-oow/oP AGG s2,000,000 17 POLICY PRO- LOC - s . C AUTORMILE LIABILITY ' 6213860 0710112012 0710112013 CO"BINED SINGLE LIMIT :�0 (Esacdderd) 8 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per acdderM $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Perscdderd) X NONLOWNED AUTOS s $ UMBRELLA LIBHCLAJMS4AADE OCCUR _ EACH OCCURRENCE $ ECCESSLOM - - AGGREGATE s DEDUCTIBLE 9 RETENTION 5s B WORKERS COMIENSATION CAWC359478 0910112012 09/0112013 X IWAliurmOTN- AND EMPLOYERS'LI BUTY ANY PROPRIETORIPARTNEIVEXEC Y 1 N EL EACH ACCIDENT s1 00O 000 OFFlCERlMHABER EXClUDE07 WA (11--wrylnNN} EL DISEASE-EA EMPLOYEE$110001000 a a ON Of OPERATIONS below E.L.DISEASE POLICY LIMIT 0,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AtlaM ACGRD 101,AddWaal Remarks Sduduls,R more space Is regtdred) CERTIFICATE HOLDER CANCELLATION 30 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN. Town of Barnstable ACCORDANCE WITH THE POLICY PROVISWNS Building Department 367 Main Street AUTNORIIED REPRESENTATIVE Barnstable.MA 02601 Of 9BS-2009 100 RD CORPORATION.AN rights reserved. ACORD 25(2009109) 1 of 1 The ACORD.name and logo are registered marks of ACORD 98566211M56619 PBZ Massachusetts -Department of Public.Safety Board of Building Regulations and Standards - Construction'Suc��isur' t + ' '"'' License: CS-095228 �1 . DANA J PICIwV �s _ 19 HAMLETST. • Fairhaven MAL 02719 P Expiration ration Commissioner. P 03/22/2014 � � CJlie�pom��eaizcueaCC�o��crQoacl i�rreG� I Vs , ffice of Consumer Affairs&Business Regulation �, License or registi ation valid for iniljvidul use-only ME_ OVEMENT i before the expiration date.:'If found return to: IMPR CONTRACTOR ' - Office of Consumer Affairs and Busmess'"negulat�on x.e istration 9 100503 TYPe` 10 Park Plaza-Suito5170 -.4 Expiration`6/19/2014 Su lement .ard" n I pp 1 c Boston,MA 02,1f6 CARE FREE HOMES tjW, yr . DANA PICKUP JR '- t 239 Huttleston ave Fairhaven, MA 02719 I Undersecretary > Not valid without sig a e wt F Assessors map and lot number Sdwage Permit number �. ................................ ....... ... ..... . ; K °fT"Er°� � • . TOWN- OF 'BARNSTABL- E 4_ BAREST $ i t3 `+ }: MABL 039. � P. BUILDING : INSPECTOR �p s6S9• ,.�•7 µ ' APPLICATION.FOR PERMIT TO a 4�`^l\. - '�.:,..... _ �............ ... ............. TYPEOF CONSTRUCTION .... ........... ........................................................:................. .................... ,• 19..7?. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to wing information: .. ....... .�.Location . ....... ... .................................. Proposed .Use ...... W�1// .................................................................. ........................................................... ZoningDistrict ........................ .................... ..........................Fire District .............. ........ . Name of Owner :.��11L vent..,. •...............................Address ..... tM�ll .. ... ............:....................................... Name of Buildgr .. .k.....y y `:` .`:....................Address ..&ee ......� .. .k'ti`:1!Ll.`fl3........4Z�y ...... Nameof Architect .......... .....................................................Address .......................... ..^........................................ ... Numberof Rooms .............T...................................................Foundation ........... .................................................................... Exterior ...........L:.L 'J�`� ...�` ,.......:.................Roofing ............ nyp ....:........................................... Floors ......�L ...�`.�f..:l�..................................Interior .....:.... r . ................ ..... ae Heating (.. ......................' ........................................Plumbing ......../.. .f ...................................... Fireplace .....:...... `� . ..........................................................Approximate Cost. ....A..�o ....................................... Definitive Plan Approved by Planning Board`________________________________19________. Area ... ...... Diagram of Lot and 'Building with Dimensions Fee ............... ......... .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name,/ Zc.. Chase, Warren .19393 repair fire No ..�. Permit:for .................................... damage .......� ..•• .. ......... 135 HinckleY Road Location.~........... .... ........... ..: ......... Hyannis -� -- r Warren Chase Owner ...... .......................... ....n ......... frame Type of Construction .......................................... Plot ....................... Lot ......... of June 43 77 Permit Granted .................•....:....................19 Date of Inspection ..........:..........................19 r 1 Date Completed`........ ... 19�B e r�iP,ERMIT REFUSED '.`1 ..... �. .......�..t 19 't' r t s . ..... .� i ................................ ................ ...... ........ � ...... .... ...:! i r 1 Approved ......................................I.,......... 19 �• , 1. ..................... ............................................ .. _ C Ass soriy map and lot number .....,.................................... Sewage Permit number .......................................................... e�Qy°Fq"E.TO�`�� : TOWN OF BARNSTABLE BAWSTODLE i 9� M6 9 - BUILDING INSPECTOR am a , r APPLICATION FOR PERMIT TO � �G TYPE OF CONSTRUCTION ............................... !............................................ ............................../...................... ~ -1't'7`-.'�-;.....'. ...........19�. TO THE INSPECTOR OF BUILDINGS: i The undersigned hereby applies for a permit according to the-following information: Location .................�.. 1- .: .........�k(ww....................... ............................................................................ Proposed Use I/ /l . .y...................................................................................................................................................r .. .Zoning District ...................... .............................Fire District ..............!....Y'........................................ 1�ILt�Yv�e.�t (46"2 ............................Address Nkt1C1z&t d Name of Owner .......... ................ ............................................................. ................................ / Name of Builder . .. �1...Z....... Y�G!rr,P ....................Address ..196x...1.-�... �, �`.atl.:��j........42Gyc........ Nameof Architect .............. ..^.........................................Address ......... ....................................................................... Numberof Rooms ............ ................................... ......... ....Foundation .............................................................................. Exterior . ..............Roofing: .. ` ....................................................... Floors ......:' ..:. ^�. :: /i ................'�......................................................Interior ............... ........a........................................................ Heating ................... � ........................................Plumbing .........f.. `' .... :�. ....................................... Fireplace ......... '1 ..:?..............................................................Approximate Cost ..... . .. .................................................... Definitive Plan Approved by Planning Board ---------------____-----------19--------. Area ....... ........,.....�_._. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 740 I hereby agree to conform to all the Rules and Regulations.of the Town of Barnstable regarding the above construction. Name. :`.`... ..................................................... Chase, Warren A=310-83 r 19293 repair fire N. ................. Permit for .................................... e ..........damage............... .............................................. Location Hinckley Road Hyannis ............................................................................... Owner Warren Chase .................................................................. Type of Construction frame ................................................................I.............. Plot ...................... ... Lot ................................ Permit Granted .............ne...13................19 77 Date of Inspection ....................................19 Date Complete''d ``. ............. ...............19 PE IT REFUSED .............................. ... ... 9 .... f. .................. ......... ..... y{{1j. .. ......... .................. ....... ... .{I.::".• . ...... Approved ................................................ 19 ......................................................... ..................... ...............................................................................