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HomeMy WebLinkAbout0106 QUAIL LANE /D(p 4 t�i I ,�.a n� ,ram ,.i o►� I 3 0. • V� Town of Barnstable ' *Permit# 8i?- y Expires 6 months from issue date d Regulatory Services Fee 7Y. s 0 MASS Richard V.Scali,Director Building Divisionq� ` i Tom Perry,CBO,Building Commissioner JA1� - 52017 200 Main Street,Hyannis,MA 02601 FOK/tll-OIL www.town barnstable.ma us R a Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number - oZ Property Address Q at , L 4�-Jx 1%fae- Is 902 [/Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /)hl..+ f-QiM[il b_Y V\ Contractor's Name it Jefli Telephone Number Home Improvement Contractor License#(if applicable)__t� o� Email: ` 7Work ctionSupervisor's License#(if applicable) I� -6.T 7q3man's Compensation Insurance Check one: ❑ I am a sole proprietor a ❑JCm the Homeowner I have Worker's Compensation Insurance' - Insurance Company Name 5&;)L'v :rUS(J QA-W_Q Co. _ 1 'r ee Workman's Comp.Policy# W C (�00,)3 77 T Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to t110(fit % ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows � �'C2�cr2 /►vlCJ�41 �.�ltJ2)L #of doors: ❑ Smoke/Carbon Monoxide.detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fir rmits requ ed. "Where required: Issuance of thi t does not exemp compliance with other town department regulations,i.e.Historic,'Conservation;etc. ***Note: operty Owner mus gn Property Owner Letter of Permission. A copy of the a Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FO \b ' ing permit forms\EXPRESS.doc Revised 040215 I ACCP o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/D°"YYY) l6. � 1 1/18/2017 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 ilvia NAME: Kathyy The Fair Insurance Agency Inc. P"�"o . (508)775-3131 A C.No:(508)790-1677 619 Main Street E-MAIL ADDRESS, @thefaira enc com ADDRESS: y g y' Spite 1 INSURERS AFFORDING COVERAGE NAIC of Centerville MA 02632 INSURER A•l3sse8 Insurance Co INSURED INSURERB.Safety Insurance Co. 39454 The Waquoit Group LLC, DBA: GCI Builders DBA Paul INSURERCsSavers Property & Cas.-ARWC 31771 PO BOX 509 INSURER D: INSURER E: Marstons Mills MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 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 MM/DD/Y X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DGE ToRENTED A CLAIMSMADE T OCCUR PRAEM SES Ea occurrence $ 500,000 2CW6103 5/28/2016 5/28/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Individual Risk Mod Prem $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B AN AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 5052134 6/3/2016 6/3/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per a.dent Medical payments $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? ❑ N/A C (Mandatory in NH) WC0002374 5/29/2016 5/28/2017 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE John Kettlewell THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 106 Quail Ln ACCORDANCE WITH THE POLICY PROVISIONS. Hyannisport, MA 02601 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIMTI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INR025/9n1en11 i Town of Barnstable Regulatory Services A Richard V.Scali,Director a9' Building Divislon Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 - www.town.barnstable:ma.w Office. 508-962-4039 F= 508-790-6230 Property Owner Must F Complete and Sign This Section If Using A Builder as Qavnet of the subject property, hereby authorize to act on my behalf, in aU tnatters relative to work authorized by this building permit application fox • i (Address of Job) _ **Pool fences and alarms are the responsibility a onsibili of the applicant Pools are not to be filled or utilized before fence is ' and all final inspections are performed and accepted 4 S' a of Owner Signature of Applicant poneergo tluo!!, • Ice-hl& epeiL MAZ2�6I Print Name Print Name f ZV ,�- Date a QT0RMS:0WNSRPERMISSIMed0Ls t r C%le`fOo�rrUr�aan[uea/�/L a�C�/�aaaac/aidel�t Office of Consumer Affairs&Business Regulation + HOME IMPROVEMENT CONTRACTOR Registration*,-=N52253 Type: - � Expiration �8l7�/2018 Private Corporation GCI BUILDERS INCUR ' ' �S` J._ PAUL MAZZOLA 644 RIVER ROAD MARSTONS MILLS,MA 02fi48J Undersecretary .Massachusetts-Department bf Publir Safety Board of Building,Regulations and Standards �im�u� vu�iTiOt-vrii�i i ��nuuniti t. r+�o�: _ Licetrse:`CSFA-057934 . A PAUL J MAZZOLfi '..' .t POBOM�W 4. Maistonimins Nl # Expiration x 06/19/2017 . . Commi3sioner e t \ �I f License or registration valid for individual use only before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116. of valid without signature f Restricted=One-and two-family.dwellings or any accessory building thereto,irrespective of sizib, Failure to possess a current edition of the Massachusettss . State Building.Code is cause fo- rr.,e. For Mlicensing information visit: www.Mass_Gov/DPS TOWN OF BARNSTABLE Permit No. ------27436----- _ ' Building Inspectors l s,.s�r i Cash W� f0yp. ` OCCUPANCY PERMIT Bond ---___-------- Issued to Harry Kane Address Lot, #23, 106 Quail Lane, Hvannisnort i Wiring Inspector �� Inspection date Plumbing Inspector � Inspection date Gas Inspector \� Inspection date Engineering Department \� Inspection date Board of Health ` Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIILEMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 19122 ,.. �' Building Inspector P!Ni( - DO, pu COPY ;WHITE - FIELD COPU YELLOW - APPLICANT COPY * L : TOWN OF BARMTABLE; MASSACHUSETTS PERMIT V AL.!DATION _ N - ___ -LiC , DATE 19. _PERMIT fop APPLICANT INOJ L (STREET) ICOIa>''S .0.•.!: _1ZG i; 11_.i- �Zt:,.-- "NUMBEk OF PERMIT TO (_) STORY "DV'ELLiNG UNI75_ (TYPE OF IMPROVEMENT) NO. (PROPOSED L'SE) 1 I.:L .._J f J%i (;uai 1 1-a ie, t;�;2nn2-s or' ZONING AT (LOCATION) DISTRICT (N0.) (STREET) •' y. BETWEEN AND (CROSS STREET! ICR055 STREET) LOT SUBDIVISION LOT BLOCK SIZE c BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONS?^U---IOh TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) Sewa2e -84-712 REMARKS: AREA OR -� i; SC. t. 1C�.vl L'U PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SOUARE FEET) B=r OWNER i( _ - BUILDING DEPT_ -j ADDRESS - C s -Tr^ - c' -- r� I BY - _ THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF- EITHER TEMPORARILY OF PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUS'. BE AF- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REOUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REOUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFOR.. OCCUPANCY. POST THIS CARD SO IT IS VIS16RDLE FROM STRZEET 4. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 7 1 2 2 2 /� 3 HEATIPYG-1 NtTPECTING APPROVALS ` REFRIGERATION INSPECTICJN APP.^.'J ALS 1 ' ��R[�s t3 9 �•:-��s e s� C-H I r Cp 12 6 NCT =-CCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTION5 INDIC-­_ C). _ +AS -==RDVEU 74= VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE aFRANGEC ' -_ _ STAGES DF CONST?uCT ION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIF;;_-IC\. . ^ WITH TITLE ENVIRONMENTAL COD 33AR35TABLE, TOWN PF TOWN OF, BARNSTABLE 0 BURDING . INSPECTOR TO THE INSPECTOR OF BUILDINGS�. The undersigned- hereby applies for a permit according to the following information: e' A,4)�--' =7- %S'/ � /U A))s ...:D,'-V1,1N A---- !t. .............................. pec Delin itive Plan Approved by Planning Board ------------ ----------- Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF, BOARD OF HEAL . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to o:n6nnn to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nome --. —. � ' � �� ' �--����—v—'— Construction Supervisor's License —. .......... N t E, .TARRY �u _ 27436 One Story ................. Permit for .................................... Single Family Dwelling .............................................................................. . #�` Lot 23, 106 Quail Lane ° . 'cation ............................ `¢ Hyannisport........ i r Barry - Owner ............. Kane .............................................. x Type of Construction. Frame .............. ........................................................ w Plot ............................ Lot ................................ +` Permit Granted January 17,..... .....19 85 ....................... . - Date of Inspection .. Date Completed ! c ...tP....... r r . y 1> �- w 44 ��W.4r.�+Tnw•rww+.�hA_r « �. �� , �• r - -_ T ....._.4 � ., :.. y. .� - V'�y�.. - �Y.�.-.�...w.+�•+r .+•rrYww4�i,r.n �+�w�n.•�+...�..+�.'�'�..w..w�wYww'+r.•nw'M,.r'yw .' 1 k, # - 3 " H - LOT 7- 3 , 1 LOT Zz 1 1 1 Ilp Lo7- Z4 4 1 a " MO ANAN, JR. H 0. 1 ISTR CEP- Th fED PLOT' PLA/V SU i co f2 C?f->t ry t A4 V tit 3 L.I& D/n/G -"55L. T3 AC D A T E ? 1 �8$" F R D A./T !S 5 .Z> �/J� R =�K 2. to Y Z Ki�/O dvu EG7 t A�-/0 Eat 41s�C . 9-,g ENC 1NEE I ��^�} SIGN el t� (/^�� j..�p ,per;`�''f.S' T� lv/ �C.Ura*A•j t VA- r'.% C..0-- 1 V E ySI" N I N�,�i V'f„/ 7 -1£ BUILDING