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Town of Barnstable
M Y
Regulatory Services
Y Y
Y BARNSTABLE,
Y MASS. X Thomas F. Geiler,Director
�p i639• ♦�
rEDNa+' Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
March 4, 2009
Edward McDonald
18 Paula Ln.
Foxboro, Ma. 02035
RE: 98 Cedric Rd., Centerville Map: 172 Parcel: 134
Dear Mr. McDonald:
In accordance with 780 CMR 5118.6 you are hereby notified that a stop work order has
been issued on the above property for violation of 780 CMR 5110.1 which states in part
"It shall be unlawful to construct, reconstruct, alter, repair, remove...without first
filing a written application with the building official and obtaining the required
building permit and all other required permits therefore." As the owner of the above
property, you are responsible to ensure compliance with all local and state codes. Please
call (508) 862-4034 with any questions. Failure to comply may result in further action
taken by this office. Thank you for your anticipated cooperation in this matter.
By Order,
re L. Lauzon
Local Inspector
Qzoning5
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
l
Map Parcel I 0A �/n Application # 1
Health Division L Dat ued 1
Conservation Division `��Q'� Ap ' ation ee
BU1Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board AUG 10 2017
Historic - OKH _ Preservation / Hyannis T � '.�4 NSTA13LE
Project Street Address
Village LAMP,1ril
1 It f. Pff-D
Cw ner U Y vl$19I Address F 6t°
Te' lephone b� �' P
Permit Request
ba& TA�t
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
cProject Valuatio 15w 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
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stover ❑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
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
,Nameet�t�(1 41 � ���:I Telephone Number
�Adlclress1^iv��'1� �.� License #
t 1
_ a
v L r �V �� � Home Improvement Contractor#
�"Email
P*%AOR M 0 Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
S TGNATURET DATE ��/
r
• r ,
FOR OFFICIAL USE ONLY
APPLICATION #
`DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
i
DATE CLOSED OUT
ASSOCIATION PLAN NO.
' hm Cornrao7nreahh af?F&ss rdrmsetts. +
Department of rudrrsstrid Acddents
-9f IM--tigatEons
. 600 Washurgtoa,street
Barstwn,M4 02M ,
' tt�vt�uus�gtr��din
cwkDrs�C:impensmUaalumwanceAffidavit BmtdexsICanfractarsMect icianslPhmabers
Nam;
/rAre
� J you an employer?Creektheappropriateb= ' T of project r
L❑ I am a to Atli 4 ❑I am a general cmtractor sac€I F e 1 t et6on
P * lie hicedfhe sulnconhactors 6. ❑ATetd consfrncEiotr
employees(fzzll arrdfor par#-dime}-
2.❑ I am a sole;pzvpFietaff orpar�er- Tilted vuthe attached sheet. 7. ❑RemodeE ng
Sege sab-co�ractom haze
sltFp and=have;as employees 8.:❑Demalifioa
wo>iung f orimiaanycapacay. employees and hare WO&t em' g. ❑Building additioa.
O 54 0d=6' Mmp-i=312=5 comp-insur8IItY.`$ I }1+Pt`1T7f a1 OS 2 d( 4aS
tecluiMd] $- ❑ We are a cospatafiflnand its ❑ rep
aim
exercised their
3� I am a hameovmer doing a1Y v�arlc 1 L❑Phmibsagrepairs or additions•
�£of esempfioa per MGM
myself No vokk=,� oomp- c.�Zrr,�}, aadwehaveno 11�Roof repairs .
insurance requi ed]i , I`2D' 1311 other
employees-[NO woriceis'
coap-insurance required_]
•bayapp t�scchedabox#1mawal4asno tfessettiaateTaevshama�aieitu+axiced®p nupaTcpi�zms`aaa
�&ameomaers vrbo salt r'fds Ada«i�cating thv_y am daiog elf vra�t aa�tfieahae autade coutaictoFsamst sahmit a news�ds�t iadicariae snrTi
rCantactmfutchecicId box mustattkh saaddifiaaalstreetsLowing&en2meofthesnb-comwxtamxadsEefevrhethecarnatibmeeatitiesbrm
empluyees-ifthesvh-cantact sh=ceempigrz tfieyamstpm adetheir w-ken'—p.pahUnumbm
I am art einp&rr tbat fr pm dbW warkers cougPeqrsrdzmi hwiraiwe f'or my am proyem Mow is A6FVficy'arrd josh site
irz�orrrrQlivn, ,
Insurance Company Nam:
Poficy A4 or Self-in I is-4 FirmfiouDate: '
Job Sibe-Address: Chy/Stai dz2 p:
Attach a colry of the workers°compensationpoRcy"declaration page(shawkg the poTicy number and expiration date).
Fat nre to secure coverage as nequiredunder Section_25A of MQ.c�M can lead to the imposition of criminal penalties of a
fme up to,$L50a.0a andfar one-year imp6;onmenk as well as civil penalties in the farm of a STOP WORK ORDEIRand a free
of up to 0-00 a dap against the violator-.Be adtdsed that a copy of this statement.snag be forwarded fn the Office of
Iuvesfagations of t he DIA for ins,ffance coverage Le�
11fa her f�c tciser a prurts andperuMua!fpztjurythattha in formadva prmfr£€d abme it bar$and carrect
f.
,Siffiaf.Bre= I}ate:
t)fjzdd use arrI}: Da not elate in tIds area to be cmnpfeted by city ar-tmw gfficiat
Ct,y or Town: PernatUceuse 4
Issuing Anfhor ty[cacIe once):
L Board of Hzdth I BuTdingDepartmeat 3.Cityfrown Clerk 4.Electrical Inspector S.Plumbing>mspecter
tit.Other
Contact Ferson: Mow#:
ormation aura lastruefious
Gd=d I21M�a�152 S.all=3PIoyeas in gravfde Worms'comp�safion fcs their employees.
Pms¢a�tn this sty,an earpl6y'W is deed as"—e�yp�sonm�ie sravice of aaotbes ffider aa5'c°��°fI
eXprr- s or i3plie(t oral or wry"
amciafion,axpm don or other legal may,or sm D1 mom
An et�Ioyer is destined as"an indnridIIsl,partner, I es,or$3.e
of the.faregomg in a3oint= mPd=,and iaclndiog the legal represe�vw of a d=msed emp oy
receivP�r or s of an andividnal,padneaship,amociaf or o. ierIegal ,=pl°yng MV1oy - Howevea the
owner Of EL dweIlmg house having not mods than three apartments and who resides tberei a,or the occv.P3nt ofihe-
dwr,Hing house of anon who esx plM pem=to do mamf za ce,cansL cti on Cr repair wow on such dwi0ing house
or on the gmtmds orbm7dmg apptaf mma ±tT3.m7eb shall not bmanse of such e=ploymemtbe dcemedto be m employer:"
MGL chapter 152,§25C(6)also stairs that¢everysfa F or localficensing agencyshallwithhold$ie;= ce ar
renewal of a)Icease or permit to operate a business or to cons mct buRdh gs is the co—onwealth for any
appficaut vFho has notproduced acceptable evidence;of compTiaacewifTi the k=znm<covezagereqused."
Adcfi ionaIIy,MCrL c:h ptsr I52,§25C(7)states aldeiffim the c=n=wealtli nor a'uy ofifs political subcfvi-rims shaIl
enter into any conixact furthe gerfo�ance ofpublio workm nil acceptable evidence of aomplfmcewith the nmmance._
reTmremmfs of this c]l2pteshave been p==tedio th.e cacti Mfhoiiiy.7
PIe✓ase 51 oist the workers'c°mpmsaiion affidavit complet4L by cht rr,- g oxes the b Ihat apply to porn-d aaiion and,if
es and a nomber(s)along withtheir cerfcste(s)of
n.=ZssaiY,�PtY atta m{s)name(s). address( ) L b� P ps )wiihno�Ioyees other than the
insurance. Limited Liability Companies(LLC)or Limited ilzty _
e
�or�s'
ensafion msmmce_ If an LLC or LLP does hav
not fn comp
members or parfne�are rid �'
r-mployeas,a policy isreqafted. Beadvisedthat this affidavit maybe sn dtotheDepaLImentoflndvs•Snal
Accidents for confirmation of fi=mce coverages Also be sane to sign and date the afudavit The affidavit should
bereiome$to the city of town that the application for the pew or license is being request,
notthe Department:of
E,d]ret dA A-Cdd=tL naddyou have any questions rega-lmg die Iaw or ifyon are req =,--d to obtain a workers'
ins�n�d antes shhould cruet their
�atfhem 3b=lfs�dbelovP S enmp
coIDpensationpofieT,please caIl tllc)�z�. •
s elf-i= ca li=me,number on the Vie•
City or Towix Offitcdals _
f
Please be sore that tho affidavit is complete and.priEEed legibly.'-Me Departmenthas provided a space at the boi±=
out in t
of the affidavit for you to fill event the Office ofluve rdg =has to co�act you-regarding the applicant.
Please b e stn e to Dill in the pe t/Iicense mnobes w�vM be used as a reEPm ce=mber. In.addition,sn applicant .
that must sabmit mutdple peatfficcense appHt s ions m any given year,need only s°bmit one affidavit iz l;cent
a olicy filf bmj&tion[if necessary)and tinder"Tob She Addrese tie applicant should write"aR locations n or
town)"A copy of the.affidavitthst has bey officially stamped or marked.by iiie city or gown maybe provided tb thO
applicant as proofthat a valid affidavit is on file:for fat=e'pemits or lir�nses Anew off davit Est be fiIled out e arrc
Tanturc
year.Whers a home owner or citizen is obtaai dog a license or permit not related in nay business or commercial
CI-O.a.dog license:or pemit to bum Imm eta.)said peasm is NOT regnaed to complete ffifs affidavit
The Office of uVe:gdoafrons would hke to thank you im advanm for your cooperation and sbouIdyon have any quesions,
please do not hesiiuizto givem a C�I
'Ihe D epartme fs address,telephone and fax number: .
Cow '�Wesm of It rrl '
Degadment of liftstdal Awidm '
floe of� �fio�
Boston.,MA RI II
Fax#617-727 7749
Rau se d 4-2a--o7 gog1dia.
' Town of Barnstable
Regulatory Services
pFt > Richard V.Scali,Director ,
Building Division
t Paul Roma,Building Commissioner
HAM
e �e� 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
i
HOMEOWNER LICENSE EXEMPTION
J f Please Print
DATE: if , /
' JOB LOCATION: �
number ll
"HOMOWNER": ge(y1?Om 3 V '7y��
name !) ry� home
ffphone
!# y) work phone#
CURRENT MAILING ADDRESS: d^C�/!G/Deviv �� �tiV v(�1 Tm • /►x-T
city/town state zip 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.,
r
Th`e undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
p ure r quirements andthat he/she will comply with said procedures and requirements.
�gnature 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
S., on 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
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
this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q:\WPFELES\FORMS\building permit forms\EXPRESS.doc
06/20/16
Town of Barnstable
Regulatory Services
` AWX
ILAM ` Richard V.Scab,Director
►�� Building Division.
Panl Roma,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.maus
Office: 509-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder - -
I_ ,as Owner of the subject property
hereby authorize to act on my beh4
in all matters relative to work authorized by this building permit application for:
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q.F0RMS:0WNMPERML4SI0NPWLS
lie 62 OV
AD, f
m aw\ ck)
Wn
kyr room
fi 0 OWN
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Cedric98 • „
S'!Y)P W ORK
I Ill.ti�11i 1.i1 I l!It 1-,\\tl;lllt 1'K1�.111�1�,ti Ll�\ti 15F.5r
tt5 l 114:fS1-.11.1)INt;C-.l)UF nNllil)R[.11\\Nc;
a{
11('ClIP1EU UTI'fli.'PHF.AA(1V A
ARE CORRECTF,
\NY PERSON REMOV►NGTHISNOTICEVYTi'FI6
PROPER AI THORIZATION SHALLB
TO A TINF.OF NOT LESS THAN Fi
MORE TIUNN ONE.HUNDRED DCM
\(ldress
Date .)_ 23 Z6
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1
1
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vt
Progressive
Energy
services
Makfn#BuTJdln#s Comfortatile and Efficient
Duct Leakage Test Report
Customer Information: Whitney Brothers Oil Company
Barry Whitney
969 Main St
Clinton, MA 01510
Building Information: 98 Cedric Rd
Centerville,MA 02632
Technician: Tom Regh
BPI ID#: 5005011
Test Date/Time: 5 December 2018,10:00 AM
Indoor Temp: 60F
Outdoor Temp: 30F
Living Area (SFLA): 3,108 sq ft
Furnace: Trane model TUH1B040A9241C
Direct Vented,40,000 BTU/hr
Individual returns
Test Type:, Total Duct Leakage
25 Pa Pressurization -
Post-Installation
Baseline Pressure: 0.3 Pa
Flow Ring: 2
Total Leakage: 114 CFM
3.7 CFM per 100 sq ft conditioned floor area
Test Result:
This system meets the requirements of the Ninth Edition of the MA Residential Code with less than 4
CFM total duct leakage per 100 sq ft of conditioned floor area.
< 44 Redstone Place,Sterling, Massachusetts 01564 (978)422-0545
www.ProgressiveEnergyServices.com
,. Town of Barnstable Building
i - Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept
�wxv�r Posted Until Final Inspection Has Been Made.
s6gq.��� Permit
r ,
►aaf Where a Certificate of Occupancy is Required,such Building shall Not^be Occupied until a Final Inspection has been made
Permit NO. B-18-3973 Applicant Name: Charles Valley Approvals
Date Issued: 01/03/2019 Current Use: Structure
Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 07/03/2019 Foundation:
System Map/Lot: 172-134 Zoning District: RC Sheathing:
Location: 98 CEDRIC ROAD,CENTERVILLE L
i Contractor Name",,-, framing: 1
Owner on Record: VALLEY,CHARLES&WILLIAMSON, ROBERT Contractor License: 2
Address: 98 CEDRIC ROAD - Est Project Cost: $ 250.00
t Chimney:
CENTERVILLE, MA 02632 Permit Fee: $35.00
Description: Update Smoke/Fire Alarm Detection System Fee Paid ,` S 35:00 Insulation:
-' `
;Dates 1/3/2019 Final:
-
Project Review Req: UNFINISHED BASEMENT.
- � Plumbing/Gas
Rough Plumbing:
.Building Official
Final Plumbing:
y
i 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 which,this permit has been granted. Final Gas:
All construction,alterations and changes of use of any building and structures shall 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 public inspection for the entire duration of the Electrical
work until the completion of the same. j Sr
- . Service:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided op'thispermit.
Minimum of Five Call Inspections Required for All Construction Work: Rough:
1.Foundation or Footing
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining g is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
Low Voltage Final:
6.Insulation
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.
Fire Department
"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 OJUL..)c
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 51VAM , SOOT'
4
S Pp-Aq
5,.J3 c.An��
J ,
Town of Barnstable BUlldl
r PosttThis Card So That it is Visib9
le Fromahe Street ;Approved Plans Must be Retained on Job and this Card Must be'.Kept
M" Posted Until Final Ins ection Has'�Been Made` ws
Permit
163P' �� x p 4 X 4'i 2 4 K d sc9 t Nt.1 i a w 4k
ire"a,Certificate of Occupancy is'Regwred,r r Building shall Not be Occupied until a Final Inspection has been made i
Permit No. B-17-3496 Applicant Name: Charles Valley
Approvals
Date Issued: 12/05/2017 Current Use: Structure
Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/05/2018 Foundation:
Location: 98 CEDRIC ROAD,CENTERVILLE Map/Lot: 172-134 Zoning District: RC Sheathing:
Owner on Record: ROBERT WILLIAMSON and CHARLES VALLEY Contractor Namec: .N. Framing: J5 .2)
Address: 147 HOUGHTON RD Contractor License 2
PRINCETON, MA 0141 4 Est.,Project Cost: $87,500.00 Chimney:
Permit Fee: 496.25
Description: Rehab 3 bed room ranch. $
Insulation:
Fee Paid $496.25
Project Review Req:
Date 12/5/2017 Final: Ia ?a
Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application nand the'approved construction documents for,which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in with the local zoning by-laws`and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. n -
F Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work: t r
1.Foundation or Footing Rough:
2.Sheathing Inspection
ection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors 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
Town of Barnstable REc3Ei��
" 200 Main Street, Hyannis MA 02601 508-862-4038
µpi p,�
Application for Building Permit
Application No: TB-17-3496 Date Recieved: 10/10/2017
Job Location: 98 CEDRIC ROAD,CENTERVILLE.
Permit For: Building-Addition/Alteration-Residential
Contractor's Name: State Lic. No:
Address: Applicant Phone: (978)464-7726
(Home)Owner's Name: ROBERT WILLIAMSON and CHARLES Phone: (978)464-2409
VALLEY
(Home)Owner's Address: 147 HOUGHTON RD, PRINCETON,MA 0141
Work Description: Rehab 3 bed room ranch.
Total Value Of Work To Be Performed: $87,500.00
Structure Size: 0.00 0.00 3520.00
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).
1 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,ordinancelor 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: Charles Valley 10/10/2017 (978)464-7726
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $87,500.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $496.25 10/10/2017 $446.25 XXXX-XXXX-XXXX-I Credit Card
�..,.r_. 8965 ..
Total Permit Fee Paid: $496.25 _ 10n0i2017 $50.00 xxxx-xxxx-xxxx Credit Card
�.._ 8965 __..,
Barnstable Builds
LW
Town of Barnst �ng
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Permit NO. 9-18 441 Applicant Name: Jason M Hatstat Approvals
Date Issued: 03/02/2018 Current Use: Structure
Permit Type: Building-Sheet Metal-Residential Expiration Date: .09/02/2018 Foundation:
Location: 98 CEDRIC ROAD,CENTERVILLE Map/Lot 172434 �•ti ., Zoning District: RC Sheathing:.,
t ' ' �
Owner on Record: VALLEY,CHARLES&WILLIAMSON, ROBERT Contractor Name ,Jason M Hatstat Framing:
Address: 98 CEDRICROAD r " Contractor License ° 11117 2 ,
CENTERVILLE,MA 02632 �"'* Est Project Cost: $3;500.00 Chimney:
_ Description: ducted warm air heating system Permit Fee: $85.00-
Insulation:
Project Review Re a' 1. Fee Paid:' $85.00
/
Date 3/2/2018. J
Final•
1 v`
Plumbing/Gas
Rough Plumbing:
Building Official
Final Plurribing:
This'permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after'issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents form hich this permit has been granted.
All construction,alterations and changes of use of any building and structures'Hall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. § k� )
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures 6yAthe Building and Fire Officals are provided on this permit. Service:
Minimum of Five Calllnspections Required for All Construction Work:
Rough:
1.Foundation or Footing
•2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final;
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
S.Prior to Covering Structural Members(Frame Inspection) -
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
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" (asset 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
Commonwealth of Massachusetts
Sheet Metal.Permit
Map Parcel
Date: I //sr " PRESS ffilPermit# - I �" y
Estimated Job Cost: $ 3 S " Y'tB 13 2010 Permit Fee: $ ?S_
Plans Submitted: YFs TAWN-OF BARNSTAK&ns Reviewed: YES NO
Business License Applicant License#
Business Information: Property Owner/Job Location Information:
Name: All �rvs Name: CAS 6 J Va t y
Street: q1A ju&AVA Street. lop e .e c(A, e_ Xd.
City/Town: LUR City/Town: eQ"' 4AV I
Telephone: I A "1 Telephone:
Photo I.D.required/`Copy of Photo I.D. attached: YES ✓ NO.
Staff Ioi6ai
J-1/ -restricted license I
J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sg.ft./2-stories or less
Residential:'1-2 family ✓ Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Fire Dept.Approval Institutional Other o
_ -n
Square Footage: under 10,000.sq.,ft. over 10,000 sq.'ft. Number of St ries.
Sheet metal work to be completed: New Work: Renovation: r �
w a
• ov }
HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System rn
Metal Chimney/Vents Air Balancing
I
Provide detailed description of work to be done:
I
i
f
t ' t • i
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i :INSURANCE:00VERAGE:
?` 1 have a current liatii„lily insurance policy grits equivalent which meets the requirements of M.G.L.Ch.112 Yes O'No ❑
If you have checked ygL indicate the type of coverage by checking the:appropriate box below:
l
A liability insurance policy 211" Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the lI
Massachusetts General Laws,and that my signature on this permit application waiXo thisrequiremeint. ?
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owners Agent
i
By checking this box ,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and,
accurate to the best of my knowledge and that all sheet metal work and installations performed underthe permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter112 of the General Laws. /
Duct inspection required prior to insulation installation;YES NO ✓ `
i
,Pgog ress Inspections
Date Comments
I
i
Final Trig lion
Date Comments
I
1
I.
Type of:License
3y aster`
Title
[]Master-Restricted,
'ityrrown- ❑Joumeyperson
Signature of Licensee
?ermit
❑Joumeyperson-Restricted License Number:a
111 17
=ee:$
Q
Check at www:mss.a��avldni
nspector Signature of Permit Approval r
The Commonwealth of Massachusetts
Department of Indushzal A2 Wents
Office of Investigations
600 Washington Street
Bostoi MA 02111
www.rnass gov/diva
Workers' Compensation h surance Affidavit:llnilders/Contractors/Electricians/Pluzabers
Applicant Information / Please Print Legibly
Name(Business organizetionandividual)•. 1,4' e- rc o S , �`t� �.n-•:
•Address: 71 ` t - -
City/State/Zip: c MA U t S j0Phone`:#:
Are you an employer?Check the appropriate bog: Type of pioject(required)::
1.2q am a employer with -7 4• ❑ I am a general contractor and I
. employees(fill and/or part-time).'. have hired die sub-contractors6 []New construction .
2.ElI am a'sole proprietor or partner- listed on the-attached sheet.' 7. [remodeling
ship and have no employees These sub-contractors have 8. ❑.Demolition
workingfor me is an ac employees and have workers'
YP capacity. 9. Building addition
[No workers'comp.insurance comp.`insu rance.t
required.] 5. We are a corporation and its 10.E Electrical repairs or additions
'3.❑ I am a homeowner doing all work officers have.exercised their I1.❑Phimbing repairs or additions '
myself [No workers'comp. right of exemption per MGL 12:❑Roof repairs
insurance retired.]t c. 152,§I(4),and we have no
employees.[No workers' 13.❑Other
COMP.insurance required]
'Any 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 ate doing all work and then hire outside contractors must submit a new affidavit indicating such.
tCont actors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. If the sub-contawtors.h6eemployees,they mustptvvidt their workers'comp.:policynamber.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: n"' /. X 7L
. Policy#or Self-ins.Lic.#: �'� Z � Expiration Date.
�y
Job Site Address: e e Q—!� City/Statdzip: C.e "'4v,
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 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 penaltres in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cerdfgjw41er the pains•and penalties of perjury that the informadon.piovided above is true and correct.
Si afore: Date: 1— . 7
Phone
Official use only. Do not In this area,io be completed by city or-
town official
City or,Townr Permit/License#
Issuing Authority(circle one):
J.Bbard of Health 2.Building De artment 3.City/Town/Town Clerk 4.Electrical. dung. p ty Inspector 5 Plumbing Inspector
6.Other.
f
Contact Person: Phone.#:
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SHEET METALWORKERS r
` ISSUE$THE FOLLOWING-L C�ENSE {
9 IVIA$TER-UNRESTRICTED i
i MASON M HATSTA7 y
37 VUEBSTR ST ,
CLINTON,ll(IA b1510 3217 t v,
11117 09/28/20,.78 159538 .'
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NONE 4d�7UMSER
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fifir 'CLASS rtl REST ';75 SIX NI -.10 Nr $
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NTOry MA 510 3
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Feb 1318,02:13p Whitnry Bros.Oil 978-368-9016 p.2
.a►coRNo® CERTIFICATE OF LI [ATE(MWDM-YM
ABILITY INSURANCE 2/12/2018
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 policyges) 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 endorsemerlt(s�
PRODUCER CONTACT
Insurance Marketing Agencies,Inc. NAME: Barbara Gould
PHONE
306 Main Street A/C o •508 471-1121 FAX
No:508 471-1821
Worcester MA 01608 ooess: bd0atpagency.com
INSURE S AFFORDING COVERAGE NANC9
INSURER A:A_I.M.Mutual Insurance Company33758
INSURED WHITN
Whitney Brothers Oil Corp. INSURERB:
969 Main Street INSURE tC:
Ciinton MA D1510 INSURER D:
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 1347799174 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.
ILNSrnR TYPE OF INSURANCE ADS POLICY NUMBER MIDD EFF YYYV MOMILDicyEllPY LINKS
COMMERCIAL GFJdERALLJA�LITY EACH OCCURRENCE $
CLAIMS-MADE - OCCUR DAFA—AGr=TO RENTED
PREMISES.(Eaocicur—_)... $
MED EXP(Any one person) S —_.....
PERSONAL S ADV INJURY $
GEVI-AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
LICY PO PRO-
JECT LOC
PRODUCTS-COMP/OPAGG_I-It
S
OTHER:
AUTOMOBILE LABILITY i COM3IN=D SINGLE LIMIT $
a accident
AIJYAIlTO 30DILY INJURY(Perperson) $
ALL OWNED SCHEDULED
AUTOS ._ AUTOS I BODILY INJLRY(Per accident) $
HIREDAU-DS NO PROPERT7DA L
AUTOs $
fperaccident)
i $
UMBRELLA LIAB OCCUR EACH O=UrRRENC= $
EXCESS LIAR CLAIMS4UADE I AGGREGATE $
Dm RETENTION$ $
q WORKERS COMPENSATION wMZI10080p67312017A 11/2120t7 'L7J20t8 XnTurE EA
AND EMPLOYERS'LIABILITY Y N .
ANY PROMETORIPARTNER/EXZCUTT/E
OFFICERrMEMBEREXCLUCED? NIA I .E.L.EACH ACCICENT $500,000
(Mandatory in NH)
I'• s,desalbe u^de- 40YE $500.000
DESCRIPTION OF OPERATIONS below IE.L.DISEASE-PO $500,OD0
FEB 12 2018
DESCRIPTION OF OPERATIONS[LOCATIONS[VEHICLES(ACORD 101,Additfonal Remarks Schedule.maybe attached Fmore space is ured)I �B� 'VST,gBLE
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of Bolton ACCORDANCE WITH THE POLICY PROVISIONS.
663 Main St.
Bolton MA 01740 AUTHORIZED RE�PREsEWAmE
n
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
r
1318,02:12p Whitnry Bros.Oil 978-368-9016 p.1
�TME Town of Barnstable
0 • Regulatory Services
• saa�+ernarat,
MASS Thomas F.Gei7er,Director
EDP'' 13uilding Division
Tom Perry,Building Commissioner
700 Main Street;AYE,MA 0260]
www.to,w%-barnstable.maus
Office: 508-862-4038
Fax: 509-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject ptopettp
hereby authorize W f/t r,V& y g t a 10— n,"tA► k r,.r„� to act on my behal f
in all matters relative to work authorized by this buikling p=ait
C�'W17-1 �
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled before fence is installed and pools are not to be
utilized until all final inspections are performed and accepted.
Signature of Owner Signature of Applicant
�'•'�`� �.►�``� a w",�-.ter BUILDING DEPT
Print Name Print Nance
FEB 12 2018
Date TOWN OF BARNSTABLE
Q:F OF-VS:0 W NERPER)vZ S F0NMLS
Town of Barnstable RECEIPT
: a
KAM
200 Main Street, Hyannis MA 02601 508-862:4038
%639
a
Application for Building Permit
Application No: B-17-3585 Date Recieved: 10/16/2017 � p} _
Job Location: 98 CEDRIC ROAD,CENTERVILLE
Permit For: Building-Siding/Windows/Roof/Doors
Contractor's Name: State Lic. No:
Address: Applicant Phone: (978)464-7726 ,
(Home)Owner's Name: Robert Williamson.and Charles Valley Phone: (978)464-2409
(Home)Owner's Address: 147 Houghton Rd, Princeton, MA 0141
Work Description: Replace all doors and windows. Strip and re-side: Cedar Shingles on front facing walls,Vinyl on and
rear facing walls
Total Value Of Work To Be Performed: $8,500.00
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: Charles Valley 10/16/2017 (978)464-7726
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
.Total Project Cost : $8,500.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $43.35 10/16/2017 $43.35 Paypal Paypal
. . i ..... _,... ...... ............... ......... .
Total Permit Fee Paid: $43.35
�� �� THISISN TPEIT �z �v� Q ,
�pIME roy, Town of Barnstable Permit#
Expires 6 mom hs from issue date
w snxxsznaM
Regulatory Services Fees-MASS
9cb , ; � Thomas F.Geiler,Director
ATfD1A°`p Building Division
Peter F.DiMatteo, Building Commissioner XOPRESS PERMIT
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 APR 2 2002
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL OWE OF BARNSTABL
Not Valid without Red X-Press Imprint
Map/parcel Number % `9
Property Address4
sidential Value of W /O
Owner's Name&Address /_ 1L1J0,t_rj C n-1�d1
[A
qk- C --nn
pGYri Cin. aJ Ce nt�c 6L11A" l l 4
Contractor's Name Telephone Number&&
11t
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
ave Worker's Compensation Insurance I
Insurance Company Name /CC�G q daa
Workman's Comp.Policy# e �G C� 6 /ram!
Permit Request(check box)
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
C
eplacement Windows. U-Value (maximum.44)
❑ Other(specify)
*where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,.etc.
Signature
Q:Forms:expmtrg
Revised121901
r
a
FTHE Tp Town of Barnstable *Permit'#
O,^ Expires 6 mon s from issue date
BARNSTABLE, : Regulatory Services Fee S- (J +i
v 1639.MASS. ,� Thomas F.Geiler,Director
Building Division �s '
Peter F.DiMatteo, Building Commissioner X-PRESS PERMIT
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 APR 2 2002
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL DWQN OF BARNSTABLE,.-
Not Valid without Red X-Press Imprint -
Map/parcel Number/ T
Property Address
stdentiai Value of W /O U
Owners Name&Address 2 W 12 j tr Y�dl
9 9: C-E dt I a 0, C
Contractor's Name Telephone Number&o
Home Improvement Contractor License#(if applicable) 0
Construction Supervisor's License#(if.applicable) CU.7 l QJ
❑Workman's Compensation Insurance _
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
ave Worker's Compensation Insurance
Insurance Company Name C141 f_47 h Gf 0,U
Workman's Comp.Policy#
Permit Request(check box) ,
❑ Re-roof(stripping old shingles) t'
❑Re-roof(not stripping. Going over existing layers of roof) '
❑ Re-side f
L
eplacement Windows. U-Value / (maximum.44)
❑ Other(specify)
r�
*where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,.etc. .. . r
r
Signature
Q:Forms:expmtrg
Revised121901
Model: OSTERVILLE
°`T"ET TOWN OF BAR NST BLE
BABHSTABLE, i
NAGL 9 BUILDING INSPECTOR�Fo waY a'
APPLICATION FOR PERMIT TO .......Bui d QQP... a,mi1.X..DwpUlu...................................................
TYPE OF CONSTRUCTION Wood Frame .
..........j4N. — 3...............19.1:
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby/ajppliies for permit according to the following information:
Location .. of-4.1 ......V..�r�l..F1 G,....ROA.d..........................��.tUI..FI.Le��f........................... ...................................
ProposedUse ..........Residential.....................................................................................................................................
Zoning District RD-1 ...........Fire District ...Centerville-Osterville
............................................................. .................................................................
Name of Owner ...............' Norma Realt COr Address
y p Ashley Drive Centerville
......... .........R......... ..... .......... ..... ..... ............................
Normest Homes Inc. same
Nameof Builder ........:.................................l........................Address ....................................................................................
Name of Architect ......,none ...........................Address
Number of Rooms 6 C
Foundation ...........Po..........ured......oncrete..............................,..................
Exterior• .................Sidl..... ..............................................Roofing ..............Asphalt...................................................
Floors' ...................Carpet...................................................Interior ..............Dr�n l....... .....................................
Heating Warm-Air ......Plumbing .........2...BathS
.... .......................................................... .................................................................
Fireplace .......... e S.. ....... .Approximate Cost Yt......x$�gg 000
........� ... .........................
. ................ .........
Definitive Plan Approved by Planning Board ________________________________19________.
Diagram of Lot and Building with Dimensions ��
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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co Z 0
5 zi
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406
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....: ..`"'........................
Norma Realty Corp. -
No .158 .... Permit for ,, one story
...........
single family dwelling 1�
...............................................................................
lb!)ation ..................Cedric....Road..........................................
.....................�enterville.................................
Owner ........Norma Realty Corp...................
.... !
i
Type of Construction ......................frame.................... i f
................................................................................ I
Plot ......................... .. Lot .............#13... a a
February 1 73
Permit Granted ........................................19 c, c.
w
yv\j-,7k
Date of Inspection .......... ..... .................19 1
Date Completed ...Z_ ..,... ..........19
1�
coin ` I
PERMIT REFUSED '
.......................................................,....................... 1 ��
...............................................................................
...............................................................................
Approved
...............................................................................
a
..................... .........................................................