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HomeMy WebLinkAbout0456 BAY LANE y ,, ,. � n e.r. , � . . : z. : . �: � 9. . � . _ r . _ r . . � � u a e 9 �, .� :. . s. _ w . Town of Barnstable Building PostpThis Card So That it isVisible From the Street Approved Plans Must be'Retained on Job and. his Card Must be Kept ,+ ' hosted Until<F�nal Inspection Has:Been Made Y' � i,w �b � F Permit ° Where Certificateof Occupancy is Requ red;such Bwldmgshall Not be Occupied until a Final Inspection habee m de Permit NO. B-17-3757 Applicant Name: Craig Bishop Approvals Date Issued: 11/03/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 05/03/2018 Foundation: Location: 456 BAY LANE,CENTERVILLE Map/Lot 187 066 _ Zoning District: RD-1 Sheathing: Owner on Record: ZIELINSKI,CLEMENT A TR ', Contractor Name::";,Craig P Bishop Framing: 1 m Contractor License CS 109777 Address: 456 BAY LANE i 2 CENTERVILLE, MA 02632 Est. Pro ect Cost: $-560.00 1 ; Chimney: Description: Air Sealing&Weatherization Permit Fee: $85:00 Insulation: Project.Review Req: Fee Paid: $85:00 D"ate en 11/3/2017 Final: s Plumbing/Gas � k Rough Plumbing: A Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work ahorized by this permit is commenced within six-nlonths after issuance. Rough Gas: ut All work authorized by this.permit shall conform to the approved application an'd the approved construction documents§for which thispermit has been granted. All construction,alterations and changes of use of any building and strluc�dfbi.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 pu61�c 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 signa"i"u"re's'�by thgBuilding,,and Fire Officials are�provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:� � g Rou h: = . 1.Foundation or Footing ._ . 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed, 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection, Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do 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 r Town of BarnstableRECE`�PT ' KASS 200 Main Street,Hyannis MA 02601 508-862-4038 a Application for Building Permit Application No: TB-17-3757 Date Recieved: 10/27/2017 Job location: 456 BAY LANE,CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: Craig P Bishop State Lic. No: CS-109777 Address: Sandwich, MA 02563 Applicant Phone: (774) 205-2001 (Home)Owner's Name: ZIELINSKI,CLEMENT A TR Phone: (774)454-8554 (Home)Owner's Address: 456 BAY LANE, CENTERVILLE,MA 02632 Work Description: Air Sealing& Weatherization f t� C:) .. ...a u Un rn Total Value Of Work To Be Performed: $560.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568): I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. .I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Craig Bishop IO/27/2017 (774)205-2001 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $560.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 10/27/2017 $35.00 XXXX-XXXX-XXXX- Credit Card _ 3464 Total Permit Fee Paid: $85.00 10/27/2017 $50.00 XXXX-XXXX XXXX-1 Credit Card 3464 1 THIS IS N T F' RMIT Town of Barnstable ilding k+e a. ?3p '�' ..�.�-<t �..'.. }4.': q.��; .....• ,� "e w —,:.,. .a» -., � . xsrweM „ PostTh�s Gard So That�t is Uis�ble From the Streete Approved''Plans'Must be Retam�d onJob and this Card Must be Kept i 6 " Posted Un#il F nal Inspection Has,Been Made Es ' yam• e Where a Certificate of Occupancy is Required such Building shall Not be Occupied ntda Final Inspection has been made ej �ijlt Permit No. B-17-3756 Applicant Name: Craig Bishop Approvals Date Issued: 11/03/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 05/03/2018 Foundation: Location: 1525 HYANNIS ROAD,BARNSTABLE Map/Lot: 298-007 Zoning District: RG Sheathing: Owner on Record: BISHOP,CRAIG Co ntrdct�oc Name: ,.Craig P Bishop Framing: 1 Address: PO BOX 159 Contractor License cS 109777 2 FORESTDALE,MA 02644-0159 Protect Cost: $.977.00 Chimney: Description: Air Sealing&Weatherizatio.nPermit Fee: 85.00 Insulation: ; m Project Review Req: Fee Paid; $85.00 �i Final: 4' Dam ` 11/3/2017 . f _..... Plumbing/Gas Rough Plumbing. . 6 , ,Building Official final Plumbing: Rou h Gas: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within si months after issuance. g All work authorized by this permit shall conform to the approved application and the`approved construction documents for which&s permit has been granted. f � iR Final Gas: All construction,alterations and changes of use of any building and structuresshall'be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publicamspe tion for the entire duration of the work until the completion of the same. k Electrical13 5 E The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officia s a�e$prouded on th s permit. Service: Minimum of Five Call Inspections Required for All Construction Work: R �J Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do 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: _ C- All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town .of Barnstable RECEIPT, �a XAS& 200 Main Street,.Hyannis MA 02601 508-862-4038 7 Application for wilding Permit Application No: TB-17-3756 bate Recieved: 10/27/2017 Job Location: 1525 HYANNIS ROAD, BARNSTABL,E Permit For: Building- Insulation-Residential Contractor's Name: Craig P Bishop State Lic. No: CS-109777 Address: Sandwich, MA 02563 Applicant Phone: (774) 205-2001 (Home)Owner's Name: BISHOP,CRAIG. Phone: (508)825-3695 .(Home)Owner's Address: PO BOX 159, FORESTDALE,MA 02644-0159 Work Description: Air Sealing&Weatherization k y� Total Value Of Work To Be Performed: $977.00 Structure Size: 0.00 0.00 -0.00. Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Craig Bishop 10/27/2011 (774)205-2001 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $977.00 Date Paid i Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 10/27/2017 $35.00 f X M.)C XX-)CM. Credit Card 3464 _.._ _. ..,...,..... ........... _....,... _ _ __...--- .._. Total Permit Fee Paid: $85.00 10/27/2017 $50 00 j XXXX-XXXX-XXXX-i Credit Card 3464 .J„•��i ' TOWN OF BARNSTABLE Permit No. Building :inspector Cash OCCUPANCY PERMIT Bond Is tied to 6ilvia & 11—Livia EaSsor— it-,- Address Jr- 49. J,Sr n-.,. Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... 19......_.._ ......................................................................_.......................................... Building Inspector STALLED IN Assessor's map and lot numbe�'. ... . .. K. ITS TITS ¢ E WONMENTAL C00�. . Sewage Permit number. ../.. ...V,9. ... ...... OW DA" TAXE, i House number. .............. ...,................................................ - f� yO M 6 ^ /+o�'�' V O 2639. r MOX TOWN, OF BAlIft ABLE U U ItmuI G INSPECTOR . APPLICATION FOR PERMIT TO ....�S� LC........... .... ............................................................. TYPE OF CONSTRUCTION ...... aa F� .............................................................. ..... .........L.. .. 1. .3.............................19..�'3 TO THE. INSPECTOR OF BUILDINGS: � ,•'� The undersigned hereby applies for a .permit according to the following information: Location .. .0.. 8..........e ..............w ..r�GR(/�/� , ProposedUse ..... //V!;;E 4e........... Z. ............................................................................... 7......................�J ��- .............................Fire District ��� Zoning District .�.....�.�O..F......�..:............... 4t................���.......�... ......./..1................. Name of Owner S/LU/,4., ..5'1./// 9......1TJ.toc,.L4C.Address ...��� ��e r.-7- 2l!//�- / / ...... ....... Nameof Builder- .............................Address .................................................................................... Nameof Architect ... �� ..........................................Address .................................................................................... Number of Rooms ...`...........................................................Foundation 1.z:eC1!2w........� ............................ Exterior ..4A'-A(7.0......F-!4•4/!'I ..............................................Roofing S �r'�J. .........,.............................................. i Floors ....0/ .................................................................. .Interior ' /.................................................. `Heafin "' Fo .C..4�.... ....' !s` �'..:..Q�..al........Plumbin Q� Fireplace ......(..........................................................................Approximate Cost ../,3.0. .Q.qQ.:.Q..��............................ . Definitive Plan Approved by Planning Board _____ /�______-------19 1?-: Area ...... p D � Diagram of Lot and Building.with .Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH Q�� 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. Nam ... ........... .. .............. /6'/03 i �iILVIA & SIL\/ZA ASSOCIATES, INC. ws 247�0 � ^ O Story � No ---...�— Permit for .................................... ` Single ]�ao�iIv Dwelling' _�^- | --'----^-----'' —'—'---'—'----' / ^ y . Lot #8 458 Bay Lane LoLocation --._--...�-----~--------. � Centerville ` ............................................................. O�ner ..Silvi��—&.�Si.lvia—Aosooiates� Inc.~ , . FrameType of Co .......................................... // . ' .......................................................... ------'' Plot ............................ Lot .............................. ~ ' � January 20, 83 Permit Granted ........................................lQ 'Inspection Doteof -------..—.--l9 uota | Completed_ — ---. ...........�;jq ` '/ i /' s \ ^ ~ ' ' ' , ^ . ^ ' ^ ^ Ua� CActBAGE GcvND�Q. p FLow : I I o Y. 3 = 33aG•Pp SEPTIC, TASK a. a3oxi5a% =-4956.PR fka �E> us1= %000 GAL.. M Dr SPoSAL PIT vsE l o oD 6A�. T4-jl. \ I N 'j►D4VdALL AREA a I�jOS.Fi \ /o l50 5.� � 2.5 � 395 G.Po � Ii: � •• BOTTOM A.REAs .. Yo aF._ . . � TH 'TCTA>•. D�S1GN * ,425 G.RD. �pVA/P4r104 O. -TOTAL. pA I L%? FL-O� 33D G.PD, - -P,Zoe 0 I ►h ��wE fr•Ai�.. � Peep 1" __ -- (�• � r PER.COLA•TION RATE] 1"110 2MIN oV-t_G55 a QD zz LOT • Of ; E SN vA Of M Zo \ _ f Z Sq F r 4O.S" ALAN ' I AICHAAD r. A. ;c BAXTCR JONLS ilci 2;Jiti u 5100 ZS$4 4�c1` yip ,%_• � � I .' 4 C�ST�PiO 47 r � h0 SUa�l� � �wre� �� � 12°• Top Fmbx"Z7 �:.. N C L6r. 113 3 'i5J�3� ` S- 3 - 8Z �L= WtvK- loon INS• �}n DIST. INS GAL. .tom i S.�BSo��. (000 tiwX ZZ"�' •TANK i INS 3 LEAGLI PIT INV. INV. MED WITIJ ZZ"�" WASNGD CERTIFIED PLOT PL.AlJ P R.O F I Lr== L.o f A-T I O N C CAJ7"i►Z V I L L C I /2 12' N o 5 CA-LE 5 c®E I"_ 40 DAT E (?�Z�`v AI o W ATt`v REF E2{"cN GE % GS RTtFY -THAT TNT 1'ov►JDATIDN SNoWtj - �{6,t�fs01.1 GOMPL.`(5 1nlITN'THE SID�I.IIJ� LOT a AI.iD 5f~TF�,e.GK R.6Qu►R.EMENT'� oF "fl•1� • T0WN OI✓ $Az-► STA\?,L:C AND IS 1-IoT. L- t\ki-D ColiQ--f 4o93 1 CFli►JDIu6, LOGp.TED WITININ NA& T ooD PLc.lw I TA,l I 6ZE6 1 S•T f Zr.D,I,.A►•1 D 5 u r-V SYoEg 115 NorT akl- ' r> C>►d Al') o:s-rc9-vILL& • IY�.°SS. I>J4TRutAF1�1 C' �jV V—vG-Y e ITKE C>r- S 3WOLJLS>-� - C.. l e -permit G �z � Town of Barnstable. ..: Perl», 3 Regulatory Servicese Thomas F.Geiler,Director Building Division 1 OF To Perry,CBO,'Building Commissioner" l.� j'?)/13 Ow l� 200 Matn Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 - EXPRESS PERMU APPLICATION RESIDENTIAL ONLY Not Vrdid without Red X-Press Imprint Map/parcel Number Property Address e T S a ❑Residential Value of Work s Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address GY© zooma Contractor's Name Telephone Number -V7 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable)�(i • Z4 ,�71 Workman's Compensation Insurance Check one: , ❑ I am a sole proprietor, ❑ I am the Homeowner I have Worker's Compensation Insurance w Insurance Company Name Workman's Comp.Policy# y ' Copy of Insurance Complianc Certificatfmust be on ilk e. Permit 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), ere required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License I r red. SIGNATURE: inot � 1 th III),!) C:\Users\decoffik\AppData\LocalUicrosoftkWindows\Tempomry Internet Files\Content Oudook\MY7NB4EL ExPRESS.doc Revised 100608 i DATE CERTIFICATE OF LIABILITY INSURANCE 05/28/2013 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 PAUL SCHLEGEL NAME: Schlegel & Schlegel Insurance Brokers Inc PHONE 508-771-8381 FAX 508-771-0663 (A/C,No,Ext): (A/C,No). 34 MAIN STREET E-MAIL ADDRESS: SCHLEGELINSURANCE@VERIZON.NET • PRODUCER - - CUSTOMER ID#: West Yarmouth, MA 02673 INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A PHENIX MUTUAL Richard Harold Gardner Dba Gardner Construction wsuRERBLIBERTY MUTUAL 92 Park Place INSURER C ° y , INSURER D: Mashpee, MA 02649 INSURERE: 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 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 AUUL bUUK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER - LIMITS (MMIDD/YYYY) (MMIDDIYYYY) A GENERAL LIABILITY CPP0709341 08/20/2012 08/20/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY - - PREMISES(Ea occurrence) $50,000 CLAIMS-MADE Ix I OCCUR - MED EXP(Any one person) - $5,00.0 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $-2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $2 r 000,0 00 POLICY171 PRO- LOC ` $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO _ BODILY INJURY(Per person) $ - .. ALL OWNED AUTOS _ BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS ,(Per accident) NON-OWNED AUTOS .� $ $ ... UMBRELLA LIAB OCCUR EACH OCCURRENCE " $ H EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE }, - $ RETENTION $ $ WORKERS COMPENSATION WC-0898679 04/06/201304/06/2014 X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? X❑ N/A ,, _ (Mandatory in NH) _ E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under a 50O OOO DESCRIPTION OF OPERATIONS below" - - E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) . THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR RICHARD HAROLD GARDNER x CERTIFICATE HOLDER CANCELLATION TOWN OF 'BARNSTABLE 200 MAIN STREET SHOULD ANY 'OF THE ABOVE DESCRIBED POLICIES,BE CANCELLED BEFORE- THE EXPIRATIONS DATE THEREOF, NOTICE . WILL 'BE_ .DELIVERED IN - HYANNIS, MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RE ESENTATIVE O 1988 2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Office of Investigations 600 Washington Street Boston,MA 02111 www mass govItHa Workers' Compensation Insurance davit: Builders/ContractorsJElec � t Ledbl ers 6cant Information /, 17, / Please Name(Business/organization/Individual): Address: - Ci /State/Z' ty rp: Are you an employer?Ch the approp�te box: Type of project(required): 1 Yq I am a employer with _ 4. ❑ I am a general contractor and I 6. ®New construction employees(full and/or part time).# have hired the sub-contractors listed on the attached sheet. 7. ®Remodeling 2.El ship a sole proprietor or partner- These sub-contractors have g. ❑Demolition ship and have no employees and have workers' working for me in any capacity. employees9. ®Building addition [No workers'comp.insurance comp.insurance_t 10-0 Electrical repairs or additions 5. ❑ We are a corporation and its requred.] officers have exercised their 11.Q Plumbing repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL myself.[No workers comp 12.[]Roof repairs c. 152,§1(4),and we have no insurance required.]t employees.[No workers' 13_❑Other comp.insurance required.) *Any applicant checks box ll must also fin out the section below showing their workers'compensation t> infirntatition that t Homeowners who submit this affidavit M&Mtmg they ate doing all work and then hire outside contractors must submit a new affidavit it►dicating such $Come wors that check this box must attached an addidomal sheet showing the name of the and stet whether or not those entities have employees. If the sub-contractors have employees,9tey must Paovide&ea workers'comp-policy mom. I am an employer that is providing worheas'compensatron Durance far my e>raployees. Below is the polity and oh site information. G Insurance Company Name: Policy#or Self-ins.Lic.t. ' Expiration Date: / ' Job Site Address: City/State/Zip: Attach a copy of the workers' enntion 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 violatoi Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for kMWapcqoqerage, cation. I do hereby a erjury that the information provided above' true and correct: Si ature: Date: Phone#: official use only. Do not write in this area,to be completed by city or town of ftciaL City or Town- Permitfucense# Issuing Authority(circle one): 5.Plumbing inspector 1.Board of Health 2.Buffing Department 3 City/Tuwn Clerk 4.metrical Inspector &Other Contact Person: Phone#: ` Massachusetts =Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor SpecialtN License: CSSL-100471 �tT rs o R7H ApT 92 PARK PIACE WAY= MAMPEE NjA 02649, Expiration Commissioner 01/29/2014 r%/{ c„r.,.,.,r,..../t/..j'"•llu������r;e!!� '. License or registration valid for individul use only Office of Consumer Affairs&Business Regulation - ' k{OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Type: Office of Consumer Affairs and Business Regulation registration: 143074 10 ParkPlaza-Suite 5170 piration: 6M512014 DBA Boston,MA 02116 GARDNER CONST. RICHARD GARDNER - 92 PARK PLACE WAY MASHPEE,ma 02649 Undersecretary Noftvfidi ut si ature Assessor's map and lot A�uemnber-/R�./-,/Vs Sewage Permit number e 1639. TOWN OF BARNSTABLE BUILDING INSPECTOR z ............................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Name of Architect —,!�?�'.'�....---------------Address ------------------------____ Number of m —/' -------------------'Foun6o�on --.. 7�~----_____ Ex|e,ior -- ��-..............................................Roofing' ....................................................... Floors; — ----------------------.|ntehor — ...... | Heating 7+— !--Rum6ing ................................ ^� Fireplace —'�-------------------------Approximohe Coo ..�=��3 �/��/�.� r7..(�____,____,_. Definitive Plan Approved 6v Planning Board 191 Area ...............................4� ` '{. /^ —� -- Diagram of Lot and Building with Dimensions Fee ............> --- ___ � " SUBJECT TO APPROVAL OF BOARD OF HEALTH ` OCCUPANCY PERMITS REQUIRED.' . ' - r | | / _ - ` ' 1 ' . . ` � ` FOR NEV DWELLINGS / I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ���� �1 o J � Nom ....../�:��������:��--.--. SILVIA & SILVIA ASSOCIATES, INC. A= 4 `• 24740 ' One Story No ................. Permit for .................................... < i Single Family Dwelling = ; Lot #8, 456 Bay Lane Location ................................................................ Centerville 3' ............................................................................... Owner Silvia & SILVIA ASSOCIATES, INC. .................................................................. Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ....January 20, 19 83 .......................... Date of Inspection ....................................19 Date Completed ......................................19 lc— o , ..xr 1Yy.�.�`.��j'R\••�,-• ",1� '7{`MJIf1+�1 `Y���'r�if � ��tl./7�-•� � manna"^�c}Lw�` .��net�'Tti� Y Assessor's office(1st Floor): Assessor's map and lot number / O Cl (R: o%THE>o Boat of Health (3rd'floor): � %O Sewage Permit number r, v // ngineei�ing Department(3rd floor): House number / °o,.�i63 .���' Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.;and 1:00-2;00 P.M.only K• . TOWN OF BARNSTABLE - „ BUILDING , INSPECTOR APPLICATION FOR PERMIT TO e-zlol- Ls TYPE OF CONSTRUCTION LJ(w TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use eo_/2-C � Zoning District P, Fire District �• Name of Owner 6U`� �y�Yncu� Address. �.�o r��Z/9NC Name of Builder 1- . `►`UC,c-, MUS(,-, -6-Co. -Address lC, lJwt_ S 5�+�� Ccv� 1�✓w��� Name of Architect Address Number of Rooms ( Foundation 1'at, Sy"�C, > � CrJ�-•c v�-M1. Exterior C 'c,? S Roofing Floors C-rz � Interior Heating >C Plumbing Q Da Fireplace X Approximate Cost Area A W ChAV6 Diagram of Lot and Building with Dimensions Fee v a 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 r / Construction Supervisor's License O&O 7 JOHNSON, BOB A=187-066 No 34647 Permit For BUILD PORCH Single Family Dwelling Location 456 Bay Lane Centerville Owner Bob Johnson Type of Construction Frame Plot Lot Permit Granted October 18 , 19 91 Date of Inspection 19 Date Completed 19 a , PERMIT.COMP i D Fill Assessor's office(Ist,,Floor):. Assessor's map and lot number THE to i �. 6 Board of Health(3rd,floor): .' . '� s� //t ��ST���SYSTz Sewage Permit number J _ (� /(O `�D S ; 4gineer'ing Department(3rd floor): House number 4 Definitive Plan Approved by Planning Board ' T9Z c err b' .s�,..„ APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only „C� ! �" TOWN OF BARNSTABLE BUILDING IHSPECTO rn�t�h ��� ° vrfl ' APPLICATION FOR PERMIT TO tc13 TYPE OF CONSTRUCTION - �} } jv�(� 19 �r � 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location '15 Proposed Use �G 2e l� Zoning District !�® Fire District Name of Owner > ,U\o �u��n cd� Address Name of Builder U , ts,• :- Address �L �L JQI—Q C,✓�o�Y �v V� Name of Architect Address 'Number of Rooms Foundation Exterior— S Roofing -" Floors ��Truer Interior Heating Plumbing ®a Fireplace X Approximate Cost ®� Area Alto Ak Ed C f/gA)6,JS Diagram of Lot and Building with Dimensions Fee So • v . r 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 - tzn&�%� I' Construction Supervisor's License O a&U 7 { JOHNSON, BOB 5y No 3 4 6`4 7 'Permit For BUILD PORCH '.Single Family Dwelling Location 456 Bay Lane Centerville . " Owner) Bob Johnson r Type of Construction. 'Frame f ' Plot + ' Lot F PermtG/ranted October9 18 119 91 ' Date of Inspection ` 19 i - — Date Completed 19 t W i 4,a,,� '�i►; yam. '. _ _ F ... + - * i A: ,•f 7s� .1� `1 . . I r yr. ' 4 ., . ., .. ., ,., :. :.''�. ,.a r .. _.� ._. ,., r: ,.:.y�1 ...�ti. ..x fir- _. :a, ',:,. ,,.: AC% •.3�?':"-``•"a;9',^c�� :�s-=--�+,-•-,-.;-�-R•�-T.-',�o—+^--,-�,--`- Y. • J s !. i Y - �. :r_.- ,.. . f.... ,: ._ �. ( � �.. .�st .tea. ''•'"} `.�-.,. ' Y 4. � „,..�... fi` :.% ..i• n .a.,f aw:� ,. .,.,... A:JW_. ., :�'. :. � A':�. � ::..i. •Z -:+'by ,., Y •. i N) , , ..,.. �.' ,.: ..s,.y,.. 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