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0369 STRAIGHTWAY
3l09 S+.ar$A�wat� � �. _.—__ — _ � 1 Town of Barnstable ' uili g " is'Ca"rd So,That�t�s Uisi9i P,rom,the Qi,e,t ,A rovedINans'Muust be.Retamed"on Job andZthis Gard Must�be Kept BA1tNSCABl.L�. • POST11 ` -ee,`•""a, '. �c. �^yt!/ i p p p f p s ,z- .. _ • �...: . PosteadUntd Final Ins ection Has,Been Made ' X _ � P i s r rig 4 * � � R Where a Cect�ficateof.Oceu ands Re ulred,such Buildmgsha INot beO upied until�aFnallspect�onhas been made p y.3°'«. ,Q�',:, .: - ,.:.^" ;t.,, .,;a..,. :f Permit No. B-18-1618 Applicant Name: Oliver Kelly Approvals Date Issued: 05/23/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/23/2018 Foundation: Location: 369 STRAIGHTWAY, HYANNIS Map/Lot 269-231 Zoning District: RB Sheathing: Owner on Record: WILLIAMS, LEROY JR& BEATRICE A Con�tr�actor Name $ Oliver Kelly Framing: 1 Contractor License128957 2 Address: 47 LABELLE DR vz, � � CHICOPEE, MA 01020 Est Protect Cost:- $4,600.00 Chimney: Description: RE-ROOF ; Permit Fee: $35.00 g Insulation: Project Review Req: % k�Fee Paid' $35.00 Date , 5/23/2018 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a tfionzed.by'this permit is commenced within siz months after issuance. Rough Gas: All work authorized b this permit shall conform to the approved a licat�on and theme a roved construction documents for which this permit has been granted. Y P PP pp PP N & Final Gas: All construction,alterations and changes of use of any building and structures sh�allbe incompliance with the local zonmgbylaws ar 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 Electrical work until the completion of the same. r Service: The Certificate of Occupancy will not be issued until all applicable signaturesxby,thd186ildmndg a Fire Officials are provided on�th�s permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing nn, R, ., -� .,r = •� 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. 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 `d. i Application number............................................... o¢ 0 Date Issued.......... ... ►` �A ..4� Building Inspectors Initials...:... .......:.......... Y .... TNI ...... ... _ A,:��.� Map/Parcel....................................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLAGE Owner's Name: 'Q-` �L t- 1XAMs Phone Number Email Address: 6L)\W 403 � 4�. 4L •Cell Phone Number Project cost $ q1WO Check one Residential V Commercial OWNER'S AUTHORIZATION. As owner of the above property I hereby authorize VELK.M k ��— to make application for a build' permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Siding ED Windows (no header change)# © Insulation/Weatherization El,,,-Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of gles) Construction Debris will be going to AZAAQ,0 I &A-0Lgt:� CONTRACTOR'S INFORMATION ' Contractor's name Home Improvement Contractors Registration(if applicable)# attach P )P ( copy) Construction Supervisor's License# 0 / -! 1 7 (attach copy) Email of Contractor y[EC.C.y,�9�'li -(�-� � ' hone number,50 / /U 0 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR 1F THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: ' Telephone Number Cell or Work number ` I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CAM the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. . Signature Date APPLICANT'S NATURE Signature r Date:5"22"l9 All permit applications are subject to a building of icial's approval prior to issuance. 4i + The Commonwealth of Massachusetts Department of Industrial Accidents Ofj7ce of Investigadons 600 Washington-Street - Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name pusiness,/Orgm vidual Address: City/State/Zip: MAWN 00 Phone#: 6D?5 60 I,-er , u an employer?Check the appropriate box: Type of project(required): 1. :n a employer with 4. ❑ I am a general contractor and I have hired the sub-contractors 6. ❑New construction employees(full and/or part-time).* - 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have . g, ❑Demolition workingfor me in any capacity. employees and have workers' Y aP t3'• � 9. El Building addition [No workers'comp.insurance COMP•wee required.] S. ❑ We are a corporation and its. 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑P bing repairs or additions myself[No workers'comp. rat of exemption per MGL 12.ff Roof repairs insuranoere.quirecL]t c. 152,§1(4),and we have no employees.[No workers' 13.[1 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is th`e policy and job site information. Insurance Company Name: , �/� Expiration Date:- Policy#or Self-ins.Lic.#:�co?[ �U / �f f®_ G VJob Site Address:�q C� T'7 City/State/Zip: ►J DO 6O� 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 tine 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 fy the pains andpenallialerju that the information provided above is true and correct Si afire. Date: 1 Phone#: Official use only. Do not write in this area,to be completed b. 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 &Plumbing Inspector 6.Other Contact Person: Phone#: a 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 wTloyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more e le representatives of a deceased employer,or the rise and including m is a joint uuding gal repres of the foregoing engaged ) enterprise, 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 tbat"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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLQ 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 time 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 pernancense 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 Deparment's address,telephone and fax number. The Commonwealth of Musachusetts ` Department of IudustW Accidents Office of llnvestls 600'Washington St=t Boston,MA 02111 Tel.* 617-727-490 ext 406 or 14 MA.SSAM Fax#617 72'7-774g Revised 4-24-07 www.mass.gov/dia N 1 .ram T _ 1 =r =` Office of Consumer Affairs and Business Regulation 10 Park P1az3-Suite 5170 Boston, Mq*ousetts 02116 , Home Improvemedt ntractor Registration Type: individual OLIVER 1¢LLY -s Registration: 128967 8 �E 4; Expiration: 06/13/2019 YARMOUTHPORT,MA 02675 j ~ z, — Update Address and return card. Marts reason for change. - - D.Add►esQ n pe.�e!�!a[ r'i Fmolo�►mpnt.O Lest Card AL. Office of Consumer Affairs&Business Regulationyx _ r HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE Individual before the expiration date. It found return to: �Aegon E iraHon Office of Consumer Affairs and Business Regulation OW1312019 10 Park Plaza-Suite 5170 :` #►Y 8�sWj%MA 16 F - •8 FNiINE RD = YMMOUTHPOFITi,MA 02M Undersecretaq-,_ Not valid without signature q s ;%A0 e s , OW } Commonwealth of Massachusetts 1 Division of Professional Licensure ..f Board of Building Regulations and Standards ConstructiO F , r Specialty , CSSL-099167 +; pires 09/28J2019 _ r x ' OLIVER M KEh E.Y . 8 RHINE ROAEP. YARMOUTH PORT MA 02675 S r ' Commissioner A� ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/18/2018 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 NAME:NTACT Joanna Bednark - DOWLING&O'NEIL INSURANCE AGENCY A/co No Er<t: (508)775-1620 FAX No): no Ss: bednark@doins.com 9731YANNOUGH RD INSURE S AFFORDING COVERAGE NAICe HYANNIS MA 02601 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED INSURERS: KELLY ROOFING INC INSURERC: .INSURER D: 8 RHINE RD INSURER E: YARMOUTHPORT MA 02675 INSURER F: COVERAGES CERTIFICATE NUMBER. 270685 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. INSRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER MM/DDIYYYYI (MMIDD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTEIT_ CLAIMS-MADE1-1 OCCUR PREMISES Ea occurrence $ MED EXP one person $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY D JJ'ECOT LOC PRODUCTS-COMPIOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMITa.dant $ Ea ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PPeOPEdRdTYDAMAGE $ HIRED AUTOS AUTOS $ UMBRELLALIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ER OTH- AND EMPLOYERS'LIABILITY - ANYPROPRIETOR/PARTNER/EXEuu"VE Y/N E.L.EACH ACCIDENT $ 500,000 A @��CEMR/MEMory In�>EXCLUDED? WA WA NIA 6S62UBSH08580918 05/10/2018 05/10/2019 E.L.DISEASE-EAEMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 NIA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage Can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensationrinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of BourneACCORDANCE WITH THE POLICY PROVISIONS. Attn Building Dept 59 Town Hall Square AUTHORIZED REPRESENTATIVE r S. Bourne MA 02532 Daniel M.Crawey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Barnstable Buildin Ya. �. .EL , .��'. ,•.,&', ..�'< �. ..: ? 'T. • .�, e\ .•�:.- nw '�^''h -3 ,e�'..Sk�a A b i�+ ?C:: Y3. •:. a _..:. ., > Post;ThN Card So,,That rtsis•Uis ble3From therStreet A,.; roved Plans Musi'bewReta ne! o Job and tfiis Card�Must be Kept y, ice; , p Posted Until�Final�lns�fection Has`Been Matle > � � Permit e 1Nfier °'a'Certificate=o#,Occ� ' "�i �Re aired- siacfi�Bia�ld�n ShaIl�Notbe'Oceu ied�wntd�a Fina�l Ins ettion has been made` rjjl�`� Permit No. B-18-1574 Applicant Name: Neil Hourahan Approvals Date Issued: OS/23/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/23/2018 Foundation: Location: 88 LEWIS BAY ROAD,HYANNIS Map/Lot 342 001 Zoning District: Sheathing: ' f5 jai Owner on Record: CAPE COD HOSPITAL s Contractor�Name THOMAS E FUREY Framing: 1 q Address: P O BOX 640 ContractoiL�cense CS058406 2 HYANNIS, MA 02601 Est Protect Cost: $ 19,950.00 Chimney: Description: Remove existing shingle roof and dispose of. Fu nish and�instaI1 Permit Fee: $160.00 z. Insulation: new Landmark Pro roof shingles storm nailed 6 per shingle.as per MA Buildin Code. i1 Fee Paid:;` $160.00 g Date Final: 5/23/2018 Project Review Req: �_ Plumbing/Gas '. Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz monthsafter issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and ,,6 approved construction documents for which thi"s permit has been granted. .� ;: , x FinalGas: All construction,alterations and changes of use of any building and structures`shall be m compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street oriroad4hd 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,Buildmg,! Fire Officials are providetl�on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: ' L 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. 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 Town of Barnstable BLi111I1g '. §. Tom'< e��v ,,"l` `."",`..#+wa'^, e.. <: '.... ..'z ' "`•"'°`<ev`-v'".. ?u°' ,<' ..:' 'v""""x"-r.`...� wx :.;'3 :F ,�.wwwv �. PostTh�s Card So�That it as U�s�ble From;the,Street Approved Plans:Must be Retained onJob and thisSGard Must be Kp t WAAW AYI.L�. •`:.a� 2. f T '•.�'':' 'x .:'.;. `�;! aj�.3€ ""e .. ` :y aaX s k...M ,, '_; ,.:'�+ ,, r ass ' Posted Until Final Inspection1Has,,Been Made M "s• > � � �\ ay i'` W,tiere a,Certificate`of�Oceu ari ``,,is Re wired<YsucFi Buildm`pshall N' cu ied un ' <'" " Peir m 1. _; ��. ,�__� ,� � ,yP ry q g of be p til a f�naLlnspection has been made , Permit NO. B-18-1574 Applicant Name: Neil Hourahan Approvals Date Issued: 05/23/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/23/2018 Foundation: Location: 88 LEWIS BAY ROAD,HYANNIS Map/Lot 342-001 Zoning District: Sheathing: z3 Owner on Record: CAPE COD HOSPITAL Contractors Name. THOMAS E FUREY Framing: 1 Address: P O BOX 640 ContractorLicense CS 058406 2 .; • ;C F HYANNIS, MA 02601 Est Pro ect Cost: $ 19 950.00 :; Chimney: Description: Remove existing shingle roof and dispose of. Furnish and•install Permit Fee:P g g P $160.00 g 6 per$ohm le'as per Insulation: new Landmark Pro roof shingles storm nailed g p Fee Paid $ 160.00 MA BuildingCode. A 5/23/2018 Final: Project Review Req: lz 4 Plumbing/Gas Ki �x Rough Plumbing: AIR ..Building Official ' Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within sizmoyynths after issuance. Rough Gas: S Y p • l `Z All work authorized by this permit shall conform to the approved application andkthe approved construction documentsfor which this permit has been granted. ' Final Gas: All construction,alterations and changes of use of any building and strlucture�s shallll.be in compliance with the local zoning by laws a d 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 completion of the same. , P Electrical work until the coin The Certificate of Occupancy will not be issued until all applicable signatures by the Bvi ding and Fine Officials are provided on<tF is permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 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. 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 Town of BarnstableECE� T 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-1574 Date Recieved: 5/18/2018 Job Location: 88 LEWIS BAY ROAD,HYANNIS Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: THOMAS E FUREY State Lic. No: CS-058406 Address: , NARRAGANSETT, RI 02882 Applicant Phone: (401) 749-7782 (Home)Owner's Name: CAPE COD HOSPITAL Phone: (508)728-9050 (Home)Owner's Address: P O BOX 640, HYANNIS,MA 02601 Work Description: Remove existing shingle roof and dispose of. Furnish and install new Landmark Pro roof shingles storm nailed 6 per shingle as per MA Building Code. -� �t Total Value Of Work To Be Performed: $19,950.00 -� �. . Structure Size: 0.00 0.00 0,00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Neil Hourahan 5/18/2018 (401)749-7782 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $19,950.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $160.00 5/18/2018 $160.00 Credit Card .................. ......._8600...............................L_................................................. Total Permit Fee Paid: $160.00 1, 0HIISN Assessor's map and lot .number ... D Q ,� ...... � OF THErO Sewage Permit number ....•.............. ..:...........:................ • Z BAHBSTAX E. i House number ..... ' .. ?. ........................................... ro NAB O i6,3 \0� r, .. TOWN 'OF BARNSTABLE A f , 'R BUILDING INSPECTOR • APPLICATION FOR PERMIT TO .................../...........�.............<.,...................... ...................................................... TYPE OF CONSTRUCTION ........ .w G/ ...1. ''J .�. ........./ !.(J .:............................................ ............ ...................................9.... ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit [according to the following information: Location 1:.T" .... `./..... -� /1/Gra,t ✓... le .. /f �/ / f ........................�. �. .� ProposedUse ..... ..................... .%J.................................................................................................................................. Zoning District ......... ..................................................Fire District (,f �/,n.f rr� ....................................... ' Name of Owner (., .PfLc/�r (....�::... '.&°.0.'......Address �...�/C�...�-..:.�%►s!� fl�.`.���.................. Name of Builder ..... 1�1 i')')���..............................................Address ................ '��.CL................................................... Nameof Architect ............. ...................................................Address ............,....................................................................... Number of Rooms .............. .............................................Foundation ...., �"� �a+ C`'/ f"n..,;1: ' Exterior �^ ��r l C' �'�` ...Roofing /Y s�!�`��%� ....._............... ... ...................................................... �. ..�................� ............................................ /(}4/ �...� ✓ ^ �� Interior % �� (�. Floors ..... ...... r!.................................. .......................................................... Heating .............,... ...................................................Plumbing ........ "`,. .................................................................... �a c`)rJ Fireplace ..:.....,?�;�'(�,�!4:.!�..........................................................Approximate Cost ............�:..._....�........................................... Definitive Plan Approved by Planning Board `�_' '/_______-____19 _. Area .........�................ Diagram of Lot and Building with Dimensions Fee 9 .z$.. ...... ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namey� .............................�'1��.................... 2l4l2 �--_ Greenbrier Den/, Corp.' 1412 No .... Permit_ for ...---.--...---- / Y.^ ^ ^ Owner Type of Co4truction 1-2.ITI-I......... ......... ..................i......I.................. ...................I........... Plot ........ ra 3L -28...........19 Dote of 111(sPe I[on .......... 9 ' ~... NOW PERMIT..REFUSED ZW V, ... —'— � L �~ Approve19 ' ' ------ \ � --------. ----. —~...--------. � _-------.----~/--.—.—.—.—..--.. / �� ' - TOWN_OF BAB;NBTABLE permit No. _21412 . � Building Inspector. I s.arrru r. Cash OCCUPANCY PERMIT Bonn _ x "No. building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed;.,or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to GneenbA eA Devetopment CA&FAddress Box Sto, Cen testy c,E'te .tot 0MI 3.49 StWi6hAr y Road. Hilan iA Wiring Inspector Inspection date d •79- Plumbing hispect r Y Inspection date Gas Inspector i �'' .4 Inspection date ✓Engineering Department ��J� ° G'a'` Inspection date '" ` THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. /Building Inspector li LL T a D . ' Sxj5T! N`G" F"DUNQATIOA? 11�3.3 t LOT 35.. 7 Srt_L rL,LV -)c'L- O 7- PL::A ti- v LA RNSTA 8LE L O CA ri 0/, tkiAN t�.? 6CAL.E T _ PL AA/ 2E.F�t2zS C ` _ BECI G, 'L'OT-,"g/ A.S.. _ 5 4`t 4.OF ti PLAN •CS k ° 33 / E.. cam, PA :Ow,1R: y /tip FO✓n/DAT•i0,\, --7c:�iTlJlly i > ��'�• '� 0 Si1R d T��E c3%Ji�I�iti'�. SE7CAC k E'EyJci��<Mrf: yr v of / - - > � � ' | � . wage Perm.it number SEPTIC SYSTEM MU Se INSTALLED IN M 9. ENVIRONMENTAL COD "K uLATION TOWN OF BAR, N'S T X19T 9."U 11 D I N G INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Number of Rooms ..............157.............................................Foundation ...A W- zl' .c j" A/rAf A—). . ................. 0./- Ux- SUBJECT TO APPROVAL OF BOARD OF HEALTH ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above Nome —f..�.�� ^ .................. - 21412 Greenbrier Dev. Corp. N ....21412. Permit for ..:�ne..sWry..d1weIIing ' ., ............................................................................... Location .........lQt.A.21..S.traightwa. ..rd... ........................11yarmis....................................... Owner .....Greenbrier..D:eu,...Corp................. Type of Construction ..........frame••••••••••••••••••••• ............................................................................... i Plot ............................ Lot ...........:.................... Permit Granted June..28:........19 79 ` Date of Inspection .....................................19 • Date Completed .. 0 C?.f� �71 0ff PERMIT REFUSED " ..S..... 1 ..................................... 19 '......ir. ......."�."............................... e� t i .. .... .................................................... I s. s ApftWWd ...,mac ?'«}.................................... 19 rn ............................................................................... 3 ................................................................................