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HomeMy WebLinkAbout0043 SILVER LANE Assessor's office (1st floor): /1' rT Assessors map and lot number, ..... ..��':. :�...�. ..7.... SYST M MU i�*'THE SEPTIC E Board of Health (3rd floor): INSTALLE0,11N ................... .CO PL Sewage -Permit number ... ............. . . WITH TTLE 5 t M sTODLE, i ad Engineering 'Department (3rd ..floor); - 0�� AL CODE d ,e3q 0� , T o House number ........................... .. 3..... �?2.4.......... EI`IVI EN ULATIONS '�o MAY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M: only. -TOWN REG TOWN- ;OF BAR NSTABLE BUILDING INS1PECT0R APPLICATION FOR PERMIT TO ...... PP.....r rr'".�y......�e0ej. I.S................................................... TYPEOF CONSTRUCTION ...... .. ... ...... .i........:............................................................................. ..........�:7/e.........................1930 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .......:......�L✓g r, �,vN�i L�.3 S g...C A........... . ........... ............................................:................................................... 1 ProposedUse ...... N..IY►.1LV.... .....................................................................I................ Zoning District .. ........ ..........Fire District ... Ltj m , K , F" s J, /t L, Fi Nw Nameof Owner ................................................................-......Address ..... 3....Sz1.:/:E................t.......y/h.....11- ........ Name of Builder ...� y.m. .o.h! ....A.t...i ,��..j!Address .�� .... .0 .���.!�✓.......A1!/i'./.f.�C_ .. , Name of Architect ...........:Jr A m.` ........................:.....Address ..............! ................................: .�;.. .......... Number of Rooms Foundation .°.�� GdG K 2......................................................... x.�6.......�o7�,a ,8 ......:s Exierior i � . �............... Roofing 794 D1 S ti.)a i . ... ..... .d .S... Floors /' FRS T Ge►'`'►`G"' 1' L1i4?►QtI"�..ILoaQw/��rior ` �� �t/�/ 1......................................................... 'li........ . ............................................................. Heating �(?v hn I�12�S@N T S S.......................Plumbing ......./.V®N:4 .................................. • Y / Fireplace ....NVN ............................................................Approximate Cost .... ..✓ /.61�U........................ Definitive Plan Approved by Planning Board _______________________________19-------- . Area �'� Diagram of Lot and Building with Dimensions Fee ....�®s ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 ,AIL N M 4 G jZAJ �{vvs4e �L (9j L6) 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 ................. v/7 3j-7 Construction Supervisor's License .................................... 4 FISH, WILLIAM F. +' 29065 ' Build Addition Permit for r � •: � �� � �, _ f .........`Single.... ..................... e• C E .} Location-....�i.�..Slyer_,Lane _ • i ............::y. ....^Hyawawa:;......................................... Owner +W7,jil.�:m F....Fish... .. .... .. z Type_of�,Construction .. .FKAMP...... a4 Plot............................ Lot PermiY t Granted :.Mardi".'21....................19 86 I Date'of'lnspection ...19 +' Date Completed �...................................... ........19 L li-Z 4 j G1 +w c . ` arm r �' -a ir t-,: - " 1 r Ft Assessor's office TNE (1st floor): � � � �� .� , �' o o� Assessor's map and lot number ............................................ Q� Board of Health (3rd floor): A Sewage Permit number '.,r..::.....................................v.:....... t BAWSTEDLE. i Engineering Department (3rd floor) -� t11 °oo,s�,"639, House number . a( 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 ...............................................G, ....� ....10Y...,>................... .......................... TYPE OF CONSTRUCTION ��� ���..� .......-•................19 C� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .3 S i C✓ge t A, � t tiara t� ... . ....................................... ........�..............,...................................................................................................... .... Proposed Use ...... 1� A/V� '. Zoning District Fire District 'v�� ry Name of Owner jiYYI ,... F+ l :> /�!�" tG r F'� ................. .............................................Address ........................................................... ........................ t n r• Name of Builder ....I Q./v. .....!91....P /f..�.7- Address 1C.7 C✓ erexe / i.,+l/Il ..................... Name of Architect 5l m ....Address ..........` . ................................................................. ... ........................... Number of Rooms 16 `....F�.v..............................................................Foundation .................... ..................... w.h.!. ...C.�":Ta'`!2.....5Yo{wf,'1 b-'.... 19.. �... `. tr^t •E'f Exterior .. Roofing .............. ...�.. .............. ........................................ Floors 1.".!�/?S r Cervi [n. �" /�A/j�t f" ty4at�'ARInterior ....�....���*1AJ...........................:....................... M .. ..........t ... ........ .......,....�r.......................Plumbin ............ ' . '......................................................... Heating• .�'�.....'.►.�............ � 1 Fireplace .............................................................Approximate Cost .... l e r�J4:+..........................:.I............... � 7 Definitive Plan Approved by Planning Board ----------------------_---------19-------- . t'Area -� )................... ............. Diagram of Lot and Building with Dimensions Fee . ' r SUBJECT TO APPROVAL OF BOARD OF HEALTH IV 4ous-e. � �Z F f i cf fr Z it �6 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 . �t'r.. .:.+4 ........... ... .. d ....... . y .. .. ©/731 ? Construction Supervisor's License FISH, WILLIAM F. A=268-157 Build Addition No ....,290:65 Permit for .................................... Single Family Dwelling 43 Silver Lane Location ................................................ .......:......... Hyannis William F.. Fish Owner .....................................................:. Type of -Construction A Frame .................................y............ .�...^ ..... Plot ............................ Lot :............................... Permit Granted .......... ............19 86 Date of Inspection .....................................19 Date Completed ...................v-................19 �,THE r 'Town.of Rarn5table *Permit Expires 6 mo r isase Regulatory Services Fee • snxNsrasr 9MASS. Richard V.Scali,Director �rFD MP't� Building Division Tom Perry,CBO,Building Commissioner , 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0 / Property Address 1 swlvei;- L of .f /;V. residential Value of Work$ d �' : Minimum fee of$35.00 for work under$6000.00 ` P t Owners Name&Address (G �^� �4 2�v ff ' Telephone Number Contractor's Name Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#'(if applicable) ": 3 ❑Workman's Compensation Insurance X-PRESS Check one: [� �nf�� ❑ I am a sole proprietor ❑ I am the Homeowner SEP 2 2 2014 I have Worker's Compensation Insurance tob ' TOWN OF D n D n' Insurance Company Name S� STriDLE Workman's Comp. Policy# dcj (71-0 '- 0® -3a 53 U �. Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 's O�Re-roof(hurricane nailed)(stripping old shingles) All construction'debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑.Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit.does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Ho a Improvement Contractors License&Construction Supervisors License is required. SIGNATURE:.. QAWPFILES\FORMSIbuilding permit, ormslENPRESS.doc Revised 061313' act CERTIFICATE OF LIABILITY INSURANCE DATE(MGA/DO/fYYY) �../ 1/23/2014 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 BELOWWHLS 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 eridorsement(s). .PRODUCER - - rcnONTACT Berkle Assi signed Risk Services McShea Insurance (AC.No EId): 800 634-4589 as No.): 866 215-8118 1550 Falmouth Rd RT 28 Ste 2 . E-MAIL ADDREss: PolicyServices@berkleyrisk.com Centerville,MA` 02632 INSURER AFFOR COVERAGE NAICS INSURER A: INSURED - _ INSURER B: Richard Cazeault Jr INSURER c 198 Five Corners Road INSURER D. Centerville,MA 02632 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 BEEWREDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE NSR SWSfD POLICYNUMBER _UBRI PO LlCY EFF POLICY EX LIMITS (MWDDIYYY (MMIDDIYYYY) G ENERAL LIABILITY - I AUTOMOBILE LIABILITY I - W WORKERS COMPENSATION , WC ST RT U- OTH- AND EMPLOYERS`LLABIL!TY Y/N ! _7_ORY LIMBS _ ER ANY PROP-RIETOR/PARTNER/EXECUTIVE ®i - E.L EACH ACCIDENT $ SOO,ODO A OFFICE/MEMBER EXCLUDED? NIA {^' WC-20-20-003093-02 02,j04/2014 02/04/2015 (Mandatory describe under in NH) yes, tt yes,da _ E.L.DISEASE-EA EMPLOYEE $ 500,000 k DESCRIPTION OF OPERATIONS below. E.L.DISEASE-POLICY LIMIT 50D,ODt1 DESCRIPTION OF OPERATIONS 1 LOCATIONS;VEHICLES(Allach ACO RDA101,Additional Remarks ScheduNa,d more spacers reoul•ed). Coverage Election Category Elect Status Name State(s) All Entiti Locations Sole Proprietor Exclude Richard!Cazeault 3r MA. Cazeault Jr• �- 198 Five Corners Road Centerville,MA 02632 " CERTIFICATE HOLDER CANCELLATION &HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ., AUTHORIZED REPRESENTATIVE Signature- , ACORD 25(2010/05) BRAC 3139 .axe COMM'eYMIE-9 t Of-MZESaChMeft Depart of f strial Accidents -- - Ede t���nuestig'r�tcarrs 604 Washington meet Boston,.MA 0 11 wr4^lv.MLLSMg&v1dia Workers' Compensati€unInsurance ldavit:BuildersfConfractursMectricianMumhers Applkant Informaiian Please Print LepiUy Name( �: EC G2�cc� (LC) o ("/'/ � rS Mdress- Ci {Staf �� , (/[ .. ! ' ` f i Phan 47- K9r you an employer?Gbeck t apgrapriate box: _. ___.-.--_-.. Type o#pr°I (x i.Pt I am a employer with 4. ❑ I am a general confractox and Z 6- [-]New.costt y-. a employees(full and/or part-#ime)* have-him the sub camtmcfors. ?_0 I am a sole props eto-or partner- listed on the attached sheet 7- 0 Remodeling ship and have,no employees These sub--oonfractors have $_ Demolition employees and have workers' �rorking forme fSl any capactt�- 9_ Building addition [No workers'cosup_insurance comp_insuranr �_ We are a corporatianand its ltl_.Q Electrical repairs or additions 3_❑ recm a h hts] officers have exercised their 11_ Plumbing airs or additions I am a meoun�er doing all work officers g mP , myself[No workers'comp_ right of exeraption.per MGL 12 0 Rod repa=- nsurancerequited]1 c-152,§1(4} and we have no employees-[Na wolkerg I _0 O.tlier �� comp-insurance required.] `A-ny aapinomt that checks box#1=st also fill out the sectina belotr showing di&tvxi&ers'rnn e�atlau p¢ F infuttna _ t Homeawnem who submit this affidxvit iixifral- K dZY ate dmag s1I track and dmi him outside contiacmcs mast submit anew aindsrat infricatm mrIL C.zxittactua&,a cbeclk this boat must stteched sn xdditionxl sheet shorting the name of Eye s xnd sts-whether tsngt iha&z M61ies have mzployees- If the snit-conttactnts hwe einplryees,the},nwst provide their workers'camp.palace nua ber um an g»IgtoyeF#licit isprzrtddii tt�orirers'campgrunfion ariricrarics far rti}*em�aFnyecu Belarc is thepaiic azid job situ infotmatian_ Insurance GompatyNatne: jr,cS Z �'1 Igor crse1 i Li ` � - a =o y 3— �. EX atibnDate: a f Job Site�4.ddress: < J//Ii T!' ��'1 ifyr"5tafeiT�p: 0 CI 6 G It Attach a copy-of the vmrkers'compensati opt policy-declarstiou page(showing the poficy=mber and expiration date). Fo ure to mcnre coverage as requiredunder Section 25A ofNML c- 152 can lead to the imposition ofcriminal pea$ffies of a fine up to$1'5t?0.00 andior one yearimpri'sovins nt.as well as civil perms in the.form of a STOP WORK ORDER-and a fine ofup to$250.00 a.day against the violator_ Be advised tbaf a copy of this statement may be forwarded to the Office of Im esttpdons of ffie DIA fpf tasu auce coverage ver Ecation- I'do hereby cerftfy under t 'is 0IIdpeaalfcas.afpetjury thatfhe information prcnidgd aboc� is DII,Le r!carrsct Signature: Date: f Phone 9 0jyFcj rl use only. Da not write in tills area,to fig comp&ted by city or town official GitR or Town: Pern itUcense# IssuT rluthoritg(circle one),: 1.Board of$ealth RuMing Departmtent 3 Cify�awrr Clerk 4.FIectrical Inspector S.Plumbing Tn�ctor 5.Other F information and instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 Iegal entity,employing employees. However the owned.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 Iocal 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 pelormance 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,i necessary,supply sub-contractors)name(s), address(es)and.phone numbers)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 corifirmation of insm-anc--coverage. Also be sure to sign and date the affid2vit. 17he 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 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. In addition,an applicant that must submit`multiple permit/license applications'in any given year,need only submit one a, davit 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 of maiked 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 file to thank you' advance for your cooperation and should you have any questions, please do no hesitate to give us a call The Department's address,`telephone and fax number. 11e Commaawetalth of M ssachusi4-tts Department Gf Industrial Accidents , Office Of 10,vestigatiaus 6.00 Washy ua Sheer Bosons MA 02111 Tel_9 617,E -A,900 Qxt 4-06 or 1- 14S t4F Revised 4-24-07 Fax 0 617-727-7749 a „ R CAZEAULTV ROOFING & REPAIRS. PROPOSAL Proposal No.14-141 August 21,2014 To: William Fish Work to be performed at 41 Silver Ln Hyannis MA We hereby propose to furnish the materials and perform the labor necessary for the ' completion of: NEW ROOF 1. Remove existing shingle roof 2. Install new aluminum drip edge 3. Ice &Water barrier first 2ft, all skylights and penetrations 4. . Cover roof with 15 lb felt 5. Re-roof with 30 yr architectural shingle 6. Install ridge vent , d. .. f 7. Flash all pipes:and penetrations, 8. Remove all;rubliish from project A I Labor and Materials $8,000 All material is guaranteed to be as'specif ed, and the above work to be performed in accordance with the specifications and completed in a substantial workmanlike manner for the sum of Eight Thousand Dollars $8,000 with payment as follows: Four Thousand Dollars$4,000 Due with acceptance of proposal and Four Thousand Dollars$4,000 due upon'Completion Respectfully submitte , Richard P. Cazeault r. RIC# 168607 CSL#100393 198 Five Corners Road Workmans Comp and Liability with Centerville,MA 02632 Mcshea Ins Ost Acceptance of Proposal No. 14-14L The-above prices, specifications and-conditions are satisfactory and are hereby accepted. You are authorized to d the work as specified. Payment is outlined above. Signature Date ., . -� •� � � >- ` �� r. .. � .#. .s. ` e �� _i ' rr .. .. F _ r. i '. ..t � t 71 . �S � , -�q,,l i, � � ... i , a, .� . 3*.is�' S o , .Ili -� .. _ _ ^"-'. .-. ,.".,�.,.� h.s -'.. . �. �,-- ,..;.--�.s,a.r�e 1,- � ... +_. 't...�. �� a � �i i � r ... ,. G,J A , l " � � 960Z/£O/Z0 :, lauaissuuwo3 ". uOt i 1,Z£9 0 JW anwatna� GUYIDIR ' c A.: £6£00VS3 :asua�t, losUladng uog:)niasuoD s sp opueds page suou tnaa 6uiptff%g' o.pjeosl AbaMeS^aIggd la$aawpeda®-s?lasny�rsseyd � �� ariv�taitcrercl�� r,� a Lice of L, jg �,rc1 I.�cense or,regtsti at:on yard pop enw•it use oty ,,� t3 return to: t osu , qas&Basife ss l&e t �;�: ,— O_ a r '� beforethe egpYrationdatg � .- i egistratcor 163507 3nice of ConsumerAffaysReulatio , R��tton 8/2015 Irtdtvtdual•' -40 Park Plaza-Suite 5170 ` R Boston,MA 02116 RIC!HARD P_CAZE.A;LT' R f r, RICHARD`CAZEAULT Gi 198 FIVE CORNERS RDA CENTERVILLE, Undersecretary t slid w ut st 6 att►re