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Home My WebLink About0037 TANAGER ROAD � 7�a.�a��,r R. IL �' -- -- -- - — --- - -� *Permit# Town of Barnstable res 6 montl:sfroOi,sue date Regulatory Services ^ SUN 1 � Z001 Thomas F.Geiler,Director OT: Bp�NSTgj3i. Building Division FCC Tom Perry,CBO Building Commissioner � g 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 b S Property Address EF_R_ Value of Work 0 0 n Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address +�� ^ " \� ii Contractor's Name Owl Telephone Number 9 A 6 ( � Home Improvement Contractor License#(if applicable) 8 60 Construction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name is \tM J y Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) n C Re-roof(stripping old shingles) All construction debris will be taken to C I-J 8 ❑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 permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner t si Pr erty Owner Letter of Permission. A copy e Ho e Im ve nt Contractors License is required. SIGNATURE: Q:Fomis:expmtrg Revise061306 72, �anvnxa uae¢l o� /Gfaoaa��u.QeCza _� Board g{Building Regulations and Standards ILicense or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR.. ! before the expiration date. If found return to: Registration 126480 Board of Building Regulations and Standards Expiration 6/8/2008 One Ashburton Place Rm 1301 Type Individual Boston,Ma.02108 MARK HERBST MARK HERBST r tyM y f 35 PEEP TOAD RD CENTERVILLE,MA 02632 l eputy Administrator Not valid witho t nature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: 7pn City/State/Zip: Phone.#: cc-),� Are y employer? Check the appropriate box: Type of project(required):. 1. I am a employer with -3 4. I am a general contractor and I 6. ❑New construction . employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ 9. 0 Building addition [No workers' comp.insurance comp insurance. required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.2-1;Coof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . •13.0 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 is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: \ Y V\A 0 ` Policy#or Self-ins.Lic.#: i (®C CC) �� Expiration Date: Job Site Address: City/State/Zio a�c/^ —� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advi d that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' uranc over e v 'fication. I do hereby certify a er th ' s d pen It' perjury that the information provided above is true and correct Signature: Date: Phone# Official use only. Do not write in this area,to be completed by city or town o jccial City or Town: 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#: 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 hiie, 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 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"(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. Ea addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to 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: The Commonwealth of Massachusetts Department of Industrial Acoidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax 4 617-727-7749 www.rnass.go-vldia ISS d CERT FICA TE OF INSURANCE 03/16/�4MM/DD�YI I PRODUCER TIM CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Leonard Insurance Agency Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 494 Osterville, MA 02655 COMPANIES AFFORDING COVERAGE INSURED Mark Herbst COMPANY A.I.M. Mutual Insurance Co 35 Peep Toad Road LETTER A Centerville, MA 02632 COVERAGES 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 CONTRACTOk OTHER DOCUMENT WITH RESPECTTO 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRAT10b LIMITS LTR DATE(MMIDWYY) DATK(MMJDD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS•COMPIOP AGO. S AIMS MADRE::�kCUR PERSONAL A ADV,INJURY S OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE S FIRE DAMAGE(Amy one&e1 E -- MED-EXPENSE(Any mm rxwW S AUTOMOBILR LIABILITY COMBINEDSINGLE S ANY AUTO LIMIT ALL OWNUD AUTOS BODILY INJURY SCHEDULED AUTOS � (kr P�) $ HIKtW AUTOS BODILY INJURY - NON.OWNED AUTOS r aeciderl $ GARAGE LIABILITY PROPERTY DAMAGE S EXCESS LIABILITY EACH OCCURRENCE S MBRELLA FORM AGGREGATE S TITER THAN UMBRELLA FORM IVC A O - WORKER'S COMPENSATION AND X T"'Y LIMITS PR EMPLOYhRS'LIABILITY 70t64t5(}t2Qt17 0IfJGn007 Ut/t0/200tt s A THE PROPRIETOR/ HVCL EL DISEAS I rl $ 500,000 PARTNERSIEXrCUTIVE f — — 100 000 OFFICERS APR: X ., El.DISEASE-EA O EE OTHER DESCRIPTION OF OMRATIONSILOCATIONSNEfHCt.R41SPRCIAI,ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO ^I MAIL 10 DAYS WRITTEN No TICS TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 01r t°ya 5 z %> MARK HERBST K. 4 , . x 35 PEEP TOAD ROAD r CENTERVILLE MA 02632 508-420-6216 CELL PHONE 774-238-2938 RO TTED TO: WORK PERFORMED AT: Jose 117SAME 37 Tanger Road W. HyannisPort MA 508-775-0824 We herby propose to furnish the materials and perform the labor necessary for the completion of the following; ;' New Roof Remove 1 laver of existing shingles Install 8"drip edge Install ice&water shield at edge Install 151b.felt paper Install certainteed algae resistant shingles ofchoice + Replace plumbing boots K Remove rear vents z Cut ridge&install cobra vent f b Storm nail all shingles All debris cleaned daily r CertainteedAT 25 r. algae resistant SS 170 certainteed woodsca e 3 r. algae resistant .00 *Please check&initial choice above Thank You 1 All material is guaranteed to be as specified. The above work will be performed;in accorandance with the specifications submitted and completed in a substantial work mr fom r the sum of; A specified above&verified with your initials r dollars( )with payments as follows;full amount due upon'completion i { ` *Any alteration(s)from above proposal involving extra costs will be added under a separate written f� K agreement and become an extra charge, f RESPECTFUL S D. ' 05-30-07 Mark Herbst ACCEPTANCE OF PROPOSAL The above price,specifications and conditions are satisfactory. We herby accept this proposal. You are authorized to do the work and payments will be as specified above. Signature " *This proposal may be ithdrawn by said ompany if not accepted within 30 days ' `b +� �° b t�h' ♦�X^T' �� x� ✓fir r .� ` �( t `' x r� � ti V 4 o- .4KJr`. .,�1.,. .... .._,•..._..t.��.s.J#:k.,,.. ..,,,,. ;.,.z.+Y, u.;,Xx(.,:.,�t,,�,r,..?.d.._. ,...„�x...,., -.. d. _ ,w ...._.,...w ..,....ki....�_. ,. ... , r-". .-.. Assessor's office (1st floor): g 6oZ S Assessor's map and lot number ..: . ....................... BOARD Of HFAI TN Q�ONNE1To�` Board of Health (3rd floor): &JAMMIN OF BARNSTABLE S4age Permit number Q�...... f�..G. P.O. BOX 534 ' gineering Department (3rd floor) (� WANNIS, MA 02.W1 +a asa snz OC.J sT MMa p fb}9- 6 ouse number :............... .....::... . .... ... .........4 ........ 's� a� . o MAY Definitive Plan Approved by Planning Board ____• __:____ ''-------------19 ____ APPLICATIONS PROCESSED 8:30-'9:30 A.M. and 1:00-2:00 P.M. only TOWN , — OF BARNSTABLE BUILDING _ . INSPECTOR APPLICATION FOR PERMIT TO ........ .....:. .... ...... ......... .................. .... /"; �.:........................ -- ..... TYPE OF, CONSTRUCTION .....................G! ....... . ................... .............. 19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........................ ........... Proposed Use ........................................:.:......:............... Zoning District ........................................'......:.:............. .........Fire District Name of Owner ....... ...... ........ .r/i ..V........... ..........Address ....J.: .....J........... Q.wr.... i Name of Builder ............. .......:.........._........ Address ..,.... ..,.C�o...., .._..... .. . .. Name of Architect .............Address ...:.........: . . Number of Rooms ..................................... Foundation ............... ....��..... Exterior ......................... r?� .,._...........................................Roofing . f Floors .............................. .. ..............................................Interior .......1.(fv..... ..... .............................:. �D Heatingd " " ........................�(�...... ....................:..........:...Plumbing ....... .. .. . .................... . .................... Fireplace ........................T V)....... ......Approximate Cost ..... .....:.. ..:...... Are ... ./.z .l'.. ..z /./... .. -r] O°' Diagram of Lot and Building with Dimensions , Fe oi OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations ofthe Town of Barnstable regarding the above ' construction. Name ...... . ....... .......... .............. ................................ Construction, Supervisor's License ......... .. . .. ..... :... FLYNN, JOSEPH F. & ANNA V. No .:.32 39. Permit for ...Add•• Deck to,,,, 1-1 :.....S.ing.le •Famil.Y....D•wel•ing......... N 1 r x Location ..3.7....T1nag.� ...RQ.ad...................... .................Wf,q.t:..Hy?.zan gQ>nt.......:,.......... y . }. Owner .....J-Q-59 h F & Type of Construction ..,Frame ............................................... .......... Plot ............................ Lot .......................... `"- Permit Granted ,. . July.`..: '. ................L9. 88 . Date.of.Inspection ................:...............:...19 Date Completed ....... ... ................:19 r , y L LS�S a � QO .� l _ 1. _ .- Y... .a.t},.4d,..-...�. .s..�<�ry,.r�,. .�«2 I �,,r�.•/s,w �,.v;��..�D`F:,.K...tr.- �.:''r `.v ,.w .,. .. a«i.R..: •r. c.:- Assessors office (1st .floor): Assessor's map and lot number Ro�. ......6a. Z THE Assessor's a Board of Health (3rd floor): Sekiage Permit number //C ..., C .. ' engineering Department (3rd floor): ��o rb 9• .4ouse number �� c e Definitive Plan Approved by Planning Board ------------------------_-------19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and, 1:00-2:00 P.M. only, TOWN OF BARNSTAB,LE . BUILDING INSPECTORa' APPLICATION FOR PERMIT TO ............................................ ;..G?'! !�.... `.... ? ........f...................... TYPE OF CONSTRUCTION !Y.......... ..... .......t ...................... ............fi•....... ------ 19. TO THE INSPECTOR OF BUILDINGS: (/ The undersigned hereby applies for a permit according to the following information: e 7 16/ y �.�........��Y':... t-.....r' ' ...................L!'.�.�............................. ......................�'............ Location J ProposedUse r............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ....(` ..�..� .....!!.....................Address •-S 7 l i'' C'' A .../.U.../ 1.� ................... ............................... U Name of Builder ....................... 0 ...... ..........Address ......'?'"e Cc.� Nameof Architect ...::.............................................................Address .................................................................................... Number of Rooms ...:'.............................................................Foundation ......................./6-0 . ................................................. r V Exteior ............................... ... ........................................Roofing ............................000,V................................................... Floors .............................../ k?..............................................Interior ............................./..t! .. ................................................ i s Heating ..................,/: Vd..................................................Plumbing ............................ 6..„ ................................................. Fireplace ......................dVI�.........................................:!.).......Approximate Cost ................ ........................................ ft Area / 2 Diagram of Lot and Building with Dimensions Fe ( ,. �} T ...................................... - Z ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....\/..l;U..:`.`it...........................I ................... Construction Supervisor's License ..... .............:... A=268-025 FLYNN, JOSEPH F. & ANNA V. . No ....2�3.9.. Permit for .......... e.ck.......... S.in91e Family...DWe�.7,a,i7�g............. Location .... 7...Tanager Road West H annis ort l ...................................................p........................ Owner ........Joseph F. & Anna V. Flynn . ............I...... Type of Construction .....Frame ........................I....... ............................................................................... Plot ............................ Lot ................................ Permit Granted .....July...1.:.................19 88 Date of Inspection ....................................19 Date Completed ......................................19 i I i t i ' 1 t 1f /•f ��0 �� :• \l�! �.l � Y !4'1�f�� q � S .r. - _ � � i Urn�wu vas i f S 3 t lol 41 it I , + I ' i �C�C6'/QM r,�r uc-,7 Sc.(c..�e� L/X`(Ic- F1Pos� ki zxg. fir. '� On t "� sF 12 0 � it C (AJ� w ' i x G r w c.11 i , { i ' iV61813 G e �v(A e C�11S��:� j L v -ly 4-00 L+.ro 1 i , a ci-i7t t o ID. K u y Oa MONEY.ORDEP LO Y ~�gpF SE CNEC QU D FEE,' PAYMENT W OF�LBH AVE. i EN FOFt FE 1aE TO cbp1p GOMMp pZZ�5 MADE PAYABLE SAFEtY„ _ UB r_ MMONWEAI.TH Bost ��.�N E °c� Is( s MM,SS�ONEa OF P CASN) CO OF I 1. F.: CO SEND. MAS'AGNuS Selv Y; 1, j�1�?� jE 11GNO.,ct 0 koO NOT r c�7�•11�1� �1 EFFECTIVE OA ^,4�1 ci�k...-� � m Y y EXP�aAT10N,OAZE. ,e i) ! (At-I 1991 e t 51GNAT�FiE l�1•:1'..!'1�.�'. /, U0.E1�F SHE COM'M'ISS�ONER _ /, 5\GN NAMEIN F� NO -�•Ag�vE �•.,:', ONO) FEES 'it)ll a(1l 1..NOSIAMPEO U�CENSE. Ot0 l0U' P" HE1GH�'. ll gGNAtU Of 1ONEp .. O�OUMEW�PEMRU50N O EENAGF• tH PRpOpN THWG CRHODER �CUP T - . 10 .. 1HE _ Hl(NUMB OTHERS.RW. 20�M 2-6i-g�a29 t - I i i" r _. Y Assessor's office(1st Floor): r' Assessor's map and'lot number 4 a a SA AAAt �� I ' Sd.•1 INSTALLED IN COWIPLIANC THE Tea e conservation s - WITH TITLE: Board of Health(3rd`floor). '. 'Sewage Permit number - ^7 ENVIRONMENTAL CODE AN s�y�nLE . 'OWN REGUL-A tl0NS Engineering Department(31d floor): 4� House number DefinitiJe Plan Approved by'Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE ¢= `� BUILDING INSPECTOR APPLICATIONS OR PERMITTOSf TYPE OF CONSTRUCTION �. 19 l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District j Fire District Name of Owner .SUS E�`� �/!�! Address S "17 /&-U,gr�Al Name of Builder 1' 7 Address3f OB/yg Name of Architect Address Number of Rooms 0,7F Foundation- Exterior,...,� Vie" Sw,�,s Roofing Floors Cr, Interior Heating �t Plumbing Fireplace Approximate Cost ou C Area Diagram of Lot and Building with Dimensions Fee, 16 67 OCCUPANCY PTRMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License C �Z �� " JLYNN, JOSEPH s No 34861 Permit For BUILD ADDTTTnN Single Family DwPll ; nq Location Lot #2 2 , 37 T a n A cp-r Rea d Owner Joseph_ Flynn Type of Construction Frame Plot - Lot ! I t Permit Granted March 2 , i9 92 Date of Inspection 19 Date Completed 19 x I fae f i 4