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HomeMy WebLinkAbout1330 BUMPS RIVER ROAD dt T P 4 � i ..�r i,�r ia� a ,.�; �, , �•. � :�.x x,� a �+ �.. ,q a., •.f ,T rt s n; ,p;: 401V ?.7�`y�p11. �"44iNq�`�11��''r !rc d �,�' �'4�'� ��n�,ffi: a tt t,`� t, • , ..�.. a ., A L r� ' 3 i o a t v - ' u 5 „ n > a( J � . , r ",•Fry. e � , Town of BarnstableBuilding ., �. -. Post Thrs<Card S""o:Tha}rt.=s.1/isible From-=the Str:,eet, A ' roved PI`an Must be�Retamed onFJob and=this�Card Must,?be-Ke t, ,f >. 'ems.' •v ',a :",,,: - a .. � "''�}__ ,�"�`""`z.,% ,��"r.,,• 9� a PI� s, u� f, •R;: �".� £�ri�� `�s p h � s' Posted Until_Final tnspection�liasBeen Mader `'' �� " Wher."e a=.,Certiificateof 0ecu anc pas Re erred-sach.Bu�ldm sh 11 Not�lie=0ccu red untrt'a Final Ins ection�has been�made ei jjll� Permit No. B-18-2829 Applicant Name: Russell Cazeault Approvals Date Issued: 08/29/2018 Current Use: Structure Permit Type: Building Siding/Windows/Roof/Doors Expiration Date: 02/28/2019 Foundation: Location: 1330 BUMPS RIVER ROAD,CENTERVILLE pp _ i Map/Lot: 188-047 Zoning District: RD-1 Sheathing: Owner on Record: BANEVICIUS HELEN A Contractor Name PAUL J. CAZEAULT&SONS INC. Framing: 1 ' Address: 423 HERRING BROOK ROAD n� � �tracto'n1icense 103714 - 2 MONTPELIER,VT 05602-8202 ff'JEst Project Cost: $8,250.00 Chimney: Description: Remove the existing shingle roof on the entire,homeanstal'I new W-Permit Fee: $42.08 asphalt shingles. Insulation- We Paid. $42.08 Project Review Req: Date 8/29/2018 Final: Plumbing/Gas o .Plumbs R ugh g n .. .. ��.,Buildin Official g Final Plumbing: � g Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for whic this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structure sh Il�be in compliance with the local zonmg�bylawand codes. This permit shall be displayed in a location clearly visible from access st eet orroad and shall be maintained open.for public JA ion for the entire duration of the work until the completion of the same. Electrical a ! Service: The Certificate of Occupancy will not be issued until all applicable signs res by the i3uildmg and Fire®fF�cials are�proded on his permit. Mv Minimum of Five Call Inspections Required for All Construction Work 33 ' `Y 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. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site ON All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT � ,L` 5SOT Things to do today . . . �� I ❑ ��fv e Wk 00 ❑ ❑ 0,L3 0,AA �-�O- ax-o� ❑ 0, ❑ S 508.428.8700 ��ING Fx 508.428.8524 info@lujeanprinting.com Plant: 4507 Route 28 Cotuit,MA 02635 ®~ Mail: �MPA� P.O.Box 571 Osterville,MA 02655 i r I a � i y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel r Permit# may/ 7 Health Division Date Issued Conservation.Division Y Fee — Tax.Collector Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �✓� L� y`'rPS �G !z-L�. C (-�Jt L v� L e G`�A Village • :Owner ✓:l c. r.V 1L. (1j�A/C- U f r_i y5 Address 3 �� N . '`B E ST-A3 v J2-b tXf, Telephone �' o LP L� _ `� Cr -7 7 • Per mit Requestfi�2- Square feet: 1 st oor:exis ing proposed 2nd floor: existing proposed Total new Estimated Project Cost 3 -136 V ' Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old.King's Highway: ❑Yes ❑No Basement Type: ❑Full - ❑Crawl ❑Walkout• ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half: existing new Number of Bedrooms: existing new Total•Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other q _ Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No 'If yes,site plan review# Current Use Proposed Use _. BUILDER INFORMATION Name_ b 3EK-� �'�'� �'� Telephone Number a qua Address �� Z' �- ` �A.TC License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -�/�' 'eR- DATE o r 9 P d FOR OFFICIAL USE ONLY PERMI T NO. DATE ISSUED MAP[PARCEL,NO. ADDRESS VILLAGE, ` OWNER _ �. F• ; ., + DATE OF.INSPECTION: J y = FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ,FINAL PLUMBING: ROUGH- -FINAL • ` i GAS: ROUGH FINAL FINAL BUILDING <^ t • i DATE CLOSED OUT ASSOCIATION PLAN NO. f 14 Im" The Commonwealth of Massachusetts ==- - , Department of Industrial Accidents _= fiffeeof/oyesaffat/oos - _ . 1 600 Washington Street . -•r- � Boston,Mass. 02111 Workers' Com ensation Insurance davit 1 11 name: P—. D GCS d 1 q KID 11 - 06 y-1- _rt/FL)D1Z,/__ A_,Pr 'FJ A) location: ' 23-1 (b �' ,I �A- P � )e_o . . city 0_51 E,lL—fill C t.-6� 1—I rA- 0-, C05 ,!� hone# 4ays 4 4/t�> ❑ I am a homeowner performing work myself. ty F no one '///❑///%/%%%/%%/%'5:�::O%%:/%%%////////e//%%%%%%%%%%%%%%%/ %/%%%%%/%%/%%%%%/%%%%////////%%%%%/%%%%%%�%%%%%%%�%%////// '/�/i uu� �:,,: ❑ I am an employer providing workers'compensation for my employees working on this job. som>sanv n m . »::>: $ildress. ......:..:: .....:::::.;:;:: t...::.:::.: .. :.:...: ., .... :..:.: ..:..:.:. .:.::.:.:..:::.::.:::..::. ......:.. .:. ........::.::::::.:: +. ....:::::::.>::>; ::::::::::.: :.:::::::.;.:.:.>.:::.::.::­111 Qh,;:; ". shone:# . .;. :.: 1. % :.. :;:.;.:<::::> .:'..... :..:.:.;:.:.;:;.;'.:'.?:.:;:.;:.;::.;;:.:.;:.::.;::::::.;?:.:.?:;::.::.;:.:.?:.:;;:.:..;:.. ins # "' . .;.:..... 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'(:T:t jyjyis?:<::::;:::::i:;...::�} ::nv.:.v::,vvv.:Y:•?Y:•?:h}' esnranre.cn. _....,:. ............... ......... oll ,#:: u :,;< Fafim�e to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of cdodnal penalties of a fine up to S1,500.00 an filar one years'imprisomm�eat as well as dvil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OBiee of Investigations of the DU for coverage veiiflcatlon. I do hereby certify under the pains and penalties o�f perjury that the infor►aadon provided above is&w.mid correct Signatare ° "__ W Date I. 0✓ t U rq P Print name G VVT 7 i ��J �- Phone# , q Y'�)`'' ofiidal use only do not write in this area to be completed by city or town ofiidal city or town: permit/license# ❑Bofiding Department ❑checkif immediate response is required ❑Selectmen'ss OIDce ❑Health Department contact person: phone#; _ ❑Other Ormed 9ro5 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 conu-ac: 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 c- w 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 maybe 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 io 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 Invesugallons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 The Town of Barnstable � Department of Health Safety and EaVirnnmental Services Building DIV1sI0n 367 Main Slra:;Hyaumis MA=0I Ralph Crosse! ME= 5OS-790.6=7 Buil ag C=Missic: Fax: sag-790.4ma For oi'IIee use only Permit no. Dau AFFMAVIT SOME n"ROVSMF.I�IT'CONTRAC3'OR LAW SUPPLEMENT TO PERMIT'A"LICATION MGL . 142A requires that the *reconstruction, alterations, renovation, repair, modcMisztion. conversion. improvement, removal, demolition, or construction of an addition to nay pre-rusting owner occnpied building containing at least one but not more than tbur dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain cz=ptions,along with other requirementL TypeofWork: ' LLI �' c g 4� I"' Fat.Cast -�, 3`� C> _ Address of Work: I3 • tI � C./ JS Owner's Name �R �� Date of Permit Appiicstion: d I hereby certify that: Registration is not required for the following reason(s): Work ezduded by law _Job under SI.00L _Building not owner-accapied Owner pulling own permit Notice is hereby LI that: OWNERS P1JLI.IN OWN PERMIT OR DEALMG wrm UNREGISTERED ApPLI LE HOME IMPROVEMENT ORK 00 NOT RAVE CONTRACTORS FOR 'ION P wROGZ�h OR GiJARANTY FUND UNDER MCI.142A ACt�S.S TO TSE ARBITRATION SIGNED UNDER PENALTIES OF PE L URY I hereby uffiy{bra permit as the agent of the owner: Date Ca tract r iY Begisaadon No. OR Owners iVatne Date f it T tpp 1 � Y a i r t tt Y� ^?.F ro F t. n•`� \ 1#��✓�1001� I.UL O� GLU� _ f ue4� `''HOME IMPROVEMENT CONTRACJOR, Registrations 116064 ,•` ° TrPe DBA ;o ExpirationO TYNDALL ROOFING , ,k s ., t -ROBERT F.JYNDALL f ; 7f&44WRIAR AT _ OSTERVILLE MA 026 5 r v i N. HOME IMPR.OVEM T CONTRACTORS REGIgTRATION oard of BuiTdiig Regulations .:and 4 tandards ty0ne",Ashbur on ace Roo Room 1:' 01 " Bost0n�, 'Aassachusetts 021Q8 . •.,�r:K3a 1����i�re,afky. '� ; .av �, '•h 1� �• - HOME IMPROVEMENT :C' NTR CT OR Registration 116064>�' F t ExpirationR 05 15/00 _sy f u Type —. DBA g4 YW ! qz � u 7YNDAL.L ,ROOFING * ROBER7 37 BRIAR 'PATCH, Rp OSTERVILLE MA 026 5 # s, ' » z� a, Y , ... — . ........................... X ........... : ......... ........D....A..T..E...M...M...../. DD............ .... .... ... . ............ A CORD . XW i X .X. IMP 67/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I Fredericks insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, MEND OR I P. 0. BOX 427 THIS THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1046 Main street COMPANIES AFFORDING COVERAGE Osterville MA 02655-0427 COMPANY (508) 428-8999 A UNDERWRITERS AT LLOYDS INSURED COMPANY M & N Roofing B 9 Adams Road COMPANY C West Yarmouth NA 02673- COMPANY (508) 77119079 D ............................. ....... ..... ....... ..... ----- .. ............ 'OVE ..... .. ............. .... ......x ... ...........x ....... .'.:0 Esx . ...... ................... . .. ........... .......... ........ ............. ...... .... ��: .. ... ....... . .......... . ....... . - .... ....... .'.I . .............. X. . ........ ........... . . ...... ....... .. .. ............. 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, IEXCLUS!ONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YV) DATE(MM/DD/YY) LIMITS 1 GENERALLIABILITY GENERAL AGGREGATE $1000000 CGI,COMMERCIAL GENERAL LIABILITY UNASSIGNED 06/17/98 06/17/99 PRODUCTS-COMP/OP AGG $1000000 CLAIMS MADE a OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $1000000 -FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per acc dent) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ........... ANY AUTO OTHER THAN AUTO ONLY: ......... ......................... EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ 2 � ...... LIMITS"OTH EL EACH ACCIDENT $ TWOCRYSFA7 I I ER ... EMPLOYERS'LIABILITY [ WORKERS COMPENSATION AND THE PROPRIETOR/ INCI_ EL DISEASE-POLICY UMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ROOFING CONTRACTOR .. .. .. .... ............................ ................... ...... ...... ............. . ...... .............. .. ........ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Tyndall Roofing to DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Robert Tyndall, D B A BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 37 Briar Patch Road OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. "Jetex-ville MA 02655 AUTHORIZED REPRESENTATIV .... .............. ,13D- CERTIFICATE OF LIABILITY INSURANCFPID 02 DATE(MM/DDIM OREYTI 07/30/98 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ,ngame Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Jt Burlingame HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR :'Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. �tervi.11e MA 02632 COMPANIES AFFORDING COVERAGE .obert Burlingame COMPANY Phone No. 508-771-0105 Fax No.508-771-1258 A Legion Insurance Company INSURED COMPANY B Tim Morey & Patrick McCrum COMPANY DBA M&M Roofing C 9 Adams Road COMPANY W Yarmouth MA 02673 D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I LTR DATE(MMIDDIYY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-O'.,VNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTF!ER THAN UMBRELLA FORM WORKERS COMPENSATION AND TO OTH- RY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $$100 r 000. THE PROPRIETOR/ INCL WC3 022422 11/13/97 11/13/98 EL DISEASE-POLICY LIMIT $$500r000, PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $$10O 0 00. OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS Carpentry - const of res< 3 stories CERTIFICATE HOLDER CANCELLATION ROBTYN1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rob Tyndall BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 37 Briar Patch Road Os terville MA 02655 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Robert Burlingame ACORD 25S(1195) ©ACORD CORPORATION 1988