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HomeMy WebLinkAbout0023 SECURITY STREET -��_�._ I� 4 i {. � `- 1 �--� r ` � I Certuse ., Adjustment, Inc. Property Claims &Appraisals 200 Chauncy Street, Mansfield, MA 02048 (508) 337-6066 Fax: -(508) 337-6065 April 9, 2009 Building Commissioner Town or City Hall Hyannis, MA. 02601 N ., I (xx) Building Commissioner or Inspector of Buildings = . 1 (xx) - Board of Health/Board of Selectmen- CD . Insured Jason Webb Y? c- r Address 23 Security Street rn Insurer Commerce Insurance Company Loss Type and Date Fire/ 3/11/2009 We have received a claim involving loss, damage or destruction of the above indicated property, which may either exceed $1,000 or cause MA General Laws, Chapter 143, Section 6, to be applicable. If any notice under MA General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the undersigned and include a reference to the captioned Insured, location, date of loss and Insurer. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Ted Laferriere, AIC Adjuster Signature/April 9, 2009* •p. �t >� COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF 1010 COMMONWEALTH AVE. �•..F MASSACHUSETTS BOSTON,MASS.02215 L ; L I CEN'_;E ENCLOSE CHECK OR MONEY ORDER 06/:?c:)/1'?'1:_=r i_-:FIN' ;TR. I_i�EF' `V1 ::I_R FOR REQUIRED FEE, EXPIRATION DATE I. °R T EFFECTIVE DATE LIC NO. U M PAY _ NCUMISS O LE UB LDAFETY"C.9 0 ((pp,,QQ,, Q( I'r"IIJiZ. .... U I....I::I'1If11:_IX JUIVN' TfSE�Q(� ASH). PHOTO(BLASTING OPR ONLY) FEE: t'IE-1'=+•If'E--E_. MA (:.):< �, :I 1 t i0 t_iC) Q (7 HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY .1 STAMPED OR SIGNATURE OF T14F COMMISSIONER DPj -1. :J R.I. MUST BE •;.. THIS DOCUMENT CARRIED ON THE PERSON O OF SIGNATURE TUBE O - SIGN NAME IN FULL-ABOVE SIGNATURE LINE :. F F ICENSEE THE HOLDER WHEN OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION COMMISSIONER I k ' 200M•2.87.81429 I T a I 4OI1E I MPROVEMEN-1• I-ON'TRAC:'TOf?S RE1 I STIR:AT I ON B!icirCj f 1.(Lll l(_17.nCI f?f'C1L-(l at;i I='Iris carlCi anCiar CIs t' Orlc- ASif bur-tIII'1 F'Itill_E? Ef o s t.1 1 n I Ll S E3't{ s 01:;;'1,V1:i 1-1(]11E. 'I11F'F:OVEMENI- CONTF;r'%i c F:Elg'i trLtt:ion 147P600 Exp:irat:i-.,rl =)4 — ' 1•Y Pe "- I N D I V:[ll U A I.._ HOME IMPROVEMENT CONTRACTOF F'aLll D. L_eTr')rt� Registrat`6n' '100b00 1'-101 Shel l b ac k W�a Type - INDIVIDUAL Ma5l"Pee MA �1?F;�1•'_i Expiration 06/19/94 " Paul-D `'Lennox T-1318he116adAiy P,O,-BI rr Mashpee.MA 02649 ADMINISTRATOR '+ I i ;--- — .--- I�—Commonwealth of Massachusetts•- - _. Commonwealth of Massachusetts Department of Labor and Industries Department of Labor and Industries ! This is to certify that ! ! i This is to Oerlify that Lennox, Paul D. 'Beaumont, John 434-52-9466 009-56-0031 has been certified as a: has hem, txHtilied as a: i Contractor Supervisor I EneGINeDaIe: 06/05/92 Efforlivo Date: 06/10/92 L J Expiration Dale: 06/05/93 J Expiration Date: 06/10/93 D C 000922 D S 000684 l Certification Number Na r' r� Certification Number NO 0 L ' Controller Controller ! e' -.% 7 Assessor's office(1st Floor):m Assessor's ma and lot number Conservation Board of Health(3rd floor): Sewage Permit number t DMUSTADU �o rua Engineering Department(3rd floor): ' i630• House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO U Pi°&m_ I` TYPE OF CONSTRUCTION _ L-- 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Z �j S �G�I� t T < r Location ti Proposed Use i N!h L 6- 1-e Zoning District Fire District Name of Owner , L<-,cA,, u y Address Name of Builder G-a,o cj. 116wt6 .A Address S 9 eVOv�,%,6r c.�T� ((c/,�,�,��5, C,-, Name of Architect AS A Address Number of Rooms Aj dc", Foundation du-A Exterior KS t1 Roofing NA- Floors Interior Heating t Plumbing �j Fireplace Approximate Cost S o 0 6 Area tlO e9 .�e Diagram of Lot and Building with Dimensions Fee 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 D CHARMOY, IRA No 3`"9 Permit For REMOVE & REPLACE WINDOWS Single Family Dwelling Location . 23 Security Street Hyannis Owner Ira Charmoy Type of Construction Frame _ Plot Lot ~ Permit Granted April 26 , 19 93 .' i Date of Inspection 19 " Date Completed 19 ti Engineering Dept. (3rd floor) Map Parcel '_//. Permit# ✓0? lg House# -Z-3 Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) i Planning Dept.(1st floor/School Admin. Bldg.) - De itive lan Approved by Planning Board _ • BARNSTABLE. MASS �rFO MAC p` t TOWN OF BARNSTABLE Building Permit Application Project,StreetAddress Ll-,-�Z VillageG1 Owner C el�lea e �4�: j /,3' Address Z, 'GAG ZG Telephone Permit Request -First Floor square feet Second Floor square feet Construction Type c:�'77"ZZP Estimated Project Cost $ Z D 667,e — �� Zoning District, Flood Plain Water Protection V Lot Size Grandfathered Q ❑Yes ❑No I�^ Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No 0 Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New to No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No • Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use - Builder Information / Name C b <L,� Telephone Number —7 7 S�` 7 7 b 3 Address .ill,/E:ItfA.i✓�icense# T Home Improvement Contractor# d-v Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) — FOR OFFICIAL USE ONLY rERMIT NO. DATE ISSUED- = MAP/PARCEL NO. + - . t ADDRESS ,.VILLAGE r N r } OWNER } • ' ' r ` + , � •t I• � ` r - - DATE OF INSPECTION: _ FOUNDATION t FRAME INSULATION i FIREPLACE _ ELECTRICAL: ROUGH FINAL • _ r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING + _ DATE CLOSED OUT t ASSOCIATION PLAN NO. r ' r I/VVVV- . • The Town of Barnstable �$ Department of Health Safety and Environmental Services Building Division 367 Main SUM Hyaaais MA M601 Ralph t=ce Office: 508-790.6=7 Building Commissic::: Fax: s08-790-6Z30 For ounce use only Permit no., Date AFFIDAVIT HOME I1VIPROVEMEYT'CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. I47.A requires that the "reeonstructfoa, alterations, renovation, repair, mcderuissdcu- conversion, improvement, removal, demolition. or construction of an addition to any pre-existing Omer occupied building containing at least one but not more than fbur dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions.along with other requirements Type of work• �'•�-���/ZL mot.cost Address of work: Owner's Name Date of Permit Application- L 1 hereby certify that: Registration is not required for the rollowing reason(s): Work excluded by taw _ _ ob under S1.00L __Building not owner-occupied Owner pulling own permit Notice is hereby gives that:OWNERS .PULLING THEIROWN PERMIT OR DEALING WrM UNREGLSTERFD CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO MMARgITRATION PROGRAM OR GTIARArM FUND UNDER MGL c. I42A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a.permit as the agent of the owner. Contractor Name Registration No. Date OR Owners 142me Date a w The Commonwealth of Massachusetts Ss a Department of Industrial Accidents ZIOlfee nllnsestigatians - = 600 Washington Street -- ;�►r Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone# I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing w or kers* compensation for my employees working on this job. company name /f/< Zg- ( � address city r -r/o e7z5 phone#• .�'" '�'� �� �..... insurance co. r�961 niicv# O Z /////// //,/////.%///////%/////.//////////////////%///////////////////////////////////////////////// ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: coin any name: address• dtw phone#: insarnnce co com anv name: address- phone phone#• insurance co. golicv // /%/.1/%%%%�%% / �%� / Failure to secure coverage as required under Section 15A of 31GL 152 can lead to the imposition of criminal penalties of a tine up to$I,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of S100.00 a day against me. I understand that s copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincatiom I do hereby eerti r i e pains pen alt' th to 'formation provided above is t rue c--4/,one � Date Sigtatttre - � 4.„ �L com' Phone# Print name ��a �� i omc l we only do not write in this area to be completed by city or town official city or town: permitnicense to ❑Building Department ❑Licensing Board ❑check if it response b required ❑Selectmen's Office ❑Health Department eontad person: phone#• ❑Other ([evuea 9J95 PJAJ A� Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their ", an employee is defined as every person in the service of another under any cotr c employees. As quoted from the"law 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 . 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 .c.s_..q—.,i...,a no vvn"c to tin maintenance , construction or repair work on such dwelling house or on the grounds o: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant we o ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,'orally,neither 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and µ. 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. City or Towns 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. The affidavits may be returned fo the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please io not hesitate to give us a call. /%% The Depzrttnent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 Boar IVPUOildin9 R�9ulations ari�IStarda�ds One Ashburton Place - Room 1301 Boston , Massachusetts 02108 (-10t1F TMI'ROVEMCt41' C0N1'FAC1'0 _ i ar, 10091 £< r r(_).i r at i C,n 0£s 6 D136 _ • (C` :To �r.in rnonar u�I�i ��/.,�,o w�.v�ua/G •.e. HOME IMPROVEMENT CONTRACTOR Registration 108918 iir"0 0rF L F1TTCHC0CK' Type - DRA I IT T 9 Expiration 0& 21 1/F,5 L_15o U4 IJ t•16 C> Ga8 THEODORE 1 . HIICHCOCr. THEODORE L. HITCHCOU X.BOX 211/55 LISA LN ADMIN1sTRATOR 1.1 BARNSTABLE MA 02668 I I �;ti I IKEip� The Town of Barnstable BARNSrABLE. Department of Health Safety and Environmental Services f639 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-190-6230 Building Commissioner Inspection Correction Notice Type of Inspection h/ Location -3 'S'. Permit Number ,� Owner �R (�,1 1fkY1,ti/(,b y Builder �� �,/.C6 One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: f LS Please call: 508-790-6227 for r1eeinspection. Inspected by Date To I �oZ/ ,� Time Dete WHILE YOU WERE OUT M of Phone U Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operatof 01%'� AMPAD 23-021-200 SETS EFFICIENCY® 23-421 -400 SETS CARBONLESS s C / Assessor's Office 1st floor Ma 1z Parcel f 1 ® Permit# l� � ( ) p �/Conservation Office(4th floor)(8:30-9:30/1:00-2:00) `�I bate Issued - 3a �oard of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee �= tom\ ZEngineeringDept. 3rd floor House# Planning Dept. (1st floor/School Admin. Bldg.) 4yA � a Definitiv proved by Planning Board 19 el �. � TOWN OF BARNSTABLE Building Permit Application _ Proje t Street ddress.23 SEcelRlnl - S%� Village /J� A)A)1S .Owner Address Telephone Permit Request h:'X l S T71V f, @ G� X First Floor square feet 3 Second Floor square feet s Estimated Project Cost $ ,/ }�� Zoning District Flood Plain Water Protection Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential ✓ Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name J o A A.) I�1 e (:g7,4RR Telephone Number. 7lo O— Address 3 7 /171 7— U License# Q r,�, p _-2 9 D 2- 51 Home Improvement Contractor# f/l0/7 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES'ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 12 u r» P SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/:PARCEL NO. 1 ar �`� 'fir# 4 � .J i ". _• �1 .. ADDRESS E' VILLAGE - - s 1 P Y f , 1 t Jw • t . � , •.�•1 • i w L.. 1 • 4 OWNERS _ •. -, '.. . � f , 1 ' ' � r "'' °S ' ram 4 � - ""•' � = � ; ' _ i ' 1 ' Y ' �.' is �, 1` •' DATE OF INSPECTION: } FOUNDATION ( r FRAME INSULATIONyv , "• ; _ `. ;. FIREPLACE', t ELECTRICAL: ROUGH 'FINAL , v PLUMBING: '> ROUGHFINAL r ri GAS: t -7TROUGH ;F'INA FINAL BUIL'pING th �,•�,..� __VIED r 1 DATE CLOSED OUT t + ASSOCIATION PLAN NO. ` +'� t i i ; I • 1 _ - k 1 t , t Y � 1 f :., The Commonwealth of Afassachusettss , - •^ �, !„ �:_ Dc parnnuN of Indtrstria!Accidents•� OfflceOffDYBSMIMOAS ` ';�' 600 lii'asltinrton Street Bosion.Alas. 02111 Workers' Compensation Insurance AMdavit - _ -... . , -name: 0yl/ A/ � .qJ2/?4 city � . `/.92 t����� ✓phone# s��-��-s-z s—o I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an•emplover providing workers' compensation for my employees working on this job. —� enntnnn. mine; — r• address: cir,^ llhonc�#• , insurance co- policy# 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnam•name: address: cih: phone#• insurance co• neiicv# L=:: .. ..• -_- - .. �n s . :,ire+-�-r+►- �, _- _� r ,f►ie-�+ r+ M�•• -s� -+a..,----sr comnam•name: address- City— phone#:, incur a co policy# :Attach additional sheet if tieeess ::•n»: •w �-�t�K-,}rr± ;- :..+�,' fte, �i u• nc ",.'^�r — t�..at.�u.:.�ao: t2JIUrc to secure coverage as required under Section 25A of AfGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement mac be forwarded to the Office of Investigations of the D1A for coverage verification. ' I�do herebt•certifj•under the parrs and penalties of pedun•that the inforntation provided above is true and rnmct Zgnre _ eI /� Dau 6•u �9 — /9 9 s' ame J o �i nJ c o —5"2 one# 7 G official Use onh• do not write in this area to be completed by city or town official city or town: permit/license# rnBuilding Department C31,1censing Board ' p check if immediate response is required' pSdeetmen's Office E311ealth Department contact person: phone#; nOther it"Ised IM P)A) •_ . The Town of Barnstable NAM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6n7 Ralph Ctossen Fax 508-775-3344 Building Commission( For office use only 3 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION , MGL Q 142A requires that the"reconstruction,alterations,renovation,repair,moderaiTation,conversion, improvement,remo%-4 demolition, or construction of an addition to any pmmwdsting owner occupied building containing at least one but not more than four dwelling units or to st uctmw which azz to such residence or building be done by registered contractors,with certain c=eptions, along with other requirtmeats. Type of Work: Est.Cost Address of Work: 3 Oa%mcr.Name- Date of Permit Application: / S� I hereby certify that: r , Registration is not required for the follo%%ing reason(s): �. Work excluded by law a Job under SI,000 Building not owner-ooarpied Owner pulling own permit Notice is hereby gh-crt that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WTIH Z7NKEGISTERED FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE .ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY } I hereby apply for a permit as the agent of the owner, w W non No. — Date Contractor name Regime Owner's name COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY. �! OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 LICENSE EXPIRATION DATE tONSTR.. ".SUPERV.I.SOR 1 0/2$,1996 EFFECTIVE DATE LIC-NO.RESTRICTIONS 5/01/1993 060294 rrr 1 G8 2 FAMILY HOME J"OHN H MICGARRY := 114 OLD COLONY OR Ss 373-2E-7s38 NASHPEE MA 02649 PHOTO(BLASTING OPR ONL - •AY FEE: 0.00 y� NOT VAUD UNTIL SIGNED Y 'B LICENSEE AND OFFICIALLY C ALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE C'WMISSIONER" ' ' DOB: 10/28/192c THIS DOCUMENT MUST BE - CARRIED ON THE PERSON OF - SIG RE OF LICEN - - - THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT" GAGED INTHIS OCCUPATION. -/I� . MMISSION' - ,' ✓lt6 V=04iVpCMtU.'P,IK[/L O j�GQ'ddRC�tll6CQtf HOME IMPROVEMENT CONTRACTOR I Registration. 116174 l Type - DBA Expiration. 05/25/96 MCGARRY CONST CO JOHN H. MCGARRY - -- ------- ---- p- W-BOX-28.1=37 ASP_INE:T-RD — -- --.-- -- f ADMINISTRATOR SO YARMOUTH MA 02664 �j 2 3 7y s Jo,. 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