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HomeMy WebLinkAbout0086 SEVENTH AVENUE (HYANNIS) �� Se��� ��e, ��� - rya .� 1 ^.s ( ` s .Application number ...... ...... ............A.:�l ...... ....................... Fee . 0�' PANS Building Inspectors Initials.......... .... ............:.... �� Date Issued..... .... -. .. 11......................... CaMap/Parcel. .... . `.�. ......f ........................ SCANNED TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: FEB 1.0 1020 ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: Y54 fir+✓ NUMBER , STREET VILLAGE Owner's Name:7P_t (Z 2A,46% Phone Number (n`4$ -429 _'1(o!J to Email Address: 3� Li tA Cell Phone Number AY ),"A o t�-4� Project cost S -42, :;C;M — Check one Residential Commercial F7 OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: - Date:'' TYPE OF WORK 0 Windows no header change)# Insulation/Weatherization Siding ( ;� . 0 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 to 2F�? t_p/, AcM enA C72 CONTRACTOR'S INFORMATION Contractor's name , ,E-�Ir Home Improvement Contractors Registration(if applicable)# 4U2v (attach copy) Construction.Supervisor's License# 01R-_-'A 4 5�- (attach copy) Email of Contractor E Phone number ISD$ ALL PROPERTIES THAT HAVE S TRUtTURES OVER 7S YEARS OLD OR IF THE SUBJECT PRO PER TrIS 1N A FI►SToR►C DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ f r *For Tents Only* Date Tent(s)will be er d Removed on number of tents total Does the tent have sides?Yes o (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X r r r Additional tent dimensions can be attached on a se 'ate piece of paper: ' Purpose of Event - Check one: this event is a: for profit non-profit eve Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan the location(s)of each tent Fuel source being used LP tank 201bs. or> Yes No , if ye 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. *W /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 regu 'ors for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts Sta uilding Code. I understand the construction inspection procedures,specific inspections and docu tation required by 780 CMR and the Town of Barnstable. Signature Date -APPLICANT'S SIGNATURE Si a e r ��• Sign Date 2 y All perms appolicatiolVare subject to lbuildingofif'!cial's approval prior to issuance. l A NA s G 3.1 A5.1 — — — — — — — — — — — J — — — — — - — — — — — J I I I I 3w _ co I I _ co N x to En 5' KNEELe 'S I I WALL ryco a CLST GATT}-I n 4' KNEE WALL - - - - - - - - - - - - - - - - - ry LIN. rY -011 7,_0„ SMOKE/GO' POST TO DET. PO T TO POST TO Ll rYto RIDGE ® 68 ID E SMOKE RIDGE - OS O O DET: o POST T POE T T 5M ABOVE DN BM A50VE co n LOFT BEDROOM #2 14'—O" n n r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia r Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): - Address: City/State/Zi;\ 4`' -1YiS l Phone.#: .3 �- • C� Are on an employer?Check the appropriate box: Type of project(required):, L I am a employer with 4. ❑ I am a gerieral contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I 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� 9. ❑Building addition [No workers' comp.insurance comp. insurance.: required.] 5. ❑ 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` i 141X> comp. insurance required.] -¢�rr.,Q,�, `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. icontractors 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. . Insurance Company Name:—, d 1G Policy#or Self-ins.Lic.#: w CA I S C05 2,.S 32 Expiration Date: — 1 l ' 2,0 Job Site Address: y� � — f�l/� City/State/Zip: 0 Attach a copy of the workers'compensation policy declaration page(showing the policy numbYr 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 here ertify under a pain d penal ' of perjury that the information provided above is true and correct, Si e. Date: Q . -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#: Information and Instructions } Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract 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 or 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 another who employs persons to do maintenance,construction or,repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the 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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials ` Please be sure that the affidavit is complete and'printed legibly. The Department has provided h 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office 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: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, M�a:ssachusetts 02118 Home Improvement Contractor Registration w Type: Corporation REEF REALTY LTD. Registration: 175486 P.O.BOX 186 Expiration: 05/15/2021 W. DENNIS,MA 02670 ` 3 1;1W c ti Update Address and Return Card. ;CA 1 0 20M-05/17 .�M Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE;Corporation before the expiration date. If found return to: Regis$Ta'tio`n Expiration Office of Consumer Affairs and Business Regulation _'P;_ 5 05/15/2021 1000 Washington Street •Suite 710 REEF REALTY;LTQ:=?' `. < Boston,MA 02118 MATTHEW TEAGUE =.. 24 SCHOOL ST. ' r' " � rlCL•� W.DENNIS,MA 02670-`" Undersecretary Not Valid without s nat r commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Const\,��fi�rSlS�iSn�,rvisor CS-083445 ; iI sires:05/14/2020 MATTHE W KTEAGUE' P.O.BOX 486 WEST DENNIS M 02670 N. ���irt ... Commissioner r '1 .t OWNER AUTHORIZATION FORM Statement of Ownership:' We, Richard Stafford & Cada G. Stafford, of 35 Davelin Rd.; Wayland, MA as Owners of the subject property (See deed dated 1/8/1'9 in Book 31769, Page 183, Barnstable County Registry of Deeds), hereby authorize Reef Realty Ltd. to act as representatives on our behalf, in all matters relative to obtaining a special permit and building permit for: 86 Seventh Avenue Hyannis, MA 02601 Map 246, Parcel 142 Name of Authorized Agent/ Contractor: Reef Realty Ltd., dba REEF, Cape Cod's Home Builder Matthew K Teague, President James P. Hagerty, Vice President 24 School Street P.O. Box 186 West Dennis, MA 02670 Richard4So-rd Date . F Carla G. S rd Date On this �da of ��� Y ,20�before me the �I undersigned notary public.personally appeared Ca f-Ice-. FCka-r r ✓ 4 proved to hrough satisfactory evidence of identification which were /� �L to be the person whose name is signed on the preceding or attached document,and ackowledged to me that(s)he signed it voluntarily for the stated purpose _ TliMINSE i"'vtafy PubliG- \_`i'`yf( i Ci,?SiTAJi<,:=3a:iill'i Y-;." Ailt REEF 'BUILDERS - C A P E C O D B U I L D E R, C O M - February 7, 2020 FEB 07 Mr. Ed Bowers, Building Inspector "-' `- Town of Barnstable 200 Main St. Hyannis, MA 02601 RE: Tempered Glazing—86 Seventh Ave, Hyannis, 02601 Mr. Bowers, Please let this letter serve as confirmation that REEF has informed the homeowner of the need to install tempered sashes at the 2"d floor bathroom window, and that they are not authorized use of that bathroom until the tempered sashes have been installed. M ew K. Teagu resident REEF Builders PO BOX 186 WEST DENNIS,MA 02670 508.394.3090 WWW.CAPECODBUILDER.COM dersen. Andersen Windows -Abbreviated'Quote Report �� Project Name: 86 Seventh Ave. , Quote#: 8398 Print Date: 02/06/2020 Quote Date: 02/06/2020 iQ Version: 20.0 Dealer: Shepley Customer: Reef Realty 216 Thornton Drive Billing Hyannis, Ma. 02601 Address: 508-862-6200 Phone: Fax: Sales Rep: Chris Russo Contact: Created By: MH Trade ID: 722065 Promotion Code: Item Qty Item Size (Operation) Location Unit Price Ext. Price 0001 1 AW251 $ 315.67 $ 315.67 RO Size= N/A Unit Size=2'4 3/8"W x 2'4 3/8" H 400 Series Sash, White, High Performance Low-E4 Tempered, Finelight Grilles-Between-the-Glass, Specified Equal Lite, 3w2h, White/White, 3/4" Viewed from Exterior .Subtotal Is 315.67 ,0+*/lAe Total Load Factor Tax(6.250%) $ 19.73 Customer ig ure 0.031 Grand Total $ 335.40 ('00) Dealer Signature j **All graphics viewed from the exterior ** Rough opening d,imensio�C s are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. o � 3 O _ o Quote#: 8398 Print Dater 02/06/2020 Page 1 Of 2 iQ Version: 20.0 A REEFBUILDERS }^.` C A P E C O D B U I,L D E R C O M 1 February 7, 2020 FEB 0 2020 Mr. Ed Bowers, Building Inspector lUw�� " Town of Barnstable 200 Main St. Hyannis, MA 02601 RE: Tempered Glazing 4-86 Seventh`Ave, Hyannis, 02601—� Mr. Bowers, Please let this letter serve as confirmation that REEF has informed the homeowner of the need to install tempered sashes at the 2"d floor bathroom window, and that they are not authorized use of that bathroom until the tempered sashes have been installed. M t ew K. Teagu resident REEF Builders PO BOX 186 WEST DENNIS, MA 02670 508.394.3090 vv".CAPECODBUILDER.COM f , Town of Barnstable Building- Post is Card,S,o That rts•V►s►ble,From the Street Approved Plans,Must be Retained on Jofb and#h►s Card Musgt*beKept . v 1639. " e UntPermit Post d ►I Final Irspect►on HaBeenMade °', ' � Q Where Y'2'e ficate of Occupancy is Requ�d,such Bu►Id ng shall N,ot�be Occ�up ed nt►I a Final Inspect►on.has been made Permit No. B-19-3388 Applicant Name: John Vreeland Approvals Date Issued: 10/11/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 04/11/2020 Foundation: Location: 86 SEVENTH AVENUE(HYANNIS),HYANNIS Map/Lot: 246-142 Zoning District: RB Sheathing: Owner on Record: Rich Stafford Contractor Name:'"JOHN VREELAND Framing: 1 Contractor`License;' CS-107947 Address: 86 Seventh Ave " >' 2 F Hyannis, MA 02601 '� Est. Project Cost: $31,332.00 Chimney: Description: Roof mounted PV solar system. System comprised of thirty one 370 Permit Fee: $209.79 watt modules connected with microinverters°xTotal.system size is Insulation: 11.47 kW DC Fee Paid $209.79 (z Date 10/11/2019 Final: Project Review Req: a Plumbing/Gas k•; 7Xr / Rough Plumbing: .'..Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six mo nths eriissuance.aft All work authorized by this permit shall conform to the approved application and the`approved construction documents for which,this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structutes¢shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly Visible from access A'e' 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 "• F The Certificate of"Occupancy will not be issued until all applicable signatures byAhe Build,ng,and Fire Officials are"provided on th s'permit. Minimum of Five Ca II Inspections Required for All Construction Work i Service: y; � � 3S E � z 1.Foundation or Footing t t Rough: 2.Sheathing Inspection 2 ,, . a, ...lir� . ., b - P.• - 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: "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 Cjw ' i�r^H�t_" SErrt o �eeal h of <ass -h se S �. eel. etal er i , Date: _ _ Perrnit I.�. P- t ated'Job Cbst .$.: 000 Pernark Fee $ _ Plans Submitted•, 5. O V Plans Reviewed 1C# Busyness License# 02,, 02 Applicant ticense: Busuzess Information:` Property:(}caner/Job Location Information; Name : COASTAL 1039 ASH ST Street Street City/Towri: CitylTown: 8Q:gL t>TA1 Telephone 6b a.- —1 t' Telephone.;; —�e 0 ` O — Photo I requred/Capy ,Photo I:D, attached: kTS :. tiff Iniial: ,3 M 1=unrestnoted license J 21�VI 2`=rt cteci.to dweliirigs 3=stones or Iess<and commercial up a I0,4Q0 sq f /2=stones of less gesi ential 1 2..famil Multi=faib ly Condo,t Town ousel _ Other Y , Cmiiiecial$- C>fficer retail: Industrial:, Educational Fire,Dept Approy0l, Institutional,_. Square 'iota;ec .under 1,0,000 sq.:ft.. t/ ©wer,.1,0;0a0;sq ft eel iiie, al wokk to be ooin leted` New Work:� Renovation: HVAC Metal'Watershed Roofing;, Kitchen ExhaustSys#ern.; M kal Chiron /VentsBalazzcmg; .e eY' Provide detailed elescription of work to be done: /t�STA&C Giu 1S fire _ . rf�z �:S _ x-� G '� T cS?7,7-Afh . Y r s i` r. h �M19StJRANCE Ct)VEkkGF i have..a ca�rrent instaral�ce peiicy of`its egulvalen#uirhich meets•the requirements of ty AL.Ch:9'12• "Yes No'm .if you'have"checked:,indicateAhe.type of coverage.by'checkirtg the appropriate box below Iiitiiility insl�rnce poticy ( Other type-of indsnnity' 0: Bond Q' Q�t�tER'S iNSURANCg tNDiIVER i am aware:that the i�censee does.not Name the Insurance coverage required by Chapter 142 of �/iassachlaset#s General Laws,and-that mys6gnatcare b.ikthis:perm,it application jyg this requirement: Chl:ck.P Qnly Owner=F-1 Ageltt El Signature.of Owner;:or Owwnees A9en.i By checking this boxO I hereby certify that all of the deta►ls and information]have'siitiriaitted(or entered}'regarding::this application'are true and; accurate.to the<l�est of:sray khaUiriedge Arad that ali sheet'I fetal work and instailation5 performed under the permit issued for this appiicat10 will'_be in`compliance with aiI pertirtentprg,vlA dIr df the Massachusetts Suilding'Cdde and"C.hapter 912 of the,General caws . I3tl 1 nspect tan required prior to.Insul�tidn< nstalBaf NCt Date Commelats�. Rhaf Lmsneetag>4 Date Comments;.. r , Type of License y /Matter, rifle _ . . .0.ma ter-Res#acted;; � - 'i y/Towst.. i [:pJourneyperson Sign6WM Of.Licensee ®Joumeyperson Res Wr,ted Liaense lurtlber:' � C(leck at uiu�wr.rnsss.00vfr}ti '1 nspectar Signature of Permit 4pplovai Cv� COMMONWEALTH OF MASSACHUSETTS • , • • Q- COMMONWEALTH OF MASSACHUSETTS • • , . . BOARD-OF • • • • SHEET METAL WORKERS SHEf; METAL WORKER ISSUES THE FOLLOWING LICENSE ISSUES THE FOLLOWING LICENSE :.MASTER UNRESTRICTED h 1 w. a BUSINESSr t, PETER MERIANOS � {� QETER MERIANOS 1039`ASH S7 W : C.OASTA,4,HEATING ANO AIR C NPITIONING IN BROCKTON,MA 02301 6.238 i + +a� j' w 1039 ASkL;STRET BROCKTON,MA O _91 47 0712812021 665543 23z 02/081202Q : .' 408279 ILI, CONTROL # '� ) CONTROL# J Q 0 ! 058 IMPORTANT IMPORTANT If your license is lost,damaged or destroyed;is inaccurate;or If your license is lost,damaged or destroyed;is inaccurate;or needs to be corrected,visit our web site at mass.gov/dpl for needs to be corrected,visit our web site at mass.gov/dpl for instructions to ensure the proper mailing of your Renewal instructions to ensure the proper mailing of your Renewal Application and any other correspondence. Application and any other correspondence. This license is subject to Massachusetts General Laws and This license is subject to Massachusetts General Laws and regulations. Your license is a privilege, and cannot be lent or regulations.Your license is a privilege,and cannot be lent or assigned to any person or entity under penalty of law. Keep this assigned to any person or entity under penalty of law. Keep this license on your person or posted as required by law and/or license on your person or posted as required by law and/or regulations. regulations. T"dae �i?rarno> wealth ofmussach., iWs, .. I�e� e�st-o���tlpas�t�al�cctdents' ®ice:o,f.Investdg l onk., 44 600 WwhiWgton�. eet' ' Co peimstt>ioh,ff nrance'Affi M't:Builders/Contra.cfors/Electric .s/Pl ers, A'; aformatlon: Please".rinitmb INC Name{E3usanessl ► p -Ad:cIress 1039 7OMST CitylStte/Zp Ara yaaz ari eio aloyery l%eck the apprapriatk bog. Type of:' oyect{raganreii).: 1 ❑,`I.am a to er with 4- Q I am':a general canlrattor and:I - - �:.. lo. ees have°hued the sub-contracbgts b New consfriicfion - p Y (full atdlar parf timel: :; ,. Z.[�'I;axn asole,Irropiietar arpazinet- hstedon the'atfached,sheet :7 ❑Remodeling These su oritractors have; sb3p andhave na.eniloyees S Q Demolxtion wo for mr xu', aci employees and ltave;workers' �, . y t3'•., 9 Q Biiiilding addition [No workers'POIT insurance, camp:u?suxance,t require S. ❑ We are a corgoration:and its 10❑Eleetncal'rapairs or addiians �; officeis have exercised their`` : 11.Q Pltimban r 3 ❑ I:am a.lioiieawner:domg all wark g'.aPairs or addfxons n. of exem ttan et IVtGL:: myself[No wtirkeis"comp: P P a t c 152, 14,and v�%e have no: . Raofrepairs uisu-anc.-requrred j' § { To ees o workers' 13.❑(der ?...y comp:,nsn,once regii=ed]' °Any,applicant titatcbi�4 box 01 must abso iiIl atit:the section below showing their workers'compensation policy ttifoimabon i':flameowners whn'suitmit this affidavit indt'caling tktcy are doing alt work andth=hire oi3tside;6ontzactors twist submit aaew affidavrtatdicating sucF. xCatitra tars that check this box must attached am additional shxt shacving the riaxne of ft sub contractors and'state'whefi er or not those entities.have employees. If the su'b=contractors hrve'empioyees,l3tey mustprovid�ilYeir works'coinp.,pahcynumber.., lam,an employer that is px oviding. orkers'co,<m,perrsaxinn i�zsrsra�ece fur my employees.:::�ela�w`is the poacy and job sUe. inbrmadon.;. Insiaance:CampanyName ..... A Policy#ox Self=ins Lie.#?!a S� C�!,� 44) � x/piratioaDates L0 lob Site Addmss o'6 c�r - Pwsms'G Attach aeapy ofthe woi leers':compensation poliey decaratiar°page'(showizi the policy iiitnLber and expiration date)., Failure•to:secure.coverage.as regtured finder Section ZSA of MGL c 152 can lead`1n-the iuposition of cri iiznal penalties of a, fine u well as czy l penalties in the Corm of a STOP WORR ORDER azid a fine of up to:$ZS(}.t}©a day agairL4t fhe vio}atc r. Be advised That a copy:ofthis statemen t may be at o the Ofnce of Investi aiious'of:the DIA for* coesa nv fton.. I'io hereby ee er the pains air penalties',of perjicry fhat tfie inforntafaon;`provtded aboves true.atid coTrec g attire: Datd. Phone# ���U 5 �� ®fftcial use only I?b' at w.rzte tic tirs:area,tb be completed by crtyor town offaciaL .City or;Townie PeriilitGLicense' .Issuing Authtarity(circle one): 1.Board of Health 2.Building Depa ent-3' Clerk. 4.;Blectr cal Inspe�tor 5.Plt: mg Inspector 6.OtheX Contact Person: . . ::Phone:#s . Fawn of Barnstable a' Regulotory Services dam: ThomasT.G•cil@r;Urector Building Division f Tom Worry,-Rulld[ng ip ommfsionr�r< 200Mata Street,TjyauW MA..02601 w.Ww.ttizvn,barnsEublo.ma us; Office; 508-862AD3$ Fact 5.08-790-623..0 Brope>;ty Owner must Coxrtplete and Sign TWs See on Lf U'si A Budder *Rs Owner of the subject xo l p p hetebp authozc to,a'ct ou np behalf,;. in.all;matters xchfive try wotk autl otized by<this;buU&g petmitI(------- j (Address a£Job) ; Pool fences and alarms art~ the espQnsibility of the applicant. Pools ,are not to be filled before fence is installed and pools are not to,be adlized until all final aspections.are performed and accepttrd Signataxe of. er Signature of llppiicant �TED l:'xint Name S�rimt i�ame' - - , , Date. Q:rQRMSiQWM:RP�I21vIISSlONPOOIS t t ACO® Y DATE(MMIDDIYYYY) �. CERTIFICATE OF LIABILITY INSURANCE 09/17/2019 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 endorsements. PRODUCER CONTACT Judy Salkovitz Bearce Insurance Agency, r 670 Pleasant Street PHONE (508)586-3400 FAI.X (508)586-3700 E-MAIL jsalkovitz@bearce.com Brockton -MA 02301SS INSURERS AFFORDING COVERAGE NAIC# INSURER A:ACe American Insurance Company INSURED - INSURER B:Commerce Ins Co. Coastal Heating&Air Conditioning,Inc. INSURER C:Liberty Mutual 24198 1039 Ash Street INSURER D Brockton MA 02301 INSURER E: INSURER F, COVERAGES CERTIFICATE NUMBER: 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 JJJL LIMITS C X COMMERCIAL GENERAL LIABILITY X X BKS55722745 12/05/2018 12/05/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR DAMAGE TO RENTED $ 100,000 MED EXP(Anyoneperson) $ 15,000 PERSONAL&ADV INJURY• $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT POLICY PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B 'AUTOMOBILE LIABILITY - X X ZT5262 07/17/2018 07/1]/2019 (Ea accident)COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO r BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURYer accident $ AUTOS AUTOS (Per ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS $ included $ C X UMBRELLA LIAB. US055722745 12/05/2018 12/05/2019 $ 1,000,000ocuR EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 QED I I RETENTION 10,000 A WORKERS COMPENSATION 6S62UB-4N46268 A 19 09/14/2019 09/14/2020 X I PER OTH- AND EMPLOYERS'LIABILITY•' ANY PROPRIETOR/PARTNER/EXECUTIVE � NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION F PERATI N below - E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more.space Is required) CERTIFICATE HOLDER CANCELLATION Al 040720 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. AUTHORIZED REPRESENTATIVE Fax:( ) - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Barnstable Building s Post This Ga d So That it.is Visible From the Street A , rovedPlans Must be•Retalned on=Job andthis Ca�tl Must b-e.,Kept Posted•Until Fin Pp �3 • sb al Inspection Has Been Made, a „ : � Permit �» Wh_re a Cert�ficateFof Occupancy isyRequ ed,such Building shall Not,be Occupied unto!a Final Inspection has been made Permit No. B-19-1720 Applicant Name: Matthew K Teague Approvals Date Issued: 06/12/2019 Current.Use: Structure *6 Permit Type: Building-New Construction Rebuild After Expiration Date: 12/12/2019 Foundatio s-t/1,6J9 4A" — Teardown Map/Lot 246-142 Zoning:District: RB Sheathing:®S p8 !q Jk Location: 86 SEVENTH AVENUE(HYANNIS), HYANNIS ~ Contract MATTHEW KTEAGUE Framing: 1 Owner on Record: CARLA&RICHARD STAFFORD Contractor:License CS 083445 2 Address: 35 DAVELIN ROAD Estk Project Cost: $600,000.00 Chimney: WAYLA'ND, MA 01778 Kermit Fie: $3,185.00 Description: Construct a new 3-bedroom, 1-car attached gara&'(NOTE:- This has Insulation: Fee Paid:1 $3,185.00 been heard and approved by ZBA), ' Date Final: 6/12/2019 Project Review Req: AS BUILT.REQUIRED - ., Plumbing/Gas Rough Plumbing: Building Official i .{, g Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after=.issuance. All work authorized by this permit shall conform to the approved application(�n&the approved construction documentsfor which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st ructures:shalUbe 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. ' a Eb Electrical The Certificate of Occupancy will not be issued until all applicable signatute bq the Bu ldmg and Fire Officials are provided on this permit. Minimum of.Five Call Inspections Required for All Construction Work: � Service: 1.Foundation or Footing a� 2.Sheathing Inspection e Rough:- —.._. 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 Final: 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: "Person ting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department C Building plans are to be available on site �r _ All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: _ s REEF I, m•4 Y4 m'4 ' OO O. (Dhe.� O W-I ND O W s G H E D U L E DINING S.BEAt I nwrw vwn I.mll rw. v ROOM gwm .bal r-I-vY.Y4en• C y . tWOD Yes W..'-°tM . t44Am d 1glIO.TW1"4L r � b I p } / w § i wu to°r°mlui..Y .cnd0. N0 r(aed°0. i ONE CAS R,r a ----- ----.------ -- - a u.m. ® � ---- (D: e/` DOOR S CH E D U L E _ II - RP.fM a'ooln MASTER O O 1 w i lO KIT[ ] 11EN �Q nmlo+T®r��e.,Y r.l�aun.nu�.use wnl.�u Ir elmr�m I rlmoriar,o..I � �Ftl,.:.�",` 0. h ° uQ"t 0.to►am au°°IOutw° • ara '� mo R �5� SMOKE L ,. •: R. 'VIEW90 � FIRST FLOOR PLAN :s. + V'd i�.+ �+,; e4s. K --'E'LE d;;;•LUING DEPT. DATE Cc f � - �4 / FIRST i -IRE DEPARTMENT DATE FLOOR PLAN 'OT,'SIGNATURES ARE REWIRED FOR PERMITTING A2.1 r ti r' REEF ------ _ --------------- ro --------------------------- :_ W I N D�O W S C H E D U LIE � t � wlmwm vVm t _ > e .w. mwaw CLST `�i-ei racer r-w w ___-___l l____ ______________• _ ___11 Ky. L • AI ___________ .y 11 vw�vwm roe. N Q .� A 72 eoNus rsoa•I R*{/./�� f � -•� -- .Yo...s' R�" ae>i � � ✓/� �• o�Cf. �,�I � �.- �I � ivPO1m wrq/0{rcN luu ate. y LOFT ______, C ___ ___ : j � I1� �.� � rli - •off � H ,� } _ __ eeolxaa"I a3 `•mt:...,.. c..m.e�l.m.w.Im«r:w.waivio"c..ml a:.uc`'�"'i•m..wwia.vmu:..a<I.arl "' 4` _ w•+ -._g, - .....mown w a..w.wYe..,Y.:lw D O O R S C H E D U L E wlx - I I - tm immrauw.,a Yw®.a.Ie.rwl,.un S.IOOJGII. m.l �� �• �• �� . ImY6.Tm Imm....M.. �.__�___ _____ ^ ___ - •• . -.00m ,9L1TC ________ ___ ____ ___________ __ __ __�__________ _ ____• O,�m®gym ____________c.�_ __ ___________ ______ _�__ __________ �____• e� •e m'4 nn SECOND FLOOR PLAN cc � SECOND - FLOOR PLAN a }-7 REEF IImT @neDO® � f I I§ _____________ _____________________ _______J r _______________ ________________ __ _____� __ _____ l 1 I • I I 1 � I I ..... _ 1 1 r... .ek e•."m•...wes p I , ,evlm•euvnc ... 1 I 1 w�.o•e-C II I� I `UNFINISHED num w MO YMwa.iuV�a OGU � PAaPnPur CC ..I Yw b.m.Y w•min Mmtuen _____________________ uYY.rm j I •C Q S 1� 4 ,o:m.oY.w w Q p ,'; Y•.•. ' ; moron y � •emu mY p I I 1 � waa: , , 'b y > ONE CAR y .L .I a;avr'.a:.r�u.•..r a.,.ra i i } GARAGE i - i— --- ------- - I -� � A IL ra uom el...n ro.�N I T LIJ; I I 1 I 1 I .• r emu.e wn:umioa I 1 a sn•w unol ear w r.ew mm m.r I .m mru-n-- •. I i 1 I I _r p.r rwlfuc �� •. 1 I '�'yimllm'K1e1PTY.mtwt.e® I I r I __L mNO.TrM YII�t1�t.11 V � I I . I I .IqO jjtJ I -- T I 1 Y r______� r-rwal rv- . APA PORTAL FRAME - I 1 ELEVATION DETAIL "A" I I 5CA.LE:3/4•-1'-0' I I 1 I Y•4 e'4 1l Y4 FOUNDATION PLAN J gp ueoei"'"�ulu. m El as§ FOUNDATION I�� FLAN i S1 .1 Town of Barnstable Ulldlil ggP'ost,This Gard$o That rtas Visible From' he Street `Approved.Plans Must be;Retained on Job„antl this Card Must be Kept ; ,_, BAM-MA c: M Posted Until;Final Inspection Has Been Made < t 63¢ Permit Where a Cert�i6cate oaf Ocpancy Requ edsuch Building shall Not be Occupieduunta�F� al In�spµectson has�been made���T Permit NO. B-19-1682 Applicant Name: Matthew K Teague . Approvals Date Issued: 06/12/2019 Current Use: Structure Permit Type: Building-Demolition Expiration.Date: 12/12/2019 Foundation: Location: 86 SEVENTH AVENUE(HYANNIS),HYANNIS Map/Lot 246-142 Zoning District: RB Sheathing: Owner on Record: CARLA&RICHARD STAFFORD � Contractor^Name �e>,MATTHEW K TEAGUE Framing: 1 Address: 35 Davelin Road 3,, Contractor-License CS-083445 2 WAYLAND MA 01778 Est Protect Cost: $25,000.00 Chimney: Description: Demolish existing home-rebuild new(will fill out a separate P"ermit Fee: $125.00 application) 3 Insulation: Fee Paid $ 125.00 Project Review Req: 6/12 y /2019 Final: Date : i Plumbing/Gas s Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced"within six months after Issuani°2. icia Final Plumbing: All work authorized by this permit shall conform to the approved appliccation a'nd�the approved construction documents,fo,ich'this permit has been granted. All construction,alterations and changes of use of any building and structWes shall be in compliance with the local zoning by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pubilc Inspection for the entire duration of the '. z Final Gas: work until the completion of the same. J The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials areprovidedon this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing r e Service: 2.Sheathing Inspection 3 3.All Fireplaces must be inspected at the throat level before firest flue Ilnmg,Islnstalled. Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ' S OWNER Of RECORD I CM-T! - THAT"THE ffU* NG:'FOUNDATI:ON Richard .c,arla G. Stafford: SHOWN HEREON IS LOCATED AS.IT Deed: Book 31769 Page 1'53 EXI5T- .ON THE GROUND: Plan Book 34 Page.23 DATE Assessors'.Map .46 Parcel; 142, P L5 At • v NO;`48733� � .1. V 00.00' m. Wit e Fence`: .. . GB FND lgMQ a1�Q ::�1 . 7 1 - to T 12. c�c > 1 20'TO COASTAL BANK --� �In � 4 r� s• is In � LOCATED BEHIND 8T 5EVE TH_AVE. ' - 4 onore- Iit Wall da ionr /C%/G I � ��pr '28.0± ! �/ 1 row o y o lV�FegR� o SrgB�� LOTS 287C289 I O- Area`=8.0005F± r 0 s CD A543UILT PLOT FLAN p ;�,I�1 e �a PLAN SHOWING FOUNDATION -- (4Q NYi'de : Private Way) BENCHMARK: SCALE L"=20' 8G SEVENTH: AVENUE; HYAN N I , MA Top of Concrete Bound: EL 1.9,.'8{ (1988 NAVDy PREPARED FOR DEEP BUILDERS .i O 20 40 GO . I .5CALE 1"=20' J.ULY 1:G, 2019 Drawn by: MTF JMO-86.82 G:\AA obs\Reef5taffoed86'82\8682FNDasbuilt:dw J.M. O'REILLY & ASSOCIATES',.INC. } 1573 Main Street,.P.O. Box 1773 Brewster- MA 02631 508 896 660:1 Professional Engineering & Surveying Services f ) . I .