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Home My WebLink About0070 BERNARD CIRCLE - t;:. ''�'�qi i7.�. Y`.. t`, t�'.��.. _f,'.,_ >. ,:Ns, x' :r, .. ir.p Rr � ♦ iK f 1.t 11� n° �♦• Y sw� �' �x{ rt A��' _ ttL a ° a �".a°° u :w i ,:. ♦ .. t� ski.'i� 4 ry�fi �` a 1U�t� �♦ '�r3 -,i e t�4"_�87�Fr A � tr, � , , s o _ ^ ` o ° n . ° 1 . u ^ fi n n C ^ ° , a, e h 9 « g � ° n � a o- A. ¢ . F f tip. °...w¢ d. p ° O' ♦^ v m q ° 0 ° e f u r. Q e a � LL a ° y ° ° N° ° ° y a o ¢ to Y .OP; N b� ° y ° 4 y v a }�0 e . ° , P D tl ° _ - �• a ,. a` ',c' P Town of Barnstable ermit# l V Expires 6 months from issue da Regulatory.Services Fee . Thomas F.Geiler,Director' ]Building.Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.,baTnstabl6,.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY i` 1 Not Valid without Red X-Press Imprint Map/parcel Number Property Address -C../ p ' Residential Value of Work U y Minimum fee of$25:00 for;work under$6000.00 Owner's Name&Address Contractor's Name V�l �,W l.L Telephone Number Y�-I o —t-¢ Home Improvement Contractor License#(if applicable) I Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ®® �� PERMIT Va one: �" m a sole proprietor ❑ I am the Homeowner S p d s ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE, Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) VRe-roof(stripping old shingles) All construction debris will be taken to ''RO O D 1 q(3 C 61 *I1 ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value (maximum°.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservition,etc. ***Note: Prope Owner t s' PTiopg ty Owner Letter of Permission. fe--�,A co of the Home I rove Contractors_ License is required: SIGNATURE f Q:Forms:expmtrg Revise061306 - The Commonwealth of Massachusetts Deparfrnent oflndustrialAccidents ' = Office afI•nvestigations 600 Washington Street Boston,MA 02111 7V7Vw.7nassg,. ov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information y Please Print Le 'bI Name(Business/Organization/Individud):. V��l?S �� ' •Address: � City/State/Zip: �n��, 1 M� 0Z�Q� 1 phone.#: ��0 -4b �J Are you an employer? Check the appropriate box: : 1.❑ I am a employer with 4. [] I am a general contractor and I Type of project(required) gzployees (full and/or part-time.). have hired the s ib-contractors 6 ❑New construction 2.N/T am a'sole proprietor or partner- listed on the-attached sheet: 7. ❑Remodeling ship and have no employees Thew sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.$.' 9• ❑Building addition required_] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work . officers have exercised their I LEI Plumbing repairs or additions myself [No workers' comp. right bf exemption per MGL insurance aequired-]t c, 152, §1(4),and we have no 12•[�oof repairs employees. [No workers' . .13.0 Other comp.insurance required.] *Amy applicant that checks box#1 must also fill out the section bolowsbowing 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. tCdntractors that cbccic this box must attached an additimalsheet sbowing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must providh their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees information. Below islhe policy and job site Insurance Company Name: Policy##or Self-ins.Lic.#: Expiration Date: Job Site Address: • 'City/State/Zip:.. 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 ofMGL 6. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonznent; as well as civil penalties In the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of thus statement may be forwarded to the Office of Investi ations of the r ins covera e verification, X do ereby ce under e p ins"a penalties ofperjury that the information provided Bove 's true and cnlrecf Signature, 1 1(n I , •--� Date: Phone #: 1 1 0 ' — Official use only. Do not Write in this area,'tb be completed by city or town a ciaL City or Town: Permit/License#_ T Issuing Authority(circle one); I.Board ofHealth 2.BuildingDeparfinent 3 C4/Town Clerk 4;Electrical Inspector S. Plumbing :eo 6. Other -------------- Contact Person: Phone#: Bba o iii�" Ong egu7aCions an`TS s License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 124310 Board of Building Regulations and Standards Expiration: 6/1/2011 Tr# 284683 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: Individual James Curley t.. James Curley. 287 Faller Rd. .. a Centerville,MA 02632 Administrator ot va-lid-w--ith-out signature ..achusetts - Department of Public-Safety ivIatisi 4 Board of Building Rel,-ulations and Standiirds Construction Supervisor Specialty License License: CS SL 99138 Restricted.to: ,RF,WS . DAMES CURLEY II �87 FULLER ROAD. CENTERVILLE, MA 02632 I. —� Expiration: 1/28/2012 v Commissioner Tr#: 99138 Board of Building Regulations and Standards License or registration valid.for individul use only HOME IM.PROVEIVMENT CONTRACTOR - before the expiration date. If found.return to: Reg!st_raff6h-�._1.24310 Board of Building Regulations and Standards Expiration _6(4/2009 Tr# 130873' One Ashburton Place Rm 1301 ___Type Individual Boston,Ma.02108 James Curley James Curley 287 Fuller Rd. Centerville,MA 02632 Administrator Not valid without ure ' • !fin ��jj `citIHEIp� T own of Barnstable ,rt• �~ moo Regulatory Services y MAC Thomas F. Geiler,Director a6 .A� Building DI-VISion Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 w�t'w.town.barnstable.ma.us Office: 508-862-4038 Fax:. 502-790-6230 Property OwnerMust Complete and Sign TMs Section If Using A Builder T' LRLfI� vlS;Wo ,as Owner of the subject Property. herebyauthorize \RQ j to act on my behalf, in all matters relative to work authorized bythis building permit application for: . (Address of Job) Signature of Owne Date �Qt�rl Pisanc . Print Name 6 QTOR.MS:OWNERPERMIS S ION Eioneeri ft Dept. (3rd floor) Map 8 Parcel oZ _ Permit# House#- �] Q FJ� Date Issued Board of Health' 3rd floor 8:15 -9:30/1:00-4:30) ee Conservation Office(4th floor)(8:30-9:30/1:00`=2:00) J ZS C � SEPTIC SYSTEM MUSS' BE Planning Dept.(1st floor/School Admin. Bldg.) ANCE INSTALLED I � Definitive Plan Approved by Planning Board 19 - WITH rt ENVIRONME ANP TOWN OF.BARNSTABLET"I"I RE ,bra Building Permit Application Project Street Address 70 .��,/1�)- : C f- C Z!e Li:)4� LE 14� " Village"" Ch,e e a-U,' 11 -e Owner l Y\ u L- C kn per s ,'-\( I h1.uY`iW n ess J Telephone .Z D --Permit Request F T S , First Floor / r square feet Second Floor square feet Construction Type �/V o® d Estimated Project Cost $ Zo y .0 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 1 Two Family ❑ Multi-Famil (#units) Age of Existing Structure Historic House ❑Yes No On Old King's Highway LiYes XNo Basement Type: Full ❑Crawl ❑Walkout ❑ her Ott, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing �?- New =6/A2, . Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use //C� Builder InformationName a 01, ' /1 Telephone Number C '- 917 Address li�o axv e d. License# 0 a Fff/cam ( /Py 4e Z t11(� - - Home Improvement Contractor# 10 ,0 1,0 S Worker's Compensation# w Z,S 4 B -;3%.J X 8.3 O NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. �` / ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO +��k Aid/X o Ah SIGNATURE DATE e BUILDING PERMIT DENI FOR THE FOLLOWING REASON(S) ,a i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER a _. .. DATE OF INSPECTION: FOUNDATION r t FRAME - INSULATION FIREPLACE ELECTRICAL: ' ROUGH FINAL PLUMBING: ROUGH, FINAL + GAS: ROUGH FINAL , FINAL BUILDINGt- t' DATE CLOSED OUT ► _ ASSOCIATION PLAN NO. DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number, Expires: RestdiRedA TA, F 11�: z 6E696E J ALLAIN yt Ofst-v 31 JOEL RD S YARMOUTH, NA 12664 6 HOME IMPROVEMENT CONTRACTOR Registration 100105 Type - INDIVIDUAL' Expiration 06/09/00 GEORGE. ALLAIN r- � '116 SHEAFFER Rd. ��terville MA 02632 ADMINISTRATOR j { The Commonwealth of Massachusetts =••L Department of Industrial Accidents Office of/nYesti 89offs ' 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one workin in any capacity I am an employer providing workers' compensation for my employees working on this job com anv name . d. S address. city: C. P 17 .. �' C/ l l P phone# insurance co. 41)-!C 4 yY) y f"C A ol�cv# 3/.2 ❑ 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: companvname: address. ........... .......... city biome#. in9urance c0 pglikv# camnanv name.. -:: ...::......::::........::. . address: City,.>:.. phone#: Insurance co. olicv# i 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 s1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Oince of Investigations of the DIA for coverage verincation. I do hereby celp under the pains enalties of perjury that the information provided above is true and correct � d Signature Date Print name (.2 l/a'l`ti Phone# F�� 14, official use only do not write in this area to be completed by city or town oincial city or town: Permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Onlce ❑Health Department contact person: phone#; ❑Other oozed 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver o: 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 section 25 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,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Accidents Me of Investigatlons 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 CF THE tq� urexer�.e. The Town of Barnstable • • 9 "AS& �0 Department of Health Safety and Environmental Services rEc rr+A�' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT ' HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c..142A requires that the`•`reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ¢J P c�� Estimated Cost ! d d (� Address of Work: 7 0 Be>_ n A>, cb C e Owner's Name: y— ! Date of Application: /l S I I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent qfthe owner: "a, Date VItractor Name Registration No. OR Date Owner's Name q:forms:Aftidav El MENNIMMEMENIMENEE NONE 0 0 MEN ONES NEO lill illimm iiMENNEN monsiomimmm 0 ommoommommoommmo i i��i■�iiii��ii�i�i�■iiiiieiiiCiii■ii=ii■iii No millimillim I ONE M ME r MENNEN No 2 " 'li 01110111111 No mom IN on MmMMMM: NOME Moll MEN MEN 0 0 El IN M 011111mmmillim 0 NOME 11 Ill MOEN ... ....... ME ■■rrrr ■ ■rr■■■rrr■■�■■rr■■■rrr r ■■ ■■r ■■ rrrr ■ r rrr■■■rrr■rr■■■rr■■ ■ ■■rrrr■■■ Mom r ■rr rr ENE ■■■rrrr■■■■mom r ■rrrr■■■■ r■ ■■ ENE■rrrMEN■rrrrr■■r■r■■■■■ rrr MEMO ■■�■ ■r r■r■rr■r■MEMO r■■■■r■■■■rrrr■E rrrr■■■■■■ ■■ r■ ■rrrrrr■■■■■r■■■■■■r■■■r■■■■■■■■■�■■ IMMENSE■■ ■iris■ ■■■■■■r■r■■■■■■r■■■r■r■■■■rrrr■ rrrr ■rrrr■rrrr■■■■■■■■■■■■■■■rrrr■■ rrr■■■rrrr■■■■■■■■■ ■rrr■r■■rr■■rrr■■■rr■r ENE rr■■■r■■■r■■■rrrr ■■r■■■■■r■■■■■■rr■rr■r rrrrrr NONE r■rr■■■■■■■■■■ ■rrrr■■■ mom NOON ■■■■■r■r■■r■rrrrr■rrrr■■ ■■rrrr■■ ■■ rrrr■■ ■■rrrr ■■■■■■■■rr �rr■rrrr■ r■■■■rr■rrr ■ rrrr ■rrrr Err■■■■r■■■ r■■■ ■■r■ ■rrrr■rr ONE rrrr■ ■■■rrrr ■■rrrrISOMr■rr■ ■rrrr■■■■■rrrr■rrrr ■■rrrr ■■■rrrr■■■■■■■rrrr rr III ■■rrrr rrrr■■r■■rrr■r■rr■■rr■■rr■rrrrr■ ' r mummm ■ rrrrr■rr NNE rr■rr■r■rrrr■rr■r■r immolim■ ■rr■rr■ ■■■rrrr■■rr■r■■rr■r■r■rrrrrr■■ rrrr■■■■■■■■■■■■rrrr■rrrrrrr■rr■rrrrr r■r■rr■m■■rrr Irrrrr ■rrrrrrr■■■r■ rrrrrrr■r■r ■■r■rr■rrr■■rrr ■ I■■■■■■rrrrrrr■r■rr■■rrrr■rrrrr■rrrrrr■■rrrr � rrrr■ rrrrrrrr■r■■rrr■rrrrrrrrrrrr■rr■r■rr■ , ■rrrr ■■rrrr■■■■■■■rrrr■rrrr■■■rr■■■■L■■■r■■ NEENNOMOM MENNEN MMENEENEME No MOM ■■■■■■r■rr■rirrrrrr■■r■rrrrrrrr■■■■rrrr■rME rr■rr■r■■■r■rr■■rrrrrrrr■r ONES rerr■rr■rrmom ■rr■r■rr■rrr■r■r■■■■rrrr■r■r■rr■■rr■■■■■■rr ■rrrr■■■■rr■■■trrrrr■rrr■■■■r■r■■rr■■■■rrrr■ rr■rrrr■■■■■■rrr■rr■■rr■r■r■rrr■■r■r■r mom r . ■■■ EVINEEMMISMEmmommmm r■■■■■rrrrrr■■rr■■ ■ lmmrrr�tr�■r■rrrr■rrrr■■■■■■■■■ ■rrg■ Assessor's map and lot number ......A[S..................� 2 oaf 90MCS MW BE .............. INSTALLED IN COMPLIANCE Sewage Permit number -......./.�r... ..................... WITH ARTICLE 11 STATE /� R SANITARY CODE AND.TO" *THE t TOWN O�j B 13 1r E" i • i I STABLE. i 9� O�Y- `e�0 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........buy.7..d...a.ne...family...dwelling.................................................. wa TYPEOF CONSTRUCTION ...................00d..........fr........me........................................................................:..:.................... - Apr i 1..2.:..................................19.Vk.. TO THE INSPECTOR: OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot9 Bernard Circle,,,,,,Cer> .��:,v.. ,�,�,,,,,N� ,,,,,,,,,;,,,,,,,,,, ..... .... ..... .......................................... Proposed Use ..........Re.sideritlal .................................................................:................................ . .......................................................... R.D. 1 Centerville- Osterville ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ......NOrme,st„Homes Ing..................AddressN..Ott.ingklaM..1)r.i..ve......................:..... .................... same Nameof Builder ....................................................................Address .................................................................................... Nameof Architect J!PDe.....................................................Address .................................................................................... Number of Rooms 6 Foundation f.Ull...I.Q. '.QO.nDX:ate........................ Exterior ....................Si * ..asphalt................................................................ I Floors ......................C3PX .Q.te................................................Interior ..drywall................................................................ Heating ..................!arM-.aa.r..........................................Plumbing .Z..full....baths................................................ .........A Approximate Cost ....2.4.,•O.0.0� .OD.................................... ... Fireplace ..................fbrie............................................... pp Definitive Plan Approved by Planning Board -------------------------------19_______. Area A.......................................... Diagram of Lot and Building with Dimensions Fee (o'-............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i /l0 ,Aj �8 f70 � �I lid' / I hereby agree to conform to all the Rules and Regulations of the Town of arnstable regar in the above construction. Name .. ...................................... l./ Normest Homes, Inc. No ..1699?.... Permit for ......one.sto ...... ... single family dwelling ............................................................................... Location ! I70 Bernard Circle ............................................................... Centerville . ............................................................................... Normest Homes, Inc. Owner .................................................................. ' Type of Construction ............frame .............................. Plot ............................ Lot ................................ ; I Permit Granted ......... ... r...i 2 19 74 ... .. .............. Date of Inspection ......i..............................19 ; Date Completed .y...!. 19 5�31�/ .....w PERMIT REFUSED :. ............................................................. 19 .............................................................................. n fN, _ i............................................................................... ............................................................................. ' f('*'-pproved ..,............................................. 19 ............................................................................... ............................................................................... i 1 3iii>�� t :\\ < in ! ,v.y 13D��f7. wI19 \ . ; 3D ,o, 7 \ 125 149 172 3y J / 35 ' '` wIN`\/s f. 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