Loading...
HomeMy WebLinkAbout0228 SUDBURY LANE �a $ s bum .„� tryy .t Y i I+ ��W • PE COD INSULATION ► ' IIMCM pIAYY SeAMSSSS $0MAT FOAM 3USPI.N040. ` n MATTS UUTTSMS IN*UWNON CSINNOS - 1-800-696-6611 51VISI® Town of Barnstable Regulatory Services Building Division 200 Main St I-lyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod . Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village lea 'jz/OTZ/aiitAJ Z l�l saoa�'`� •tea �y. .� Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) (X) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) (; ) ( ) ) Walls AIA. & Sincerely He ry E C:as y Jr, .President' C e Cod I 1 u�ation, Inc. . ° TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V Parcel Application # ()l 7 o `C Health Division Date Issued /d-Z1'"fq P� Conservation Division Application Fe . Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation / Hyannis Project Street Address Village Owner e IZ4 6 V Address Telephone ^L� r 441 Permit Request ' (� e lkt YkAl Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1600.0 Construction Type.4M&hd_°`' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 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 ❑ 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 0 mow'' 34 d, udti Commercial ❑Yes 0'No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION �(a ef7 = (BUILDER OR HOMEOWNER)-- Name ' Telephone Number� Address �ov License # 11,00 Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION# =i DATE ISSUED 4 MAP/PARCEL NO. tlt ADDRESS VILLAGE OWNER ..,E F DATE OF INSPECTION: J.' �' jEOUNDATIDN , •_t�.r ,i;'a�*ra.'�'et�� • :F FRAME iy.INSU.LATION n--._ ry i i • FIREPLACE I � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .T GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. r t k P11 mass save cmaan itk:�bhunnreV clliRiarwy - , ' PERMIT AUTHORIZATION _FORM - .1i ���j , owner of.the.property located at: (Owners Name,printed) I f z (Property Stree dress) (Cityrro n) r hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation ! and/or weatherization work on my property. i� Owner's atur 'Date FOR CSG OFFICE USE.ONLY { the following Mass Save Energy Services Conservation Group has assigned Participating Contractor-.to the above referenced project: C ` ivy Participating Contractor Date _.... _ . _ - Rev.12132011 C 1 ro Y. w Massachusetts -Departr4nt of Public Safety t3oard of Building Regulations Intl Standards Construction Supenisor License: CS-100988 HENRY E CASSIPY 8 SHED ROW s WEST YAIMOUM 2 t;X - ,1 ro Expiration Commissioner 11/11/2015 �� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement CQntrator Registration v , Registration: 153567 fi Type: Private Corporation "k� = "`� Expiration: 12/15/2014 Tr# 233831 CAPE COD INSULATION, INC : ' St y 4 HENRY CASSIDY • - t•,: , !k • � • 18 REARDON CIRCLE 01 SO. YARMOUTH, MA 02664 = ,t p ` Update Address and return card.Mark reason for change. Y [� Address ❑ Renewal L ntpoyrnent L�l Lost Card A 1 ii OM-05/I� u�cGIeJJGGCI<CG9C'.�t — a1 Olt-ice of Consumer Affairs& Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistratton: �� , t 153567 Type: Office of Consumer Affairs and Business Regulation xpiration :1211 5/2 0 1 4' Private Corporation 10 Park Plaza-Suite 5170 Boston,NfA 02116 WE CC D INSULATION IM�y* :NRY CASSIDY FEAR ON CIRCLE `, _ •- .. , ?.YAR OUTH„MA 02664 — _ Undersecretary Ao � witho tWmre _ 1 Workers' Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumkiers ._ jA licant Information `Y Please ' ' ase Pririt Legibly Narrie (Business/Organization/Individual): �� • ���/�/ Add G r�V62 CAV,GI-iress. C.tty/State/Zip: 6 p{ GvVwo Phone #: �'J�� ��r2 ( 2'1 Are on an employer? Check the appropriate box: Type of project(required): 1., 1 am a employer with 2r-2 4. ❑ 1 ani a general contractor and I employees (full and/or part-time). have hired the sub-contractors 6. ❑ New construction ' 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.' 7. ❑.Remocleling .' ' ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers'` [No workers' comp. insurance comp.�insurance.$ 9. Building addition _ 5. We are a co oratiorrand its 10.❑ Electrical repairs or additions required.) ❑ � • 3.❑ 1 am a homeowner doing all work officers have exercised their 11.E Plumbing repairs or additions myself. No workers' com right of exemption per MGL', x y [ p• I2.[] Roof repairs 152 1(4),and we have no insurance required.] t c. § 13. . Other ��j A, employees. [No workers' comp. insurance required] *Any applicant that checks box#I must also fiil 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 anew affidavit indicating such , iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have' employees. ll'the sub-contractors have employees,they must provide their workers'.comp:policy number. , I am an employer that is pro workers'compensation insurance or m ,employees. m to ees. Below the policy and job site P � P f Y P Y P Y J b information. r I rn Insurance Company Name:_ �6Lt`/ Expiration,Dafe: Policy#or Self-ins. Lie. #: WC� 0�2 CI l Job Site Address:--4-Z City/State/Zip.. ���' � � Attach a copy of the workers' compensat on policy declaration page(showing the policy nurribe and expiration date). Failure to secure coverage as required under Section 25A ofMGL c, 152 can lead to the imposition of criminal penalties of a k 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 i of up to$250.00 a day against the vioiator. 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 cer pfy,p r the pains and penalties ofperjury that the information provided bo�vle 's trp a and correct.:' Si mature: Date: • r , r Phone#: w. Ofjieial use only. Do not write in ibis area,to be completed by city or tow_n 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: 3 m` Phone# Nd r z a i e r. �llrl• _ r � ' CAPECOD-27 KLIGETT `,..� CERTIFICATE OF LIABILITY INSURANCE . 1 6/10/YYYY) 113/2 014 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 CONTACT Rogers&Gray Insurance Agency,Inc. PHorEie Barbara DeLawrence 434 Rte 134 Alc No E t: [A No; (877)816-2156 ' South Dennis,MA 02660 EMAIL ADDRESS:bdelawrence@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless.Insurance Company INS RED INSURERS:COMMERCE'INSURANCE COMPANY Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle South Yarmouth,MA 02664 INSURER D:ATLANTIC CHARTER INSURANCE GROUP INSURER E: .. INSURER F CQIVERAGES CERTIFICATE NUMBER: REVISION NUMBER: T IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I DICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL S U B R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYYI (MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 AC;ECLAIMS-MADE OCCTo P(IUR CBP8263063• 64/01/2014 04/01/2015 PREMISES Ea occurrDAW ence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PRO ❑ - $ 2P000,00 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ UTOMOBILE LIABILITY Ee BINEDISINGLE LIMITacciden $ 1,000,000 B ANY AUTO 14MMBCKVMK 04101/2014 04/01/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS BODILY INJURY(Per accident) $. AUTOS NON-OWNED X HIRED AUTOS PROPERTY DAMAGE X AUTOS Per accident) $ $ rxA UMBRELLA LIAB L OCCUR . EACH OCCURRENCE $; 1,000,00 '! C EXCESS LIAB CLAIMS-MADE XONJ453514 04/01/2014 04/01/2015 AGGREGATE $ tll -IDEDJ X I RETENTION$ 10,000 Aggregate $ 1,000,000 WORKERS COMPENSATION , PER OTH AND EMPLOYERS'LIABILITY STATUTE ER LY/N D ANY PROPRIETOR/PARTNER/EXECUTIVE WCA00525904 06/30/2014 06/30/2015 E.L.EACH ACCIDENT $ 1,000,00 FFICER/MEMBER EXCLUDED? � N/A andatory in NH) f yes,describe under. r e ` y E.L.DISEASE•.EA EMPLOYEE $ 1,000,00 ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $` - 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ' Workers Compensation includes Officers or Proprietors. , Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement withthe Certificate Holder. CER IFICATE HOLDER CANCELLATION F FIHET Town of Barnstable �° °��. Expires 6 nrontlzs nr iee-riate Regulatory Services Fee • 4 * BARNSTABLE, MASS.. $ Thomas F. Geiler,Director 16.39. M �� AIFd AC A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862.4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number _ ;�nM J 1 Property Address p S'�� V� �� t� G�(�J•1�S � Wsidential Value of Work —(t 3001 00 Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address 9e7r&1 r-q Contractor's Name PLC v l�3 /'1�JC hl Telephone Number OJ�' I ome Improvement Contractor License#(if applicable) __ ___ PERMIT Construction Supervisor`s License#(if applicable) ❑Workman's Compensation Insurance r BARN. STABLE Check one: - � O ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance ' Insurance Company Name 6rQ"I ��� I-e Workman's Comp. Policy# qsd o (d eq Copy of Insurance Compliance Certificate must be on file. Pcrmit Request (check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) *Where required: Issuance of this pen-nit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. 1 SIGNATURE: Q: WPFII.ES`FORMShuiiding permit forms\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial Accidents" Office of Investigations' 600 Washington Street Boston,MA 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le ibl Naive (Business/Organization/bdividual): (M.e4 z� �� f i �Cblo IV Address: City/State/Zip: N-{41-5a Phone.#: �� Axe you an employer? Checkthe appropriate box: :Type of project(required): 1. I am a employer with _ 4. F1 I am a general contractor and I * have hired the sub-contractors 6. 0 New construction . employees(full and/orpart-time)• 7, Remodeling. 2.❑ I am a'sole proprietor or partner- These on the attached sheet. g. ship and have no employees These sub-contractors have g. Demolition: working for me in any capacity. employe es and have workers' 9 E]Building addition [No workers'comp.insurance comp, insurance.$" 5. [] We are a corporation and its required.] 10.❑Electrical repairs or additions required.] - ' 3.❑ I a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance.required.]t c. 152, §1(4), and we have no 13.nOther employees. [No workers comp,insurance required.] *Any applicant that checks box MI.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 ornot those entities have employees. If the sub-contractors have employees;theymust provide their workers'comp.policy number. I am an employer that is providing workers'cornpensatlon insurance for my employees. Below is.the policy and job site information. ' Insurance Company Name: Policy#or Self-ins.Lic.#: q50 0 6 ?17 Expiration Date: Job Site Address: ( a �J��� t�/ I✓✓U City/State/Zip: (� 4ry ivfS4 Attach a copy of the workers' compensation policy declaration page'(showving 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 maybe forwarded to the Office of Investi ations of the DIA for insurance coverage verification. I do hereby certify under the pains"and penalties of perjury that the in provided bove true and correct. Simafore: Date: Phone#: rOfficial only. Do not write in this area, to be completed by,city or town official n: Permit/License# Issuing Authority(circle one): .1,Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.. Other - Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all ernployers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,.or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth.for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ehapter_152, §25C(7).states "Neither the commonvrealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of co nplazice 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 maybe 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 iu. (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. Anew 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 bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. 1'k�e Commonwealth of MusaGhuWt.ts De4partm=t of lndus:x Al A.coidents Office pf jtuvest ga#(= 600 Washingtazi Street Boston,_MA 02111 el. f 17-72"-4500 ext 406 or 1_$77-MASSAFE Fax E17.727-7749 Revised 11-22-06 w.ma3,.—go k� �HErti Town of Barn-stable o , r Regulatory Services BARNSTABLE r MASS. $ Thomas F. Geiler,Director , 16 ura�� Building Division Tom Perry,Building Commissioner, 200 Main Street, Hyannis,MA 02661 www.town.barnstable.ma.us Office - 2 508 86 -40 - 38 - Fax: 508 790 6230 Property Owner Must Complete and.Sign This Section If Using A Builder I ?"Itre-64pe-4, /,,7fa Ia=le as Owner of the eect sub` pro J P P rtY hereby authorize '`e � ��'e !' to act on m behalf, Y Y , in all matters relative to work authorized by this building permit application for (Address of job) nature of Owner Date Cr4 412,¢ G 1Z/a► Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. n.nnvr.Fc-nun.T�vvvvz,rrccrn�i ._ .. AV Town of Barnstable _+Y Regulatory._.Services awtuvstesr e. Thomas F.Geiler,Director MARS 1639. .,��* Building Division. PrED �A Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 we".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# 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 procedures and requirements and that he/she will comply with said procedures and requixements. 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/certifi cation.for use in your community. Q:forms:homeexempt 7assachusctts rDepai-tntcnt of Public SafctN ! Board of Building Regulations and.Standards Construction Supervisor License License: CS 102260 Restricted to: 00 , MICHAEL MEAGHER JR 97 EMERALD LANE MARSTONS MILLS, MA 02648 Expiration: 11/5/2012 Tr#: 102260 �I License or registration valid for individul use only before the expiration dafe, if found return to: Board of Building Ra*Aations a tandards One Ashburton PF6ce Rm 130 Boston,Ma.02 N valid withou ;�\ ,//�r., Frcr►ir.,rcc.rri�.avr//� ��`, l✓.t.:�sa•�.��s�a. Board of Building Regaladons and Standards HOME IMPROVEMENT CONTRACTOR Registration: 162938 Hxpirution: 4/27/2011 Tr# 283438 Type: DBA MEAGHER BROTHERS CONSTRUCTION MICHAEwL MEAGHER JR. 97 EMERALD LN MARSTONSMILL.MA 02648 Administrator Assessor's map and lot number ...... 6.: .. a9 ' Sew fge P&mitr�number ..................................f................_..... Z BAUSTADLE, i House number . ""SL }......... .. ........... ...................... - 9�0 39• � t 6 00� J � �0 YPy Or -TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....;,• Go4struct Single Family, Dwelling TYPE OF CONSTRUCTION tiaood Frame ....................................:.................................................................................... r' �ioyember...2?..................19..8 1. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....Lot...#...4.7........Sudbury..Lane.,......................................Hyannis s...??A......... ................................... ProposedUse ............................................................................................................................................................................. Zoning District R'Il' Fire District .....Hyannis, PEA ..................................................... Name of Owner .Capricorn l..ealty' Trust Address 2§5 Falmouth Road, Hyannis, la ...................................................... .................................... . x . Name of Builder Franco Real Estate Dev�i1�oAddress 765 Falmouth Road, Hyanni , MA Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..SIX..................................:.....................Foundation P.G.o.................................................................... Clapboard and/or shingles .Roofing ...Asphalt Shingles Exterior .................................................... ................................................................... Floors Carpet Interior Sheetrock ................................................................... .......................... ..........".............................Gas �.W.=A TwoC-pDerHeating ........................................................... ...... mng .... Fireplace TJo11E' Approximate Cost ...$40,000.00 ..... ...................................................... Definitive Plan Approved by Planning Board ________________________________19________, Area s . . ........1056............q......ft................ Diagram of Lot and Building with Dimensions Fee. ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above r construction. Name /,r• t -r �1 ~.Pres ` / 4 Construction Supervisor's License 0.0.0.98.9 CAPRICORN REALTY TRUST A=270-229 26u48- � a No Permit for ��.. tA. . . ............... S...Lq Fam ay..I?wQl13aC1g.............. Location .. t..47r.....228 Sudbury I�ar��••••,• ................. '.annis.............................................. Ca ricorn Real Owner ......I.........................tY. T..... ............... Type of Construction. ........ r ....................... _ Y ................................................................................ Plot ............................ Lot ................................ Permit Granted ...Febr y.:7.[.............19 84 Date of Inspection ....................................19 ' Date Completed ......................................19. . e 7 c` Z76 - 1 c) r o„o•"' �. TOWN: OF BARNSTABLE Permit No. 2604$ ----------------------------- ` Building Inspector cash � rua OCCUPANCY PERMIT Bond ______X Issued to Capricorn &, alty Trust Address Lot 47 228 Sudbury Lane, Hyannis Wiring Inspector `— - ,. Inspection date Plumbing Inspector F'B s Inspection date Gas Inspector -- r-rie Inspection date ._r_ X Engineering Department' � ; f�r � �/ Inspection date Board-of Health •try {fir f , � ' ' `Inspection date a�t//'et G 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 SECTION19.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 191f7 /CO�- �' Building Inspector I. FROM - �- TOWN Of BARNSTABLE BUILDING DEPARTMENT " Mr. Francis Lahte ne 367 MAIN STREET HYANNIS,'MA 02M1 Town' C l erk Phone: "n5-1120 Iplr SUBJECT: - FOLD MERE -' -• �. .., .....�. ...-.. »,. ..,.. - ..... ... .. .... .... r,,,+. } DATE - t. -May-, ll, 1984 _ _ ` " MESSAGE _ Work has been- completed under Building P-ermit 2604 (Capricorn Realty Trust) Please- release .Bond. DATE - REPLY f f ' SIGNED . Nei-Rml RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 4 S L .� - Jib D 47 j Q �4S .9 �• z�o ,,�0 rR � » . �" c A5, av u CERTIFIED PLOT PLAN .: 1. v fe /t E " o r.4 { N""'W CONSTRUCTION ONLY � � . rrr� , ,RosERT "OP OF FOUNDATION, IS F:EE IN/-' ®OVE LOW POINT- OF -,ADJACENT ,B. `• A 1``__�� � ♦ r,. -OAD. 8CAlEv 90' DATES 2VZ/8� f" �w 2m2kr M1311��7E'R/ o COIN rr� cu i CERTIFY THAT THE �wAY/>,4�rvni ,J SNOWN ' ON ' THIS PLAN 18 .LOCATED EOI�TERED ISEU 019T[RRD82x/¢ 2 JO® NO�r.,,.,,...,,.,.... Old_ THE GROUND AS INDICATED AND CIVIL LAND CONFORIJS TO THE ZONING LAB ENGINEER RVEYOR OF -BAR NSTASLE MASS. f 7I-2 MAIN STREET 4 CH.NV= HYAN hl S MA5 >3HEET ,.OR. A, ATE : ' E0. L AND SURVEYOR . s k•. 4' '1•,J J .. - . � � � -f l..•y '�4." `',[�.•!'"'P..' gip., _ �� - Assessor's map and lot number . V Q.?0 9 .....i ... ......... � THE TO aeTro�c©u " Sewage -Oermit numberMug C................................ .... : C7�. 8....._.....�a� House number ..:.........: osaEasTa s, y...... M639 L ; TOWN OF BARNSTAB:LE r BUILDING . INSPECTOR 'APPLICATION FOR PERMIT TO ' Construct Single .Family ....Dwelling.... TYPE OF CONSTRUCTION• .............Wood Frame.. s ................................. ........ ................................. s Nov ember -22 ........................ a................19..$U. TO THE INSPECTOR OF BUILDINGS: > The undersigned hereby applies for a •permit according to the following information: " - Location ....Lot.. 47........Sud... Zane.t.....:............ Hyann s.,.:..MA..........I... ...... ProposedUse ............................................. ...................................................... ...................................................I............. MA Zoning District .....R.B...................................................................Fire District .....Hxannis .........................................Y Name of Owner .Capricorn Realty Trust ••.Address 17 5 Falmouth Road, Hyannis, MA J. ..... ................................................ Name of Builder Franco Real 'Estat-e Dev. COAddress 17,6 :.Falmouth Roads.. Hyanni.s.,...MA Nameof Architect Address .................................. ...... ........................................... ......................... '.... -Number of Rooms Six P C Foundation ...�....�.........� ....................................................... ......:.........................:............:............ Exterior Clapboard and/or, shingles Roofing Asphalt Shingles ......................................................... . .................................................................................... Floors Carpet „Interior 'Sheetrock .............................. ..................................................................... .....................:............... Heating .... Gas........F.W.A.......... ....................Plumbing .........:Two......Cops?er............... . ...........~............. None 40, 000. 00 ............A 'roximate. Cost .... .....Fireplace '"' pp Definitive Plan Approved by Planning Board =----------------______-_____-_19________. :• Area .......... .................... ......... Diagram of Lot and Building with Dimensions- Fee `-�.................................... ' SUBJECT TO APPROVAL OF BOARD OF HEALTH I OCCUPANCY.PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. t' NamePres.... • Construction Supervisor's License 000 _8q j ........... 1 CAPRICORIQ MALTY TRUST , •.........26�48� •O•ne •Sto•No •..•• ..•.•.•••. Permit for • ••• ' •r `y - Sgle Famillaellin ... Location Lot 47, 228 U'. .... :.. Hyannis - . ........................................... Ow ..Carricorn RealtX Trust N,�s Type$f Construction .....F:rame... - - f ....................................... ..:..... 4 w Plot ........................... Lot ................................ py µ � ^.+-yam - r'i • 5 . • Perms� rant :Feprnzary� 7•............19 84 c. Date a ion ..... Z�.,.............1 S1T ` Date Co_pletecl I. ... ..................191pf y s •R• .I