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HomeMy WebLinkAbout0031 WAYLAND ROAD 3i GVi�yL�,��,� ,�. - -- - - - - 30�-0� =._ _- ------. ___ ��q� __ i i Town of Barnstable 6 � . .:' 7 >....'fil; ,n.04�sn; e°.y.*�r... ,.�y :NR ,; g .: r o�<. 3/' I Fr 5 : .e raved Plans;Must be�Retained ofin.=lob.<antl this. ard:Must be.Ke t P ,Strf#�ts Ca d, ,Thy# rl .-lGstb a ¢ _.#,. tte A a.. pp „ _ p :.,,.. k :. �.: Ir�ed}, h,<8 ld�n ^ hall„Notbe•Occu 3ed=ur►#ii�a,�t!n 1.:Tns . o ;:h s=been.made.,,..�� . : �Where�a�Qr•1~�f�dte f Qccr�pancY!saR .;s � u� g s� A. � .,: P a p��t [i. ,a Perrhit..NO B-17 2920 Applicant Name: William McCluskey - Approvals Date Issued: 09/12/2017 Current Use . Structure Permit;Type:'..Building-Insulation-Residential - Expiration Date: 03/12/2018 Foundation: Location: 31.WAYLAND ROAD,HYANNIS Map/Lot: 271-216 Zoning District: RB Sheathing: � i Owner on Record: PURDY KIMBERLY B F Contractor Name• WILLIAM J MCCLUSKEY Framing: 1 Address:. 31 WAYLAND ROAD ContractorLicense CSSL-102776 2 HYANNIS, MA 02601 t F Est Project Cost: $3,900.00 Chimney: IY > Description: Add R-19 cellulose to the attic.Add 2 rigid Insulation to the Permit Flee: $85.00 basement.Air seal the attic plane and basement With-,expanding foam. Insulation: General weatherization. I Fee Pald" $85.00 > Date 9/12/2017 Final Project Review Req: Add R-19 cellulose to the attic:Add 2 rigid Insulation tothe -- basement.Air seal the attic plane and basement with expanding y /,, ,f,�r'y = Plumbing/Gas ��foam.General weatherization. K Rough Plumbing: uilding Official Final Plumbing: . - g This permit shall be deemed abandoned and invalid unless the work autho�i?edby this permit is commenced within sa months affier'issuance. Rough Gas: All work authorized by this permit shall conform to the approved applicati n and the approved construction documents for whichpthis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. I 72 Electrical _ J ': > The Certificate of Occupancy will not be issued until all applicable signatures bysthe Buillding,ard ire Officials arse proulded on this"permit. Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing x - c" � Rough: 2.Sheathing Inspection • 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall:.not:proceed until the Inspector has approved the various stages of construction., Final: "Persa.ns,co.ntractin ..with:unre istered contractorsdo.:ngt;,have.a.ccess to:ttie. uarant fund". as set: oi h in MGL,c.142A g g g - Department _ Fire. ,. Building plans are to be available on site Final: All Permit.:Cards are the ro e p p rty of the APPLICANT=ISSUED RECIPIENT—— 1`rti►�� S�7— Sewage Permit number ....................... PTIC SYSTEM MUS SE INSTALLED IN ComPL STAXLE, WITH TITLE 5 039. TOWN OF �Sip ^6TOR �� NNNN �� 0 �� ' IN � � APPLICATION FOR PERMIT TO -/9Pn91r��1..~ .. .I].W&Il' ..................................... Wood Frame TYPE OF CONSTRUCTION -------'..'............---------~-------''~-~-'---'r------ �� --.�-.���..���.--.----..]9c�.�. . � The undersigned heny6v applies for o permit according tR the� following information: TO THE INSPECTOR OF BUILDINGS: � Location -L.A. .-..\�y��"-- ------------- SA.j y�� ��Pnoposad Uxe ----. .....��-.-..---.-.-..--------------.-----.-....--------- Zoning District Il...Bx-----.-.....--,--------.Fire [U$hcf - ............................................... � | � N�meofOwna, Canr�.�<>��.. .�T���t----A66res 765..Fa]�mauth..Rua/1°..]Hnanriz............... | Name of Bvi|6eFranc.o...RaaI... --'vx-Q».°A66,ev 76�' ..�oz��v.. ��----- IzzC ^ - ~ ��-- Nome of Architect ---_------------------A66res -------..,-------------------' Number of Rooms ...8AX......... .............................................Foundation .-P..JC..----.-----...----------' Exierio, ------RoofinoAaphalt.'Shinglas.--------------' Floors .......Ca.rp9t............................................................... n��or -. ..]�}Ck,------..----------. Gas � V� � ` ] Heating - ^ ^ ^ Plumbing jJ�0 - ���II���.------`---'^r-`-------------. '' --'' ............................................... | �O�8 ' �bn Fireplace ------_--.-----------------.Approximo�aCou -.�,^^*��<}�D{l---,.----___,.. Definitive Plan Approved by Planning Board lV----. Area -1.O.56 ~--' | Diagram of Lot and Building with Dimensions Fee� ....... - ........................... . _____--� � ~-��` ^ 1�� ` SUBJECT TO APPROVAL OF BOARD OF HEALTH ~�J��/sc~� ` � \ \ / ` \ \ - | � ` � / ' � � � | hena6v agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' ^r Name ..-�... .,. . �.x.°�w. x. ._..����~�� Location Frame December 31 31 ' Perm h Granted -----------�—.]q Date of | ������°�.-----.]0 . �o/� ^ - . -7101 PERMIT REFUSED ...—.---. --,'.---------- 19 � .............. ' _-----.-----------.. -' .................. ............................................................ ...................:----------.—..'.—.—..--- � '-r----^—^^-^^^—'—^'^'--`-~'---'—^ � ^ ~`°~ lg | ��r ---___________._.. . . . . ~ ' , 1 , i VrA�L. : t 11:` 131 "SF � - to Z=xJf 1f-I, I CD,�00 S.F. F.S A SH OF Al 4.4s' ao� HN CERTIFIED PLOT PLAN L-oT 21 -wAYLAND RA. aSVDewQ`KLA"-= � 44 NEW CONSTRUCTION ONLYt °�sT��`�o�` TOP OF FOUNDATION IS 3.2 FEET ND su IN ABOVE LOW POINT OF ADJACENT get NJ STrA B LIE M ASS., ROAD. SCALE, I" = 3c' DATE , i2,o-7,gi LDREDGE ENGINEERING CO., I CERTIFY THAT THE�0A/PA`rton� CLIENT SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED JOB NO S1� ON THE GROUND AS INDICATED AND CIVIL I LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.By 'YY, OF M . 712 MAIN ST. CH.'BYiQl HYANNIS, MASS. SHEET.LOF 1 DATE RE LAND SURVEYOR "4 'TOWN OF BARNSTABLE" Permit No �37A0 _r. �s.enruc _ .. B r cash , wldng Inspector OCCUPANCY PERMIT Bond' ' \ �, r "NCO building nor structure 1.ahall be erected, and no land, building or structure shalle.be :used";for, a new; different;' change ,•`or .enlarged use without a,.=Building ,Permit--'therefor first having.'been obtained from';tfie„Building Inspector No`building.shalt be:occupied.until',a "certificate•_of.`occupancy has been'issued by .the Bfzilding`,_Inspector " tIssued'to Capricorn Realty Trus ":Address; Lest #�1 31 .WayrLhd �o�� Iiyannis. Wiring Inspector ,*.,�+ir-` J Inspection date - -- ',. : . /�.Y�1 -. .. ham.,..:. �•• ,: r,. .. .. Plumbhi ector/ f r''' ,( (' Ins ection date Gas 7iispector. , ¢ Inspection,;date . yG%Engineering.Department Ff a,�r ' ' k. ''��yF �>s ''. C ?Inspection:date `s �.. THIS -PERMIT WILL:NOT`-BE VALID,SAND THE.BUILDING,SHALL NOT,BE OCCUPIED UNTIL SIGNED-BY' THE "BUILDING YNSPECTOR UPON,; SATISFACTORY COMPLIANCE WITH -TOWN REQUIREMENTS. R. 65l' 2 is `%YO !• %A.s �.r..- — . B1dmg.Inspeetor t L ! rt4 'r , o Assessor's map and lot number ...�"�'�..'�`..'"..�.�..............� �� 8'I`o�THeto � �a�r' P Sewage Permit number .........,.....".'........�...�.,.......................... 33ARISTADLE. i House number ... t/./h?.. .................................................. NAM 9... GD 039 \�00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...CAnS trt qt..S A X? 1,.e....F'aSnijI,r:.awik11.Lr g ................................. TYPE OF CONSTRUCTION ..........Vood Fi^ame........................................ .................................................... .............. . . ......................19�/`'?.. • ,r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....:z ....."`...................^ ...... ?.... ..!?.:........ .r........... . I................! ................................... ProposedUse .............. .... .. '................................................................................... Zoning District . .............................................Fire District ....,T; *.c ....................................................... ..y... Name of Owner qi�P 'iC or--...Real 5V„"'rust............Addressi................... Name of Builder"x`a?1C0..RGd�..;Estate ...... lAv.. .0Q.:Address ..Tim-. nY,aA�............... Nameof Architect ..................................................................Address .......................,............................................................ Number of Rooms ....... 1X.......................................................Foundation ..p.X,.:..................................................... Exterior ela b axd„az dln fh7na Ia-9 ......Roofing-7ni-%a ca.� et Floors A Interior ..... .........?"Ac ..................................................... ................................. Heating ...`. "'....:...' .,..,,. Plumbing....... .............................................. ;...........::>,_.d_. .................................................... Fireplace None ............................................Approximate Cost ...... 4o.pmC1 fa t Definitive Plan Approved by Planning Board ________________________________19________. Area ...1.056... .......... Diagram of Lot and Building with Dimensions Fee " SUBJECT TO APPROVAL OF BOARD OF HEALTH / 1 f J t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. tip Name CAPRICORN RE T TRRVSTT A=271—� 23740• One Stor No ................. Permit or .................................... i Sin le Famil Dwellin ................�.....................Y......................�J............. Lot aa . Location ...............#.2.1......31..........W......yl.....nd...........Rd.... Hyannis .................... ..... .... ......... Caprico? n alty/Trust Owner ...............................::.................:............... Type of Construction ......Frame .:.................. ............... + ..............................`......... ............. 1................. Plot ............................ 'Lot ........ .................. s ' De ember f3l 81 Permit Granted ........ .. ......... 19 .."W .................. a Date of Inspection ..... ......: ..........19 Date Completed .......: ............................19 9 � k PER ITS REFUSE _ f .(P.................. .......1. .9 •••..•.......................... ....... ...T......00. ........ .. � �.�Y?- ......... . v t ................��...... R.............................................. Approved ....... ... . .................................. 19 ............................................................................... ............................................................................... o FtME Toy, Town of Barnstable *Permit#_ ti Expires 6 montks from issue date sAxtvsTAaLe, ` Regulatory Services Fee y MASS. 0 9. Thomas F.Geiler,Director ABED Aar A Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w XXOPREss PERMIT Office: 508-862-4038 Fax: 508-790-6230 JUN 3 ® ZQ03 EXPRE SSP ElidhRMI dAPPLIC X-PresspATION ri TOWN OF BARNSTABLE Notnt Map/parcel Number Property Address "ear9p �1S � G/ Residential OR ❑ Commercial Value of Work 75bo Owner's Name&Address Contll'.ctor's Name )/ d% i¢�r �CLZT�Tel�ephone Number��__D�F- Horric Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Ipa'fhe Homeowner �i have Worker's Compensation Insurance r Insurance Company Name Workman's Comp.Policy S' Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature expmtrg HOME IMPROVEMENT INSTALLATION CONTRACT Branch Name: "�N✓�/ Date: 3(� Sold,Furnished&Installed by -L_ 1_Y �-�� The Home Depot Installed Sales Job# Branch Number: '345A Greenwood Street,Worcester,MA 01607 Toll Free(800)657-5182; (508)756-6686; Fax:508-756-2859 Federal ID#75-2698460 RI Cont.Lic#16427 CT Lic#565522 . MA Home Improvement Contractor Reg.#126893 Installation Address: 5 / ►t/sE �qy�� &(7-- / ¢ vtc A 672 0<0/ City State Zip Purchaser(s): Work Phone: Home Phone: Home Address: Cie (if different from Installation Address) City Sate Zip Project Information I/We("Purchaser"),the owners of the property located at the above installation address,offer to contract with The Home Depot("Home De of")to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet# incorporated herein by reference and.made-a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home or because work required to complete the job was not included in the contract. DEPOSIT PAYMENT OPTIONS . (Subject to fund verification and/or credit approval.) CONTRACT AMOUNT $ 7 �7 d 1 Check,Cashiers Check or US Postal Service Money Order' (made payable to The Home Depot). *LESS DEPOSIT $ 2• Credit Card*and/or other payment options-Circle One Below BALANCE DUE Visa Mastercard Discover American Express ON COMPLETION $ Home Improvement LBan Home Depot Credit Card �*25'Yo of Contract Amount due upon execution of Available Credit:$ (HIL&HDCC ONLY) this contract(unless project is financed through Acct#:_ ��7/r24VIa 2 Exp.Date: Chevy Chase,in which case no deposit is required): Name as it appears on card: Ittdicate Payment Method For '4abovecged &na ,I/We agree to allow The Home Depot to chazge the BALANCE DUE ON COMPLETION for the deposit indicated. Z / a3 gnature Da If this is a finance transaction,the agreement for financing is contained in a separate document,which is incorporated herein by Reference,and made a part hereof. At-Home Services Credit/Loan Application Ref.# Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will execute a Completion Certificate and pay any balance due(unless the job is financed,in which case,upon submission of the executed Completion Certificate,Home Depot will be paid in full by the lender). Purchaser also agrees to be jointly and severally obligated and liable hereunder. For Mass.Residents Only Contractor,at owners expense,shall procure all permits required by law as follows: Owners who secure their own permits will be excluded from the guaranty fund provisions of MSL Chapter 142A. Unless otherwise noted within this document,this contract shall not imply that any lien or other security interest has been placed on the residence. Entire Agreement: This agreement and its attachments,including any financing agreement,contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY/OUR SIGNATURE BELOW,I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. VWE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY AND VWE AUTHORIZE HOME DEPOT AND RMA HOME SERVICES,INC.,A HOME DEPOT AUTHORIZED CONTRACTOR, TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INC URRED FROM INADVERTENT OMISSIONS OR ERRORS. SUBMITTED BY: Date: � -- al Consul nt - - ACCEPTED BY: Date: Homeowner i Homeowner Date: .� NOTICE:ADDITIONAL TERMS,CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT White-Branch File Yellow-Customer Pink-Sales Consultant 01-10-02 SA-SC i I WINDOW SPECIFICATION SHEET - Spec. Sheet #: 17 b 4 9 7 Sheet: / of Customer: ., y1�,/'�i1,yf./,C'/ Job #: _� Consultant: 1Q/ 'lop 6;W11 Date: Existing Window New Window Orig. Measure:SC Re-Measure: FI Grids Pattern' Window Hinge Locations 2 Rough Opening c =° & GIeSS misc. Csmt,CPC,Ba Bow, •- Rough Opening Size o c y. Location Style Metal Style Series c Tip-to-Tip a o N Options Items Patio&Garden Doors W (Room/Floor) "Code" Y/N "Code" "Code" U Width Height UI Width Height UI in- U � > S "Code" "Code" (from outside,Lt to Rt) L/ v C,s2, �s' w A 12 A IS C 2 t/ /ll,/ 1J �s�io ►✓ S` F w 4 vie G;ref 5 AV 7 Imp W ;t_ 2$ 0 "V 17 .S/ 7 e r !4 3 S� 13Vic! 40a W 1 S'i 7 g F' ,o {�' Grva w �7 S7 g t,✓ -7 12 , f �sav 27 For every window sold with grids,the Grid Pattern MUST be indicated. a Color Of cacpjc For Csmts,CPC,Bay or Bow,use"L","R"or"S"(Stationary). For Patio&Garden Doors,use"S"(Stationary)or"X"(Operating). Window/Door Wraps BAY/BOW WINDOW GARDEN WINDOWS Projection Angle: (Bay:30°or 45) Top of Window to Soffit (inches) WALL THICKNESS° (inches) Bay Window Rankers-DH/Csmt. Width of Overhang (inches) SEATBOARD MATERIAL Seatboard Material-Birch or Oak If tied to Soffit,color of Soffit material Specify Birch or Oak Veneer or White Pionite New Interior Casing(Bay/Bow/Garden/Patio Doors) Construct Root 3 (Yes/No) ° Additional charge for wall thickness of 6"or more. Clamshell(CL)or Colonial(CO) 3 There is no guarantee that new shingles will match existing color. I have reviewed d agree with all of the SPECIAL CONSIDERATIONS: / / �/p> Sjs/F y,/ j pecifi ti s described above. S rIva Custom igna r Efate ;x 7-2-02 SA-W-SD r v �fze r�o�nnayuuea�c o��aac�u,�aelta Board of Building Regulations and Standards 140ME OVEMENT CONTRACTOR t , Reglstfiao—' 6893 004 - F �F plement Card a Home Depot At MARK AUDETT 3200 COBB GALLS - #26 � � :ALTANTA,CA 30339 Administrator j VVEr Town of Barnstable *Permit -V8 Expires 6 months from issue date Regulatory Services Fee BARNErrnsi a 16 q. Richard V.Scali,Director s6; r°1�,' rEDtN(P'ta� `'� Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 5&_.8a4038 Fax: 508-790-6230 EXPRESS PERMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint j��j Map/parcel Numbe Property Address ❑Residential Value of Work$ dc) Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address `�` ` f �✓1 Gt -� ,�.�t 5t + Contractor's Name Telephone Numbe 9 3 -7�;J Home Improvement Contractor License#(if applicable) 7 Email: 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 Workman's Comp.Policy# t �16u — 7031 -1 ')0 1 Y A Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ' RL Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to YAA fiVLA�, � ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U`Value (maximum.32)#of windows #of doors: s ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. t , 'Note: Property Owner must sign Property Owner Letter of Permission. r A copy of the Home Improvement Contractors License&Construction Supervisors License is req fired. SIGNATURE: Q:\WPFILES\FORMS\building pe it forms\EXPRESS.doc Revised 040215 I�mmsa�m� Pf�F�u� F Nan= cc6 fs� _ g SC, `3 7,5�� Are yEm sg �7 CEtct zTpmpria:L-bcr= Typ*efP7.0ject = I_❑ I M=a.a player•ate 4-D I eta ❑Neste razxp a sole prcpand orpar listed on fhe s 7- ❑R= • �..� I mm a snIe orparEurr- - ship mid bxu*e no employee- ham $ EID=oRioa en�lgy aadfixvewag=.- . Ong forme�.any�� $ �- ❑B�mg addsf;o� [Nawudmm`COS-i=V=e We �m] $- e axe a wzgoudiamm d hs 10-0 1 n?gaas or additions 3-❑ 2 rM a hOM5=Mer doing all WMk ��s h `�*-*zcd i; 110 pf g=Fnim or adcEiions o _ �afev' agerr ICE 1f aM�1(��w5kav5no i Bn�n saes emglop=;_ i3-0 oamr dap axp ffia ril amrtrlsa f.a cm-&—e bgawdwa ffi�wo�cr�'ma as perT� ups s isr yMMff=t-III--►F�—W-OMiYi&caa�n�ts�$ai m s� �xt ne&ttrz b=Magt ;a n rTifi T47 slee± than�Uf ffin=k_�m3 aigIayem-Ifffie M5-cm lxm E=M sY- ,Sig P=rF!&%Eir W Cmg PuHrY—mb- aKr'�' 1i'P rhr�isprrr�i g arorkers'c izz�fffr rah+ea Fn 77 tp it$sepuRg m4d}ob sa, Insca:n ce C�gny xnii- " 7o`3a. 15� Aftz i a copy of fla_-ems` e=fiin poi"rcy&-Ch -on p 2 g C-(5ssring fh-PuB-3' Fail fa Y� c etsge asze edtsnder SetfiNiSA oflG.c 152 zaa lead to tlLe iingos of'ctimiaal of a Erse ug to SOU GD as wen as cica pc=lfie� &-ap5o$250-DOadayageffe•vi91rdzir- Be advised'flda copy tE ffiis sts±=fmt maybe fm-wardodto the OfEmof r t:Dm of ibe DIA fnf iusu ance cDvmzge F vec6odima- Z7 hmrby g nndcr•$re psa rgr r ury ftaat$F�i*rma#ion praurs�£ahem is ire ct 0 �9 1139 DO-"t writrin 9&=rq,fa ba=071dMi by cdp or tea eifficiat CRY W Tam ;r auc 9 L Ro3xd ofHcalb 4_F�ectdczI Emspndmr S Pig inr •&CRhr-r i uj- iaz.u-mi auLL . i L--L Cn=ml L.wvrs chaptz L52 req==all mmpIq9=to prow&wc6='cDmP--±Fon fm-6=emglDyees. fail S Pt' L' I&�P.�as�_=zyPmmL I]I E Sx-P1Ce of 4 mdcr my GDZL-.Zt Df11II@, • i cFr io:ip&ed, oral orwutten_" An er7IFea"is dedmed as�in n T pa�ae i®,cmPorat¢m or Dt -a IeQaI amity,or any,t: or mere off=wing engaged in a joint and �ffi kg-al rCF=Mtff±7=of a d===d emplDyq-or the receaves M tMs of an ind 1=4 aMDM3bM or Diher legal ety,emplDymg employees_ However f" olwner of a dwelFmg.-horse havingnot more tbaa tbree apm tm=ds and who resides$min,ar$re Dcc: pant of the, dwelling hDBse of anDtber who employs pms=to do ,coustncfim or repair work on mch clweli-mg hD= or on ibs grouts or building a�rpaaz¢ih shs Il not becsnse Df soeh eaapIoyn be deemed tD be an ePIoS�cs" MM chapter 152, §25C(6)also states tb$t¢every,steB or meal lie mmg.agmcY slraII�Dld the issuance or rmewal of a�aSe or permit to operate a basiaess or to mns'truaf bwaffin-gs in the commonwealth for a y applicant Who has not prodgc2d XC=Piable evidence of cnrupliance FQifh.�e ias¢ranr�rnvexa ge regim-ecL' Add#a a [5r.I M chapter 152,§25C(7),:tn -T er the commonwealth nor any Of ifs pDkdMI subdrrYiszons shall enfer into arty mmtact for 11m pmEmOanc,of public worknntl a=rptable evidence of conxpliance With.far,MS=m rl--T Mots of fms chaptxr have been presemb--d to fac ct-ading anfhaaiy.' _ Appli�ts • - - - . -. • Please fill out $e WD3:30 as'conpeasaiion affidavit completely,by checking the boxes that apply to yo-or situatiDn and,if necessary, supply sub-contactDI, name(s).ad�ess(es)aadphome nt�b�z{s)along v then cer;�n�s),of msaran=. L'imited LiabEny Compamts(LLC)Dr lmitcdLiabily Partnemhips(LU)wi$nD employees Dtha:-ifaaa the memb ers or part=s,are mtmgm d to cant'vas'c=pe�.iion io erance" If an LLC or LLP does hzve employees;a policy is requiimd. Bc advised that this affidavitmay be submitted in the r-pe meat of Industrial Accidents for confnmaiion Dfing cm t*verage AIsD be sure to sign and date the affidavit The affidavit should be nctrmmed to the city or town that fhD application for the permit or license is being regu-estext not the Departa ent of lndrrst ial Accidents. Should you have any questions Iv- c law or if you are requJred to obtain a workers' compensafion policy,Please call the Deparimeot at the nnmbm-Est:c:d below. Self-ins companies should enter their self-iu,s m Wince ficense='rm cr on the zppropriafe lne. �tY o r Town. _ . ease be sure$ia`the affida�is lete and- . lc ly_ 'ISe Departmenthas provided a space stffie PI �P Pad of the affidavit for yci n in fill out is the Dveztt the Office oflnvm igaiionss has to contact.yon regarding ffie aPPlicant Please be sire:to fia.in.the P=h ;c=e number w31i willbe used as a re en ferce number. In addition an applicant _ ff2at must submit mukfipIe pemiitAi=Dse applizaiions in any,given year,need only sabmif One affidavit indicafmg cu=t policy infnrnation(ifn=Sssy)and imdez'UDb Site Ad&ess"the applicant should write¢all locations in. (city or town)-A copy of the afflike that has been officially stamped Dr matted by the city or tovm may be,provided to tha applicant as proof that a valid affidavit is on f Ie for future pmmiis or licenses Anew affidavit must be:ElIed ott each year_Where a home owner or cifi=is obtaining a license or permit note fated tn'any business or cammeizial Venture (LP.a dhg license or pecan t)bnm lmves etn.)said person is NOT mquno3 to completD this affidai'%t The Office of BxvcstigatiDns would hke to ffimk Yon in advance fhryour coDptxaiian.and should you have any.qursdons, please do not hesiiat�in give us a call_ - The Depadmea:fs ad_dcess,telephone and faxnumbez: 'tea Caumoawmla Of if -Iiv - .nit r�bid�al A � - - _ .• • R.evisad 4-24--07 � . " 039. `0� Town of Barnstable Regulatory Services' Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 -Property Owner Must Complete and Sign This�Section If Using A Builder as Owner of the subject property. hereby authorize W d`)"" to act on my behalf, in all matters relative to work authorized by this-building permit application for: (Address of Job) SignatureJOTOwner t Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form_on the reverse side. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 Town of Barnstable , Regulatory Services oFt rWyti Richard V.Scali,Director Building Division ; ' BABNSPABLE, ' Tom Perry,Building Commissioner tw►ss. , 1639• 200 Main Street, Hyannis,MA 02601 Fo ,t a www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 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 requirements. Signature of Homeowner Approval of Building Official. Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code, Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for_hiveto do such work,that such homeowner shall act as supervisor." -Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\E)PRESS.doc e Revised 040215 r Aco CERTIFICATE OF LIABILITY INSURANCE °AT 05/26/2015/2015 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 CQNTACT N ME: ,qq�� Leonard insurance Agency i A/F.NNo.E 0: FA/C.No.: 683 Main Street EMAIL ADDRESS: Osterville,MA 02655 INSURERIS)AFFORDING COVERAGE NAIC INSURER A: A.I.M.Mutual Insurance Company 33758 INSURED INSURER B, C & F Remodeling Inc INSURER C 20 Captain Noyes Road INSURER D: South Yarmouth, MA 02664 INSURER E INSURER F, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE !SSUED 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. I�TR TYPE OF INSURANCE AD WVD POLICY NUMBER MI ID EFF MM/D�SYNW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE T ERSESaENTED occurrence) $ CLAIMS-MADE OCCUR MED FRCP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG .$ POLICY ECOT OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea a cid nt ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTYDAMAGE $ AUTOS P r accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ DED RETENTION $ yyC g 7UU TH $ WORKERg CAMP NSAT�pN X TORY LAtvtITS OER ANNyD ERM�PpLRO�YEETRpS€LL!gARBIILNITYwE� OFFICER/MEMBEEXCLUDED?ECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000.00 A (MandaddtorylbbntNlfH�d)�r � N/A AWC-400-7032424-2015A 4/30/2015 4/30/2016 E.L.DISEASE-Fl�EMPLOYEE $ 500,000.00 D��`sCRIP�ION OF VPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Rudy Giannetti 8 Race Rd. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE W Yarmouth,MA 02673 THE EXPIRATION DATE THEREOF, NOTICE WiLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD , Boa clof, se's-De Co i 4ilCrang Re A ,trnent of - nstrpe: S p9n'. ns and Standafety`. L bens CARI,OS S,1p41 arils .20 CAT'NFIG o� o : Orj c � 4 ✓Z C°rtTr>,rssi '1 1:l u s s Orier 08"5 t/on 2015 U/te cP.aaru¢etr`C�¢�C%lGud�uAe� t . Office of Consumer Affams&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date.,If found return to: k1pelgistration: Type: Office of Consumer Affairs and Business Regulationpiration: DBA. 10 Park Plaza-Suite 5170 =s Boston,MA 02116 C&F REMODELING') ({ �-r�" CARLOS 20 CAPTAIN NOYES RD S.YARMOUTH, MA 02604' Undersecretary Not valid without signature r