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Home My WebLink About0045 DUNASKIN ROAD EAL Town of Barnstable RECEIPT 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-329 Date Recieved: 2/6/2017 Job Location: 45 DUNASKIN ROAD,CENTERVILLE Permit For: Building-Sheet Metal-Residential Contractor's Name: Fabio G Zocante State Lic. No: 8586 Address: 131 EXETER RD, WEST YARMOUTH, MA Applicant Phone: (508) 790-2887 026734918 (Home)Owner's Name: KNIGHT,TIMOTHY.M&ELLEN E Phone: (617)909-4693 (Home)Owner's Address: 34 ORIOLE ROAD, MEDFIELD,MA 02052 Work Description: NEW GALVANIZED DUCTWORK SYSTEM TO SUPPLY AIR CONDITIONING TO FIRST FLOOR LIVING AREA Total Value Of Work To Be Performed: $2,000.00 t -r' 1 e� Structure Size: 0.00 0.00 0 00- sa'a Width Depth Total Area w I hereby swear and attest that Twill 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 31-27.5 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: Fabio Zocante 2/6/2017 (508)790-2887 'Applicant, Date Telephone No. Estimated Construction.Costs/Permit Fees Total Project Cost : $2,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 2/6/201� $85.00 XXXX-XXXX-xXoo Credit Card Total Permit Fee Paid: $85.00 �� 2812 THT APE ;MI .. US-r Be umber .. ............................. S: Assessor's mao.and lot TALLED IN CO' THE WITH T ENVIRON BUILDING INSPECTOR - APPLICATION FOR PERMIT TO ...... TO �4 INSPECTOR OF"BOILDINGS:' The undersigned hereby applies for' a permit according to the following information: ProposedUse ....... ........ .eer-:z;<................................................................................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ' � � ^ . ^ ' � | ' . � � . � ' ^ ' � � ' ' � � ^ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS . . | hereby agree to 'conform to all the Rules and Regulations of the Town of Barnstable regarding the above � 'construction. � ' - � � Nome ..�� ---_—~^ � - � 4'�� Construction Supervisor's License �.�._�----. ` ~ ^ " ^ . ESBBAUG1I, bVILLIAtd R. & VIRGINIA D. , No ...28711... Permit.-for Add..2nd..floor..to. ........... .�...... ....... ........... .... sin le famil dwelling 5................................................................. � - :Y . 45 Dunaskin Avenue r Location , Centerville...................... Owner ..,&..V.J.7C•ga..nia.,D-..Es ugh ,. frame " Type of Construction> ' - ........................ ................. ........................... f Plot ..:......................... Lot ................................ I Permit Granted ......................71/.2.7.....:.:.1.9 85 j Date of Inspection.......................................,19 Date Completed J0.. ......, r..19 ..' .e yv�yy 1 Assessor's map and lot number ......... THE Sewage Permit number — - Z EAUSTABLE. i House number ..........`J. s .................................................... r 039 �0 M tr. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO � TYPE OF CONSTRUCTION ....//.........Z �� ' .......19 TO THE INSPECTOR OF BUILDINGS: The undersigned /hereby applies for a pper/mit according to the following information: Location ..?.��.�`- .......................�...../:;� ........ ......*�.c...:..................................................................... ProposedUse ....... ....... ........r � ..............................................................................:.......:.......... ZoningDistrict ........................................................................Fire District .... ........... ... ... ............ ............... Name of OwnerWbSCI : f.�!� !�r.�. ..pC. �f-C.ra :Address Name of Builder .. ...............................................Address .. 7Gvh �.........�1 ................. Nameof Architect ..................................................................Address .................................................................................... Nymber of Rooms ..................................................................Foundation ............ ..Exterior ..." -1( .......SXZ7�.11,4z.......................................Roofing ........................ . .................................... < " Floors ......................../f....�....................................................Interior ................ ......................................................... —P.- a -brt f &v ...Plumbin ...... /. - �. ...../. .G Heating ...... .y .... g ...... ., ..... ........ Fireplace ..................................................................................Approximate Cost .................. .,`tea, ............................... Definitive Plan Approved by Planning Board ________________________________19________. Area .�q!L.X. ... .c'.... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH .1 r Q U a\ 0 N Q /e sT 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. NameG�!►l??.. . .................................................. r i '7 Construction Supervisor's License ��5 y ESHBAUC41, WILLIAM H. & A=228-018 VIRGINIA D. No 28711 Permit for .. to single ZOK-2T1d..f�QQr... fmly. ��llxig.......... ...... ...... . ............Location .......45. Wnaski_n.Avenue... o . Centerville ................................................................ Ownerin17.a 1.i=.E....&... D....Esbbaugh ' Type of Construction ..frame Plot ............................ Lot ................................ Permit Granted ..........................11/27 .19 85.�.� Date of Inspection ....................................19 y Date Completed ..................... ................19 s c � J �r� Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee 5-It oc�p snxN� � Thomas F.Geiler,Director Building Division jvw- Tom Perry,CBO, Building Commissioner JUN 4 24�3 200 Main Street,Hyannis,MA 02601 www.town.barnstable:ma.us E Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL Not Valid without Red X-Press Imprint Map/parcel Number �a �) Property Address �ua7q f-+ v� �� / /�/y�� l2ie 4 Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor?s Name j "�a �Z,e2 Telephone Number _UR e,,�,> 3�Sa2 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 ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy Copy of I surance Compliance Certificate must accompany each permit. Permit R uest(check box) , Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&.Fire Permits required. "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik\AppDataU.ocal\Microsoft\Windows emporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 j� Massachusetts-Department of Public Safety . �✓ BQard of Building Regulations and Standards Construction Supervisor License: CS-069765 MATTHEW P GA 'N 11 OLD COLONY WA East Sandwich MA 02 , J.•G.� ,vy :�rrf�� Expiration i commissioner 02/28/2015 ��ie�pomurrio�racuetcLC�a��cra�aclicureGZ — -- _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 154921 Type: Office of Consumer Affairs and Business Regulation xpiration:;_:4/f3%2015, DBA 10 Park Plaza-Suite 5110 r, Boston,MA 02116 MATT GAGNON MATT GAGNON 11 OLD COUNTY WAY s E..SANDWICH,MA 02537` -==``" Undersecretary Not valid without sj ature �Y i t + sABNSTABIi, * . 9- Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.m a.0 s Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: GA '4C Ul (Address of Job) '�r •./vim 3, .2oi.;? Signaturle of Owner Date Prie t Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. f C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doe Revised 053012 The Contmonnealth of Alassachusetts �.R Department of Industrial_-Iccidents Office of Investigations - 600 ff-ashington Street Boston,4 02111 irormmass.gos/din AVorkers' Compensation Insurance Afftdaxit: Builders/Conti•acto>z-s:.'ElectticianslPlumbei•s Applicant Information _ Please Print Legibly Narnt:(Business:Ore,anization.Indicidual):_�T Address: At V City StateiZip: �i firiolc<>`C`7 l�,� a2K 7 Phone 4: Are you an employer?Check the appropriate box: Type of project(required): 4. I am a general contractor and I 1_ I am a emplo}er with - 6. ❑New construction employees(full ancVor part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. employees and have workers' [No workers.comp.insurance comp_insurance.- 9. ❑Building addition required.] 5. ❑ RVe are a corporation and its ME]Electrical repairs or additions 3-❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[N workers'coimp-o right of exemption per'XiGL 1_❑Roof repairs insurance required.]` c. 152,y 1(4).and we have no employees.[_Vo workers- 131D Other comp_insurance required.] *Any applicant that checks boa=1 must also N out the section below showing their workers"compensation policy information. Homeowners who submit this affidavit indicatme they are doins 3U work and then hire outside comr3ciors must submit a new affidavit indk3thns such. =Contmctor>thst check this box must attached an additional sheet showin?the same of the sub-corn3vors and stare whether or not those erinnes have employees. If the sub-contractors have employees.they must arotide their workers'comp.policy-number. I ant all en►pki-er that is providing n orhers'con►pensatiott insurance for noY en►plgyees. Belotr is file policy and job site i►►fOr►nation. Insurance Company Name: Polio•=or Self-ins.Lic. Expiration Date: Job Site Address: Cit}"Stateizip: 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 S1_500.00 and-or one-year imprisonment.as well as civil penalties in the form of a STOP R'ORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DU for insurance coverage verification. I do hereby cert f nder thepains and penalties of perjnrt•drat the information provided above is trio and correct. Si tore: �� Date: Phone r: Official ase onlr. Do not trrite in this aren,to be completed bt'city or town official Cin•or Iown: Permit/License# Issuing Authority(circle one): 1.Board of Health 1 Building Department 3.Cityrrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 02q2 Parcel O/g Permit# Health Division Date Issued e Conservation Division Feev� Tax Collector. 1-00 Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner Lv!zli, A(4 Gl i Address .5ca,' Telephone 2-2 /4�Pc Permit Request poi ec Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost C000.-"--Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family r Two Family ❑ Multi-Family(#units) Age of Existing Structure s Historic House: ❑Yes 1IQo On Old King's Highway: ❑Yes ❑ 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 Cl Electric ❑Other 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 O No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name�Lt w es taii s Telephone Number d Address /8,3 Di► License# 00&cd�2 Home Improvement Contractor# f/ L/(,v Zf q Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1,)L &,4 P SIGNATURE DATE /0��/ FOR OFFICIAL USE ONLY fL •PERMIT NO. T.- DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE r " OWNER DATE OF INSPECTION: i FOUNDATION r i . FRAME ! INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , FINAL BUILDING' DATE CLOSED OUT ASSOCIATION PLAN NO. , ` TheTown ot isarnstame 1 A Department of Health Safety and Environmental Services ��. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: P L1'9 11 dj w i-e g Estimated Cost G 000 � Address of Work: 4/S� Lt A ,&S k r w Owner's Name: Date of Application: IVAA4 9�1 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under S1,000 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 MOROVEMENT 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. Lozea Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents office of/arestlgomoos — 600 Washington Street Boston,Mass 02111 Workers' Com ensation Insurance Affidavit name location city phone# ZZZ Z#/Q ❑ a homeowner performing all work myself. I am a sole p.7 rietor and have no one working in anv capacity ❑ I am an employer providing workers' compensation for my employees working on this job. :: : ::::::::: ::: :: :::::::::::::::...... comnanv name> :. :.::::::::::: .. dress.ad ....,<::.:. . ................; . ... ..:::::::::::::::.:..:::.>::::::.:..::.::::..:.:..:. phone#. ..::. ::.: insurance co.. O cv.# : ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: sm comDanV n8me ;:>:: address. ::... XX .::: •:::::•::::::.:•:• ::::::.::::::::.:....................................... � D Ui1C# : ?> > r `< ..:..:.. ...... X. Insurance :;.:::....> ;.;.;:.:.;•.;::.;.:::::.. . ........ ............. ..:....:.::.::.::.::::.:::...� c anv name: :<:::::<::<:::>:<: >::>::::<;::<::::;::;:: address. .............:. ..:.-:.;;;::.;::;;::;... :..<::::;.... :..: :>::: ' >': >:<:"17 >r hone#. city` n e�nX. ran oli Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil 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 Office of Investigations of the DIA for coverage verification. 1 do hereby certify p ' ies perjury that the information provided above is true and correct Signature Date Print name !S Phone# � ------------- official use only do not write in this area to be completed by city or town official city or town: perndtdicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#, ❑Other- Ocyned 9/95 PJA) Information and Instructions - Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any coots,:: of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver o, trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant.who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please' be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned 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 Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 l ONE`INPROVENENT CONTRACTOR Registration ,114644 Expiration ';10/8/01 ��: Type ' ,�Individl►al �ALTSI4S BLDG 8 RENODELI „ HARLES PALTSIOS 100MVIEH DR_ ..' . �r ADjyMINI5JRATOR tCENTERVILLE NA 02632 ✓/ L/o�n�no�zwea�t O�✓ ac�UQC�l4 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 006653 Birthdate:'09/22/1944 Expires 09f=001 Tr.no: 4742 .... x=Restricted To: 00 CHARLES G PALTSIOS _ 183 LONGVIEW DR G�" CENTERVILLE, MA 02632 Administrator