HomeMy WebLinkAbout0406 STRAWBERRY HILL ROAD a�-�
- � �.
I��
SHE Town of Barnstable *Perm►t�o '
Op Tp�
Expires 6 rartlrs roar issue dnt
l Regulatory Services Fee
w BARN_A,ABLE; s"
�
,t rk§ss`
Thomas F. Geiler, Director'�prFd µpal;�'�
Building Division ;
Tom Perry,CBO, 'Building Commissioner
vV� 200 Main Street, Hyannis, MA 02601 ,
www.town.barnstable.ma.us
Office: 5.08-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY :.
Not Valid without Red X-Press lnrprint
PP
Ma / arcel Numb l
(�
Property Address �
' Residential Value of Work,&K7 /Ili,.00R Minimum fee'of$35:00 for work under$6000.00
Owner's Name& Address
s
7
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) :.
❑Workman's Compensation Insurance
Check one:
Tama sole proprietor -
I am the Homeowner
❑ I have.Worker's Compensation Insurance
Insurance Company_Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check<box) , E
❑ Re-roof(strippin.g old shingles) All construction debris will be taken_to
❑ Re-roof(not stripping., Going over. existing layers of roof)'
Re-side
#of doors
Replacement Windows/doors/sliders.U;.Value (maximum .44)#'of windows
*Where required: 4ssuance 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 Home Improvement ContractorsLicense& Construction SupervisorsLicense is
required.
SIGNATURE
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc'
Revised 070110 `'
The Conintorrivedalth of Meissachuselts
--- - Deparnnertt ofIndrfstrinl cc..iderrts
r= Q,ffwe of Investigations
�. 600 Wfashinkfoli Street.
Bostara, l L 021'Ii ,
wvn w.rrramg6v1dirr
Workers' Compensation.Insurance.a.ffida,, t: BuildersiCo tractai-sJEIec.tiic ins/PI.umbers
Applicant Informatial<t Please Print Legibly
Name(BusinesslOrg =ationdndividual)-,5F:0-y arro
Address: lle
CityfState/Z p: Phone .Sd E- 97 3
Are you an employer:'Check the appro riate bog: • ' v Type of project(required):
1.❑ I am a employer4. ❑ I am a general contractor and I
with 16- ❑Nevi{construction
employees(full and/or part-time).* have hired the sub-contracto s '
2.❑ I am a sole proprietor or partner- lasted on the attached sheet. 7. ❑Remodeling'
slip and have no employees These sub-contractors hare. g_ ❑Demolition t:
working for me an any capacity-ci ` employees and.have woorkers"
� 1 9. ❑Building addition
[No workers' comp_insurance , comp_insurance_ .
required.] 5. ❑ We are a corporation and its lU.❑Electrical repairs'or'additions
3. :I am a homeowner doing all work. officers have exercised their I LE]Plumbing repairs oradditions.
myself. [No workers,camp. Nght of exemption per MGL 12,❑Roof repairs'
insurance rewired.]T c., 152, §l(4),and we have no
employ .[No workers' 13. Other t:
comp.insurance
•Any applicant that checks box l must also fill out the section below showing their worker',compeasstion'policy infearatstioe .
1 Homeowners who submit this affids�it indicating ihey are doing sM want and then hire outside contractors must submii a new affidavit indicating such
rContractors that check.This box must attached an additional sheet shoming the namE of the sub-courravers and state whether or not those entities hate -
employees. I€the sub-coutractors have employees,they crust provide their Workers'comp.police number.
I alai an ednpigyer tldRt IS prD1 idldt$1L'Q! [err'COildpeTlSYdtioit iitxdar(atdG$fOr'dda 'employees. Below is tplf!police'and1ob site
infornialion k ,
Insurance Company Name:
Policy#or Self ins L-ic..-9: Expiration Date
Job Site Address: CityfSt�iteJZip:'
Attach a copy of the Zrgrkers',,eompensation,policy declaration page(showing the policy number and expiration date).
Failure to secure coveraige,as required under Section 25A of MGL'c_15 2L can lead to the imposition of criminal penalties of a
fine up to SIL,500.00 andfor tree-year iurprisonment;as ive11 as cii it penalties in the form of a STOP WORK ORDER and a fine
of up to$250-DO a day against the violstor. Be advised that'a copy of this statement maybe forwarded to the Office of
Investigations of the.DIA for insurance coverage verification.
I do here4t ceerti�render the pains and pens hies of peduty that the in/brazation proWded iabotne is tradee and corrert
Sit rtuce iV �r �� �s' t�ati fiate.
.Phone#_
0,076W use only. Do not write,in tliis'are.rd;to be cadddpteted bye.cih or touter ofc aL
City or Twim: Permit/License#
Iss.hangA.uthoaTty(circle one):
1.Board of Health 2.Building Department 3.City(ToNim Clerk 4.Electrical.Inspector 5.Plumbing Inspector
6.Othea
Contact Person: Phone#;
6
, < s{
To xi .of drns able
' regulatory services ^ -
{
xszna Thomas T.'Geiler,Director
BA-Rgib' ��� :Buxlc 7ngrDivisioin
ATfD h1Ay A
Tom Pe l y,Building Commissioner
200 Main Street, `Hyannis,MA 02601
my W.towh barnstable.ma.us
Office: 508-862-4038 fi
Fax; 508-790-6230
HOMED- VYNER LICENSE EXEMPTION„
# Please Print
DATE: /'
JOB LOCATION: an .A�e 7.e
number t T village
w ..
,•HOMEOWNER": eA26g /fi ::;Eta Y
name home phone#! work phone#
CURRENT MAILING ADDRESS: /I� S's�-,• ��nL'Jr�r 3'li �� �
�sprv,�14o
city/town stater 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;ahat he/she shall be
reap nnsible for all such work performed under the buildiu permit: (Section°109.1.1)
The undersigned"homeowner"assumes responsibility^foracompliance with the State Butldtng Code and other
applicable codes,`bylaws,rules and regulations,,_.F A �
The unde>signed 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 r = s r
Note:'_Three family'dwellings containing 3 S 000 cubic feet or larger will be required to comply with the
State'Building Code Section 127.0 Construction Control
HOMEOWNER'SIEXEMPTION F.
The Code states 4hat "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,'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 permiLapplication,
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\homeexempt.DOC
Q�VErp� Town #of Barnstable
Regulatory Services
BA -
RNSIABLE Thomas F. Gailer,Director
b 9 Building Division
QED M��b
Tom Perry,Building commissioner
200 Main Street,Hyannis,MA 02601
iyww.town.b arnstable.ma.us
Fax: 508-790-6230
Office: 508-862-4038
Property Owner Mu" t
Complete and!Sign This, Section
If Using A Builder
I as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by building permit application for:
(Address of job)
Signature of Owner Date l
Print Name
if Pro p e_rty Owner is,applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
I G'afi-x A-American Remodeling Co., Inc.
/l n47 7- Michael Keith
85 Plymouth Street®Bridgewater,MA 02324
Town of Barnstable *Permit# oZ CY�(,o L
OMIT
Expires 6 months from issue date
�(.pR Regulatory Services Fee
JUN 1 9.2000 \NY Thomas F.Geiler,Director
N BARNS-VABLE Building Division ;.
.SOW OF Tom Perry,CBO, Building Commissioner Q
b• 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 Yalid Without Red X-Press Imprint
Map/parcel Number t? y%-2-ff ' 1
I�F6(a4i Vl� .
?roperty Address 46(o , 1 ^per r I
7 Residential Value of WorkTJO- = Minimum fee of$25.00 for work under S6000.00
)wner's Name&Address
�a'rrle-r lca tlelig n. `� 2- � ,�-I-ram;
"ontractor's Name Michael Keith9 /
Telephone Number_ (SG61r'/ /a Vg
85 Plymouth Street a Bridgewater,MA 02324 eg#
come Improvement Contractor License#(if applicable)_ J 2 ,57P
;onstruction Supervisor's License#(if applicable) Lie
]Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
I have Worker's Compensation Insurance
AsSOC1000 Employers
ssurance Company Name in �
Jorkman's Comp,Policy# W=50040MU
:opy of Insurance Compliance Certificate must be on file.
ermit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to,�JW. 1� � (s ; T�j h 7Z ti� l�l tr
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
'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.
Home Improvement Contractors License is required,
iGNATURE: i�/LtiLi 14:: &
Forms:expmtrg
:vise071405
The Commonwealth of Massachusetts
Department oflndustrialAccidents
` Office of Investigations
600 Washington Street
Boston, MA 02111
' www massgov/dia
Workers'.Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Inlorma<,tion Please Print Legibly
A American Remodeling Co.,Inc.
Name(Business/Organizationadividual); Michnal Keith
@S Plymouth Street* Bridgewater,MA 02324
Address:
City/Stee/Zip: Phone#; �Y as
Are you an employer? Check the•appropriate boa: Type of project-(required):
i,❑ I am a employer with 4• ❑ I am a general contractor and I
employees(fall and/or part-time).* have hired the sub-contractors b' New construction
❑
2.❑ I am a sole proprietor or,partner- listed on the attached sheet; t' 7• ❑ Remodeling
ship and have no employees These sub-contractors have 8'. ❑ Demolition
working for me in any capacity. workers' corup.insurance. . 9. ❑ Binding addition
[No workers' gcmp.insurance 5. ❑ 'We are a corporation and its
,]
officers have e�iercised their 10.❑ Electrical repairs or additions
required
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself.[No workers' comp: c. 152, §1(4),and we have no 12.❑ Roof rep airs
insurance required.] t , employees.[No workers' 13,❑ Other
camp,insurance required.]
*Amy applicant that checks box#1•tuust also fill out the section below showing their workers'compensatiot policyinformatiom: `
t Homeowners wbo submit this affidavit indicating they era doing all work andtbet hire outside wutmctors must submit a new affidavit iadicsting such
%Contractors aafi• ick ets box must attacbed an additional sheet showing The tame ofthe subcontractors and their workers'comp,policy iafbnmation.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
Information, Associated Employers
Insm'ance Company Name: Insurance Co.
Policy#.or Self-ms'..Lic.#: iMCG500 02601203 Expiration Date:
Job Site Address: City/5tate/Zip: r uA —,
Attach a copy of the workers' compe sation p.alicy declaration page(showing the policy number and expiration date).
Failure to secure-coverage.as required under Section 25A of MGL o. 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 o�a STOP WORK ORDER and a fine
of up to$250.00 a day 2gainst 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,
1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct,.
Simatfre: � 4""` Date: -e -GG
Phone#: 7,
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 a.Electrical inspector 5.Plumbing Inspie for
6. Other
CoatactPersoa: Phone#:
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,.oial 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 represzntatives 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 dwplEmg 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 employmentbe 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 co-Verage 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 ofpublic work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented 0 the contracting authority,"
Applicants
Please fill out the workers'compensation affidavit completely,by ched nag the boxes that apply to yrnu 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.(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 fur confirmation of ins rance 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 nwmber lis eat eloiy°.Self insured comp'aaies ftoulld cnter facir
self-insurance license number on-the appropriate line. i
City or Town 01111cials .
PIeasebe sure that the affidavit is complete and printed letr'bty Theme Dep'0 enthaspi ovided a space at the bottom.
of the affidavit for you to fill out in the event the Office of Inve�tigm ssev o olntaet you regarding the applicant
Please be sure to fill in the permit/license number which v ll>WN a00r: e�,ence �edmber. In addition;an applicant
that mist 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 thata valid affidavit is on file for future permits or licenses, A new affidavit must be filled out each '
year.Where a bbme 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 of zdavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts.
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel,.# 617-727.4900 ext 406 or 1-877-MASSAFL '
Fax P't 617-727-7749
Revised 5-26-05
www.mass.gov/6a •
v�fIKE Town of Barnstable :.
.Regulatory,Ser._vices ? �. -
t Thomas F.Geiler,,Director ,
Building]Division.
Tom Perry, Building Commissioner
200 Main Street, Iiyannis,MA 02601
www.town.b arnstabl e.m axs
Office: 508-862-4038 Fax: `508-790-6230
Property Owner Must -
Complete and Sign This Scction.
If Using A Builder
l S ;as.Owner of the subject property `
t A-American:RemodelinglCo., Inco:r
hereby authorize to act on my behalf,
85 PI momt SOW,' v _ -
Y h�..t Qet` Bridgewater,MA 02324
in all matters relative to work authorized by-this building per application for.
oco SV Ro A�
(Addres of Job)
S nature of Owner Date
Print Name
Q:FORMS:0WNERPERMMSI0N
k
y ,
Sold Vate Proposal Start Date'
Wks
Plc#
a SCO Proposal No.
Michael Keith o
85 Plymouth R.W +FWG
ymouth Street
Bridgewater, IA 02324 i% REMODELING Co.h2C, Date
(508)697-5422 (877)467-ROOF(7663) Fax:(508)697-5411
Proposal Submitted To Work To Be Performed At
Name j?A/(. t Street
Street V ► City state
City i Cr) 77 0"99 ROOF RIDGE
_ ICE
Telephone Number Y1 �a S 1
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of
STRIP AND REPLACE ROOF r
1.Cover house and shrubs with tarps for their protection
2.Strip Off existing roof to roof deck
3.Ransil all loose roof boards or sheathing
4.Replace any rotted wood at$3.60 per lineal foot if necessary at owners consent(Plywood$45 per sheet)
5.Apply an aluminum dripedge to all roof edges(color white or brown)
6.Apply 1 Sib felt paper
7.Apply new vent pipe flashing on all pipes
q.Ap I ice and water shield around.chimne ,step flesh if necessary and reseal lead fleshing .
9.Apply a y1 [ shingle year roof (10)year labor Roof only $ ,50 P,J
10.Apply Ice and water shield to all save and valleys 0] 4'ES NO 3� 6' $ L(1�3.
11.Apply ridge vent to all ridge
ES NO $ ,`'�p.�0.
12 Weave all valleys,If any and clean all roof debris from gutter Shingle Color SUBTOTAL $ '70t10.cj3
NOTE: WE TAKE NO RESPONSIBILITY FOR DEBRIS OR DUST FALLING IN YOURAT rIC. PLEASE COVER R REMOVEALL VALUABLES.
RkMOVE ALL ROOFING DEBRIS MAGNETIC CLEANUP FOR NAILS
OPTIONS: Gars a roof$
g New lead chimney flashings$
Shed roof$ Remove chimney$
Roof vents$ ' -Soffit vents 4x16 or 8x16$
Skylights$ Fascla or rake replacement$
30 yr.RPI rubber roof$ Skylight (lashings$ ,
with payments to be made as follows: all total($
Any alterations or deviation from above specifications involvhg extra cost,will be executed only upon writtenorders,and will become an extra charge over and
above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and other necessary Insurance
upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by
A-American Remodeling Co.Inc. '
Respectfully submitted
Note-This proposal may be withdrawn by us If not accepted within thirty(30)days
ACCEPTANCE OF PROPOSAL s
The above pdoes,specifications and conditions are satisfactory and are hereby accepted, You are authorized to do the work as specified. Payment will be
made as outlined above.
Accepted .� � Date
-�-�
OP ID $T DATE(MAVOOIYYYY)
CERTIFICATE OF LIABILITY INSURANCE'0
F7
AA1�R-1 Ol 25 Os3
PRODUCER THIS CERTi ICATE I3 ISSUED AS A MATTER OF INFORMA P
Anderson-Cushing Ins AgOncy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ro Box 549 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
148 W Grove 3t ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
&9iddleboro WK 02346
Phone: 506-94 7-3036 rax:508-947-6162 INSURERS AFFORDING COVERAGE NAIL#
INSURED INyURERA: Westarn World Insurance Co
A Afm6ri Can Remodeling CO lrx-- INSURER B: h9scoiated ImboYftra zaS Co _
A Amariean Realty Trust, INSUktlhC:'
Michael Kaith Trustee
85 plymcn_ath St INSURER 0:
Bridgewater NA 02324 INSURER E;
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO INDICATED.NOTWITHSTANDING
ANY REDUIRENENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH YHIS CERTIFICA)-E W6Y BE ISSII OR
MAY PERTAIN.'fHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE YLRMS.EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
RM •OD' - POLICY NUMBER DRAT Elm DATE WIffiI LIMITS
LTA N9R TYPE of INSURANCE
•EACHOCCURRBNCE S 300000
GENERAL LIABILITY _U
'
24 p5 Q�/g4/06 PREMI6ES Eaeecurence 1.50000
p7
pL X COMMERCIAL GENERAL LIABILITY NPP900364 / /
CLAIMS MADE OCCUR MED EXP(Aar ow pnnnn) s 8000
PGRSONAL 4AOV tNJUkY S 300000
GENERAL AGGREGATE S 600000 _
PRODUCTS.COMPIOPAGG $300000
GEOL AGGREGA1t LIMrr APPLIES PER.
POLICY JE n LOC
AUTOMOBILE LIA@IUTY COMBINED WHOLE LIMIT Y
(ED aeelAeltt)
ANY AUTO
ALL OWNED AUTOS BODILY INJURY 1
(Pet DoreOn)'
SCHEDULED AUTOS '
HIRED AUTOS BODILY INJURY S
(Par eeeldenp
NON-OWNED AUTOS
PROPERTY DAMAGE y
.___. ...._ (Per accident)
AUTO ONLY-EA ACCIDENT 5
GARAGE LIABILITY
OTHER THAN EA AGO _
ANY AUTO AUTO ONLY: AGO S
EACH OCCURRENCE S
UCESSIUMBREL A LIABILITY
AGGREGAYE S _
OCCUR El CLAIMS MADE 5
5
DEDUCTIBLE 5 ~^
RETENTION S
�TDRYUMrMER _....._._
WORRER5 COMPENSATION AND
EMIPLOYE1t5'LtA91UTY wcC500402601 01/24/06 1/2�6I0� E.L.DISEASE
SE-EAEACCIDEN s5O
ANY PROP'kIETOR/PARTNER/P.1IECUTIVE E.L.DISEASE•EA EMPLOYE 5 500000 -
OFFIGERRdEMBER EXCLUDED?
Iryei.daXdea Undnl E.L.DISEASE-POLICY LIMB I s 500000
6PECWL PKOvLS10NS hnmw
OTHER
DESCRIPTION OF OPERA710N$I LOCATtANS/VENlCLE51 FCWSi0N3 ADOEO BY ENDOR@E(AEp(p l SPPlBAL PRMHSION9
RemodOling A Roofing Contraetote
CEI2TIFIC/'s7E HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE OEStSt1BE0 POLICIES HE CANCELLED 9EPORF THE,6ttPIRATIDN
DATE TNGREOp,THE ISBUING INSURER WILL ENOEAVOR YO MAIL 1.0 DAVS WRITTEN
NOTICE 90 TN6 CERTIFICATE HOLDER MAIMED TO YNe LEFT.BUT FAILURE TO DO 30 SHUL
A AMerican IMPOSE No OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER.ITS AGENTS OR
REPREGSHTATIVE5.
AU
®PLCOR®C®RPORATION 1
ACORD 25 RUOI108)
TQ -4nha SNI 9NIHSFO N0583CINV Z81906805 ' EE:60 900Z/96/10
-_ ✓jie 'C�ariv�rta�tuzeal� o��fcl
BOARD OF BUILDING REGULATIONS
w License: CONSTRUCTION SUPERVISOR-
Numbbi: CS 072208
Expires 07/08/2006 Tr.no: 26419
_._.. Rtistricted:,'.
MICHAEL S KEIT¢i;, •
35 SPRINGHILL AVE.-,. �" r.
BRIDGEWATER, MA'02324'
commissioner
• ✓�ie �o�nmzaiz�ueall�. o�%'l?,�r�auc�uaelta .
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Rig
Expiration: 6/2j2008
Type: Private Corporation
A-AMERICAN RE
MICHAEL KEITH
85 PLYMOUTH ST ,..�
BRIDGEWATER,MA 02324 Deputy Administrator
b
,awry TOWN OF BARNSTABLE 30$08
� Permit No. ................
BUILDING DEPARTMENT
• D°8:: I TOWN OFFICE BUILDING Cash
..
HYANNIS,MASS.02601 Bond ....V.•..
CERTIFICATE OF USE AND OCCUPANCY
Issued to Antonio Varges
Address yot #70, 406 Strawberry Hill Road
tf
USE G O P FIRE GRADING OCCUPANCY LOAD
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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
February. 10 f...., 19.....$8........ . r���
........... ..... .1......................... -' ,cam.��
Building Inspector '
E r �
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
4 ssaa�r : TOWN OFFICE BUILDING
rua
HYANNIS, MASS. 02601
• ''Eo rur
1
i
i
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
BuildingPermit #.. � % .,.,.f J 0,.,,.. . ......................................... »........_ ..... .....
issuedto ......... ............................... _ ....:. . ..
�I
Please release the performance bond.
DATE Z ' O (7
CONTINUATIO14 OF ROAD BOND
BUILDING PERMIT # 3 O U 0 8
The undersigned owner/contractor hereby agree to maintain their road
bond in force until the following work items are completed to the
satisfaction of the Engineering Section of the Department of Public
Works. t
loam and seed shoulders as soon as `
weather permits. •
other-(explain)
L ATION ;
ED Own /font actor
C> ,j1-eaC14j_ ec
ENGINEERING AU 0RIZATION
f
i
t"r ti A
t rI OF�UIZNSTA L; M SSACHUSETTS
A Yr a , DATE ®., t��7 tfi'HF7
CANT PER,I9 PP'1 �'-�_. t
ADDRESS ';
y / t
fi PERMIT, TO (C )
(TYl'-hl IMPROVEMENT :I I STORY` I NUMBER OF
ti WELLING UNITS
AT'(LOCAT,IONr
- ' 'I . . .ZONING "`RB.�,
(STREET)Y DISTRICT
BETWEEN
-' -: (CROSS..STREET) AND -
_ .(CROSS STREET)
SUBDIVISION
BLOCK LOT
t.".. .. LOT --- _'SIZE -
BUILDING IS TO-BE _FT, WIDE BY
„ FT, LONG BY FT.-IN HEIGHT AND SHALLCONFORM.IN CONSTRUCTION
TO TYPE
t ., USE GROUP BASEMENT-WALLS OR FOUNDATION
REMARKS. (TYRE)
AREA OR:
VOLUME Q 7 ti rC7' Y f
ESTIMATED COST n� - Bond'
IC BIC/SOUARE,F,EET1 '
... . n FEEMIT,
e L1
OWNER _Ai;t9ri�o T7arrrn`
ADDRESSBUILDING DEPT.
BY
FROM.THEDEPARTMENT OF PUBLIC WORKS. THEISSUANCE�O F THIS PERMIT DOES NOT RELEASE THEAPPLIC,ANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM -OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR
nLL4CONSTRUCT-ION.WORK CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
1. FOUNDATIONS ORFOOTINGSi.`:r"c.^"'r'TOMADE.---,WHERE A CERTIFICATE OF OCCUPANCY IS' RE= MECHANICAL INSTA ELECTRICAL IONS.
2. PRIORERS COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL -
3. FINAL INSPECTION BEFORE, - -
FINAL INSPECTION HAS BEEN MADE,
OCCUPANCY. _
POST THIS CARD. SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS
1 ----- ELECTRICAL INSPECTION APPROVALS
A
2 ----
2 1 -- -
3
HEATING INSPECTION APPROVALS
ENGINEERING DEPARTMENT
t
OTHER ,Q
c V BOARD OF HEALTHp
WORK SHALL WIT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE
CONSTRUCTION. INSPECTIONS INDICATED ON THIS CARD CAN BE
PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEN
NOTIFICATION.
i
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
m A-
/��C&
DAmA
/'O T 6 7 /GOT 69 S✓Bso/! z�„ 1 SUBSO/.0
r� 1-OT 71 -- PERr 3>u� 30,•
TOP
° -A
I (, S SUAIEh% , SAND SANp
TAN< S P
° °
4,07' 68 zf' +9" / zo' ; NQ HZO 144" ND h'z0 144
siF 62 0. GOT 72 > z.
oasERW rION P/7,,S
soxyo p! PROPOSc J -- - p "
* h .9 BFR/il. "�>i PERFORMER BY-�/CK/NNON fr t'EE�SE ENG.
RATE 3 5-'87
HOUSE i G.t E?' ry � OBSERVER 6Y.',ff f 7UNrvEl,'B9rPillsTAB'E BOARP 0,4 4C TH
. PERCO,G 4T/ON RATE �z .o1N.1/NCH:
r
�o s t 9'oRCiv, NO. P637-3
.P/YE(IYAY
NOTES
__ W; I � M� \ >. E.GEhAT/ONS BASEp ON ACTUA.G. TOPOS.PAPN/C SU.PI�E:
Z. THE SEPTIC SY,5re4f SAS 41,1- BE /NSTA,G.(.EO !'V/T.�/ T/
ANY .G OC,4-Z RL//- 71 iYW A 17RX Y.
33.
PR/OR TO. 5,4rX, 144/NG, THE Bit?NS?ABGEBO 4R0 OF h
O �¢ THE NORTh/ ARROW 5hA4-Z NOT BE L/SEh FOR SC
,C OCAT/ON. '
E� PRO /RED YTOH/N � T �P j?Y S PG B
6. EXCAVATE TO EC EV.9B.6'OR C,O{'YER, TO RE�9GVE .41..E
e e»c� SCa��S; =Z� MATER/�LG BENEATH THE 1.EACH/NG AREA RED
q C.GEAN, C.GAY-FREE SANG /F NECESSA,4y,
i5� EX/ST/NG CONT oC/R 7..SEPT/C. SYSTEM CDhIPONENTS SHAL G BE /NSTA
0 _ .0 EVE1. BASE.
SOxs> EX/ST/NG .SPOT ECEV4TiON B, >L'D lt�E445 OR
�/1TE�PCU✓PSES AiPE yt'/TH/iV lSO� C
S>` PRJPOSc'0 SPOT E-EYE/T/ON. PROPOSED CONSTRUCT/ON
• -fir,
.. .. BOOK.443i. Fnr 068 �.
a
1
We, ANTONIO E. VARGES and DOROTHY E. VARGES , husband and
wife , both of Framingham, Middlesex County, Massachusetts for
consideration of ONE ($1. 00) DOLLAR paid, grants to ANTONIO E.
VARGES, of 768 Waverly Street , Framingham, Middlesex County,
Massachusetts with QUITCLAIM COVENANTS , a certain parcel of
vacant land situated on Strawberry Hill , Barnstable (Hyannis) ,
j Barnstable County , Massachusetts shown as Lot 70 on a Plan of
j Land entitled "Craig-Port a Residential Subdivision in West
IHyannis , Mass . property of. Rolkin Realty Trust. (Frank L. Elkin I j
j (Trustee)" dated September , 1961 drawn by Ed. Kellogg-Engineer ,
i
recorded at Barnstable C,oun-uv Registry of ?:ccds , P'an Rook 165
I Page 41 , more particularly bounded and described as follows : j
WESTERLY by Strawberry. Hill Road by two (2) courses
j totalling one hundred three and 31/100 i
( 103. 31) feet;
NORTHERLY by Lot 68 on said Plan, one hundred two and �
41/100 (102 . 41) feet ;
I i
ii EASTERLY by Lot 69 on said Plan, one hundred two and j
�I no/100 (102. 00) feet;
i
I SOUTHERLY by Lot 72 on said Plan, one hundred and 69/100'
(100 . 69) feet . i
;I Said Lot containing 109420 square feet more or less .
For title see a portion of the land in a Deed of Charles
F. Stanley et ux dated February 11 , 1970 and recorded in Book
� i
II 1463 , Page 533 .
WITNESS our hands and seals this & day of - `I
1985 .
tonio E. urges
i
rot arge
j
I
1
ALGER & SCHILLING
ATTORNEYS AT LAW
886 MAIN STREET
P. O. BOX 449
OSTERVILLE, MASS.
02633-0069
i
a
nfl)M o ` jal�ssa6. s�
Barnstable, ss . 2(0 1985
Then personally appeared the above.-named ANTONIO. E. VARGES
and DOROTHY E. VARGES and acknowledged the foregoing instrument
3 to be their free act and deed, before me
i
otary u is `•```�a��at�rgNh��,���.
#` My commission expires : o�l� �987 Orr 'Ai Y�
v f'-NO
`.•:
I
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I
��. _
PIP AR
i
CONTINUATION OF ROAD BOND
BUILDING PERMIT r�
The undersigned owner/contractor hereby agree to maintain. their road
bond in. force until. the following work items are completed. to UiQ
satisfaction of the Engineering Section of. the Department of Public
Works: :.
loam and seejshoulders as soon as
weather permits.
other'(explain)
L3 ATION ; n q 57I O
ED Own /Cont actor
ENGINEERING AHBORIZATION
h• % yE�RFB,` eE6W 71,"y T.X 4 1` TyE SF T S �.Sf'01�1/11/
TO N0�1/U`l1 EN TS FQ1-INX,2 4 6-E, T TOWN
Of e4RV Sr4If/..E .ZON//VG' 6676 4L'it-5. FR V7-Y DOES
t :
,�oT %CBOT" 69 ,(SOT 7�
O T 7O
0 79 It
Cl
N1
i1� ttj
49,96,
o� t3.93'
HIZ filp,
41
h
� I III ,
tN 9f .I � _ _ _
foMIF1471r-) � 4 0C�47ION P
b� ,a -4, /OT 7D 5TI ,41� �i y ,G hIoF e�- �q
�'
y�
yo ' c 4 4rse v Z �ee AM
NOTE: NOR7*N 4RROdY NOT
TO BE
.G OCA T/ON.
Plf,4 WN BY: Se,44E-: PATE:
S �'E'F S /9 "(97
a i
k �
Assessor's+off ioe (1st floor): � SE YSTEM MUST BE cFr"E>o
Assessor's ma and lot number ... ........ .. �8.............. ..
p �.. ... .. STALLED lid COMPLIANCE e�Q •�
Board Bf 'Health (3rd floor):
'Sewage Permit number ............. ....� �.......... 1lVITH TITLE 5 : Basa9?11DLL
Engineering Department (3rd floor): NVIRONMENTAL CODE AM +o rasa
House number '_' '! .TOWN REGULATIONS o�Owla�a�°
............................................. .fie..............
o 4. 3 L'ovla§t\CCf, ivlU.4.' SU ' di".
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00 2:00 P.M. only TALLATION AND CERTIFY IiJ WRITIN
—0 SYSTEM WAS I Sr �sD IN STRIC'}
TOWN 'OF B A-R'NfS-T-A#�
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .......`� \ �....... L�..... � '.�..... . .�....... ............
'14
TYPEOF CONSTRUCTION ......�.�R..��;? ..Q.............. ................................................... ................
.�.�....... ...........19.g7
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location `T {r 1 i `..........�-,a...............................�"I�iAcv............. ....�.......... ...............Ce^.......................................
(tip.�.e-.... A ......... t -�,�-�
Proposed Use ..... :... ........ . ... ............................... .....................................................
.
Zoning District ....... .................Fire District ............. .... .... ... . ?l7 ..................
(� o
Name of Owner .... V v�---
�N.. .............. �' .� ........Address ....... ��. �
(C
Name of Builder ..!. ��.�b�l..... �...........Address . ....!.vt. 2v fi'J>........�.
...........................
Name of Architect " a" � otv(t.p......................Address................................ ....................................................................................
�n
Number of Rooms ...... !........................................................Foundation .... d...................... .. ...........
Exterior .W....J.IS)...7.......... .. ..................................................Roofing ... .`. . ............................................................
Floors .......................................................................Interior roro
.... ...k0.Cj ✓L......................
Heating ...... ./r
................�.... ......... .. . .�.............................Plumbing eafyl.�/' �- .............
Fireplace ..P..Y'\(,V, Approximate Cost`..........W
............................................................... .. . ......).........................................
1" Definitive Plan Approved by Planning Board ________________________________19________ . Area 1.. .<.!�
Diagram of Lot and Building with Dimensions Fee �j]
... .... ..... ! U
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r
d
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations a Town of arnstable regarding the above ;
construction. ,
Name ............ :......
Construction Supervisor's License .0..� "'.........................
VARGES, ANTON-LO
35808 One Story
NO ................. Permit for ....................................
-Single Family Dwellincj..........
.............................................................
location ....Lo.t....#.7.0.........4.0.6....St.r.awb.e.r.ry Hill, Rd.
.... .. ....... . .. ..
................................................. .. ..................
Owner ......An.t.on.i.o Varges
..... .. .... .. .............................................
Type of Construction ...........Frame-
................................
.....................�*****"*******'**'**'*'**'***-**"**'***
Plot .............:.............. Lot ................
Permit Granted ............June 3 ,I...........................19
Date of Inspection ......................................19
,Date. Completed Z— 1z' . ...........19,
Assessor's offioe (1st floor): _ �c %THEr
Assessor's map and lot riumber��..... ..�..2........G o�♦�
Board of Health (3rd floor):
W o
Sewage Permit number .......... _ .�.Q....: :..: : Baaaszsnia, !
Engineering Department (3rd floor): MA/S
'�o tABS \e0�
Housenumber ............................................ .................. oyay°"
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00 2:00 P.M. only ( °'
s
_ TOWN OF BARNSTABLE
BUILDING ,-.IiINSPECTOR
APPLICATION FOR PERMIT TO .......�V\
TYPE OF' CONSTRUCTION ......U,.. P.Q..............J.......................................................................................
A .........../ ........... 9. 7
TO THE INSPECTOR OF BUILDINGS:
The undersigned] hereby applies for a permit according to the following information:
Location `7�7......-77L? cAw. y .�_.... ...� .�..��...... �� .... � .. '
Proposed Use ;........� o..l.. - ....,...!9 /1.�.�. ......... ....... �. G ...................................................
ZoningDistrict '...................................................... .................Fire District ..............................................................................
Name of Owner, ..r BN!.b.... �7 �r ........Address ........ -env\ /�' t 91 �Q�y
.............................................................
Name of Builder 1,44 � .Address (tea 'fit.AA-? ........�
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ......&.........................:..................................Foundation ....�CJ...................................................
Exterior .GJd(1�... .......... .. ..................................................R.00fing ... .. Vi .
AT... A.............................................................
' Interior ..... ...Floors ;�►���.�./.......................,......:..............:...................... �a'S fi............
�Z'"`.................................................
� � �Q
Heating .;.1...` .-....... ... .... ..:..... ........ ..........'....: ........P'lumbing .1 "� ...�t":'/... { ............................
Fireplace .. ....... _ ......Approximate Cost�, 4.L... (®(j t.pv r�
—"" Definitive Plan Approved by Planning Bol -------------- ...F7F 7,..S.T,.,,,,,._,
Area
9 g _ � s
Diagram of Lot and Building with Dimension Y Fee ... .�. rC?.. ........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
3
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations oqf-fie Town of Barnstable regarding the above
construction. -
Name ............. .................... ...............
Construction Supervisor's License ..t....J.............................
VARGES, ANTONIO A=248-226
s
No ..3.0`$0 8 Permit for ....One S to
Single Family Dwelling
Location ...Lot #70 , be Hill Rd.
...........406.............Str......a....w.. ..rry..
I l.......
Owner Antonio Varges
..................................................................
Type of Construction .....Frame '
...............................................................................
Plot ............................ Lot ................................
June 3 , _Permit Gran,ed ........................................19 8 7 III; Date of Inspection ....................................19 }
Date Completed ......................................19 `
to mot -