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0458 ELLIOTT ROAD
e, Y e w Town of Barnstable Building - Post.This,Card.So.That rt sUisible From the Street:Aum rovedPlans Must be Retained onJobtantlFthismCard Must be.Ke' t Q ..- BARN8Ti►8LB, s' A Pp 6 Posted Urit�I.Final Ins ection`HasBeen (Made . � � � �``; � y�m Wherera6Cert�ficate of Occu anc is>Re wired;such;.Bu ldin shall Not be O.ccu ied until a Final Iris ectlon.has been matle Permit „. :.ate p ,g, .is Permit No. B-19-1706 Applicant Name: CAVACAS,JOHN E& MARCIA R Approvals Date Issued: 05/21/2019 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 11/21/2019 Foundation: Location: 458 ELLIOTT ROAD,CENTERVILLE Map/Lot 227-125 Zoning District: RC Sheathing: Owner on Record: CAVACAS,JOHN E& MARCIA R Contractor Name Framing: 1 Corac nttoLense Address: 458 ELLIOT ROAD � ;� � _ � 2 CENTERVILLE, MA 02632 Esf.Protect Cost: $0.00 Chimney : Description: 8x10 Shed Permit Fee: $35.00 Insulation: Fee Raid` $35.00 Project Review Req: A D„„ate 5/21/2019 final: ( Plumbing/Gas Rough Plumbing: Building Official + 3 Final Plumbing: 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 whi h H permit has been gr'anted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street&;•road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ti Electrical The Certificate of Occupancy will not be issued until all applicable signatures bey the Building and Fire E'R'i'�ls are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: n p q h Service: 1.Foundation or Footing 2.Sheathing Inspection �� s Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed '— 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection): 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. 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: e Town of Barnstable ' Building Department Services Brian Florence,CBO an �nss.MASS. , = Building Commissioner � 1639. A�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50.8-790-6230 �; 1� BUILL ANiC, PERMI 110� FEE: $35.00 �P v MAY 21 2019 SHED REGISTRATION IUVV04 ,o;,- RESIDENTIAL ONLY 200square feet or less Location of shed.(address) Village �D►irs /�A-Oc:ia CAS (AS y28 Property owner's name Telephone number Size of Shed Map/Parcel nn E-Mail CAN6ACA S,o AP @.:5 MA►I- COM Si a re Date Hyannis Main Street,Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? gyp You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 i C'-:!-''EXISTING%. LEGEND try:-HOUSE(#458) - "4�CTy�"' ' EXISTING CONTOUR (' �i;otl Rd -TOF=18.3frii- 1 i� /fir r % x 16.82 EXISTING SPOT GRADE �iGARA�E{d -W- EXISTING WATER SERVICE �" N EXISTING GAS SERVICE 0D �!-�` --U`-'- OVERHEAD WIRES 1� a�1 a �a• ///' �38 - TEST PIT �,r ��"o� 16 '- BENCHMARK !'��J 04 Qj if 1 tkar oi- 4. i � LOCUS £ 'r SIDEPORT COUPLE ;r �,'`- -� LOCUS MAP S.A.S. LAYOUT r°' NOT TO SCALE 00' 00 h� ,R3, �L !� LOT 25 , i o M BL. 227-125 ' + Al,t ! 47,836±S.F. . z 6 ,l t1.02 lilt OVERGROWN � t OPANBERRY BOG ` �.20 ,V10 ® r x CH Al r -J '6 l0.8.1 +4' x 4,25 1.22 .✓ ' x,3S4 10.68 N x 9.00 ►NETL`. ANDS m.� �j� ''''['''� •0..\ _ `,• __ yx`74.�1, x4,28 �/ -// "•/,Q �1• 10.98 x 4.51 1L x 13.03^ . r - v 7 TO x .. 10.06_=t� - (d i- xVIA 9.70 cj GVA 131 r. i x >Le DECK •� 0 11.21 11,46, �- ,l j�� �f' i•,',c. ` - __- 7 I _ ,x 1 .01 (z' .21 r• 15.38 xr� =-/.-' i �l PA170 �D �o � it ;' EXISTING!. P°'9 co cn o ei1® 8 % .t.,. e �00% ZONE W�/;' ;.... HOUSE(#458) -�. i ,. �`io. �n I®� 3 FEMA Q � TOF='18.3f/i'%r = �. 62 ^ 1 �0 (°pPrOx) catc 11.43m ?w 16.L4 , .� / ! i i' NE C EXISTING SEPTIC TANK ' `� ��%% -GARAGE'`.' 1 p ZO TOP OF TANK, EL.=16.09 09 17.98 T" '• .e3,�'. .,;: tt! :". � 0.31 INV.(OUI)=14.76f 7. 14.01 00 0`6.54 • ..I„�Rc�V4WAi T. •'� •`}�'qy 1 1 7.9x 19.48 + 17,36. : 17 13.18 :} �i �1590 O' ""r• + :.�Q`..:' ' �C} TP- '-F,14.00 7�` 14.oT�pG� of 20 15 b � EXISTING LEACH PIT pAVEti1E�T 37 TO BE COMPLETE'L Y OR BENCHMARK NO. 1 / ' ° ' :: : 1E�,6 �9s obr:. .":_ PARTIALLY REMOVED / °s•:;A,. (SEE NOTE 11-SHEET 2) Outside Car. Bott. Step `C 15.57 =.- 16. EL.=lZ98 (Assumed) ' T PK SET ��� 18X3 15,96 SIDEPORT w COUPLER ® 16.20 ��� OF MAssq �P TER T. BENCHMARK NO.2 PE McE R Magnetic Nail Set EL.=15.98 (Assum ed) CIVIL No. 35109 S5 PROPOSED SEPTIC SYSTEM UPGRADE PLAN s t E ' OWNER OF RECORD j ZDANYS, JONAS & BRONE K 458 ELLIOTT ROAD, CENTERVILLE, MA 458 ELLIOT ROAD Prepared for: D.A. Brown, Inc., P.O. Box 125, Centerville, MA 02632 'Z,-2,0',Z CENTERViLLE, MA 02632 Engineering by: SCALE DRAWN JOB- NO. FLOOD PLAIN DESIGNATION Engineering Works, Inc. 1"=30' P.T.M. 280-12 FIRM COMMUNITY PANEL NO. 250001 0008 D 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. ZONECE�10 (EL 11),2B,1 C 2 (508) 477-5313 12/18/12 P.T.M. 1 Of 2 Town of BarnstableBuilding - . euaavtrn> � IPos' This Card So,That it is,Visible,From the Street Approved Plans Must be Retained,on Job and this Card Must be Kept nrwea Posted Until Final Inspection Has.geen Mai de.-- Where a Certificate of Occupancy_s Required;>such Building shall Not be Occupied until a Final Inspection has been made. ern11� ,, C �- Permit No. B-18-4211 Applicant Name: Michael McMahon Approvals Current Use. Structure Date Issued: 12/31/2018 Permit Type: Building insulation-Residential Expiration Date: 06/30/2019 Foundation: Location: 458 ELLIOTT ROAD,CENTERVILLE Map/Lot: 227-125 _. Zoning District: RC Sheathing: Owner on Record: CAVACAS,JOHN E& MARCIA R Contractor Narne ,MICHAEL T MCMAHON framing: 1 Address: 458,ELLIOT ROAD i Contractor License: C5=068111 2 CENTERVILLE, MA 02632 �, t '��: ;Est Protect Cost: $7;590.00 Chimney: Description: Weatherization,weather stripping,air sealing,blown insulation Per Fee: $88.71 Insulation: Project Review Re Fee Paid' $88.71 1 q: Date. 12/31/2018 Final Plumbing/Gas %J Rough Plumbing: �Building Official Final Plumbing: This permit shall be.deemed abandoned and invalid unless the work authorised by`thi_spermit is commenced within six months after issuance. Rough Gas: All work authorized by this-permit shall conform to the approved applicationand 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 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. ( ,<.�. ...�� a r 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: 1.foundation or Footing i Rough: 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 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 dwL-T�E Pagel of 2 Date: June 02, 2015 Case No.: 15-01-1622A LOMA .. O�VART�y�, < y �° Federal Emergency Management Agency Washington,D.C.20472 lgND 50G LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT REMOVAL COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION TOWN OF BARNSTABLE, Lot 25, as described in the Quitclaim Deed recorded as Document BARNSTABLE COUNTY, No. 72403, in Book 5987, Pages 019 and 020, in the Office of the, MASSACHUSETTS Register of Deeds, Barnstable County, Massa" etts 'fl COMMUNITY COMMUNITY NO.:250001 co NUMBER:25001 CO564J r� AFFECTED MAP PANEL DATE:7/16/2014 FLOODING SOURCE:CENTERVILLE RIVER; APPROXIMATE LATITUDE&LONGITUDE OF PROPERTY:41.644, 70.335 NANTUCKET SOUND SOURCE OF LAT&LONG:GOOGLE EARTH PRO. DATUM:NAD 83 DETERMINATION OUTCOME 1%ANNUAL LOWEST LOWEST WHAT IS CHANCE ' ADJACENT LOT LOT BLOCK/ SUBDIVISION STREET REMOVED FROM FLOOD FLOOD GRADE ELEVATION SECTION 4 ' THE SFHA' ZONE ELEVATION ELEVATION (NAVD 88) NAVD 88) (NAVD 88 -- -- -- 458 Elliot Road Structure .,_ _.� X -- 12.3 feet -- (Residence) (shaded) Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year(base flood). ADDITIONAL CONSIDERATIONS(Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.) PORTIONS REMAIN IN THE SFHA l.. This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for the property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined that the structure(s) on the property(ies) is/are not located in the SFHA, an area inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood). This document amends the'effective NFIP map to remove the subject property from the SFHA located on the effective NFIP map; therefore, the Federal mandatory. flood insurance requirement does not apply. , However_ the lender has the option to continue the flood insurance requirement to protect its financial risk on the loan. A Preferred Risk Policy (PRP) is available for buildings located outside the SFHA. Information about the PRP and how one.can apply is enclosed. This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If you have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336.2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 847 South Pickett Street,_ Alexandria,VA 22304-4605. Luis Rodriguez,P.E.,Chief Engineering Management Branch Federal Insurance and Mitigation Administration Page 2 of 2 Date: June 02, 2015 Case No.: 15-01-1622A LOMA O�?AARR1FA. y Federal Emergency Management Agency °�Fl 04 Washington,D.C.20472 - qNU S£G LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT (REMOVAL) ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS) PORTIONS OF THE PROPERTY REMAIN IN THE SFHA(This Additional Consideration applies to the preceding 1 Property.) . Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special Flood Hazard Area. Therefore, any future construction or substantial improvement on the property remains subject to Federal, State/Commonwealth, and local regulations for floodplain management. This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the FEMA Map Assistance Center toll free at (877) 336-2627(877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency,LOMC Clearinghouse,847 South Pickett Street,Alexandria,VA 22304-4605. Luis Rodriguez,P.E.,Chief Engineering Management Branch Federal Insurance and Mitigation Administration Oti4A��:1. x Federal Emergency Management Agency w Washington, D.C. 20472 F o l9ND StiG June 02,2015 MS.TERRY WARNER CASE NO.: 15-01-1622A WARNER SURVEYING COMMUNITY: TOWN OF BARNSTABLE, 22 LONG ROAD BARNSTABLE COUNTY, HARWICH,MA 02645 MASSACHUSETTS COMMUNITY NO.: 250001 DEAR MS. WARNER: This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine if the property described in the enclosed document is located within an identified Special Flood Hazard Area, the area that would be inundated by. the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood), on the effective National Flood Insurance Program (NFIP) map. Using the information submitted and the effective NFIP map, our determination is shown on the attached Letter of Map Amendment .(LOMA) Determination Document. This determination document provides .additional information regarding the effective NFIP map, the legal description of the property and our determination. Additional documents are enclosed which provide information regarding the subject property - and LOMAs. Please see the List of Enclosures below to determine which documents are enclosed. Other attachments specific to this request may be included as referenced in the Determination/Comment document. If you have any questions about this letter or any of the enclosures, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 847 South Pickett Street, Alexandria,VA 22304-4605. Sincerely, Luis Rodriguez,P.E., Chief Engineering Management Branch Federal Insurance and Mitigation Administration LIST OF ENCLOSURES: LOMA DETERMINATION DOCUMENT(REMOVAL) cc: State/Commonwealth NFIP Coordinator Community Map Repository Region TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel_ OR °`Application # D� Y Health Division Date Issued �� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 45 G e.1 U-Tr ROAD Village 1 V V Owner )10 hn A N%4W0'4�- CAVA-CA Address V C;LrMq: 1 4D Telephone f2A — --s3-&4Z$ '�d Permit Request OVA-1lotJ c01- Two S.XksS�l ►6 OMS N41D CT I MGb .dam UfJ dX7 c2d* z Tl1 wtT\A l.IvN P .Ll Square feet: 1st floor: existing !,proposed 1 q�22nd floor: existing 10M proposed Itol2 Total new C:) Zoning District Flood Plain Groundwater Overlay Project Valuation (oQW, Construction Type ?X� Lot Size AcXX Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family O" Two Family ❑ Multi-Family (# units) .-Z Age of Existing Structure Historic House: ❑Yes ti/No On Old King s'Highway°`©Yes) ❑ No Basement Type: CdFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) D Basement Unfinished Area (sq.ft) 4 y'i2 Number of Baths: Full: existing 3 new 1 Half: existing �'" l new Number of Bedrooms: existing Onew �q C � f°y`'- 3qAA- qATO, A'MR 6,Np90 �b\& 3-t01 --9 Z i - '!a i s Total Room Count (not including baths):Vxisting �new o -I) First Floor Room Count S Heat Type and Fuel: Cam(Gas ❑ Oil ❑ Electric ❑ Other Iwsea \6as Central Air: C/Yes ❑ No Fireplaces: Existing 2 New Existing wood/coal stove: Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Coexisting ❑ new size 2- Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ N`o' If yes, site plan review# Current Use -142t r► ►A(1 Proposed Use (263) irl APPLICANT INFORMATION - _ ` (BUILDER OR HOMEOWNER) Name ` ^Jo W C.,4)(ACAS Telephone Number '81pb cr-b-33- 4 zS Address �' �"� License # ? UJ 1,1 so r (3 - © 0 Home Improvement Contractor# Email C)WACA Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE lip—9- 2,41S k `S E c' f ` FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. _ ^ ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: ^ FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH _ FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division MMSTABM ' Tom Perry,Building Commissioner v MAS& �039.��� 200 Main Street, Hyannis,MA 02601 p www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: O C'r 9,'?��S JOB LOCATION: -f 6A 0-M 1Z0*0 OC I ;U..9 numbe r street village "HOMEOWNER": JOrs?-� Sb0-IS(A-Sy60 560-833-614I28 name / r home phone# work phone# CURRENT MA1LiNG ADDRESS: / 12,,Qfto EMT XLj1AP_%tvC 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 heishe 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 strictures. 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 4requirmenu.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 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 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. The Commonwealth of Massachusetts Department of Industrial Accidents -- Office of Investigations 600 Washington Street — y Boston,MA 02111, www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): 30 1-W 6AVAM-S Address: EU..10'CC � City/State/Zip: MA- b2( '.M Phone #: riMo- z Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ✓Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp. insurance comp. insurance.$ required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152,§1(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 infonnation. 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-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A 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 penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: �� 9 �d r Phone#: S bb U 3'67 28 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Parcel Detail Page 1 of 4 t—Z ritA58 �o� � a; �r¢? a• Fre Logged in As: Parcel Detail Friday,October 9 2015 Parcel Lookup Parcel Info Parcel ID 227-125 ( Developer Lot LOT 25 ^ rI Location 458 ELLIOTT ROAD Pri Frontage Sec Road SEA MARSH ROAD I sec Frontage 285 _ Village CENTERVILLE I Fire District C-O-MM 3 w.,a xww.yiso .e...w .. � .vn..R,czmrsud axn. ,isouzy�✓y ,, ,.u,;:un....�.wa¢'rt., a „., ,.,�.yu, Town sewer exists at this address NO I Road Index 0492 „w Asbuilt Septic Scan: "AN,� r, 227125_1 Interactive Map 227125_2 Owner Info Owner ZDANYS,JONAS&BRCI owner,%CAVACAS, streeti f26 CEMETERY ROAD-1 street2 1__,__,_, I city EAST WINDSOR, �I state zip @ 06 88. ��,..=Country Land Info .... ......... ....... .......... ...... ....................... ......... ........... ......... ........... ......_ . ........ Acres�1 10 I use Single Fam MDL-01 zoning RC NghbdA108 n Topography I Level ( Road Paved Utilities PUbllo Water,GaS,Septicl Location . Construction Info Building 1 of 1 Built 1984 I struct Gable/Hip Wall i;Wood Shingle Living C Roof K- �Shi,.,.�. AC Area i2375 cover tWood Shingle Type Style Cape Cod wall Plastered Rooms 4 Bedrooms Model Residential Int Hardwood Bath"2 FUII-0 Half Floor Rooms- TypeTotal Rooms a -8 Rooms Stories tories J Heat Gas J Found- 1 1/2 Sation Poured Con Gross 5797 «�>J Area Permit History Issue Date Purpose Permit# Amount Insp Date Comments 8/17/2015 New Roof 201505215 $2,475 6/30/2016 RE-ROOF 12:00:00 AM STRIPPING OLD 7/14/2004 New Windows 77877 $2,163 2/9/2005 12:00:00 AM http://issgl2/intranet/propdata/PareelDetail.aspx?ID=15913 10/9/2015 oK �`'La 11.i Yf Regulatory Services Iha=s F;C&er Director 7 2015 BUMMgMision TOWN OF BARNSTo=-Fe7 cBo, coma dowr TAB LE ?00 xo 7 9 02601 Or=ItC 508-862-4038E"PIE F 508-790-5� o ss-pr Ac �7 - R�SID "I�.4 , Mapfp2rceZNtagber Uurvah'Ts�hottcRed,$�raxlrnpriru Prepescy3ddress ��/v '? � a v R'�;'�'"„ �' Value o�✓orJc S _Mmim=fee of S35.00 for-o, =&r-S6000.00 Camraccar'sName 7eaTho= p?p?�j� F=b la�aCo=mctoxl. T(¢��,�,1 c°ns.�c°o�S 'S� r(�app�able) Was�nads-Coj=ensa3iortimmmce Cbecic 01 am&SOL pzn j�tas Q,Paw.fihe Hoxneow� W I bavewor"sees =eaS j=ur=r. I=zmae CompasyNanx 'worms Camp.POBTg Copy ofCiiasaraaee CompDance Cerdficat rmt accompany eachperarriL Pesmis}.Zequesr(check box} �E 12s-r�oz( Ca.3.UqZKL)(=4*jCg old sue[ l� A Ic=sMacdon debas-Mbe :o Rroai(bmCrlpcane�i�ed)(rpESLtII3g Gong overwss F�P 3a3exs oivof Reside �PLWows/doorJssiders U V—�_(TOLNimn 3� owir�aws Y ofdc=: Sz�]celCaibonMo detpeaors 4llaorpIans�ta�3ed rovl�xedS a�zd aespeetsoms xego�� Sepaxarr�ecairal&rm- pe=ks=Tea,& 'Z4 re ice3 Ism==ttmapia¢docs�czete�comF}��3io�r�dr kjpa��g��C0=av"don,� Propeayo—xft-M Sska ioPaxy0,fteTLerteroflemssfon. 4 sequizutr aFt ie�Eoiae impra�emr�¢eCanusaois Lice»se fi Cons4tacbiou Snuersisoa License 5s aa. , tit -misea06131lppDaltl tiau - s����s d-Tames\Cate30o Cek�SRi4SDCrg 55dec R.cvis�.061313 - Y Fraser Construction LLC VW CONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 ROOFING SIDIEmail: info(c�fraserconstructioncapecod:com SPECIALISTS www.fraserconstructioncapecod.com 508-428-2292 FAX 1-508-428-0123 HICL#112536 CS#97668 WORK PROPOSAL, DATE: May 28, 2015 PHONE: 860.833.6428 NAME: John Cavacas EMAIL:jcavacas@cox.net MAIL ADDRESS: N/A JOB ADDRESS: 458 Elliot Road Centerville, MA 02632 } FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Job Description: Repair Rear Dormer • Remove white cedar shingles and lead flashing from face of rear dormer . • Remove both corner boards.and trim around all windows including sills • Install new custom made copper skirt flashing 5 inches off wall and 3 inches up wall using hidden copper clips µ • Paper entire dormer using Typar Surround"synthetic underlayment • Trim windows using Azek Pvc trim and the Cortex`hidden fastening system, re splining windows using Grace Vycor • Install new clear "b" shingles using a galvanized fastener and stainless steel 5d ring'shank nails where visable. • Clean job of debris and magnetically sweep for nails Price $2,125 Initial Chimney Cap • Install new Stainless steel chimney cap to cover both flues, 24x24, using Red Head Anchors or Tapcon screws. Price $350 Initial Pipe Boot Cover • Install Black Perma-boot pipe flange cover over existing number #2 pipe on front of house. Price $65 Initial PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. 1/3 initial payment, remainder to be paid upon completion Payments accepted are: CASH - CHECK- MASTERCARD -VISA -AMERICAN EXPRESS *Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per hour, plus 20% mark-up materials. Any deviation or alteration from above specification will be'executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. ATACCEPTANCE:' I D E OF Homeowner Fraser Construction, LLC FRASr0114-0, PARS CERTIFICATE OF LIABILITY INSURANCE THIS CL-t71FICATE(S ISSUED AS A MATTER OF INFO..RMA77ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATc' HOLDER THIS _ CERTIFICATE DOES NOT AFFIRMATIVEIy OR NEGATIVELY AMEND, ECTEND OR AI.7ER THE COVE BELOW, RgGE AFFORDED BY THE POLICIES REPRESENTATIV THIS CERTIFICATE INSURANCE ROES NOT CONS71TUTE A CONTRACT BMWEEN THE ISSUING INSURER(S), AUTHORIZED E OR PRODUCER,AND THE? CERTIFICATE HOLDER. JMPORT_AN 7; IF the certiScate holder is an AD the terms and can DITIONAL INSURED,the poGCy(ies)m ust be endorsed. if SUBROGATION IS WANED,subject.o cNOns of the Policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu ofsuch endorsemei*s). PRODUCER i 508 676-030g O0N TACT Vlveiros insurance Agency,Inc. NAM As file PaIV3 375Airporf Road u°N v�08-639-2713FAA Fall River,NIA 02720 (AFC,xot: 30"24-4553 Anaaass:AFaiva Viveirosinsurance.com INS(lii�R(S1 A+—FORDINGCOVERAGE .xAIC« INSURERA-Granite Sfate InSUMnCe Co wsuRED Fraser Construction LLC PO sox 1845 ?NsuRERB: COtuit,MA 02635 INSURERC: INSURERD: INSURERS: COVERAGES CERTIFICATEINSLt3ERF: NU[u7BER REVISION NUMSM- 7 THIS 13 TO CERTIFY THAT D E POLICSES OF INSURANCE LI TED BE O>v NAVE BEEN ISSVeD TO Ti1E INSUP D NAMED ABOVE FOR THE POLICY FeRIOD INDICATED. NOTW(TH$TgNDING ANY REQUIREMENT.TERM OR CONDRION OF ANY CON`RACT OR OTHER DOCUNwNT WIT. AEgPECT TO W�IIv^H THIS CERTIFICATE -MAY BE ISSUED OR MAY PERTAEN.'HE INSURANCE AFFORDED BY .c EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY iiAVE 6EEV REDUCED 6Y PAID C ESCRIa�D H EREIN IS SUBJECT T 0 ALL THE TERMS � CLAIMS. SR TYPE FINSURANCE IN WVp POLICYNUM6c{ GENERALL�AELLITr I rAGNP�OD 4 1.1m lYriR L@ARS (ll l COMt.SERCIALGENERAL UAS9LrrY cPCHOCCLIRRENC'e S CLAIMS4UDE OCCUR I PREMMISES Esocavr?rcel ?S :dED�P(Arryune oersan) S PERSOLJALiADVIN,tUAY S GEN'LAGGREGATELurwpuESPFft G3dE�ALAGGREGATe S POUC:' j� LOC i 'RODUCTS-COMPIOPAGG S AU70TWEILE LIAB@JTY S �•bl t, LE:U 1 ' fAUtt rO I E6 acaft` 0"", SCHEAULFD � SODLYIIJ.IiLRY(P�psrson) S AUTOS AL1rOS - P AON-OVrOS O EtCDILY L3„TJRY(PrlacJdc�lt; S 1 IN (PERAODOE T) a^ UIir3FMU LING S EXCESS LAB C.lUR1S�+IADE EACH OCCURRENCE S. A3GFL�GgTE S _ DED RETaMON S WORLCETtS COr+iPSN5AT10N 'g AND SWILL-StS'UABCJTY Q A YIN I X T'PIC SA�NI,S. NY PRAFR[ETOR1PARTNERrcD[CUTNE wce09s30601 srzsrzala slzsrz0la OFACIDtW_MBERECCLUDED' a NIA I EL EACNAcpDENr s 500,OG0 Mandatary Q7 NH) II Uyy °escrf�eunter et0IS:nse.PAEnipLOYtz S 500,000 OESCRIFnON OF OPPRAL10N5 eelrn•f PL DISEASE-FCUCyLh4r S 500,000 DESCR(PTIONOFOPERATIONsiLOCA•noNsivalICLES Ulteef ACORD9°I,Addttonat Reraar$m Schedule,Ifmorespacebcequirad) - CERTIFICATE HOLDER CANCELLATION -SHOULD ANY OFTrIEABOVE DESCRIBED POLICIESBECAidC=L BD6Er`ORE Town of Barnstable Suiiding DIVLsion YHE EXPIRAmON AAYB mgER^OF, riOT10E WILL £c 1]ELNEeLEp in. 200 Main Street ACCOROAxC5 VATN-txe POUCY PRO\n N xs Hyannis,MA 02601- AUTHORRED FM7R--ySSNrATNE ( ) The ACORD name and 1090 are registered marks ofACORb CORPORATION,All r_alits reserved ACORD 25 201010b the Commonwealth of Massachusetts �--' Department oflndusvialAccidents q Office ofbzvestiaaations 600 Washin-ton S'treet'. . :, Boston,MA 02111 www-mass aovl a Workers' Compensation Insurance Affidavit.B13ilderslContractors/Eiectricians/Pl mbers Anplicant Information i/ JJ Please Print Lea,Ibl* Name($vsiaessffi gam' ion/lnaiviaual):_ Address: rj' 0 Chy/State/Zip- r f I t Phone 9: Are y u an employer?Check the appropriate box: I am a general contractor and I Type of project(required): I. I am a.employer with J Q 4. ❑ employees(full and/or part-time)_* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner-.. listed on the attached sheet. 7. [ Remodeling ship and have no employees These sub-contractors have 8_ ❑Demolition woricng for me in.any capacity. employees and have workers' [No workers'comp.insurance comp.msura+ce+ 9- El Building addition required.] 5. We are a corporation and its. 10.1]Electrical repair;or additions 3.❑ I am a homeowner doing all work officers have exercised their l LEI Plumbing repairs or additions myself No workers'comp. right of exemption perMGL 12.[J Roof repairs requi,�d]t c.152,§1(4),and we have no employees.fNo workers' 13.0 Other comp.instance required.] F Any applicam tha;checks box#1 must aso fm out the section below showing theirwatkea'compensation policy mfo=ti i .1omeowners who submit this atEdavit indicating they are doing all work and then titre outside eontrectots most submit a new attidz vit indicating such 'Contractors that check this box muse atsx:hed an additional sheet showing the name of the sub-contzeto s zad state wLetfier or got those entities have employees Ifthe sub-contractors have employees,they must provid^.their worsens'comp.polity m=9=. lam an employer that fs provzdmg workers'cornpensatwn insurance for my employees Below is the poCrcy a7zd job site infornta&77L i Irisurarce Company Name: F,— f �E.�,��. co Policy#or Self ins.Lic.;#: ✓ © Expiration Dee: Job Site Address: City/State/Zip Attach a copy of the workers'compensation policy declaration page(showing-the policy number and expiration date). Failuze to secure coverage as required mtder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a Eme up to$1500.00 and/or one-year inzprisonment,as well as civilpeAalties in the four:of a STOP'WORK ORDER and a Ene of tip 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 herebv cer y under the pains and penalises ofAerjury that the informmfon provided above f8 true and correct_ Sieuature: Date: / Phone Official use only. Do not write hz this area,to be completed by city.or town official City or Town; Permit/License#' Issui Atrthoritp(circle one): 1.Board of Health 2.BaUding Department 3.City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.other Contact Person- Phone 0- ��� fvl�ss�ol�usckta•I)opzukmonk n(f•ubfls Sirfely . x' + `=� 8�avd oPt3irI1d1RU f�o�nknflnns Vinci 3tnn�fn 8e cunstrrreNnu Sap{rq•ke„r r l ic9nse;MOMSmlw"XI e MA $AsT Xi'ALMOTI er��iiiitto�f f l Gurnmtasfalor QSlU7/1o15 . Office of Consumer Affairs and Business Reg�.-.Jation 10 Park Plaza-SeLe 5170 Boston,Massachusetts 02116 Home improvement Contractor Registradon Registaafon: 112536 JYPe: DBA f=iraf on: 3/23/2017 T . 263587 FRASER CODS T RUCTION CO. DEAN FRAScR P.O. Box 1846 CO T U1T, MA 02635 Update Address and ren:rn card.Mark reason for;hauge. sco. - zeNtosls (�Address Renewal 0 xmploymant _ost Card C�r�ae�:me�zc�aal��Q/�/lat:xc/ztmeQ�. ^~ Office aY Conscuner A--M s S:Susaas Red,vation IZcense or registration valid for individul use only Oi10EUPROVEMEi+rr CONTRACTOR before theexpiratzoadam 1.ffoundreturnto: on: 112536 Type: Office of ConsumerAM!=and]Business Reg x atiou E:.pirat:or: _312312017 DEA 10 Park Plaza-suite5170 Boston,MA 07,116 . FR;SrER CONS PU& ON CO. DEAN F*ASER 104 Tl19NN VIEW LANE 'e;=ALMOUTK MA 02536 IIndersecra mr3 �Eotv3lsd without sid�aat<tre 1 t iMassac ,usa_ s - par7r7en, or ;c �a-a:;•r Construction Supcn-iwr ceps : CS-097668e DEAN C FRASER 104 TWENN VIEW LANE::.: EAST]FALMOUTRMA:02536 06/07/2017 Town of Barnstable *Permit# �c ��S�� Expires 6 months from issue date Regulatory Services Fee , Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us s� Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY , �� Not Valid without Red X-Press Imprint Map/parcel Number Property Address v ; Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number V Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Wo ma's Compensation Insurance ❑eI am a sole proprietor X-PRESES PERMIT ❑Xam the Homeowner have Worker's Compensation Immirance SEP 1 3 2007 Insurance Company Name BARNSTABLE Workman's Comp.Policy# �J-U Copy of Insurance Compliance Certificate must be.on file. Permit Request(check box) -roof(stripping old shingles) All construction debris will be taken to _ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value '...... 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Perrriissioii; p of th Improvement Contractors License is required. W; . SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth ofMassaehusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 , www.mass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual):. ,i Address: A6- �z City/State/Zip: (2at2�, Vvi4e, - Phone.#: Are you an employer? Check the appropriate box: Type of project(required) 1.❑ I am a employer with 4. (�am a general contractor and I employees(full and/or part time).* have hired the st.b-contractors 6. ❑New construction . 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, E]Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp,insurance.$' required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t C. 152, §1(4),and we have no employees. [No workers' •13.0 Other comp. insurance required.] . *Any applicant that checks box A 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 end state whether or not those entities have employees. If the sub-contractors hz,ve employees,they must providb their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: ZQu�,/%V v $ Policy#or Self-ins,Lic.M :2 Expiration Date:_ Job Site Address: G/aj!;�- eh�Y- 1� City/State/Zip: - M V1 /47 Attach a copy of the workers' compensation policy declaration page(sho`ving 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 penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, 16 hereby c fy un r ' s•and penalties of perjury that the information provided aboue is ue and correc4 Sip-mature: Date: Phone#• r Official use only. Do not write in this area,'ib be completed by city or town offcciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: J �✓1 Board of'Building Regulations and Standards : License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR i before the expiration date. If found return to: Registraton'< 136066 Board of Building Regulations and Standards w xpiraf n 6/2008 One Ashburton Place Rm 1301 I Type DB 4 Boston,Ma.02108 COREY&COREbHOM�3IMF �QVEMENTS CHARLES COREY� 11v�f 1684 FALMOUTH CENTERVILLE,MA 026.2 N �~ valid without signature Deputy Administrator � i Supply and Install COPPER c& NEOPRENE SOIL'PIPE FLASHING Clean and Remove Debris from work area after job is completed. l 1) 0CC) TOTAL INVESTMENT --- $J1r5"4- W_ POSSIBLE EXTRA CARPENTRY: If the Present Wood Shingles are Installed Only on Strapping (Spaced Boarding) Instead of Plywood—We will then Either have to Install Plywood Directly Over the Strapping to Give Us a Solid Surface or Remove the Strapping and Then Install Plywood. The Particular Method Used will Depend Mostly on the Height of the Step Flashings on Sidewalls, Skylights and Chimneys. Any Rotted or Otherwise Deteriorated Trim Boards, Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra. Materials Plus 20% and Labor at the Rate of$60.00 per Hour. POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$60.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORD SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. . Please Make Checks Payable to: CHARLES COREY COREY & COREY Warrants the Shingles and Labor for 5 years. CERTAINTEED Warrants the Shingles up to a 70 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. CERTAINTEED Warranties the shingles 1.00% for the First 5 Years and then on a pro-rated basis for 30 Years Total if the shingles becomes defective. Any alteration or deviation from above specifications,will be executed only upon written orders and will become an extra charge,over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance upon the above work.. This proposal may be withdrawn by us if not accepted within thirty days. COREY & COREY carries Workman's Com ensati n and:Public Liability Insurance on the above work DATE OF ACCEPTANCE: ACCEPTED BY: SUBMITTED BY: JONAS ZMVNY S, CHARLES C Y HOMEOWNER COREY & OR ' Town of Bahl astable *Peruut 0_2215 72 �P��FZME ipk�O� Expires 6 months fron,issue dare N • Regulatory Services Fee "r MSrABLE ASS. '$ Thomas F.Geiler,Director 019-�plEDMplA10 Building DivisiOu Tom Perry, Building Conmussioner 200 Main Street, 11yannis,MA 02601 X-PRESS PERM.117 Office: 508-862-4038 q - 2004 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL LY ' Not Vnlid tpithout Red x-Press In1print TOWN OF BARNSTABLE Map/parcel Number �27 ZS Property Address �J a& Value of Work ❑Residential Owner's Name&Address r Z Telephone Number Contractor's Name Home Improvement Contractor License#(if applicable) lDc)-7 Yd CSo5�7032 Construction Supervisor's License' (i# f applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner lave Worker's Compensation Lisurance %1 Insurance Company Name ti�tet S via yr Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑ Re-roof(not stripping. Gouig over existing layers of roof) ❑ Re-side replacement Windows..U-Value 3 (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:Fornwexpmtrg Reviscd121901 —:-`�`�-- lire Commottiorealtlr uJ'narrt'srrchtrsell's De/rrrrinrcrtl r�jlrrrlrrslriul itcriderlls _ 600 Il�rrslrirtg(ott Street 1lusmrt Altus. 02111 �Vrrrlccrs' Cumpcnsnlinn Instirhticc /�ffirinvil name' / 4—Q>� •��_ /� Z '`�! ., Lucnliwl: / sitY _ ullltllc Jf [� I am n homeowner performing -ill %votk myself. (] 1 nin n sole pmpriclor and hnvr no one vvmHiig hinny rnpacily (j I lilt tin emplooyer�p.,roviding woikets' comQpematiun for my rinployces working on this job. MilluA.lty-1t.ltlnsiAl_iC.- �21 -1 =ice A .r —�(1_�_ �J �►:1.�A�`�" insutnncc_cv,_ —iV /�C _��.3_[.xrc�_w11_cl !^C,�t ' �t►�lisy N �-�,� � ',. A16 0 (j I ant a sole proprietor, genes- l conlr:iclor, or homeowner(circle urge) and have hired the contractots listed below whl the following wotkcrs' cumpellsalimi pulices: c_wnluAnx�l�uns: ILllSlttl3:. sllyl� Vlto�le N. . Ln><Ilxltnsesd:. t>_olcy_N �9�Iroany_n.ltllts• stiv3 o1i�11�H:� - ' i_nzu nlue_cn: p_n_licy H F';Ilotcoo smi-I t "ndtr Stcllon 25A of Ami,152 can Itsd In the Imposnfnn tit e►Iminal penalties of a flnt tip le S1.500.O1 tint years'Imprisonment as rvtll as civil pt"allies In the form or a 5"1'UP WORK ORDER and a fine of 5100.00•day against tot. 1 underslan copy titthls slalcmtnl"toy Ire forwnrtlttl in flit Office of InvtsNentions of flit DIA for coverage verintallon. I du hereby rfijy u►trler lit It ►t.s n►IrhirennI ' (if perjlrrr rhnr the i►ljrtrnartiun provided shore Is I!rIte nrtd correct. Signnturc � Untc Lr7/!�! �T 1'llonc tl olliclal nse only d""tit wrilt In 11114 nits In lit completed by city tit-low"nflitinl Illy or low": peru111/Ilccnsc N hI1tiIldlnR Utparlmen �I,IctnslnR Iloard 13 check If Immcdlaic reslwnsc Is required I]Seltelthtn's Office ` Gjllt�lth llihatlmcnl II lhnnc N °I' tflhtt ' etinlacl person: I [� 1 . - r .I .�, / ✓1LC ZOdJftA7f-O'ItII/¢llll/L O�i,�2���Ab[J ...I g. BOARD OF BUILDING REGULATIONS j License: CONSTRUCTION SUPERVISOR Number: CS 057032 I Birthdate:,09/26/1963 .Expires. 09/26/2005 Tr.no: 7171.0 I " _ l Restricted: 00 + j ' ^ THOMAS X CAPIZZI JR 4 f 1645 NEWTOWN RD COTUIT, MA 02635 Administrator �' 91te -C"d o uil �gela ons and t=ands One Ashburton Place - Room 1301 Boston, Massachusetts 02108 . Home Improvement;Cbiatractor Registration - s �. d Registration: 100740 Type: Private Corporation ` t Expiration: 6/23/2006 CAPIZZI HOME IMPROVEMENT, INC :- Thomas Capizzi, jr. 1645 Newton Rd. ' Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address 7 Renewal F� Employment Lost Card GTE ,°� a ✓1 Board of Building Regulatio s and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 100740 One Ashburton Place Rm 1301 Expiration: 6/23/2006 Boston,Ma.02108 . Type: Private Corporation , _.. CAPIZZI HOME IMPROVEMENT, f Ti omas Capizzi,jr• 1645 Newton Rd. Cotuit, MA 02635 Administrator Not valid without signature -� 03/19/U3 UP 09:39 FAX 6036279550 HARVEY INDUSTRIES / HYANNIS 11HSE IgJ11V1 won r-A �feVL FiA�t`VI�'Y 1N�3A..I►.�".�. >r"/�t/�.fa` ENEnr iY a I A FI is gl if her1TN�:h� Aff AfftM leovoot TEST RESULTS Harvey MarlUfaC(UI'ed Windows and Doors U-Values in Accordant e. with NFRC-100 • 11*5ad on rasiderilial sizes • U- and R-Values are subject to change without notice • Whole windy vtr values Air infillrsation rasults :are subject to chanyP without rwlice All vinyl windows with Low-ElA►go11 quality for the hNrncw SrA►t"plugrartl 111rOL,gltOul llle U.S.* ------ --- .... -- -- - RvAsad 1131103 Clear Inrulated 1,11wL. Lvw-F./A.trn° Ah- U-Vetue R-VAIna ll-volue KA'Alue U-Ve,hte It-v.ttre 1116111:►linn XINYL WIMUK�yt,S rfndlr Classio Double Flung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.g4 06 l=lassies brauble f lultg (WAIrJwd Sash) 0.6U 2.00 0.30 2.78 0.33 3.03 .04 Classic Double I-lung (Welded Sash & ramre) 0.49 2-04 0.36 2.78 0.33 3.03 .10 Classic Ac:uustiral bauble Hung STC40 0.23 4.-;5 0.18 s,50 U,1Y 5.aA .09 5lgnalure Double Hung (Merhfinical) 0.50 2.00 0.37 2.70 0.34. . 2.94 .04" ignalura Double I lunq (�Velded ;;ash - 0.50 2.UU U.37. 2_.70 0.34.• 2.9 7SIlnllirte UUuble I-luny (WAldE?(.l Sash) 0.51 1.90 U.38 2,63 0.34 2.94 .08 Slirnline bauble Hung (Welded Swilr & male) 0.617 2_UU 0.38 2.03 0.35 2.86 .09 Slirnline Single I luny (Welded 5a,h � rame) 0.50 2.00 0-38 2.63 0.35 2.86 .08 Vinyl Cose menUAwning 0-17 2A3 0-34. 2.94 0.31 3.23 ,01 Vinyl l:aserrtant/Awning artd l tterrrtxtl Polml 0.11 3,23 0.25 4.00 U.24 4.17 MI Vinyl Desiriner Shapes 0.49 2-01 0.34 2.94 0.30 3.33 -- Vinylllopper 0-47 2.13 0.35 2.86 0.32 3.13 .08 Vlttyl PlOura window 0.40 2.17 0.31 3.23 0.28 ., 3.57 .01 Vinyl Welded llmIlile 0.50 2.00 0.34 2.94 0.31 3.23 -- Vinyl Roller- 2 Lite and 3 Lite U,50 Z.UU (1.311 2-78 0.33 3.03 .Up (2-IiIE) P-lest resulll,are bo.cltl on commmmial slzr;s Trttlp.Clear Temp Low-G 'Ign,p,Argon :fir IJ-1,011C KA)due lLYolue R-Value U-Velua It-vmItt! Inlillr;tliun rAnrh' 1-17rvey Solid Viltyl Patio Door 0.49 2.04 0,40 2,50 0.31 1.70 U9 Air Irltlllrativn is in accr:mlurICP with AYi TM E283Cu12y mph. *I Im rise of lerrlpered bow E gloss cony effect Ewr_Rcr, Smn*quullflcoliun in your►egion- U-and 11•Valur3a are subjAut to char►u9 wi[Iruut Itvlice. CAPIZZI HOME IMPROVEMENT INC . ����� SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, Z 1Vys OWN THE PROPERTY LOCATED AT z4C:5-' IN r Q cjy� /tP MASSACHUSETTS. I HAVE AUTHORIZED CAPTZZI HOME IMPROVEMENT INC, TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE .MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN A NCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: 39 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , GOTUIT, MA 0261c; APPLICANT'S TELEPHONE: 5081428-9518 .y RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: I ACCEPTED BY DATE THIS PAGE IS ART OF A D IN CONF RMANCE WITH PROPOSAL # TOWN OF BARNSTABLE 26234 ..�"� • _:'. Permit No. Building Inspector cash -------------------------- 019 C MAI OCCUPANCY PERMIT Bond _____N/A Issued to Michael T. Kelly Address Lot 25, 458 Elliott Road, Centerville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date X Engineering Department Inspection date Board of Health t Inspection date THIS PERMIT WIL NOT BE ID, 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. ...................................................... 19............ ........................................................................ .............................. Building Inspector JoS i _ -PFi D. D4Luz TCLEF, 0N . 752C `. 0,..: EXT. 107 TOWN OF BARNST/ L&F BUILDING INSPECTOR n TOWN OFFICE BUILDING HYl'NNIS, MASS. 02601 Date September 21, 1984 BUILDING PERMIT 26234 4/3/84 DA11 OF Pl a iIT 4/3/8 4 Location _ lot #25 452Elliott Road Centerville Dear Occupant: Please be advised of Section R, Paragraph 2. (a) of the Tom of Barnstable Zoning By-law which reads as follows: "i�,O premises and no building or, structure erected, altered, or in any way changed as to construction or use, .under a permit or otherwise, shall be occupied or used e:ithout an occupancy. permit 0 signed by the Building Inspector. Such permit shall not .be issued until the premises, building or stricture, and its uses and accessory uses comply in all respects with this by-law." rlyoie convicted of a violation under this by-law shall be fined not more than Fifty ($50.00) Dollars for each offense. Each day that such violation continues shall constitute a separate offense. Our records indicate that no OCCUpancy pF_'.nnit was issued for the dwelling authorized under the above Building Permit. Upon the issuance Of his notice it is our ini ant to seek a can laint in the First District Court at Faynstable for violation of Section R Paragraph 2 (a) Al Ain. fi'.%e (5) . olY ing Cif=ys of this no! 1;'e CEFTERVILLE-OSTERVILLE FIRE DISTRICT s Office of_the Fire Department 999 Main Street Osterville, Maas. 02655 Sept. 18, 1984 a e T090 Building Inspector Town Building Pain Street Hyannis, Mass. 02601 OCCUPANCY Michael Kelly ADDRESS 458 Elliott Road o e e o a o. s o . o s a . o e sea . e o 0 o 0 a o V�LI�GE Centerville, Mass. 0 o e e o o. o 0 0 o e o o e a o o e. . .. . o 0 0 TYPE 0F OCCUPANCY.. . ClUPAY ioo o66006000060660 family Regarding the above occupancy,, would you please investigate the items checked below for possible violations of the State Building Code and inform this department of your official inter- pretation. Thank � Lt. David R. Currier C�0 Fire Department 1siWiPt ®u o 0 0 o s e o . e a o 0 0 0 o a • o o e o 0 0 0 0 0 • o e o Number of �'+'��.t�oeaoeo• eoA • e00000q . . og000A00000 • oeoo . aca Means of EXits... ooae. a . eo . eooe000000 • aeoae.poseoe0000 Marking of +i1iZiooea •ooe000000eoomoeasaoe0000aaoeeaeaaso . �+� D3e�+�2.aT'ge �'��+0 O O O O a o 0 e 6 0 0 0 e 0 a 0 e 0 0 A 0 0 0 0 0 .• . .O e .0 A 0 Exit Opening Dead Bolts/Pad�Locks O O on O O E0x0 1O tO sO .a OO O.eO aO eO.i eO aO aa OO eO ee OA .O.0 e0 O0 90 aO-a. O.O.O. eO O Manual Dead Bolts/locks O InF�ideOOOO . eeDOOeO.0A0e .O6aOeOO Keyed Dead Bolts/Locks Insideoe0000000Oo . e000 ®aa . cn.oago Requirement of Crash Hardwareeoeoa .. eee.. .o .e . eeeouo. oq Requirement of Overriding Hardware.� ea. . eeeeaAee . aeoeAo o Emergency Lightingoaoo• oeoseaeA000eooeooe • oo• ee .. 00q. oe X Your issuance of certificate of occupancy before final inspection of oil burner. Date FINDINGS sued/or INTERPRETATION' - Bye J .; hAssessor's-map and lot number i�j<$ewTHE ige ._Permit number. ....U... 1./ ..... ..... LR«t�t l�tllk�t1t i e`` °w ` 1E �1.L L ►n 1 '.t'ty6 HABISTMEM i House number .................................f ..ys$...........[........... am 90 1 4 ITH TITLE f SwLC p 6 9. 1 e MAY TOW.I� OF., BAD�,,'r§T-AbU BUILDING :INSPECTOR APPLICATION FOR PERMIT TO;..... .. �(...E Cj.......... ................................ TYPE' OF CONSTRUCTIONt .....�ll(I7!!?::.L'(?HAYC..... ......:...................................... GG..... is ...........1 .�.6 /...........19.f:.�T7 TO THE INSPECTOR 5OF 'BUILDINGS: `I The undersigned hereby applies.for,a permit 6ccord.ing to the following 'information: :Location ...... ..... ..... .... ProposedUse ..... ............................................................. ......................... Zoning District ............ .......................................................Fire District ................ .......................: V�[/C �- 1. 4 C ....Address �412...-. . ......... .................. .. ........ l9�kl4if (!�L63� Name of Owner L�.. . ......_.... Lem) �-1�.:..IK1�. - Name of Builder ..:..:.........Qt s14:...................... .,.Address ...................................................................................... . Name of Architect ........:.......:. ...Address Number of Rooms. ..............6.... ..Foundation ........................................................ Exterior .S?R/...D.`..fl t lU Lr................. .............Roofing �D .....J..............................................................* lr C Floors �G1CrGU.. .. . ........ f' Interior S'� Erlll+l el� ..................................... .`. ........... Heating E Lc�J`�`� ....... ............................................................ .... ..........................`...............................Plumbing Fireplace ......... .....................................................Approximate Cost ..?Y?.. U. .:........................................... Definitive Plan Approved by Planning Board _______________________________19________. Area ....G.. .v...:.. .............. Diagram of,Lot and Buildingwith Dimensions' Fee. ... y.. ':...-.. SUBJECT TO APPROVAL OF BOARD OF .HEALTH y Al f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS F hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi - the above- construction. Name .... /. Construction-Supervisor's .License .... ....... FELLY, MICHAEL T. _ '+ i o 26234 Permit for .....Two Stork f t »:Sng1e..:Family....Dwellin.�.................. _ Locution .ko t.--2. ,......4. .E.Uiot...Rd.-... _ r ..x l ................................. .. Owner ............................................. .......... Type of Construction ..................... . .. " ........:......... ......................................................... Plot;. ..... r............. Lot .............. .............. n { `f�`rrTit-Grexi:e,+il ....April 3.,.....�j.. .19 84 Date oft Inspection .1'9 Date Completed .................... ......:......19 ..ky .•F'' r ��'9.4.,c,•� 1 �Y... l - f .rr ;i. v, ..�,. �. .. _r', `r-.•� !P/�a5 ' k and lot number .......... t I-S�Assess)r s p �r ,e * THE �jPerm.it_number, Se r ' Z BAH.H9TADLE, i use number ................................ ..� ®......................, 90 NAG& !/C O,o�1639.O `00 �f0 YPY fl TOWN OF BARNSTABLE BUILDING INSPECTOR nu � ) � sz �w� w� . APPLICATION FOR PERMIT TO .....:! ....1..... ...............................y......................:!............................................ TYPE OF CONSTRUCTION ...... ........................................................................................... .................1. .. lt.�...........19.l..�Z TO THE INSPECTOR OF BUILDINGS: F a The undersigned hereby applies for a permit according to the following information: Location LU � s.:... .. .............. Lc�•uTi t�/� .... Jl/• 1 (' .... Proposed Use l.4. )f����.... .............................................:........................................................ ...................................... f. ZoningDistrict ......................................................................... ....................:..Fire District .................. .............. ....................................... Name of Owner .! l.(. .1 -... ..:..1.��.1L�. ...........'...Address l.A.,.tl l.2�:M.5... .....'`! ...........!(1t+.Eft.... U26a/ '. Name of Builder ...............(>I.A/OJ....................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...............6...............................................Foundation ...11R?12;t.a.....G!U l7C' CLi9 P�30A�1C�) fl !UG Lc Gt D !2 S7�i i�lr� C Exierior ..............................f...... !...........................................Roofing ..................................................................................... x Y Floors ....�f(/1QvG/TIO °ld /�L.T....................................Interior ,.S/ ET . '.� ...................................................... g .... a�1`l/.�. Fieatin ......................................Plumbi,npg_ :. ..... ............................ ...........................r....... • Fireplace '....... Approzimote. Cost ...l.. '�!p( ((<. ..........................................' r ., 9 -�j Definitive Plan Approved by Planning Board ________________________________19________ . Area ........................ Diagram of Lot and Building with Dimensions Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH t. U W' OCCUPANCY PERMITS.REQUIRED FOR NEW DWELLINGS r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name %... .. ll // ........................... Construction Supervisor's License .....( ....... ` � ` . . ' . ' - . - � � � . ' . 'Location —���t`''���'�' ''��^ ------!�.Q.n.t-ex]{ill��----.------- Michael T. Kelly Owner -----.---.--.----.—.-----.. , - Type of Construction —..9r.4MkQ........................ - --..--~.....---.—.—._-----------. / / Plot ............................ Lot ................................ � �I���il 3, 84 Permh Granted -------------]g � ^ Dote of Inspection ..................................... > . ^ , ` Dote Completed --.-------.....--l9 ^ ^ � .�� y^�7 ^ � � ' ' ^ ~ � � ^ ~ ' � � i j _ R t FA rb�bp C if iJ , r -� j rl i 3• P 3 I I aL7i - - - 1 , . 1 .r. • 888 I _ III i , i t « v , b x 4 : ; 0 ` : kk yN . ,e a ' e y rr e � ' r , 1 • F I' L- I I , I 1 1 j J , y i I - i . . P, wA rt fLo Q-y emu. s V PUU AAA Lis I ' r i R 0_M -t d 1 Y I i J �- J1 r , v r 7 i s f 7 i EL-E( 1 Y z �