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HomeMy WebLinkAbout0023 CEDRIC ROAD QL AC"',"i ivE IME e r Application numb 0 Date Issued...........� .3.dl.9 JU%JSrABLZ PRO) 26 9- Building Inspectors Initials...... ...................... MAY 2.2 2019 Map/Parcel............17Z- TOWNO� HARNSIMLE .................................................. TOWN OF BARNSTABLE '2q .S� EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVESIWEATHEP,IZATION PROPERTY INFORMATION Address of Project: -3 C-,.o 14.r;-,- ? -o, I NUNMER. STREET VILLAGE Owner's Name: e y Phone Numb Email Address: ki-or'.1 eco,-,CaS4 -%,4 —,Cell Phone Number 5OR-7S7 7c Project cast s 7, 7 2_ L Check one Residential V1 Commercial OWNER'S AUTHORIZATION As owner of the above property.I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: '5 le A-d4 ck Q Oq,,A4 Date: F_ TYPE OF WORK El Siding fzwindows (no header change)# L4—C:l Insulation/Weatherization. 17 Doors (no header change)# Commercial Doors require an inspector's review C71 Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION, Contractor's name sown - -SoA-ecn p,J FrIllet/4 [If,-I)GLOW S Home Improvement Contractors Registration(if applicable)# 17 3 2-Lt (attach copy) Construction Supervisor's License# bj S-701 (attach copy) I Email of Contractor CrStj(ef�9 q��f �iy'WJ I. C ewn Phone number 1101- 2 2- 9-�Jg) ALL PROPERTIES THAT HAVE STRUCTURES,6VER- 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 11V A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER •••••.•••• .................................................. *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location (s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department aapprovah *WOOD/COAL/PEI.LLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT S SIGNATURE Signature Date Z z —1 All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms p �lll ldeh$en' dba:Renewal B Andersen of Southern New England WLA.E...l Y g Rich Tierney Legal Name;Southern New England Windows,LLC 23 Cedric Rd RI #36079, MA#173245,CT#0634555,Lead Firm#1237' Centerviille,MA 02632 WINDOW 10 Reservoir Rd I Smithfield,.RI 02917 : - H:(508)958-55.63 _ Phone:866-563-22351 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s)Name: Rich:Tierney Contract Date' 05/08/19 Buyer(s)Street Address: 23 Cedric Rd,Centerville, MA 02632.. Primary Telephone Number: (508)958-5563 Secondary Telephone Number Primary Email: h2orjt@comcast.net Secondary Email: Buyer(s)hereby.jointly and severally agrees to purchase the'products and/or services of Southern New England'Windows,LLC d/b'/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to.this Agreement' Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively, this"Agreement'). Buyer(s)hereby.agrees to sign a completion certificate after Contractor has completed all work under.this Agreement. Total Job Amount: $7,722 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal:check,bank check,credit card,_or cash Deposit Received: $0 Balance Due: $7,722 Estimated Start: Estimated:Completion 6-8 weeks 6=8 weeks' Amount Financed: $7;722 Method of Payment: Financing We schedule installations based on the date.of the signed contract and secondarily on. the date in which:we complete the technical measurements:The installation date that. we are providing at this time is_only an estimate.We will communicate an official date- .-and time at a later date:Rain and extreme weather are the most common causes for.. delay. Notes 50% deposit by bank balance on completion by bank- Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be. valid without.the signed,written consent of both the Buyer(s) and Contractor. B.yer(s)hereby acknowledges that Buyer(s) I).has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,'including the two attached Notices of Cancellation,.on the date first written above and.2)was orally informed of Buyer's right to cancel this Agreement: NOTICE TO BUYER: Do not sign this contract if blank'.:You are entitled to a copy:of the contract at the time you sign YOU,THE BUYER, MAY CANCEL.THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT. OF 05/11/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN. EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Re w �ers.moouthern New England Buyers) t Signature of Sales Person y Signature' Signature ' Paul Sandrey Rich Tierney Print Name of Sales Person Print Name Print Name UPDATED: 05/08/19 Page.2 / 11 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement-Contractor Registration Type: Supplement Card Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS LLC Expiration: 09/18/2020 10 RESERVOIR ROAD SMITHFIELD, RI 02917 - •OS SCA 1 0Update Address and Return Card. 20�7M /-1/7 ,_'/ll,P. �GYJ7/J2/.'/I,CG'P.O,LIJt C���//iivi LC/LLG1CCGi Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoplement Card before the expiration date. If found return to: Reaistf lion Expiration Office of Consumer Affairs and Business Regulation 173245=__.. 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW-ENGLAND WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON 10 RESERVOIR ROAD Q SMITHFIELD,RI 02917 Undersecretary tiv out signature Y `! Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constructfbin'Siipervisor CS-095707 _ p Emrp i res : 09/08/2020 .- �. BRIAN D DENNISON ` ~a 8 BLACKWELL DRIVE .............. CHARLTON MA,, 607 - S - - Commissioner The Commonwealdt'of tlassachusetts - Department of Industrial Accidents 1 Congress Streets Suite 100 Boston,MA 0211 4-2017 www mass govAlia Workers'Compensation Insurance Affidavit.Bullders/ContractorsMectricianMumbem TO BE FILED WITH THE PER-NUTTLYO AUTHORITY. Anolicaut Information Please Print Leeiblv Name(Business/Organiwion4ndividual):--- S Lj(x''f'h e r A, ke u) tn4/ trd I i A i f s Address: U City/State/Zip:S f{'t-�j �e( R! OZ� / 6 �t e t 7 Phone#:_ �/O/—ZZ�— An you an employer'Check the appropriate box: Type of project(required): 1. I am a employer with ;ZQ+employees(full and/or part-time).* -7. []New construction .. 2 am a sole proprietor or partnership and have no employees working for me in $: Remodeling any capacity.[No workers'comp.iawaice required] ❑ 3. I am a homeowner do' all work myself 9. ❑Demolition ❑ doing y [No workers'comp.insurance required.]t 4.[]l am a homeowner and will be pmperty. I will 10❑Building addition hiring contractors to conduct all work on my ensure that all contractors either have workers'compensation insurance or are sole I L[]Electrical repairs or additions Proprietors with no employees. 12.❑Plumbing repairs or additions 5.[31 am a general contractor and l have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance.= 13.Q R of repairs 6. We 14. !✓ are a corporation Other /Y1 rpo and its officers have exercised❑ their right of exemption per MCL a � ''"�"`'' 152,g1(4),and we have no employee&lNo workers'comp_insurance required] rep la c,-,e 7 >� •Arty+applicant that checks box#1 must also fill out the section below showing 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. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-coanctors have employees,dW must provide their workers'cmnp,policy number. I am an employer that is proiMna workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: rr17.SUfaA4V__ 00 . o �� /�. C, . Policy#or Self-ins.Lic.#:_ C�4��.�t�"7� Expiration Date: 2_,0 LO Job Site Address: City/State/Zip: n lem'// 4ensation Attach a copy of the workers'comp policy declaration page(showing the policy number and expira 'on date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certunderthe p ' penalties of perjury that the information provided above is true and correct t re: 4Date: 2 Z—19 F use only. Do not write in dds area,to be completed by city or town offciaL Town: Permit/LicenseAuthority(circle one): of Health 2.Building Department 3.City/fown Clerk 4.Electrical Inspector 5.Plumbing Inspector Person: Phone#• r - - CERTIFICATE OF LIABILITY INSURANCE DATE 12(MM1DD(MNUDDIYYYY) 18 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 CONTACT NAME: CO Biz Insurance, Inc.-CO PHONE FAX 1401 Lawrence St., Ste. 1200 t 303-988-0446 AIC No:303-988-0804 Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER s:Firemens Insurance Company of WA,D.C. 21784 Southem New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER C:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURERD: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 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 ADDL SU R . POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER IMMIDDIYYYYI (MMIDDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/112019 1/1/2020 EACH O4(Eaoccuffence) $1,000,000 CLAIMS-MADE a OCCUR PREMIS $300,000 MED EXon) $10,000 PERSONAL&ADV INJURY $1,000,1100 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 PRO- X POLICY❑ C LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT $ a accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ $ A X UMBRELLA LIAR X OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15,000,000 14EXCESS LIAR CLAIMS-MADE AGGREGATE $15,004000 DED I X I RETENTION$ $ B WORKERS COMPENSATION WCA315872924 1/112019 1/112020 r PER OTH AND EMPLOYERS'LIABILITY YIN STATUTE I JER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000.000 OFFICER/MEMBER EXCLUDED? N❑N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$1,00Q000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000,000 C Pollution Liability 7930073340000 1/1/2019 1/1/2020 Each Occurrence $2,000,000 Claims-Made Policy Aggregate $2,000,000 Retroactive Date 06120/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD • e Town of Barnstable _ Building e ,vgrn Post'This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 163 Posted Until Final'Inspection Has Been.Made.. _ �� j Where a,Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final'Inspection has been made. 4 H Permit No. B-19-1665 Applicant Name: Brien Langill Approvals Date Issued: 06/03/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 12/03/2019 Foundation: Location: 22 EBEN SMITH ROAD,CENTERVILLE Map/Lot 171,160� Zoning District: RC Sheathing: I Contractor Name:`�,BRIEN LANGILL Framing: 1 Owner on Record: DASILVA, LEANDRO R& POSSA,VIVIANE C - g� Address: 22 EBEN SMITH ROAD Contractor License. CS=106675 2 CENTERVILLE, MA 02632 - R Est. Project Cost: $25,520.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems 1116kw 36 Permit Fee: $ 180.15 Panels Insulation: / Fee Paida $ 180.15 Project Review Req: ,-' Date. 6/3/2019 Final: r � Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced'withinsix months after issuan 2. tticial Final Plumbing: All work authorized by this permit shall conform to the approved application°andthe'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. Rough 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. r ,I Final Gas:_ The Certificate of Occupancy will not be issued until all applicable signatures by the Building.a,nd-Eire Officials are provided on-this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing - Service: 2.Sheathing Inspection ) 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site - Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: GMAXL S ENS t ' ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parceam= Permit# sn Z U �� D .� Date Issued r Health Divisionla_loi� Z 1 —y Conservation Division _S, Fee - I.Z Tax Collector ` ' Treasurer � Planning,Dept. INSTA LLE® IN WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND ,-TOWN RtGULATIONS Historic-OKH Preservation/Hyannis 1:-1 12 Project Street Address !Z 3 CC-0elr /72 Village Ct"1VTE9 V I L L-Z: aAm� ,Owner a`TLvge S6cu 1Z/ Address dZ � f�Q�UL�r/iY`S?' 1`1t-1>�o2� F7r9 Telephone 7`_/ 3 9 S" CO/� S'— 0.2 15�� Permit Request i A_/D .YZ&C7—Z 1` C,1/l 6�'r?13 6-e !?E E3-c w ff x �� _ y k 2-o Square feet: 1st floor: existin 7—0 proposed o 2nd floor: existing S"�� proposed O Total new a /v�166 Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Gvoyq rl�,9ov� Lot Size /:E?00 Sa F r Grandfathered: ❑Yes Cd No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure 1SY,?S Historic House: ❑Yes 4 No On Old King's Highway: ❑Yes ®No Basement Type: W Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 75-0 Number of Baths: Full: existing o2 new Half:existing new 0 Number of Bedrooms: existing—_ new 0 Total Room Count(not including baths): existing new 4 First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes $J No Fireplaces: Existing / New 0 Existing wood/coal stove: ❑Yes W No` Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing gnew size/wR2 Shed:f@ existing ❑new size Other:f3 zi-OAX lad/5' /IleU ` Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®No If yes, site plan review# Current Use s7z, v(rze Fw y `! G,9C Z_INCr- Proposed Use 51r9 ut BUILDER INFORMATION Name %1'�el 6 I'f Z�j u o Telephone Number / 7�% !2 S 0 Address c� .3 C_/� q cti L lly, q sr License# 02 I S-Y Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE '7 2_4� v DATE `� lJ S f FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED _ MAP/PARCEL NO. 7 - f ADDRESS 'VILLAGE OWNER�o' f- DATE OF INSPECTION: FOUNDATION r«: FRAME INSULATION FIREPLACE + ELECTRICAL: ROUGH ."FINAL � �y PLUMBING: ROUGH ' :'_ FINAL t GAS: ROUGH FINAL FINAL BUILDING o z- DATE CLOSED OUT - ASSOCIATION PLAN NO. i . d 1 ti J ,.4 . .3.. ~_ THE UO.ARD Cr M`HEN CONS T Us TO SA CKFI'L L 1 4. ANY CHANCES ,t v. > L 0-7 9 3 B Y THE 80ARf>> <'J :s'- SUP VEYINC CO` 5. MA TERIAL S AN ` t COMPLIANCE CODE - TI TL E; RULES AND r�. � ` ` _ - _ 6. NORTH AARO ` IS NO T TO 7' FLOOD HAZA 6. JVA TER SUPPL: r' CAST f CXN 'T M TAW � PRECASX, I / (RP1 PLOT PLAN i ESTIMA TEO PROJECT COST WORKSh/EET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$961sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) oZ l� square feet X�$25/sq. foot= PORCH square feet X$24/sq. foot= DECK square feet X$15/sq. foot= OTHER /3R ct 7 r r f/ftY �� square feet X W?/sq. foot= 3.3 G 0` 6 0-G Total Estimated Project Value ���� G I The Town. or Barnstable 916,39. ,,�' Regulatory Services Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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 ope 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:1 C=C Z,6(m Y Estimated Cost Address of Work: 0, Z--r7 C, & V 1 G F Owner's Name: ,��i��3 E/dT ,'13 ri7"rGN� Date of Application: 3 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 of the owner. Date Contractor Name Registration No. R Date Owner's Name gl6m s:Affidav The Town of Barnstable ` r � IIAIiNS'ABLE • 9� 1659. `m� Regulatory Services '�EOH►o.+A Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-62"10 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: a� Off (f_, E V l L G C number street village "HOMEOWNER": U 66673` - y l%G A01 (J 9aX U 2- name home phone# work phone# • CURRENT MAILING ADDRESS: � 3 �V� S7 �� 3%s �l Y S t'l �FlJtC7:> city/town state up 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 LUIVIPTION 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 hire to 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. 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I l ` fI w � v i j r --- 5 i a • j 3 - a� f 3 S f - - s o 19 q SY__ rXE- SO.4 r � � ✓O i i V r',�' g oy s. . SURVEYING C 5. MA.TMR14�CS A` CO 'LIAAI�E .. s CODE TI TL R Rt11C.ES Alm` rapasl" �-. ad 6, T�.� .. 1` j i3d r w Fitc ". µair r c t' � tZ' f IS, NOT TO- S F; .7 FLOW �\ 5.,' A TER :low,, F: .. - .1' • ... y� 3, ri'.�: pry` - f r _ R Y oFTxero• TOWN OF BARNSTABLE Permit No.�$8.02........ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ............ HYANNIS,MASS.02601 Bond ....x..... J CERTIFICATE OF USE AND OCCUPANCY Issued to Robert Sbuttnne Address Lot 19 ,_ 23 Cedric toad Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. 100 / r Ju1Y 16, ..... 19 87 4r o Building Inspector• :k r TOWN OF BARNSTABLE BUILDING DEPARTMENT = rM 1 TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: �3 �v�/ �' ;•-� An Occupancy Permit has been issued for the building authorized by BuildingPermit #........1'Z.. --6-. ....."..........................................................................._......"............" issued to �.. �C�U/ / ..t�2._......./•a ',/�..........r ".� /-J� Please release the performance bond. mnm'h U I L �300 0 k ae n7� GG & 0 `G TOWN OF BARNSTABLE, MASSACHUSETTSPEKMIT JOB TEATHER CARD DATE 19 PERMIT NO. APPLICANT ADDRESS (NO.) (STREET) (CONTR'S LICENSE) _ NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE I BUILDING IS TO BE 'FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI( i t '-TO-TYPE - --- USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: i AREA OR PERMIT i VOLUME ESTIMATED COST $ FEE $ . (CUBIC/SQUARE FEET) - OWNER 0 AJ BUILDING DEPT. ADDRESS -� ���i'/C C�i BY rn _ THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY I ' PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE A ® PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN[ FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR {r ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUI-RED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. ) 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CAR® S® IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ILI 2 2 2/_ 7 — A 1 � ' 3 HEAT:NG :NSPECTiNG AP RO ALS REFRIGERATION INSPECTION APPROVAL` I I OTHER ii t'ge 7. i WCRK S,.A.LL NCT PROCEED UNT:L ':'NE PERMIT WILL QE(IdME NULL AND VOID IF CONSTRUCTION iNSPECTiONS iNDICATED ON THIS Ci- :NSPECTOR _AAS APPROVED HE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN ,BE ARRANGED FOR BY TELEPHC STAGES ��� CONS'RUC?ION. PERMIT IS I5SUED?AS NOTED ABOVE. OR WRITTEN NOTIFICATION. .,..-.—�'."r�t' 'G�"�'7. ,.�� +w � u+�r�- -r. ,�� � .c+;-h ✓,y,r.�.,�a-.*-�,..,,.M�,,..r_ .,f :r.._-;"':'. kftessorEs map and'lot number = �THe t S%C kSTALLED IN CO MAMA �; Sewage Permit 'number ................................ ...T'. ......... d TITLE 5 House" number ....... ..a?.3..:�i1.. :� �EkVIRONMENTAL CODE MMM-* Z BAHH9T11DLE, WITH TITLE i 9 039 t a TOWN OF BARNSTABLE J BUILDING INSPECTOR APPLICATION FOR PERMIT TO sl� 1..... /.. G �%.. ` .��'.... 01«�—.......... TYPE OF CONSTRUCTION ....�!K �? '. ..:.... 1?`+ ............................................................................. . � . 9..... . � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location��!L �.�...... -A)a d. .. ,. ..:.'..... , .. � ?v .......................................................... ProposedUse ... .... .. ......"......................................... ..................................................................... Zoning District /.......Fire District ..................................... Name of Ownerkr p"'7".'Z.;� 4),IV .: Address�� J n �./..� ........... ............ .... ........ .... Name of Builder Jhnc....4 i .�1�7�........................AddressPA... . � �'/5- ��'1..��'✓'�1"..�.� Nameof Architect ... �....................................................Address ............................................. Number, of Rooms ......................................Foundation ........................................ !t/'��.....��' 4-fit ....Roofing ....j �.. Exterior ............................................... Floors9nw(BtJv:.......................................................Interior ✓ `` ? .................................................... 4 Heaf ng .....�w _..._..`':::! g�.:.:.... 1. ? e T�'� ......................................... . ........... ...... otj Plumbing r Fireplace Xr ' ......................................................Approximate Cosh ................................ ...... Definitive Plan•Approved by. Planning Board _ y� -�� - -9 . Area ...... .........�. .... Diagram of Lot and Building with Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH --------------- /V T 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 .. dr'!YL`::.............: ... Construction Supervisor's License *3 �....� +SBUTTONE, ROBERT t 5' r No ` 28802 Permit for Two Story X Single Family 'Dwelling ' r Lot 19 23 Cedric Road Location .. ............ .'............................................ Centerville -.. _ Owner .Robert Sbut•tone............................... Frame '••r -' T e''of. Construction ............................................................ y,;P of ............................ Lot .....................:.......... 5 December 27., 85` ;., Permit`Granted .........................................1,9 3 Date of Inspection 19 Date Completed /Q.:-.z/z . ........!..�sa 19 ;•j it ,;5 � � Y i , .,, ♦ � '/ d I� -tom • - 4f +� Ni 17 � M "I CERTIFY THA T- THE FOUNOA TION SHOWN ON THIS PLAN IS AS I r ACTUALL Y EXISTS .AND rHA r PLOT PLAN ®lam LAND I T CONFORMS TO THE rOWN. OF BARNS rABL E ZONING REGUL A rIONS L OCA TED IN DARNSa TADL E - AM SS. PREPARED FOR DA TE.' 1acc"C ::1. 1985 i R. DATE.• Al. t985 SCALE.' t .FT. FLOOD ZONE CAPE 6" ISLANDS SUR VE KING : __ .:. " TEA TICKET - MASS. JOHN CONATHAN II ATTORNEY-AT-LAW S69 MAIN STREET OSTERVILLE,MASSACHUSETTS 02655-2095 TELERHONE 16171 426-3513 December 5 , 1985 Joseph Daluz, Building Commissioner Town of Barnstable Barnstable Town- Hall' - South Street Hyannis, MA 02601 Re: 23 Cedric Road, Centerville Barnstable Assessor' s No. 172-139 (.Lot 19) Dear Mr. Daluz : The owners of the property known as 23 Cedric Road, Centerville, have indicated that before issuing a building permit authorizing construction of a single-family dwelling upon the premises , you have requested certification that the premises is not held "in 1 common ownership" with any abutting parcels. I am familiar with the title to the premises and to the title of abutting premises , and . I do hereby certify that Lot 19 was conveyed to Pamela L. Antul by deed dated October 25, 1978 , and recorded October 31, 1978 , in Book 2810 at Page 201, Barnstable Registry of Deeds, and since that time has not been held "in common ownership" with any abutting land. _ w Very . truly y xS., _ J hn Conathan, II JCII/lmb 1001 cc: Mr. and.,Mrs. Robert- M. Sbuttoni 23 Carolina Street Medford, PIA 02155 y �;,.:� r {. *, r,. iY ./,� ,' �i �. i K X- t r a .�° �- � �.�Y, ,o_,tt, 'e «.��, /. r•Iya.. r•�a.�tii . , • .. -. " /2� ....... �3.� , Assessor's map and lot number ..................... .. ,. yoF THE toy Sewage Permit number ...... ....................9�i( e�Q ♦°► f Z BAHBSTaBLE, i -House number .........A...).�..kl........................................ , rnea .. OO�Et MAY•a\e0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. ! !�c.. 'l! ..:`:..% �`'�`���'� / � ........... �. ................r.... TYPE OF CONSTRUCTION ....I .......T...!�� --:.............................................................................. r ................... ...z't',,A=19. 3'_ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location,,47.... ..o...... .......;16:t���. ........�.n..-. 1C?.7 /t-,?//�Yf ......................................................... ProposedUse ...• J,/�(?,1r .... T �)* 1-s-'/.....................................................................................................`.. ...K.. .... ZoningDistrict... .,/;AJr?.-AW eA—. .........................................Fire District ...j..`.,.,..................................................................... Name of OwnerAAqA: .1T U,T..T19W .........................Address Z3.......,. s[)e Name of Builder t .�.�"t.. .�A.I. ./rF-��.......................Address PX..... .. .11� �`�1 ,� Nameof Architect ...!! ./ - ...................................................Address .................................................................................... �'� Number of Rooms ..........�j C 1 Gt-. . .�.....................................................Foundation ........ ...0 7.�. .......................................... Exterior .............Roofing ....,......... I f1 1��.G/•l>U ........................................................Interior7 .................................................... Floors ..........r...... y .. Heating .�'' • ... ..... 14...............................................Plumbing .....�:......��.R-LT� ..�...........................4...... ...... Fireplace 4!' .........................................Approximate. Cost ... � ,. .. J PJ' �.............................. Definitive Plan Approved,by Planning Board ____aI9-:;�. Area ..... ... Diagram of Lot and Building with Dimensions Fee S SUBJECT TO APPROVAL OF BOARD OF HEALTH iF ,VT �v �vr I r . -' � t , 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 ...... 0 Construction Supervisor's License ..... .......................... SBUTTONE, ROBERT A=172-139, 28802 . Two Story No ................. Permit for ................................... A St ory Single Family Dwelling ......................................................................... ..... 'Location Lot 19, 23 Cedric VRoa .............................................. .. ... ......... Centerville ............................................................. .. ............. Owner .......Ro..b..e.....r t...S.bu.t.t o.ne .... .......................... Type of Construction ............a.............................. .......................... ............................................. ................................. Plot ............................ Lot. ................................ Permit Granted December. . . . ...27,. ..........19 8.5 Date of Inspection ....................................19 Date Completed ........................... ..........19 U Pt 0 M 1c, I-7D/