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HomeMy WebLinkAbout0119 MAPLE STREET 1 c Map ( S -. 310 3'73 r Town of Barnstable *Permi Building Department e 6 nthsfromissue e RAMST,BiE : Brian Florence,CBQ ,639, ���' _ Building Commissioner jOrFo °i 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY /® � �� Not Valid without Red X:Press I#Wtint Map/parcel Number SCANNED P Property Address 119fro tk-ko Residential Value of Work$_0"0cl' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �ej�e, Yf �y Cl- vmo—2K— .,ttlr Contractor's Name C11-e s Z2 G Telephone Number .S-6 C 77r _ Home Improvement Contractor License#(if applicable) �t�7 /oZ Email: S CrPl ® CoC.�s% Construction Supervisor's License,#(if applicable) �S� \.1.j S��b FAWorkman's Compensation Insurance 81JILDING Check one: DEPT ❑ I am a sole proprietor FEB ❑ I am the Homeowner 13 Z020. E9 I have Worker's Compensation Insurance TQw Insurance Company Name L `7 ����rf� N��BARNSTABLE Workman's Comp.Policy# 3 f����we ;Z y®/lCf 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_STA&, 49hiA 6 /'t4 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders..U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re fired. SIGNATURE:_. QAWPFILESTORMSTMESS2017 Town of Barnstable Building Post.Th�s Card So That�t: U�sible;From tfie Street=A roved Plans Must be,Retainedon Job and thisCard Must beK,e't 6" Po sted �Until',Final Inspection Has Been Made c, - Permit �Whe�e a�Certificate',of Occupancy,�s:Requ,ired,;such Building shall Not',be.Occupied,until a�Final'Inspection has been made Permit NO. B-20-434 Applicant Name: STEPHEN W CRESWELL Approvals Date Issued.: 02/14/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 08/14/2020 Foundation: Location: 119 MAPLE STREET, HYANNIS Map/Lot 310 373 Zoning District: RB Sheathing: Owner on Record: CROSBY,STANLEY M ESTATE OF "Y Contractor°Name:. S Cres Inc. Framing: 1 Address: 215 UNION STREET NJ Contractor License 187992 2 x SOUTH WEYMOUTH, MA 02190 4s Est Project Cost: $5900.00 Chimney: Description: Roof " ` PermitFee: $35.00 Insulation: 1 Project Review Re Fee Paid $35.00 Pro 1 q: final• Date"" 2/14/2020 . V I g Plumbing/Gas 4 - Rough Plumbing: ,.Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work.authonzed bykthis permit is commenced within six months aft6Jssuance. All work authorized by this permit shall conform to the approved applcat andi e'apprbved construction documentsor whi' th ch is 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 zoning by laws and codes. _ This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. � Electrical The Certificate of Occupancy will not be issued until all applicable signa re by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: � � e Service: 1.Foundation or Footing k mi 2.Sheathing Inspection a.. . F Rough: �. .. 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: "Perso nteacting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). '• Fire Department Building plans are to be available on site Final: All Permit Cards are the.property of the APPLICANT-ISSUED RECIPIENT The Cormmomveakh gfMassadruyells Department of IndmfYidrl Acc ideift Of,we of mitigations 600 Washington Street _ - Boston,MA 02111 wrvtunia Lgorfdia Workers' Campensation Insurance Affidavit Builders/ContractursMectdcians/Phunbers Applicant Infm motion Please Print E "btv Name(BasinesstY>gaaizaoadnal C-i'PJ �i c Address Cityfstate( : C,�T- die �`J'9 Phone 44-- Are jou an employer?Checkthe appropriate bom ' Type of project(required - -I., (reqmireq-- 1.,2N am a employer pith 4. ❑ I am a general contractor and I employees(full ar<dfor par time). * have hired the sub-coalactors 6. ❑New ooast<uc ozz 2.DI am a sole proprietor orpartner- listed onthe attached sheet 7. ❑Remodeling ship and have no 1 rees These sub-cm&actors have �. ernp� $_.❑Demolition working for me in any capacity. employees and have wogs' [NO w�rg'romp.Maur rnre comp.menrart 9_ ❑Butldmg eddttrorp required-] 5. ❑ We are a corporation and its 10❑Electrical repairs,cr acldstions . officers have exercised tier 3.El am,a fiomeauarer doing all wad 1 L❑Plumbing repairs or additions mywH[No workers'oornp right of exemgfion per MGL 12,9 Roofrepaim insurance require&]F c.152, §1(41 andwe have no employees_(No walkers' 13_❑Other comp_insurance required_) •stay appEld=thatdbeclrsbos ff1 nmsY also faloutthe Section below shon ng tbeirwaikes'compmL%ffi apa&dyin5mdfoa meoainers who snbmit this afiidndr ind+vcatiag t3�ey ate dnina all woaY sud hoe outside coat<acmusamst sohmit a new a$ida�t indicatie sorb fCanttadtot c lfW dheck this boat must attached art additional sheet sb ming the name of the .and state whether aF not tease entities haiee employees.Ii:thesobtantzctneshweeapleyees,ftym tsrpruvidetheir workers'comp.policyn=ber_ I am art einploy'er tlrat isprauiding workers'compensalirrrt iumirance for ntyT ettrploy�ees Retosv is the poticy and jab sue information. Insurance Company lame: Z/ Policy-441-or Self-ins.tic.4: R 3 L,�C(Uo2 o2 Vp/ Mvp ration Date: Yh f 12 U Job Site Address:_ / ` f �/ 4- Citylstzwz� p- l - Attach a copy of the workers'compensatiorrpolicy deckration page(sha viug the policy mtmber and expiration date). Failure to secure coverage as required.under Section 25A of MGL c.15'7 can lead to the imposition of criminal penalties of a fin up to S1,5Oa OD andtor one yearimprisonmenk as wen as civil penalties.im the form of a STOP WORK ORDERand a fine of up to$250-00 a day against the-violator. He advised that a copy of this statemerd maybe forwarded to the Office of Investigations ofthe DIA€or instrance coverage verification. I do hereby certify rattler the pains arttf pertatEies afperjury Aattha information prothdad abm�e)is bars acid correct si � ��/� SC_el , tic Date- 02 l�/3 /2CO Phone� S O 6r - '7'7 S" Ojokial use only. Do arat write in this area,to be compreted by trip artown afficiat City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Realth 2.Building Department 3.City1Town Clerk 4.Electrical Inspector S.Plumbing TnecEertoF 6.Other Contact Person: Phone#: formation and Instructions M msac stiff s Geheral Laws chapter 152 recluses all employers`to provide woriceas'compensation for their employees_ PnrsaanttD this S-lStUte,an M47InyrZ is defined as.`°.every Person in the service of another under any conduct ofhire, express or ithpliecL oral or wlfttMf An Mayer is defined as'an individual,parfaership,associafio�corporAdon or ocher legal entity, or any two or more of the foregoing engaged is a joint eatmpusa,and incln�ibe legal represenfafives of a deceased employer,or the receiver'or trustee of an mdiviffiaT-Paftiershlp,association or other Iegal entity,employing employees- However fbe 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,mnsfnu lion or repair work on such dwelling house or on the grounds or building appurte antthereto shallnntbecanse of such employmrztbe deemedt o be an employer." MGL chapter 152,§25C(6)also states that'every sty or local licensing agency shall withhold the issuance or renewal of a ficense or permit to operate a business or to construct;:buildings na the corumonwealth for any. applicant who has not produced acceptable evidence of compIianm with the i tsn ce.coveXrage required." Additionally,MGL chaptEx 152,§25C(7)states-Neither the commam ealth nor any of its poIitical subdivisions shall enter into any contrast for the perfa=ance ofpubho work natI acceptable evidence of compliance vM i the in sur a ce. re ln; einents of this chapter have been presented tD the contracting authoiity." -. Applicasrts Please III obt the"workers' compensation affi&e completely;by checldng the boxes that apply to your siinaiion and,if necessary,sopPIY sub-conft-ctor(s)name(s), address(es)and phone nine tz-(s)along with.their certificate(s)of anies or Limited Liab P s )wifh no employees other.than the m�,*�,ce. LimitedLiab�7ityCome (LLC) �-Y a�Pr�hm members or partner are not mquircd to cxny workers'compensation Dance. If an LLC or LLP does have employees, a policy is regnsed. Be advised that this affidavitin may be mbmed to the Department of Industrial Accidents for confirmation of insurance coverage. Also he sure to sign and date lre aff—davit The affidavit should 'censeisbe' nottheD. arfinenfof be rztrmmed to the city or town that the application for$e r�.rt or Ir � e? List ial A.-cddenfs. Shouldyou have any questions regarding the law or ifyou are requn"ed to obtam a workers' compensation policy,please call the Department at the number listed below. Self-fimn-ed companies should ear their seIf-insurance license number on the appropriate Ime. City or Town Officials t Please be sere that the affidavit is complete and printed legibly- The Department has provided a space at the bottom of the affidavit for you tD fIR out in the event the,Office of Investigations has to con fact you regarding the applicant P lease be sine to fill in the pen]aillicemc nurnber which will be used as a refereace number. In addition,an applicant that must submit multiple periitllicense applications i a any given year,need.only submit one affidavit iadicaimg rKm r nt policy information(if nwzszaiy)and under"Job Site Adrlress"the applicant should write"all locations in (cfy or town)_'A copy of the-affidavit that has been officially stamped or madce-d by the cify or gown maybe provided to the - applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled oitt each year.Where a home owner or citizen is obt ib3ing a license or permit not relatmd to any busin=s or commercial 4entire (Le. a dog license or peunit to bum leaves etc.)said person is NOT to completm this affidavit The Of 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 T7Le Cb�wealth of MWZclUscftg ' D--paitmmt cf Iudiizial Arczdenft C�t�e of�.�e�fig�fio� Tf,-I.4 6I7 727-4 Qxt 4-06 w I-977-MASSAFF, Fax#617` 27='74 Revised 424-07 ma�gpvfdia . 'ME r, Town of.Barnstable Building Department • snxxsrest a. ► KAS& g, Brian Florence,CBO j 039• .� prE p�a Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section If UsingA Builder C/'0 f13�L 6 fc'JT- r ,as Owner of the subject property hereby authorize Ilex to act on my behalf, in all matters relative to work authorized by this building permit application for: f (Address of Job) PooIfences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. ature of net Signature of Applicant C 77i W. C/"P.f4i�i ' err S C�pS c Print Name Print Name �r3�,�a k Date Q:FORMS:OWNERPERMLSSIONPOOLS Rev: 10/17 Town of Barnstable �OFTHE Tpk� Building Department o� Brian Florence CBO • a3nxivsr�+sr,E, • Building Commissioner Musa rbpr i639. $' 200 Main Street, Hyannis,MA 02601 fo Mt•'t www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION, Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building uermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection.procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000.cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as.supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend. and adopt such a form/certification for use in your community. .A!� ® DATE(MM/DD/YYYY) l� CERTIFICATE OF LIABILITY INSURANCE 09/09/2019 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 CONTNAME: W Scott Kerry KERRY INSURANCE AGENCY IA ,No.Ell: (508)255-8000 F AIC No E-MAIL ADDRESS: scott@kerryinsurance.com P O Box 1945 INSURERS AFFORDING COVERAGE NAIC# N.EASTHAM MA 02651 INSURER A: LIBERTY MUTUAL FIRE INS CO 23035 INSURED INSURER B S CRES INC INSURERC: INSURER D: 195 PINE STREET INSURERE: CENTERVILLE MA 02632 INSURERF: COVERAGES CERTIFICATE NUMBER: 446542 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 I SD SU D POLICY NUMBER MM BR DDY/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO' BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? NIA N/A NIA WC231S610224019 04/19/2019 04/19/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 N/A DESCRIPTION OF OPERATIONS I 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 Crape Cod Carpentry Inc ACCORDANCE WITH THE POLICY PROVISIONS. 30 Colt Lane AUTHORIZED REPRESENTATIVE Plymouth MA 02360 Daniel M.Crey,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 ✓ar- �i��mo��aeo"l�ey�//iGa�-�ac�i�el/3 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE`,Corooration before the expiration date. If found return to: Reoistration Expiration office of Consumer Affairs and Business Regulation 487992-= 06/05/2021 1000 Washington Street -Suite 710 S CRES INC. y y Boston,MA 02118 -_ STEPHEN W.CRESVELL 4 195 PINE ST. `� `% Not valid Wit o t signature �.;...�.., :� ��'- CENTERVILLE,MA 02632 Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constrcti tQ% - ervlsor Eacpires:08/2712021 CS-076536 -ICE' ! /. STEPHEN 1N CRESWELLf, r 196 PINE STREET (1 E, 02632 CENTERVILLE�MA';" ail, Commissioner Aje}ajcasiapun Zfi9Z0 t/n'3llIA'd3lN3' aan eu61s}not141PA PFA ION 3NId 961 `r=M73MSRUO'M N3Nd315 81.6Z0 tlW`uo;soe _ - -ONI S3,dO c 06L a;lnS- aa8j4S uo1BulyseNl 0001, LZOZ/50190 Zfi6L8+ uoljeln6aa ssauisn8 pue s.neuV jawnsuoo jo aoyjo uol;eilcox3 UTRE t :o;wrga i punol11 •a;ep uogeaidxe ay;ajo;aq uogeJonioO:aj u Aluo asn lenpinlpul-Jo;plieA uol}el}sl6011 21O.L3V81NO3 1N3W3AOUdWl 3WOH uol4eln6aH ssaulsng g siie}mv iewnsuoo fo eowo rJhn)l7 77(fD�f'fU!%7iJ;%/I/JIINi�+I� ��'