HomeMy WebLinkAbout0294 BAY LANE � `
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Town_o_fBarnstable , 11
En1tA'srwst.E, •"
Post This.Card So That it is Visible From the Street-�A roved Plans Must a Retained on Job and this Card Must be Ke t �� 9
P
sMAM
,�$ Posted Until'Final Inspection Has Been Made. �� ��
f
Fad" Where a Certificate of Occupancy i§Required,such Building shall Not be Occupied until a final Inspection has been made ,•, .,
Permit No. 13-20-2095 Applicant Name: Christopher Bangert Approvals
Date Issued: 08/06/2020 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/06/2021 Foundation: `.
Location: 294 BAY LANE,CENTERVILLE Map/Lot: 186-020 Zoning District: RD-1 Sheathing:
Owner on Record: HENDERSON, LUCIA'W _ Contractor Name: Framing: 1
Address: 234 LYMAN ROAD Contractor License: 2
MILTON, MA 02186 Est.Project Cost: $ 19,200.00
;. Chimney:
Description: Dormer rip and redo 4 sq roofing Permit Fee: $97.92
4 sq rip redo white cedar shingle ground lever Fee Paid: $97.92 Insulation:
Rip Redo 1 dormer cheek.sidewall and one rabbit run roof-,, Final:
Dormer trim fascia soffit freeze corner boards rakes freeze Date: 8/6/2020
4 dormer windows �/' 1
Trim repair around window and siding so home owners insurance.; /J l j Plumbing/Gas
does drop them Rough Plumbing:
Building Official
Project Review Req: Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this 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. ' Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing 4_ 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:
"Persons contracting with unregistered contractors d.o not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
7
s
��ZKEr Town of Barnstable .*permit#
O
� ExpJra 6 mo the from issuedate
3ARNISrABr•E. Regulatory Serv'* ' Fee F� �p
' XAM� 1639• �0 �
Thomas F.Geiler,Director
ATFD MA'S!
Building Division r-
Tom Perry, Building Commissioner c
200 Main Street, Hyannis,MA 02601 MAY ® 2 �5
:.e: 508-862-4038 �(
508-790-6230 TOWNOF �3A3���T��LE.
EXPRESS PERMxr APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-press Imprint
cel Number 0'9,d
AddressV I
dential Value of Work a.4®� "Minimum fee of•$25.00 for work under$6000.00
Name&Address L j Win/pEgSo
L N( C
tor's NamePA I) L r-- Telephone Number
__�'d�3 —117�
mprovemcnt Contractor License#(if applicable)_ Id 3`7 f L/
Icti.on Supervisor's License#(if applicable) 5
kman's Compensation Insurance
Check one:
'❑ lam a sole proprietor
❑ I am the Homeowner
.Z I have Worker's Compensation Insurance
ice Company Name
naa's Comp.Policy#_ /� (3 9 S 2 [A L/A-pZl
of Insurance.Compliance Certificate must be on file.
t Request(check box)
-F20 AJ r OF MA-1 N !100F ON L y
Re-roof(stripping old shingles) All construction debris will be taken to
U to-roe T141c� Fr LL
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side ,
❑ Replacement Windows. U-Value (maximum.44)
L063
quired: Issuance of this permit does not exempt compliance with other town d
v cpartment regulations,i.e.Historic,Conservation,etc.
e: Property Owner must sigaProperty'Owner Letter of Permission.
Home Improvement Contractors License is required,
'
The Commonwealth of Massachusetts
02.
Department of Industrial Accidents
- Office offnl✓estiyzAgHs
600 Washington Street
r
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
A "'"flca tin or.".ma >ton ' l a�seahI � e a 1, y
y�namc Tfd�/l S�lL1 P51d't°Ylce-
-t-location:
city p lV�`�Y �/l �'�� }�} phone# ) 9pl)
❑ I am a homeowner performing all work myself.
❑ I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
company name AD j mil- O1J 5' ao0%c-{2 IV
/J `L
citv � '! phone#
insurance
co.. ` olic # ��i � 7'f1j(pq; i
lwlh—
❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who
have
the following workers' compensation polices:
companv'name
a
E'
address f
city:
hone#.
insurance co...,.;-
poll oll "# a
company name• •
city hoot#
insurance co.:' policy#
Failure to secure coverage as required under Section 25A of MGL 152-can lead to the imposition of criminal penalties of a tine up to 51,500.00 ►nd/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations cif the DIA for coverage verification.
t do hereby certify unil5r4Ac pains and�ienalties of perjury that the information provided above is true a.nd correct. L
Signature Date
Print name Z Phone
Official use only do not write.in this area to be completed by city or town official
city or town: nBuilding Department,
permit/license#
check if immediate response is required 3 ❑Licensing Board
QSclectmen's Office
t �Ilcalth Department u contact person: phone#
_ —Other w
-m,
f
oFZHE To,,; Town of Barnstable
* Regulatory Services
9 sn MASS. 0 Thomas F. Geiler,Director
fo MAC Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
a _ i
Property Owner Must Complete and,Sign This Section If Using A
Builder
I, ��-� �'�•C�t�-t� , as Owner of the subject
1 property
hereby authoriz" to act on my behalf,
in all matters relative to wo1-JVa44izedby this buil g ermit application for (address of
job)
Signature of Owner - Date
h tom► C t 1'•1. �� � 14C� �Jt~SQII� ,
Print Name
Q:FORMS:OVINERP ERMISS ION
< 37A-e -P
Board of Building Regulat ons an tan �ars
One Ashburton Place - Room 1301
Boston. Massachusetts 02109
Home Improvement-`Contractor Registration
Registration: 103714
Type: Private Corporation
Expiration: 7/9/2006
PAUL J. CAZEAULT & SONS, INC.j' '
Paul Cazeault
1031 MAIN ST
OSTERVILLE, MA 02658
Update Address and return card.Mark reason for Chang
Address Renewal Employment Lost Card
DPS-CAI Co 5OM-04104-GIOIZIG
/sc Vao�vr�coot O�✓GL'aooac/u�ae!!a
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR License or registration valid for individed%Ise ouh
Registration-, 103714 before the c\piralion d t)ale. If found rcluru to:
Expiration, 1037106 Board of Building Regulations anti Slandards
Une \shburUnl Place Rin 1301
'..',Type::'Private Corporation
Boston, Ala.02108
PAUL J.CAZEAU'LT;B.SONS,.INC'
Paul Cazeault
1031 MAIN ST
OSTERVILLE,MA 02658 ✓�++ lo,irriiv>uueal�. o��;llud�u�/twel�
Administrator i
Islir BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 026325
Birthdate: 10/20/1959
Expires: 10/20/2005 Tr.no: 8603.0
Restricted: 00
PAULJ CAZEAULT r�
1031 MAIN ST Z .�•a.4
OSTERVILLE, MA 02655 Administrator
-�
Board of Building egulations
One Ashburton Ace Rm 1 301
Boston, Ma 02108-1618
License: CONSTRUCTION SUPERVISOR'LIPENSE Birthdate: 10/20/1959
Number: CS 026325 Expires: 10/20/2005 Restricted To: 00
PAULJ CAZEAULT
1031 MAIN ST
OSTERVILLE, MA 02655
Tr.no: 8603.0
Keep top for receipt and change of address notification.
DATE
-� ACORD- CERTIFICATE OF LIABILITY INSURANCE 8/24M/200
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Mc Shea Insurance Agency, Inc. ONLY AND CONFERS Nb RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE
--5.08-420-9011
INSURED Paul J Cazeault & Sons INSURER A: Lloyd's
Roofing Inc. INSURERB: TraVelervS
1031 Main Street INSURERC: ,
Osterville, Ma 02655 INSURERD:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY.CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE MM/DD/YY DATE MM/DD/YY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
1,000 ,000
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $
CLAIMS MADE ®OCCUR MED EXP(Any one person) $
LGL034776 04/30/04 04/30/05 PERSONAL B.ADVINJURY $
GENERAL AGGREGATE $
GEN'LA GGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $
POLICY PROCT LOC
JE
1 ,000 ,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY $(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONCY-EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR • CLAIMS MADE AGGREGATE $
DEDUCTIBLE
RETENTION $ $
WORKERS COMPENSATION AND W TATU- TH-
EMPLOYERS'LIABILITY
TORY LIMITS ER
7PJUB-0095664AO4 08/13/04 08/10/05 E.L.EACH ACCIDENT $
B E.L.DISEASE-EA EMPLOYEE $1
OTHER E.L.DISEASE-POLICY LIMIT $500 ,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL L DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED RE N I
ACORD 25-S(7/97) 6 ACORD CORPORATION 1988