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HomeMy WebLinkAbout0012 MARK'S PATH �� �1�t�s ��� a 0,*1HEr Town of Barnstable *Permit# Expires 6 mont fro issu fe Regulatory Services Fee + BARNSfABLE, MASS.ass. Thomas F. Geiler,Director. f 1639. I �v pTfD MA't A Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstab I e.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY C( � Not Valid without Red X-Press Imprint Map/parcel Number f —1 oc � Property Address 1j lam.41 r P4 K P ci f 4 residential Value of Work �j�4 Minimum fee of$35.00 for work under$6000.06 Owner's Name& Address �v Contractor's Name � � ��r,���. ��� ..��-��' Telephone Number <�Iy c c Home Improvement Contractor License# (if applicable) 6 11�j 5 Ce X-PRESS PERMIT Construction Supervisor's License#(if applicable) 166 ❑Workman's Compensation Insurance SEP " 1. 2010 Check one: TOWN OF BARNSTABLE ❑ I am a sole proprietor am the Homeowner LTY have Worker's Compensation Insurance Insurance Company Name `�✓/ � ' G� Workman's Comp. Policy# lv r% �` ' '>/S 7 Lf i9 — c /o Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) I Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors ❑ Replacement Windows/doors/sliders..U-Value (maximum .35) # of windows *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 e fired`. SIGNATURE: QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 The t✓&m.,roirwealth ofMassachusetts - -- POarhiient oflndidsh al Aceide nts (i_7ice of IrrvestignYions i , = 600 Washington Street �. B�oslodl� !{ �2r�r 3}' t 4'3471'.IilYlSs.i,P0v✓dd a �SForkers' Compensation Insurance A.ffida-6t: Builder:s/iC'ontiactors✓Electricians/Plziinbprs Applicant Information Please Print Legibly Name (B•ininessPOrgauizatiau,'Indioideiai): -/,L� � �✓�L�ir�/l � Ci411 � ��t>�, l% `"� Addre CityfState�Zip: G �- � = �. Thone #: Are you an employer?'Check the•appr oprza'te box: T}pe of project(required): 1..patn a employer with j� `i. 0 I any a general contractor and I employees(full arzdlor part=time). * have hired the sub-contractors o- •❑Newconstn7ctiou ?..❑ I am a sole proprietor orpartner- listed on the aftnched:sh.eet. :. . 7. O Remodeling slri and have no employees These sub-contractors have P13- ❑.Deluolitioti working :for vie in any capacity. employees and have workers' [No workers' comp.insurance comp_tnsurance. T P. O.Building addition.- required] 5. We are.a corporation.and its 10.EI Electrical repairs or additions officers Leave exercised their 3.❑ :I am a.liotx�eotivner doing all work 11.0 Plumbing repairs or additions thyself [No workers' comp., right of exemption per NMGL 12.❑Roat repairs ; ins.urance:requixed.]T c- 152, §1(4),and.we have no emp.loyees.,[No workers' 110 Other comp.msuran e required.] •Any aprpUraur that cKed:s box#1.must also fill out thz sec7iod below showing their workers'compevsa:tioa policy in€ornm6ari a Y Homeoviners who submit this affidavit imUcatiug:they are doing all work and then hire outsiife tontraelors oinst submit a. new-efFdai'it indicating sncfi ' rCmwacmrs that check this brxa rr ua Ynacbed an addidowd sheeq showing the name of the sub-contractnr5 and stern wha&er or not those entities have employees. If the sub t.ontractnrs;ha`a employees,.they:must provide thaiz workers'comp.policy number. Iain all e1r117.layeJ that isprgviding tt'Ip1"kers' PmIJ'layeas. Beloit'Is!'hepolicf fthdjob site idlformation g C , Insurance Company Name: L Policy#or Sa1f--ins.Lc.#:U 44 �0 0/O Expiration.Date, Job Site Address:)off- ctv`r d 5G1 /f ywyu P`5 City/Stateaip: ,& Attach a copy of.tht workers' cvmpensition policy declaration page(xhoxtdng th.e polic),number and e=piratian hate). Failure to secure coverage as regmred,under Secfion 25A of MGL c. 152 can lead to the imposition of Criminal pena.lties of a fine up to$1.,500.00 and/or.one-year imppsonmen.t, as well as civil penalfi.es in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the viola •r. Be advised than a copy of this statement may be forwarded to fhe:Office of Investigations of the DLA46i)4uran5g coverage vet caaion: I do 1t~r v certify rdl r in d penalties ofpe tiii'that the infori{rrttion provided a.boiv is trite and correct: Si tare: Date': Phone#: O,�cial use.only. Do not write in this area,to be completed by city'or tota,tt ofeiaL Oty or Tmim: Permit/License# Issuing Authority(circle one): 1. Board of Health ?.Building Deportment 3. ChlIoijn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone M. • IN1 tssachusetts- Department of Public S.rfctN i = Board of Buildin- Re�Tulutions and Standards Construction Supervisor License License:: CS 74660 Restricted to: 00 JOSHUAX KOURI PO BOX 210 � i CENTERVILLE, MA b2632 Expiration: 2/12/2011 t'ununissioner Tr#: 14076 Tk j. O;lice of Consumer ALf n� B smess I2rgulai ou. 1-1Oi,7E IMPROVEMENT CO,4TRACTOR Reg i`-tration: 165936 Type: Expira'�on�4f912012 Private.Corporatic f CA &ISLAND C.�GRU ON CO JOSHUA KOURIPit `\ 55 ELM AVE. HYANNIS, MA 02601 t '�lr.-secretary I ` . . " License or registration valid for individul use only. r before the expiration date. If found return to: f Office Of-Consumer Affairs and Business.7 Regulation F_ � 10 Park Plaza=Suite 51.70 ' Boston,MA 02116 . of alid with signature ° ROOFING & SIDINGA ' 11 FOR 22 YEARS....WE'vE GOT YOU1 1 r q. C�NS7R..UCTI014 C� 8/26/10 To Whom it may concern: . authorize Cape& Islands Construction Co. Inc.to re-roof my home located at 12 Marks Path Hyannis Ma.02601 i Pauline Clark,Owner -47 P.O. Box 210 • CENmviin, MA 02632 Px: SO8-77S-ROOF (7663) W W W.CAPEANDISLANDSCONSTRUCTION.COM 7/30/2010 5:42:24 AM PST (GMT-8) FROM: insurancevisions.corn-TO: 15087756688 Page: 2 of 5 •A4C4t*_>R" CERTIFICATE OF LIABILITY INSURANCE rATE(MM/DDNYYY) 7/30/2010 PRODUCER FRANK L HORGAN INS AGENCY INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 44 BARNSTABLE ROAD ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HYANNIS, MA 02601 - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 508 775-5830 508 775-6688 INSURERS AFFORDING COVERAGE NAIC 4 INSURED CAPE & ISLANDS CONSTRUCTION COMPANY INC INSURERA: LIBERTY MUTUAL GROUP PO BOX 210 INSURERB: CENTERVILLE MA 02632 INSURERC: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE tMM/DDIYYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY _ - DAMAGES(RENTED PREMISES Ea occurrence) $ CLAIMS MADE DOCCUIR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGG $ POLICY PRO- LOC MT F AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A AND EMPLOYERS'LIABILITY WORKERS COMPENSATION Y/N WC2-31S-377540-010 5/7/2010 5/7/2011 ,� TOCYLIMIT OTR- ANY PROPRIETORIPARTNER/EXECUTIVE r IN E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER n DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Workers Compensation Insurance: Part One of the policy applies only to the Workers Compensation Law of the State of MA. PHYSICAL ADDRESS IS 55 ELM AVENUE HYANNIS,MA CERTIFICATE HOLDER CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 200 MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL HYANNIS MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. , AUTHORIZED REPRESENTATIVE Jeff Eldridge ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. CERT No.: 7955970 Anne Chandler 7/30/2010 5:39:18 AM Page 1 of 1 fir. ._ .. , • NA , � 99 y�" No JA O LOT2 /0j 195 .' o° oqa to ti o Z 1p y 3o X' V � s a Y i9, 1� lb 0`/ , o a. °o. N ZO NE R8 SETL3AG K 5 - SIDE /O1 ZH OF 41gs�gc La �, o FRAN.K T 'ALA ` WHITING y rHE STRUCTURES SHOWN WERE No. 29869 0 9 k' L OCA TED ON THE GROUND `�rr�•F^rsrER`��Q�`` IN ON 4L i�Hos a.9,�ws rAS�C MASS. TH/S . sxE rcH /S .FOR P[or. /"A, PURPOSES ONL 1' AND SHOULDl NOT or USED FOR ANY OTHER PURPOSE.` CAPE COD SURVEY r xx CONSULTANTS O Ems, , cc AND SuRv£roR 3261 MAIN ST./ROUTE 6A BARNSTABLE VILLAGE, MA 02630 PRO✓Ec r No. 3 - _ 3 -o (617) $62-8133 1� Assessor's map and lot num.ber__.....9:7/.. ....... i Sewage Permit number .......:............ ... ..�...y..�,`� eWQ SEPTIC SS`T € iLiS� ;NSTALL.ED IN COMPLI�t' �n�STADLE, i t House number ...... ,..... J................................................. . 'WITH TITLE 51639. 900 MARL ENVIRONMENTAL "CODE A. MAI TOWN. OF BARNST� �'�"WE�Ew $ J" OUI•LDIHG INSPECTOR .A APPLICATION FOR f PERMIT TO ........C.orists:ue.t...S.in91P_ ...U.amily.•Dwe.l•ing............................• Wood Frame TYPEOF CONSTRUCTION .................................................................................................................................... Feb a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... LR.t...#...2........fax:k..'.s..Tath.............Hyanni.s......}k4. .......... ............................................................ ProposedUse .............................................................................................................................................................................. Zoning District R•B• ....................Fire District Hyarinia................................................. Name of Owner C.a .r.ic.o.rn....R...e..a...lyu ............Address .......... .6�..Ta1lOLtk .. d.,... 3a1i .......... .... .. .... Name of Builder r'ranCo.,,Real.,Es,ta..... �V......QQAddress ..........Same................................................................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Six Foundation ............P...0_........................................................ Exterior ;•Clapboard„or Shingle....................• ,,•.Roofing ......A.s ha1t..S.h,jbg.1es................................... Floors .........Ca.rpfe.t. ..............................................................Interior .......She.e.tr••o•ck..................................................... .. Heating ....Gas-F.W.A . pp -......Plumbing .....iV.�l0.-00. .- e.r�.::.:.::...: .................................... p ....Approximate. Cost 60, 000 .00 Fireplace N.OI��....................................................... ... ............................................9......... Definitive Plan Approved by Planning Board --------------------------------19--------. Area ..........z Diagram of Lot and Building with Dimensions Fee 0/.�.� V..... ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH Q OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations f the Town of Barnstable regardin the above construction. Name ... ..... .... . . . .... .. . Construction Supervisor's License ����,� ...... . 94' ~ -~ frame - - + � . ' ~ ' ` + ^ . ' � . . ' � . . . ^ ^ . ' -bate of Inspection, -- --' ---. ' .' ^ ^ ' .' ---'- ' 19 . . ' - ' ^ � ^ TOWN OF BARNSTABLE permit No. _277_34________________ . Bnildang Anspector cash ------------------- AP OCCUPANCY PERMIT Bond --------�------- ---3--� issued to Capricorn Realty Trust Address Lot 2* 12 Mark S `Atka� Hvax�n z s Wiring Inspector Inspection date Plumbing Inspector f Inspection date Gas Inspector --s__,_ _ .,Ppection date'` -TEngineering Department Inspection date 41?.—�C) --{ Board of Health Inspection date 'leg - M THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE + BUILDING CODE. 01 ! ,� /t.�`.. 1 ......................... Buiklina°Inspector v:w T" TOWN OF BARNSTABLE BUILDING DEPARTMENT _ 331e8asr : TOWN OFFICE BUILDING rua 1659. �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by 7 .BuildingPermit � ... . ...:..................................................:......_........................................_... ............. _ #................ .. issued to ?°• ,C 0*-.!.1._....... ..... ............. ' .... :.. ..... ./Z„ ....a 7 rw.+�' '//„ r Please release the performance bond. ' / iq Sewage Permit number 2— EARISTABLE, TOWN OF BARNSTABLE BUILDING INSPECTOR Wood Frame TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: No me of Ownerqp�p �� Name of Builder lIc —���}' ...D el[^—CmAddreo ---l�e�v*----------.----------.. Name of Architect ----------------------A66,00s .----.----------.------- `` ` � Number of Rooms -----�� --.------------'--Foun6o�on ---'�~/I°------------------' . Exierior 'q 'o.r.'SAiAg]�q.----,`---'Roofing --�� -----------' ` F|000 --�� �---------------------]nn�ior -- � et�Cal�-----------------. | >- Heating `.Gas...FAV,A.......................................................P|umbin' ��..�-..-.----..c'��—'�— 0 � S� Fireplace ----..n.n..-------------'------Approx�mooe [no ---c.�.—�O,--O0O—..--0Q.............................. Definitive Plan Approved by Planning Board l9--------, Area .......... � Diagram of Lot and Building with Dimensions . Fee _.� ___ ' ^~ SUBJECT TO APPROVAL Of BOARD Of HEALTH ~ / /T\ .� \ | \ | ^' | - OCCUPANCY PENN\|T5 REQUIRED FOR NEW DWELLINGS i | hereby to conform to all the Rules and Regulations above _-'__ . ~_ Noma~� '�����2' Construction Supervisor's License �—/--.. CAPRICORN REALTY TR A=271-94 02— No Permit for .....1 §�tPrY...si;jgle, ........f.ami.ly...dwel Ung............................... .. ....... .. Location ......12...MArX.'..9...Rath..... ............. ............................................... Owner ... Re a lty. ...Trust.... Type of Construction .........f r4me.................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ........Apx.,i.l...9..............19 Date of Inspection ....................................19 Date Completed ......................................19 -Assessor's map and lot number ....... ......... ............... THE Sewage Permit number ................ ...... BARNSTABLE, House number ............... ... .... ro MAB& 1639. V MAj I TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............QCkrvat, C.I.It....Sin F.J.-P... ............................. TYPEOF CONSTRUCTION ................. d...w0.x_q_,M. Z.......................................................................................... 11,....................19....8.5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........:?.Lot...#...4.........Mail..' ........Pa...t... I h...hyamis, MA 0 26ol .......... . ................................................................................................................. ProposedUse .............................................................................................................................................................................. ZoningDistrict ........R.A.J�.........................................................Fire District ....... .................................................... Name of Owner Capr.ic.orn ....... .. .... ..........R...e. alty rus..t Address ........7�. ..��1muthRA. ............. .... .............. . . ... . .. ............................... Same Name of BuilderFrP,ncs)...Real.....AEq t a,t(?...D 9N......c.o..Address .................................... . .............................................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...........:S.JLX...............................................Foundation ................P.C ..................................................... Exterior ... . �. .........................Roofing .....Asphalt s.phalt...Shi.ngl.e.s....................................0 3 F-0:b 0-.a-x nd...a . ......... ...... .. ....... .. .. ....... ....... .. .. Floors ........G a.r.p.P.t...............................................................Interior ......Sh...e..e...t...r..o..ck....................................................... .... .... as Heating ........ ,...... ...................................................Plumbing ...Two—Copp.��' .... . .. . .. . ........a...a... ..................................................... Fireplace ...........bito. ............................................................Approximate Cost ..........�. 6o,000 .00 ........................................................ - Definitive Plan Approved by Planning Board --------------------------------19--------- Aredz-:10�56 .........S qjk......t.!............. Diagram of Lot and Building with Dimensions Fee ......... 1................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1:2 X, ....... Name ........................i...... Construction Supervisor's License ... CAPRICORN REALTY TRUST A=271-94 �- O O No ... ........... 1 Single .Family„.,Dwel,ling......... Location ..Lot...4......... .$...r?� .�. ...Dc YI ... ....................Hy.aIM 1-.S......................................... Owner .......QAP.r.i.Q.Q.:rjA...KC; .J. y...T.-r.1A5.t. Type of Construction ....Frame.........................I ................................................................................ Plot ............................ Lot ................................ Permit Granted ........MaX 8, 19 85 Date of Inspection ....................................19 Date Completed ......................................19 J I lr F"�