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HomeMy WebLinkAbout0289 SOUTH STREET a8q sow, sr ACTIVE � Town -of BarnstableBuRdim t• •! That it;is V�sible•;From the Street A coved PS-.'Mustbe;Retained on.Job and this:Card Must`be:Kept . Post This.Gard So PI? -IiA3L"Y"S"'XiIL'i.6, z.f. _ .. .: y " .• \tv s�+Ac4 -: ,•, , '__Posted Until Final.Inspection HasBeen:Made:;. "�• � ,K 3 F `b`L tbaa% w -- a n'h s"been made. eo wu Where a Certificate:6f:Occuparip is,Required;such Building shalh:Not be Occupied until a Final InspecUo a `4 i Permit No. B-17-3254 Applicant Name: ROBERT W. DENNIS JR.. - Approvals ate Issued: 10/19/2017 Current Use:, _ Structure Jermit Type: Building-Addition/Alteration- Residential Expiration Date: "' 04/19/2018 Foundation: Location: 289 SOUTH STREET, HYANNIS h Map/Lot: 326-011 Zoning District: SF Sheathing: t .. Owner on Record: GODOY, MARION B Contractor Name:'. ROBERT W. DENNIS JR. Framing: 1, Address: 289 SOUTH ST Contractor License: 118272 2 HYANNIS, MA 02601 Est. Project Cost: $52,500.00 Chimney: Description: REPAIR/REPLACED DAMAGED PORTIONS OF CARRIAGE HOSUE/ Permit Fee: $317.75 GARAGE, DOORS,CONCRETE, ETC Insulation: Fee Paid: $317.75 Project Review Req: REPAIR EXISTING-- Date: 10/19/2017 Final: Plumbing/Gas ;L 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 months 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. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: 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 work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 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 Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable;separate permits are required for Electrical,Plumbing,and Mechanical Installations: Worl�shall not_proceed until the Inspector has approved the various stages of construction ._ :.... ma r: "Perso s contractin ,:with:u.nre istered;.contractors do,.not.haye access to`the guaranty`fund" (asset.forth,Jn MGLc.142A).,;. Fire;Department 4 Final Building plans are to be available on site.-. .:.. All Permit Cards are the property of the APPLICANT--ISSUED-RECIPIENT ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' - Map A0 Parcel 1 i Y — Application # `' Health Division Date Issued 0 N LI? Conservation Division Application F D,� Planning Dept. `,� � Permit Fee Date Definitive Plan Approved by Planning Board.,,,;�;�'o _. -A Historic - OKH _ Preservation/Hyan�n sO' Project Street Address 5 y:t l zsT" Village n 5 Owner S LC SQ✓1 Ge eH Address a 15S Gov->' s'jL, �-fy on a�5 Telephone / /^� Permit Request 2i r 1--e_ 4Z K4 e < O fz on s a T Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _r21 5700 Construction Type Lot Size Grandfathered: ❑Yes ❑ No; If yes, attach supporting documentation. Dwelling Type: Single Family JW Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑.Yes ❑ No On Old King's Highway: ❑Yes. ❑ No 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 Number 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 Detached garage: ❑ existing U new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION 1 (BUILDER OR HOMEOWNER) Telephone Number Name o ^ 32- d4/(. Address vas icen # 20 —Q w I non n i r Home Improvement Contractor# !/ Z7 2-- Email 2 t4J C Qtih�S 1 � ^'tCGJ Ne:�Worker's Compensation # P141+4440 :d/ 973 ALL CONSTRUCTION DDEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / Z �! FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO: ADDRESS VILLAGE � Yl OWNER DATE OF INSPECTION: FOUNDATION " FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL' GAS: ROUGH FINAL FINAL BUILDING j I DATE CLOSED OUT ASSOCIATION PLAN NO. µr 1 �y r,.� �,1,4�x�J����! �f.eL..�lr _ _ _..._,,,,�..• .:ar.:'_`Z- �s° y. y �. iAr a Awr;M- " K- al �2'7 l R4BERT? : ticc� @ f � STA BTRIiCT.lRAt f5p N6.13834 Is IC4 a; 11, 4m. I loll lovj C w r�. • - w � ��s� o�( tiles t07 �SocLE c 1 Co n( iP ,;z> (L-0 sz:-e'F j At`�M�� E�-IS�o�•t S lrl ���`,� -� -CS c'F ff?,A 1 C Co,VeJcc +a t�4S Tc� �r rc'►t�2rN� �.� ll ca±ksv (zr-, cr�. Sii�� L t4 2�x, I 2'Tie Commoirr.iveaItit of1H`tassa dzu'setts. .',. Deparhraent of ludrrs&WAcciderds ` 600 Washington SkreeE -tr y . . wivininamgFrvfii'id w Workers' Campensatimi Insurance Affidavit:Bm'1dex-dCuntracturs fElectdcians(P'Iu nhers Applicant Infaimmiku pp New e•Frinf Le��i1X Name(Bustnessfl0iganiia4iffnfln�nal} F tc1w�Q �.tc�F�lc.Q c���c�o�Q�4'�S - A.ddress: �ity�l tatel ig r c) Phono 4"k' Are you an employer?Cheekthe apprapriate b= ' Type of project r 4 I am a general contractor and I P J ( mod}'= I_[ I am a employes uitli 2 3 ❑ 6. ❑New construction employees(full andfor part-time).* - F have hired-ifte sub�conbmctom 2.❑ I am a sole prvprietar orparfner- Tilted on tile.attached sheet.. I. ElRemodeHng slop and ba<<e=ao employees These sub-contractors have • $.•❑Demolitionrvo dng forme in any capacity employees and have walkers' 9_ ❑Building addition. IN•o WPdM s' comp.insurance e comp_insurance-1 retluired] y 5_ ❑ e are a coapomflon and its lta:❑Electrical repairs or additions 3.❑ Lam a homeouuer doing all work officers have-wmrcised thew I❑Plumbiagrepairs or additions. myself-[No wokkers'route- 6#t of exemption per MGL 12.❑Roofregairs inmrancerexp=- d]Y c.152,§I(4),and we have no employees.[No worlcess' 131Z 'Other �IP UA- camrtp_mm=ce mquired_] 0A appEic=tdiatchec3aboxAltitalsofMoutth�esec6oabeTawshaningtifie¢tuo$cers'compensatiaupoIiagiafoemsno� I3amevwae[s vrho Sabot i�IiS d2[7S is rating thQy are•doiag sdI Waa3G¢ad((7ffi re outside tontsctursamst sabmit anew affidavit kdif�na=cTi ICammctors-dimtr1e 1this box m=attached=2miiiaasl sheet shawingtlienzmeofthesnb-coutrscaa•sad swavrhether.arnottbaseead&sbave employees.Ifthesmb-con- actmrshave employees,diey=nTpmuide their umrken'ramp.parley number_ I am art.erxpLgvr that is pratRdnrg,tvarlrers'canrlrertsrafiara iriszirance j'or rrcy*cnrpPa3�ees $e£ow is fie policy curd jol x&e fnf0t7na iau. InsumnceCouipanyName: !`ti'CGtL Po-Ticy 4,or self-ins.I,ic--*1'- ►' 1 rZ't'��� 3 O l 9-7 3 Job Site-Address: EVU-k .S4. City/State! sp: G /1n,.f �A Aftach a copy of the work-ere compensation.policydedaration page(shoving the policy number and expiration date). Failure to secure coverage as requiredundar Section 25A of MGL c-157 can lead to the imposition of criminal penalties of a fme up to$U.00_i00 andfar one-year imprisonment,as wel as civil penalties is the fora of a STOP WORK ORDERand a free of up to 0-00 a day against the violator. Be advised that a copy of this statement.maybe faiwarded to the{office of Rmestrgations of the DIA for insurance coverage v.rerifrcntion. 'I rl`o heraby caWft,raatder the pains gndpef ' s o:f perj404T=t fire ircforsurtimi prm ded a Bove is!rare rntd aarrect Sitanature -- Dale: ' Phone ik O `�2,(- -.z-V(0 y Ojjalai use aii£y. Do not o-rrke fa this urea,to be campTeta by cfty arto�nru ofjrciaL - , City or To=: PernatlLicense# Issuing Anthnrity(circle one): L Board of Health 31.Buff ingg Department 3.QtyHovcn Clerk 4.Electrical Inspector S.Phtmbmg rnspector 6.Other Contact Person: Phone#: — —. - - - 6 form ation and lastxuctions �. Massachvsefts Ge�reral Laws chapirtt I52 requaes ah emgIopeas fo provide workers'compensation for flies employees. _ purs¢�i-to this sf�r ,an ernpLpee is defied as-kc e=YPersonm.tbs SM-Vice of another IInder aay contract ofb3e, express or implied,'oral or wratrnf An anproyer is defined as"an individnal,psrfnersh�,assocb on,corporation or other legal eutdy,or any °or more . of the foregoing engaged ina Joint enteapase,and inch ding the legal sepreseniafives of a employing emp g P ed.empIoper,.or the receiver or trastee of an indMd�partacmb-iA association or otherIegal entity, loyees_ However fibs owner,of a dweIImghonse havmgnotmare than three apartments andmho asides therein,or the occ¢pant ofthe- dwelling house of another who employs p=ws to do maintenance,constucb-an or repay wow on SMch dwelling horse. or on.the grounds or bM-dmg appurrf r¢thereto Shallnotbecanse of such emplaym.eutbe deemedtn be an employer•" MGL chaptnr 152,§25C(6)also states that-every state or local l licensing agencY shall wifhh d the issuance or renewal of a$cease or permit to operate a bIIsmess or to contract buildings in the commonwealth for any the gancucoveragerPY applicantw•ho has notprodnced acceptable evevidence,evidence,of compTianc� eeith Additionally,MG9-chapter 152,§25(M siaieS-W6itber the mmmcnwealth nor may ofits Political S aivisians shall fable evidence of compliancewit3r.the mice. enter into any coirfractforfiieperfrnmaace ofpnblicworlcM�I accep r eq==erCfs of this chapter have been pre mtea In the confr�.autholavf Applicants ' Please El o: the wozicers'compensation affidavit completely,by checI®g the boxes fiat apply to your sitaaiion and,if necessazy,supply sab--contractors)name(s), addresses)and phone mmnber(s) along with their ceriificate(s)of insurance- Lured Liability Companies(LLC)or L=itedLiabrZity Parinersbigs(LLP)withno employees other than the LL>'does have members or pm hers,are not rbqui<ed to carry woricere comp ensafion insurance- If an LLC or employees,apolicyisregrrQed. Be a&visulthat this affidayit maybe ohmitti--d to thi-,Df--partinmt of Industrial Accidents for conEamaiion of ins ce coverage. Also be sure to signs and dafethe affidavit: The affidavit should bez-et=ed to•he city or town that the application for the permit or license is being requested,not the D epartment of Industrial Accidents. Shouldyon have any gnestions regardmg the law or ifyon are retpraed to obfiaia a workers' compensation policy,please call thdDeputme tatthenumberlisfedbeIovP Self ur ios =opaniess ILO-old entertheir self-Tr1Ci7Tan ce Iic®se amber on the appropriatE Iine. City or'gown OffEdMZs . t PleasebesMnet hat the affidavitis coi¢pleteandpriofedleg Iy. TheDepartmenthas provided a'space the b'ot of the affidavit for you to fill out inthe event the Office oflnvestigatinns has in coxfiactyoarI atdmg aFP Please be suit-,to fDI in the peamitllicense member which wM be used.as a reference amber..In addition,as applicant at must sabmit mvlfiple peffiitllicense applit-atims in.any given year,need only sabmit one affidavit indicating "—t fii p olicy infonnatian�if necessary)and under"rob Adclress"the applicant shoud write"aII locations in ( or town)"A cope.of the-affidavitihathas been officiallp sitam2Ped or marked bythe city or town may be provided 17o the applicant as proofthat a valid affidavit is on file for fdm 'pesmiis or licenses_ Anew affidavit must be filled out earJi y .�q here a home owner or riii=is obtaining a license or permit not related any business or commercial 4�= = (i e_a dog license orpennit to bu n Itaiv s rta said pmson.is NOT to�ple��affidavit The Office of Investigations would like to thank you in advance for your cooperation and shouldyou have any question, please do nothesifnte to give us a call. The Department's address,telephone and faxnranber: ` 'F f�aanteaZttE of Iaahn. ts � �c�flzid�sfzza•EArcz{l�t� • OEM=oMve gafi o.= ; • ��T��hTT fan Siz�e'� Bean,MA MI II Ta 4 Eil7-' -49QO=t 4-06 ar 1-977 MA CAM Fax#617` 27-'749 Kevised424--07 WVi?w-mas,E,� • °y ACOREN CERTIFICATE OF LIABILITY INSURANCE DATEPUNDD/YYYY) 164� 1 09/06/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to ' the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s)• PRODUCER CONTACTJustin DeLoach MCSWEENEY AND RICCI INS AGENCY INC M : (781)84 -8600 FA" _ No: E-MAIL jdeloach@mcsweeneyricci.com, PO BOX 850984 AFFORDING COVERAGE NAro s BRAINTREE MA 02185 INSURER A: ACADIA INS CO 31325 INSURED ENSURER B ROBERT W DENNIS JR&DON-ATKINSON' INSURERC: DBA HOME STRUCTURAL SPECIALISTS_ SSURERD: PO BOX 534 INSURER E: EAST BRIDGEWATER MA 02333 INSURER F: COVERAGES CERTIFICATE NUMBER: 189053. 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. POLICY EFF POLICY EXP LTR TYPE OF INSURANICE POLWY NUMBER Lamp COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE F—IOCCUR PREMISES Ea occurrence $ MED EXP(Arty one person) $ N/A PERSONAL&ADV INJURY° $ GEN'L AGGREGATE LIMIT APPUESPER: - GENERAL AGGREGATE $ - POLICY El PRO- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ .AUTOMOBILE LIABILITY COMBINED ISINGLE LIMIT $ - ANY AUTO BODILY INJURY(Per person) $ �OOWNED SS AUTOS N/A BODILY INJURY(Per accident) $ HIREDAUTOS AUTOS EDer AMAGE $ - $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE w N/A AGGREGATE $ DED I I RETENTION$ $ WORIUMCOMPENSATION X ATUTE FOR AND EMPLOD YE •LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECU IVE E.L.EACH ACCIDENT - $ 100,000 A OFFICER/MEMBER EXCLUDED?. NIA NIA N/A MAARP301573 05/31/2017 05/31/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If describe under DESCRIPTION of 0PERAT16Ns below I E.L.DISEASE-POLICY LIMIT S 500,000 N/A .+ DESCRIPTION OF OPERATION LOCATIONS S/LOC ONS 1 VEHIC RA LES CORD 101 Additional Remarks Sdredule m be attach H( may ad 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-employeasoutside 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 dairy by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwd/workers-compensafiWmvestigations/. No partners have elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Susan Godey` ACCORDANCE VWM THE POLICY PROVISIONS. v 289 South St AUTHOR["REPRESENTATIVE - Hyannis r MA 02601 'P C r Daniel M.Craylay,CPCU,Vice President—Residual Market—WCRIBMA 01988 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD f Town of Barnstable Regulatory Services dF tAry,L Richard V.Sca%.Director, ` Building Division t � ' -Paul Roma,Building Commissioner 03 $ 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: op ee l M/ays number , street T village A' , 09 "HoivMWNER: 5 kcs Aral Go p 70 3 Z40 S SAY�/ name home phone# work phone# CURRENT MAILING ADDRESS- city/town , state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less'and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION"'OF HOMEOWNER Person(s)who owns a parcel of land:on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a.homeowner. Such"homeowner"shall submit to the.Building Official on a form. acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pros-A��"A�-— requirements.and.fl at.he_/she will comply with said procedures and requirements.' Signature of Homeowner Al Approval of Building Official Note::Three=fanily`dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code . Section 127.0 Construction Control - HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section.(Section 109.1.1.-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor ,(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFUMTORIVI5lbuiidmg permit fonmsWTRESS.doc 06/20/16 Nlassacht:setts tlepa nt-of f bii S f�iy ;rsf of$u tiling I2egutations anzf Standards License: CS-018M Construction Supervisor :` ROBERT.W DENN" s� 524 BRIDGE ST PO z a EAST BRIDGEIN%1 .Y CExpiration: , J Cf'L3M771.4j'KgtBYE R f l Q/S�CLfYZiCLhE _ Ofte 63 Comma Mft$Btl Imn ReWstbn� .. 4 EtME UPROVMMW CMRAC TOR a `o T • � 02120/2M9 ROBERT W DIWA Home t ROST 524 Berge S East,.Bridgewafier, fl2333 undersecretary • -ws���^w+s+r•,�,.�"•m+.v.r....w..w afa--:-.;",- ..:.^A.:i�.. .,..,-s:w�e��*v�.�.._..�,_+..��a:- - -• NIT- 71 q L� r: s Yw.st� a 15 �eX Tar 5�� ,�.,Yyk. � ac a • ttt�u�a • 1 ' r Robert W.Dennis Jr. Registered Structural Engineer Don Atkinson dba/ Home Structural Specialists` P.O. Box 534 East Bridgewater, MA 02333 508-326-2464 rwdennisir0comcast.net www.homestructuraispecialists.com Proposal Structural Work 289 South St,;Hyannis MA August 20, 2017 We propose to provide engineering,design, obtain a permitUi d provide labor and material to perform structural work,at a property located at 289 South St, Hyannis, Ma. Work generally will consist of.the following :y "1. Repair and replace portion of carriage house/garage roof. Cupola to remain" —r or a�- 2. Repair concrete area over main front doors q; ; _�,,,,,� R 3. Repair top portion of rear concrete wall Q-� ws 4. Repair front doors �- � 1�� ` at w ti�e�ssaz 5. Cleanup Estimated time 6-8'weeks Cost$52500 J 5 Kt m c-o a-+ .rCvc.Co Deposit when sign contract$100W Deposit when work begins $20000 Z (�MMMAS V,cys Payment when roof complete $10000 Payment when concrete,repaired,$5000 Payment when doors repaired $5000 Payment after final inspection $2500 Ali Work will be done in a professional manner to the complete satisfaction of the owner. Please Call if you have any questions. Bob Dennis $08-326-2464 i t _Don Atkf on 781-724-4257 r Please sign the contract,-and return it with a $10000 deposit payable to Home Structural Specialists. Upon receipt,.we will proceed with obtaining a permit and schedule the work. CONTRACT Contractor Home Structural Specialists Owner u Aa_,✓v ' Cta�c U� _3 u s A Signature Print Owner L Q e:- Sig t e Pint Date Y _a i t x V 1 r C lc� �v c� % U S QLY) a - t s Commonwealth of Massachusetts.. • , Division of Professional Licensure , Board of Building Regulations and Standards Co.nstr ��P?rvisor. CS-018348 � ,. Tres: 0813112019 ROBERT W DENNIS 524 BRIDGE y"F�PQBX 534i EAST BR IDGEWANTER�MA023�33` 01 Commissioner d r i F� r Town of Barnstable "Ire- mit# Expires io h rom issue d9fe Regulatory Services F EMxMsrnsL « r MASS. Thomas F.Geiler,Director. r 1639. A�6 prfD Mp't Building Division Tom Perry,CBO,:Building Commissioner ' 200 Main Street,Hyannis,MA 02601 E www.town.bamstable.ma.us Office: 508-862-4038 .-Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY K Not Valid without Red X-Press Imprint Map/parcel Number ,oC 1 1 Property Address a y .." .. ,. ©,1�Z-si—dential Value of Work `��j .f� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address R Contractor's Name 't4 R=I 1� Z/ Telephone Number Home Improvement Contractor.License#(if applicable) . Constructi tfpervisor's License#(if applicable) "oran's Compensation Insurance Check one D ❑.I am a sol proprietor C_ 9 2� ❑ > eHomeowner: a ®Vll�i �3FBARNSTA3L �Il ave Worker's Compensation Insurance Insurance Company Name m Workman's Comp.Policy# - Copy of Insurance Compliance Certificate'must accompany each permit. Permit Request(check box) , W ❑ Re-roof(stripping ol&shingles) All construction'debris will be taken to ' ❑Re-roof(not stepping: Going'over -ex stmg layers of roof) ❑ ,Re-side x' of doors Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows 6 *Where required:.Issuance of this permit does not exempt compliance with other town department regulations,Le.Historic,Conservation,etc. ***Note:' Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 090809 "r The Cornmonwealth of Massachusetts Departrnent oflndustrial Accidents Office of Investigations 600 Washington Street — ' Boston, MA 02111 fvww.niass.gov/dia. Workers' Compensation Insurance Affidavit: Builders/Contraciors/Electricians/Plumbers Applicant Information ' Please Print Legibly Name (Business/Organization/Individual): Address: lf/a City/State/Zi Phone #: Are you mployer..Check the appropriate box: Type of project(required): 1. 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.El am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have`no employees , These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance.# ` 9. ❑ Building addition [No workers comp. insurance p• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their -11.0 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 13.❑ Other employees. [No workers' 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 � Insurance Company Name:; el,deq Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Lip: 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 unde�ains enalties ofper'ury 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 S. 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,constriction 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 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 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. advance for our cooperation and should you have an questions, The Office of Investigations would like to thank you in v y p Y Y 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 Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia s t �YHE T Town of Barnstable Regulatory Services snxx- Thomas F. Geiler,Director 1639. �m �Eo �04 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 'Property Owner Must Complete and Sign This Section If Using A Builder I, c 1 on - D D , as Owner of the subject property hereby authorize V 111 Ql_.n i C�)'{� U Ct`1 �'n to act on my behalf, in all matters relative to work authorized by this building permit application for. �U` h 5- ' (Address of Job) a o Signa e of Owner Date. N( �Xi0O C7bclaj Print Name If PropeM Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QTORMS:OWNERPERMISSION Town of Barnstable of�x�rqy� o� Regulatory Services • Thomas F. Geiler,Director BARNSrABLE, Mass 9� i639. 1�� Building Division ArEDis Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone I# work phone#i CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFlLES\FORMS\bomeexernpLD0C 08-25-09 07:49am From-AIG +973 331 8599 T-323 P.001/002 F-706 cTonatlle:----> �Tafa nUMt6O8?714417> ,I :li 1:�- "i• _:�i.. �.11n:l,; _ , , i-,,.: ;,�I. p.' I'.:�.":��•I.�• 'i:j, •' I ;. j1; .0 ". r r e ' -.8/2512009 tRTIF`I. •ATE, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF: INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Olde Cape Cod Ins Agcy Inc HOLDER,THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 296 Winter Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Hyannis,MA 2601 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Villanl Construction Inc Po Box 692 Hyannisport,MA 02672-0000 COVERAGES �: .... :.. ... .:....:: I. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY OF ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POI-ICIEST LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECnVE DATA POLICY EXPIRATION DATE A WORKERS COMPENSATION D EMPLOYERS'LIABILITY LIMITS HE PROPRIF70PJ PARTNER81EXECUTIVE 'OFFICER$ARE: INCI.M EXCL 11 7427055 1 4/01/2009 4/0112010 STATUTORY LIMITS �? OTHER Covarage Appltell to MA Operntlona Day. Cry ACCIDENT $ 100,00 DISEASE POLICY LIMIT $ 500,00 D15EASGEACH EMPLOYEE $ 100,000 DESCRIPTION OF OPERAT IONS NEHICLFS/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE A130VF DESCRIBED POLICIES BE CANCELLED BEFORE THE 230 SOUTH ST EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1Q HYAN NIS,MA 02601 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE To MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNES. AUTHORIZED REPRESENTATIVE 77 ^�Iassx_husett�- Dcp u�mcrit of Public 5 if(t� , Board Of Building- Rc�"ulations un(LSt.tn(litrds Construction Supervisor, License License: CS 14360 Restricted to: 00 RICHARD VILLANI , / PO BOX 692 W HYANNISPORT, MA 02612' 5 Expiration: 6/2312010 T r#: 27991 ('ummiaiuncr ✓lie r°oryn rzaouuea � aclivaeha f Board of Building Regulatio s and tandards License or registration valid for individul use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards I Registration:1128560 j One Ashburton.Place Rm 1301 Expiration_ 4/21/2011 Tr# 283931 ! Boston,Ma.02108 I 3 Type Individual RICHARD VILLAILL ,i RICHARD VANI, 109 WAGON LANE:\ ---- —---- ------ Not valid without signature HYANNIS-,MA 02601 `` --- Administrator t A=326-011 JOSEPH D. DALUZ J 790-6227 Building Committioncr TELEPHONE.%-j7AMX= ]74Q4'XX0UK TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 July 31, 1990 Marion B. Godoy 11 Hunnewell Avenue Brighton, MA 02135 Re: A=326-011 289 Pam;-LLeet (corner South Street) , Hyannis so uY-4 S'T Dear Property Owner: The shrubbery on your property located at the corner of Pearl Street and South Street, Hyannis, is obstructing vision clearance and is in violation of Section 4-5.1 of the Town of Barnstable Zoning By-law (copy enclosed) . Please have the shrubbery trimmed immediately to eliminate the violation and make arrangements to have the shrubbery maintained on a regular basis. , Peace, �o;ep l�D. DaLuilding Commissioner JDD/gr enc. �, fy JOSEPH D. DALuz - 790-622 Building Couimiuioncr TELEPHONEX7�34AM )W§QCXX0=C TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 July 31, 1990 Marion B. Godoy 11 Hunnewell Avenue Brighton, MA 02135 Re: A=326-011 289 Pearl Street (corner South Street) , Hyannis Dear Property Owner: The shrubbery on your proXty located at the corner of Pearl Street and South Street, Hyannis, is obstructing vision clearance and is in violation of Section 4-5.1 of the Town of Barnstable' Zoning By-law (copy enclosed) . Please have the shrubbery trimmed immediately to eliminate the violation and make arrangements to have the shrubbery maintained on a regular basis. Peace, ooep D. DaLu Commissioner JDD/gr enc. I �c R32C�`y011 e � a LO JO..;S9 PEARL STREET CTY J07 TDS J 400 HY KEY] 239780 ----MAILING ADDRESS------- PG'AJ1011 PCSJOO YRJ00 PARENT] 0 GODOY, MARION B MAPJ AREAJ67AB ,JVJ314573 MTGJtOOO 11 HUNNEUELL AVE SP1] SP2J SP3J UT1J UT2] 1e15 SQ FT] 1892 BRIGHTON ailA 02135 AYB]1850 EYBJ1960 OBSJ CONSTJ 0000 LAND 146600 IMP 118500 OTHER 4800 ----LEGAL DESCRIPTION---- TRUE MET 269900 REA CLASSIFIED #LAND 1 146,600 ASD LND _ 146600 ASD IMP 118500 ASD OTH 4800 #BLDG{S)—CARP-1 1 118,500 DESCRIPTION _ TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 4,800 TAX -EXEMPT #HN 289 RESIDENT'L __ 269900 269900 269900 #SN SOUTH STREET HYANNIS OPEN SPACE #RR 1228 0105 1511 0250 COMMERCIAL #SR SOUTH STREET INDUSTRIAL EXEMPTIONS - SALE.J00100 PRICE) ,. ORB] APDJ: LAST ACTIVJTYJ03/27186 --PCRJY 4 W . .t�_ .. r w ^ • .. Ili 1 R326 'X?11 I . 4' A P P R A I SAL D A T A KEY 239730 GODOY, MARION B LAND BLP/FEATURES BUILDINGS NUMBER ZN/FL=RB 146,600 4,C 00 -. 118,500 1 A-COST 269,900 B-fif"T 217,700 BY 00/ pBY /00 _ _ C-INCOME FCA=1011 FCS=00 SI E= 1892 JUST-VAL 269,900 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 67AB --NAY -NOT BE COMPARABLE- NEIGHBORHOOD 67AB HYANNIS PARCEL CONTROL "AREA - TREND STANDARD 10 10 LAND-TYPE 146600J LAND-MEAN; +0; E 269900] 178825 IMPROVED--DEAN -34% 25'r, ! I FRONT-FT _ 1 J 100 DEPTH/ACRES TABLE {) 100�; LOCATION.-ADJ-- APPLY-VAL-STAT 1 LNRJLAND LFT/IMPjAPJS/SB%FEAT STR'JSTRUCTURE ARRJAREA-MEASUREMENTS NORJNOTES _ COMJMARRET INCJINCOME' PMRJPERMITS GRR17GRAPHIC FUNCTION-[ J STRUCTURE-CARD NO-[000.1 DATA-[ , J .XMT[.-] k z { e a t