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HomeMy WebLinkAbout0055 SECOND AVENUE (HYANNIS) ,�" S�Na �hE _ , f \\ Application nu b r :::�O............. . . 0 Fee ........................................................................... NAM Building Inspectors Initials... ......... ...^.. .... MAY 30 2019 Date issued...2.7 25.17A... ...... TOWN ij� BARDS IABLESMap/Parcel... ..... .. �......o ............ . .... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: �„� � �1 (,�•� fY NUMBER S TA VILLAGE .Owner's Name �� 0DOXX D ��/O# Phone Number Email Address: Cell Phone Number 3 r�I1 Project cost S 0 Check one Residential+ Commercial OWNER'S AUTHORIZATION As owner of the aboveproperty I hereby authorize 4coj ffi � to make application for a building pejmit in accordance with 780 CMR Owner Signature. Date: 01.- TYPE OF WORK Siding Windows (no header change)# _ Insulation/Weatherization Doors (no headei change)# Commercial Doors require an inspector's review Roof(not applying more.than 1 layer of shingles) � 1 Construction Debris will be going to F CONTRACTOR'S INFORMATION Contractor's name ,. Home ImProvement Contractors Registration(if a,pplicable # � (attach cop y) Construction Supervisor's License# ce�k5— C7 (attach copy) Email of Contractor 6�K00dB:;51 �/�� . Phone number�C)�WZ9 7'� `7A ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. Town of Barnstable Building e Post This-Card S64 it is;Visible Fr>om;the.Street-A roved plans Must be Retained on�Job and'this Gard Must,be Ke 't :t BARNSTAMZ • PostedUntil.Penal Inspection Has Been Made _ ,� ,.,, .� Permm Where a,Cert�ficateof Occ„u ancy..;,is Required,such,Buildmgshl(Notb ,Occupied,;,unt�l;a F#nat.lnspection,has been rjmade . ,.,. 1111 l Permit No. B-19-1799 Applicant Name: ROBERTJ GLOVER Approvals Date Issued: 05/31/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/30/2019 Foundation: Location: 55 SECOND AVENUE(HYANNIS),HYANNIS Map/Lot 246-088 003 Zoning District: RB Sheathing: 77 Owner on Record: KALOOSTIAN, KAREN TR Contractors Name:, R. GLOVER BUILDING COMPANY framing: 1 Address: 32 WOODLEIGH ROAD `.' ZINC 2 a..'. _..Contractor License: 112,157 WATERTOWN, MA 02472 � iM, Chimney: ` Esfi Pro e�t Cost: $8,000.00 Description: siding,windows and doors I . M PermitfFee: $40.80 Insulation: Project Review Req: a Fee Paid: $40.80 Final: Date 5/31/2019 Plumbing/Gas Yk9 - y Rough Plumbing: � . 4, �•. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by This permit is commenced within six mo the after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the=approved construction documents for which this"permit has been granted. "; . Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by claws and codes. . This permit shall be displayed in a location clearly visible from access sfreet�or ro a�arnd shall be maintained open for public insp ct on for the entire duration of the Electrical work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures ti the Building and Fire Officals are provided, 'is permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing ..,, gi, , 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shali_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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event . Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 201bs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No , if yes,a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9:30'am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's 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 APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. ® DATE(MM/DD/YYYY) ACCPRV CERTIFICATE OF LIABILITY INSURANCE 04/26/2019 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 « CADM CT Marie Raymond.. OCEANSIDE INSURANCE GROUP 1AIC_M : (508)775-0500 1 ac No: aooREss: Marie@oceansideinsurance.com 52 WEST MAIN ST INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 ENSURER A: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B R GLOVER BUILDING COMPANY INC INSURERC: INSURER D: PO BOX 703 INSURER E: MARSTONS MILLS MA 02648 INSURER F: COVERAGES CERTIFICATE NUMBER: 394946 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. (VTR TYPE OF INSURANCE DDL UBR POLICY NUMBER MOM�pY EFF POLICY MM/DD EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR D AG O PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT POLICY PRO ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED z PROPERTYDAMAGE $ AUTOS par a.ddent $ UMBRELLA LIAB OCCUR _ - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A' AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STAT TE ERH AND EMPLOYERS'LIAMITY Y f N ANYPROPRIETOR/PARTNERIEXECUTNE E.L.EACH ACCIDENT $ 500,000 A OFFICERIMEMBEREXCLUDED7 NIA NIA NIA 7PJU82E66336419 01/15/2019 01/15/2020 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $`500,000 If yes,describe under IDESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I 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/twd/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 Town of Barnstable ' ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 ) C Darnel M Crq6 y,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 i Commonwealth of Massachusetts Fl r Division of Professional Licensure Board of Building Regulations and Standards Constrictibn`Supervisor • j CS-039868xpires: 05/24l2020 ROBERT J GLOVER PO BOX 703 ", t MARSTONS MILLS MA 02648., ( " L Commissioner �/ z k .. e-+-.....�.•.iwy�»..,+-nS%fT -'.daW,'A.Y �...:sr_.wx-..m��.. a Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Corporation $gaistration ._ Expiration 11 T 12/08/2020 R.GLOVER BUILDING COWAiJY INC. ROBERT J.GLOVER 13 CURTIS BOG ROAi3 _ �3 MARSTONS MILLS,MA 02648 Undersecretary III . 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 Legibly Name (Business/Organization/Individual): C�OooQ Address: J'U cx�j 7 C) City/State/Zip P�p/N3 6148 R/Apho'ne#: �" �� " �7 5). G��V Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. '1 am a general contractor and I have hired the sub-contractors 6. New construction employees(full and/or part-time).* . . 2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity. employees and have workers' � y p ty comp. insurance. 9• Building addition [No workers comp.insurance j'� p required.] U We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their I L. 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. 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. - y�� � _, l��'����"✓� G� c Insurance Company Name: Policy#or Self-ins.Lic.#: 7 4& / Expiration Date: ✓ r Job Site Address: J SC � A)f City/State/Zip: ���1 6' !N C/IL �� 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pen s a ' jury that the information provided above is true and correct Signature: Date: — v2� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: n r Application number.... .....M......1 � Fee 4.31.J�...�.. .................. . .............. Building Inspectors Initials.............. asp ' MAY 0 „ nno�r @@p �Iy�7� DL.� y Date Issued........................... ... ...... ..�.............. Q �} Map/Parcel... . . ..1 �C�... .1/��........ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project:-S'\� Z A16' NUMBER STREn�jT, VILLAGE Owner's Name:eV 0&4011 4"99NWL90 Phone Number. A)®d'4F- Email Address: Cell Phone NumbejOr Project cost$ ��� Check one Residential_- Commercial OWNER'S AUTHORIZATION As owner of the above pro e I hereby authorize P ttY Y to make application or a ui p rmit in accordance with 780 CMR Owner Signature: , Date: TYPE OF WORK , F Siding 04indows(no header change)# Insulation/Weatherization ED Doors (no header change)#' Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going toy t CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# ` V �Q (attach copy) Construction Supervisor's License#6�,z- g,_i 7?ro (attach copy) Email'of Contractor 4 d o `/o/k1_ rOhone numbedM4,49d V ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . 600 Washington Street Boston, MA 02111 n".mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ea C�®V ��/�'^'✓/`��� c D Address: /SD y� City/State/Zip: /y/✓.°26 Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. 1 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 p �' 9. Building addition [No workers' comp. insurance comp. insurance.$ , required.] 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 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 doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors 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 thepolicy and job site information. / ,c Insurance Company Name:r Policy#or Self-ins.Lic.#: /�ss'Z/L/�'.�2=0 Expiration Date: Q�"4 t�0O� Job Site Address`1`V SS���, �l� � 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pai r penalties f perjury that the information provided above is true and correct Si ature• 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): 1.Board of Health 2.Building Department 3..City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I _ 1 DATE(MM/ODNYYY) ACC)R V CERTIFICATE OF LIABILITY INSURANCE n 04/26/2019 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 CONTACT NAME: Mane Raymond OCEANSIDE INSURANCE GROUP P"�"o (soa)775 0500 2 ; N,: E AAALL Marie@oceansideinsurance.com ADDRESS: @OCeansideinSUrance.com 52 WEST MAIN ST l ' INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601' INSURER A: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B: - R GLOVER BUILDING COMPANY INC INSURERC: INSURER D: PO BOX 703 :. - .., 4 '� INSURER E:.. MARSTONS MILLS MA-02648,._ INSURER F COVERAGES CERTIFICATE NUMBER: 394946 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 A DL SUB - POLICY EFF POLICY EXP LIMITS LTR MPOLICY NUMBER_. . MM/DD MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ RENTED CLAIMS-MADE OCCUR_ PREM PDAM �REMISES Ea occurrence $ ° - 2 MED EXP(Any one person) $ ' N/A. m .. PERSONAL&ADV INJURY $ ..`+ GEN'L AGGREGATE LIMIT APPLIES PER:: � - e GENERAL AGGREGATE + $ POLICY❑PROT JEC- LOC f 4 , a PRODUCTS-COMP/OP AGG $. OTHER: _ $ fr AUTOMOBILE LIABILITY ° " COMBINED SINGLE LIMIT $ Ea accident) ANY AUTO r' BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A e `, ,. BODILY INJURY(Per accident) $ - NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS •� `� � � Per acddenl - $ UMBRELLA LLAB O CUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A '� f. •. ,f AGGREGATE $ DED RETENTION$ w $ WORKERS COMPENSATION Io AND EMPLOYERS'LIABILfTY .- .. Y/N r ' .' X STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE i E.L.EACH ACCIDENT $ 500,000 A OFFICERIMEMBEREXCLUDED? NIA N/A 'NIA 7PJUB2E66336419 _ 01/15/2019 01/15/2020 (Mandatory in NH) F r :' E.L.DISEASE-EA EMPLOYEE $ 500,000,- If yes,describe under ' DESCRIPTION OF OPERATIONS below E.L,DISEASE-POLICY LIMIT s 500,000 R „ . A 'N/A DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) g , 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/ x ^ r I ' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE._ +: E THE EXPIRATION :DATE THEREOF, NOTICE WILL BE DELIVERED IN ` ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable - 367 Main Street` r AUTHORIZED REPRESENTATIVE + Hyannis MA 02601 Daniel M.Croy,CPCU,Vice President—Residual Market—WCRIBMA . ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name`and logo are registered marks of ACORD -' y., • e i Commonwealth of Massachusetts Division of Professional Licensure '. Board of Building Regulations and Standards 0nstruct'zsrt`Saxg ruisor. CS-039868 Expires: 05/2412020 ROBERT J GLOVER PO BOX 703 ,...... ` MARSTONS MILLS MA 02648 Commissioner _ 4 r office of Consumer Affairs&Business Regulation ` HOME IMPROVEMENT CONTRACTOR TYPS-.Coroorabon Renistratibh• Expiration 12/08/2020 `. R.GLOVER BU#4DtfdG OM#'ANY INC. ROBERT J.GLOVIRR 13 CURTIS BOG ROAD ` MARSTONS MILLS,MA 02648 Undersecretary T ', _.�. . .;.rv._i,.,. ^""'�--•...,-.....r.wA.......""+...'.'.wr.+r-.v.w�,cT�Mf..r....�1'w...rJ.._y,`, �'—'! v �,V©U ��"•r.� .�"'i.1.7'�^'"""-�....-L: � r TOWN OF BARNSTABLE 34709 afTwrr, Permit No. ................ + BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 019 9� HYANNIS.MASS.02601 Bond ........... �:' v CERTIFICATE OF USE AND OCCUPANCY Issued to Traywich -Witham Address Lot #6, 55 Second Avenue tr--.ft Hyannis t USE GROUP FIRE GRADING OCCUPANCY LOAD 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. April 24,- 19 �� ..f � . ---.: Building Inspector j. ,�..-K tip. "'1,�`41s'r�,h+''�,y'•`7 f" p#l."�K(L'1(�: +-+'*.Y"'�.,,�,y , ��yy Y��, �F IMF TOWN OF BAR.N.STABLE.. .Perm.It•No. 34709. .:""� BUILDING DEPARTMENT LUSTTOWN OFFICE BUILDING Cash .............. /) A. 9�0.►+� HYANNIS,MASS:02601 Bond ' CERTIFICATE OF USE AND OCCUPANCY a° M tNM Issued to Traywibh -Witham. 4 Address Lot #61 55 Second ,Avenue a West Hyannisport USE GROUP FIRE GRADING OCCUPANCY,L'OAD *' THIS PERMIT WILL NOT BE VALID, AND THE BUILDING, SHALL NOTgE OCCUPIED UNTIL SIGNED BY,THE-BUILDING ANSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN,ACCORDANCE WITH,SECTION 119.0.,OF�THE MASSACHUSETTS STATE; BUILDING CODE. '. .April. 2 } ...... ............ ... 19..... . � ✓ :, •T-r, Building Inspector TOWN OF BARNSTABLE y BUILDING DEPARTMENT = rAR7° TOWN OFFICE BUILDING ru& 2039' �� HYANNIS, MASS. 02601 �OIU�Y M. MEMO TO: Town Clerk FROM: Building Department DATE: A�27�Z-- An Occupancy Permit has been issued for the building authorized by 'e4 Building Permit #.....` 7 � .»..._.»........... .»............................... ..».......».»..........»..........».»».._..............................»»» issued to G�„/... » ........ »».»......».»»..»»»»» Please release the performance bond. TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PE R M l' • --246-088-003 DATE ud-)er 25 APPLICANT Shearer V. Bill f 19 PERMIT NO. 347,19 0�� APP / ADDRESS p or,t _Eearaeadow Circle, W. livan is (57PEET) (CONTR';LICENSEI (d� 4 ) STORY PERMIT TO Build Dwelling A Single F am i!,/ Dwc-I lifig NUMBER OF, #052235 (TYPE OF IMPROVEMENT) _ DWELLING UNITS NO, (PROPOSED USE) #6, Secoll-ld p AT (LQCATION) BONING I -'v- R?l (NO.) (STREET) joz BETWEEN ISIyI (CROSS STREET) AND (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE By FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION li (TYPE) REMARKS: Sewage #91-473 AREA OR Bond VOLUME 816 sq. ft. PER ESTIMATED COST FE E 80 , 000 . 00 MITS 62 25 (CUBICISOUARE FEET) mich Withaia OWNER Tr Lx x BUILDING DEPT. ADDRESS C/o Bo. 216, W. Hy By U NC A RTm`ENlr-v"v-6-L T C VO-o'k I E OF THE--�n.-A--------rH15 PERMIT ODES NOT A E L E As,E THE E" P P (C A N T FROM M T H E OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. CONDITIONS MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAIN,ED INSPECTIONS REQUIRED FOR ON JOB AND THIS WHERE APPLICABLE SEPARATE PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK- CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. IS RE MECHANICAL PRIOR TO COVERING MADE, WHERE A CERTIFICATE OF OCCUPANCY ;CA4 INSTALLATIONS, 2 1 STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIREADY TO LATH). FINAL INSPECTION HAS SEEN MADE, 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREEi BUILDING INSPECTION APPROVALS PLUMBING INSPECTION A..PPROVALS vp ELECTRICAL INSPECTION APPROVALS 2 2 2 3 HEATING INSPECTION APPROVALS EN NEERI PAITM �'A -A- .-BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARICULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE, NOTIFICATION r jt Joo. o0 LoT I ' . LPT lo,oco 's. 43.11 l _ h�Avc�s '�c�2x LoT `] + 0 � 0 fx1 S7 N G- ' I a /L9c �JD owl o /�. VC CERTIFIED PLOT PLAN LOCATION W' 7 N t�o Y9alti�S 2T MAs 3 I ,A / I.'CERTIFY THAT THE FOUNDATION ` A SHOWN HEREON COMPLYS WITH SCALE J"= 30 DATE l,/w. THE SIDELINE. AND :SETBACK X PLAN REFERENCE REQUIREMENTS OF THE, TOWN OF BARNSTABLE AND' IS NOT L-T 6 t LOCATED IN-THE FLOODPLAIN, FZ4q j /;:a,e, M,41r%inv TP-A Yw lGK_ r DATE ....... � THIS PLAN IS NOT BASED ON AN BARTER NYE, INC.REGISTERED .. LAND SURVEYORS INSTRUMENT SURVEY AND THE OS T E R V I L L E MASS. OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE LOT LINES, APPLICANT /j91ZTiti . /r�YwtclG .a .; ' ATTORNEY AND COUNSELOR AT LAW { r•' 776 MAIN STREETt 3 y HYANNIS,•MASSACHUSETTS 02601 508 775 5386 'October ,:28. ,' 1991r ; ., v \, t "'"+r• i w r 1,"',�'S, ,f �. `. .e ,,d' ' Building Inspector Town of Barnstable ii. . •• � r t arp.'1, Vi Town Hall Hyannis, -MA ',02601 L *! ; • r..� , • Dear'' S�+.l r 4 r:•e� -regard', to; Lot; W' '*--Se c'orid Avenue, West Hyannisport', _,Massachusetts;. I;"have,;, been "fami'liar with the e chain _ of kr',own ership for several years . " This lot 'has been in single"' ,ownership since the, subdivision in 1986 and remains in single ownership. :;,- S , } F 3? 4' .16 1.Yi.Y , -n� ,•. ♦ , , ' -' M ' In nR i my .'opion, ,it i�s a,,builldabley lot+. � + Tv ry'Cf% -+, �-.. \ '� 7�y ;y:." M d'•r': .a. F fit. c•"v t+ ��� � .•.�� A ',� i' A a - _ � } '"� 1�•• . °Very truly;yours,.,, F'';t•Gk�,.a.. w l�ti✓•• -'�Y�ea ; '"�" s'. * - '� rt Th as N rge r ' + .,TNG:W j b rt� '•' { ` ry"*"'� p..<. •` Y�kr.� +., �r „�- r r c` �" r '� f t- '. t v.. r�'.. � .'�." y.�", c'. • { e j �.�+... v ` • ''.� C ter,•'.+�'y� .•rfi_ � _"�s -rt•� .,� 2... 1A y w - . .. {a ' �+ :'yam J� v S ,,.� 4i.. i • � ��� � VY .Y e r `4 � , - "t K•yi• ..� e.'k `rF,,�`.. 1 tr�_ � '! .. j �r � a�'.- to _ � �� , • • _ �. <��. 3� '�� ��# i��ir ,�. ti \r i�� Y• Y f n i �'� r� � ti' �; r, ,_'s. sq ivr' „ -~ter; yy u• , '� ,` h i a t�.y w. a,.• t# .� r \••� �. ` �v. 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Conservation 'I�t Ties e„ Board of Health(3rd floor) ' l°_ ENV0 �N yp i Jul Sewage Permit number ��- /(� �tP E;4D �o easyantc . #ao Engineering Department(3rd floor): D ,/ ,S n Definitive PlHouse an Approvedby Planning Board � �,1g tg e� Cc�fii�°nsY•. APPLICATIONS PR,OCESSED 8:30-9.30 A.M.and 1:00-2:00 P.M.onlylelkj tea Q TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Go rJsIrcT �c✓�LCi,�/y TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location It olk v 7- 6 �r d ELO�I/�AIZ: ' W- tY y�•�/�/�S� T' MIt Proposed Use Zoning District Fire District ri'r/A.�/�S Name of Owner rf'/Ct//GK ' (�/7�J�i�'/ Address <�/, A�k W- may-irk//,SslS2�' 1��G7Z l al�r� Cz•�Tt�r/�Name of of Builder f �/ ZAddress Sf���,06w e/�GL� Name of Architect Address Number of Rooms ��"� �% 3 64' Foundation Exteriors Roofing Floors Interior ,S�ifL'J2�/C Heating �� ��S /Y�i /� Plumbing Fireplace A4 Approximate Cost 00n Area 71 Diagram of Lot and Building with Dimensions Fee (/>� I%q c�eqZ / l 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. Name Construction Supervisor's License WITHAM,•-TRAYWICK f ` No 3 4 7 0 9 Permit For 1; Story I , Single Fa mil - Dwellinq _ z• Location Lot #6 �v'i%W Second Avr-nue ' a r',W. Hy' annis fort J r i fTra t we . � i � � , ' ' � ! •� F: - _ Own'er � I ' Type of Construction Frame I ' Plot i . Lot "? I Permit Granted November 25 , 19 91 ,Date of Inspection 19 13 0 19