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Home My WebLink About0027 HAVILAND WAY 'y v .i t h r: t' '1 , L r a a _ � i r ,,. ,; ,. . .. -. T .- ,, . , .. ,. ,. .. . r, >,_ , �: ' �` _ i jam. �.. �h � '. ... � r .. . .. .. n J ., '. ..,. _ i „:. ' � �.. a �. :� y_ r y y ._. � u. :. � .. .. ..- ., r .. R. ,. .. „ .. p � ,. � F .- .� � y - _ � �� i .. ... e. �. �.. - .. � ,. � � .. .. ,. , .. �� .. .. - ... .. _� .. ,. .. �. � _, :_ , , �,. .. � - _ k � � .. � v } .: ,� . .. .i � •. .. _. O '� .. ,. -, .. _ � . r. u. � .. , Town of•Barnstable *Permit#' ,06 D(v 1 Expires 6 montirs 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.barnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL'ONLY j Not Valid without Red X-Press Imprint Map/parcel Number Property Address V,/4.►1,/ "I C Pyt A4 [Residential Value of Work' F C;'a o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address T ' �i f�ic_'^^•.jC Contractor's Name 17 K�'L , � _....Telephone Number 0( 3(Q`9-tgSf'S/ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: PERMIT ❑ I am a sole proprietor -PRESS ❑ I am the Homeowner I have Worker's Compensation Insurance SEP 2 8 2007 Insurance Company Name (prt v►i I-e '1Iyk -rn N OF BARNSTABLFF Workman's Comp.Policy# -'31 Lf Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) W Re-roof(stripping old shingles) All construction debris will be taken to .�" `C as ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side _ i ❑ Replacement Windows/doors/sliders. U-Value (maxim!m 44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of'Peririlssion., A-copy of the Home Improvement Con66tom License is required SIGNATURE: Q:Forms:expmtrg Revise061306 • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ' www.m ass.gov1dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Le 4bly Name (Business/Organization/Individual):• L •Address: 0& h3 City/State/Zip:Sn ,,z4v-ktS r 4' allL,6 Phone.#: Are you an employer? Check the appropriate boa: Type of project(required): 1.�I am a employer with _ 4• (] I am a general contractor and I employees (full and/or part-time). * have hired the stab-contractors 6• ❑New construction . 2.❑ I am a•sole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity, employees and have workers' co insurance.$ 9• ElBuilding addition [No workers' comp, insurance �• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' camp. right of exemption per MGL 12.❑Roof repairs insurance,required.] t c. 152, §IN,and we have no employees. [No workers' .•13.❑ Other comp. insurance required.]_, *Any applicant that checks box#1 must also fin 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. 1Contractws 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 providt their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ev Policy##or Self-ins.Lic.#:��5�.�`�h ExpirationDate: Job Site Address: ",i �'Z. 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 tip 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 maybe forwarded to the Office of Investigations of the CIA for insurance coverage-verification. I do hereby certify:ender the pains•and penalties of perjury that the information provided above is true and correct: Sienatttre; • Date: . Phone #: S'108".AO-1 FOther only. Do not write in thisarea,'fo be completed by city or town official n: Permit/License# hority(circle one): Health 2.Building Department 3. City/Town CIerk 4. Electrical Inspector 5.Plumbing Inspector son: Phone#: b ✓/ie -�o�remwau�rea/� o�,/l/laaaaclucaeka` ;' - --� '�°` Board of Building Regulations and Standards License jr registration valid for individul use.onhI HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to- Board of Building Regulations;and Star ds'rds Registration `145504 One Ashburton Place,Rm 1301. ' Expirat on 2-/2/2009 Tr# 130121 - - Boston,A;s.,.02108 i °}Type Private Corporation B.L.MOSHER CONST INC t sr BERT MOSHER �y_.#} 74 SEARSVILLE S.DENNIS,MA 02660 Administrator Not valid without signature.. s CERTIFICATE QF.I.NSURANCE ' 2w2 2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ` Sandpiper Ins Agcy Inc HOLDER. THIS CERTIFICATE DOES NOT.AMEND, EXTEND OR 12 Enterprise Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Hyannis,MA 02601 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED BI Masher Construction Inc PO Box 4131 South Dennis,MA 02650-0000 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POI-ICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, cO LTR TYPBOfINsuRA11CI POLICYNUMBER POLICY EFFPCTFaDAYE POUCT IRATIONDA'M . A Llr'tKFRr3 COMPENSATION [NCL D�MPLDYFIV L�Aaum LIMITS E PROPRIETOR/ HE FiCERS ARE u EXCL❑ 8859394 11/30/2006 11/30/2007 TATUTORY LlMrrs HER verepo Apppee to MLA OpatwQMS ONy.. ` 2ACMACCIDENT $ 1,000,00 I 1SEME POLICY LMIT 3 1,000,00 LSEAs C4 EMPLOYEE $ 1 ooa 00 ESCRIPTION OF OPIERATIONSNEHICLESISPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TfiE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 7HW0f,THE ISSUING COMPANY WILL ENDFAVOR M MAIL 1Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,OUT FAILURE"o MAIL SUCH NOTICE SHALL IMP06E NO OBLIGATION OR LIA&CITY OF AHY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Free Estimates Fully Insured /B L. Mosher �onstruetion, Une. Custom Roofing & Siding G� 46 508-364-6554 R O. Box 1131 • South Dennis, MA 02660 TOWN OF BARNSTABLE Permit No. ------------------------------- Building Inspector �usn►n Cash ------------- - � rua � raVal OCCUPANCY PERMIT Bond Issued to Y yV�� ]c3it� Addre-s Wiring Inspector Inspection date Plumbing Inspector f % Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health - _ '-A - Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ..................................................... 19............ ................................................................................................................ Buildin- Inspector FROM TOWN OF BARNSTABLEE BUILDING DEPARTMENT Mr. Francis I,aY to ne M7 MAIN STREET HYANNIS, MA 02eOt a. Tmm.,Clerk 'hone. 775-1120 SUBJECT: FOLD HERE - S DATE - rebruaiy12, 1985 a MESSAGE' Work has beencIeer Permit 27122.R ] Arthur Williams3 . .. Please release 'Bond. ` S16NED DATE . 11 REPLYt SIGNED N87-RNIr - RECIPIENT:RETAIN WHITE COPY,RETVRN'PINK COPY . . - PRINTED IN U.S.A. SENDER`. SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 46 Of i r •. �'�-3*I".QII a� i t� .�1�q�q'�F'4 fyr,� 1 / r V Boa 1Nb�t,.t�►I� , � �! CERTIFIED PL r PL..�4ti.1 , _ 4 � °Isr � LOCATIOW - C��•y� �o � L, cam, Nth 1 .. s 77 NG,gGO�J G� -� �/1TN ,T1.16 gtIIE.�.tN6 ff � �T . AND Q2 �► Town of �p SfiAF3l�= Ago Is ►.,c,T �� L-&►J,p li �Y FL=>D R..a►I N •l.loLa►T�"sA � �(�,, ,, C ) B A►7CTE iZ �. NYE' 14JG• ;, U4Tf� U cl'` w REGISt•LK�D "Wo, IfuevaYocc THIS Pl-AW K' d1oT QED vn� N oSTERv► o, /4t/ISS. 1 �a u�yrYVMG�•IT ' Rr/aY T�+� 0FCrSrZrS Si•lowl.a APP�.� GA►.t"i'� /'cRTI-1t_J2.1ot) : NC•T AG u-smo .T4 VCT@P_M��JC LoZ' Ll Wa5 -�-cA, ve r, 0 4fM b/3)/- /d/15W�, ssessor's map and lot number 9 ..or� �.•• / i -�9 ,C— QQ ../ .. �FfNEr� Sewage Permit number .... CJ..y.:". ............/........... ��K ./� .G • g e�Py (5K Co,-Co— TZ i D11 d �T �) Ay 7T / �c►i I 89HHAM LEHouse number(R-�no................7)..................................7 9 4p t639. ' SEPTIC SYSTEM MUST oup"I TOWN OF BARNS � � LR][YFP f�CE 4 " WITH TITLE 5 ENNIRONMENTAL CODE AND ' ;;- BUILDING I N S P E C TOtRNJ REGULAT104NS t B i l d a New H m l APPLICATION FOR PERMIT TO ................? ..............................9mig..............................:................................... . W o Fram TYPE OF CONSTRUCTION ........................Q...d.............. .................................................................................: .. ................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following ' f motion: LocationCent.cry .., .. .... .........................,....................................... ........i.. ... .... ProposedUse .........S1ng,1.e...FAI117,jy.. ...... .................................................................................................. .. ................ ZoningDistrict .......R..0.........................................................Fire District .............................................................................. Name of Owner MY•./.lairs.►...R.e...AY th?,?17..W1.11.�AM%cldress ..........9�-F ... 0�d............................. Name of Builder ... e...Arthur..W11.11aw.¢...In.C..c.Address AV...Oak... ..................... Name of Architect ....................NOYlE.....................................Address ............. ...................................... .................:...... .... Foundation. ............. .Number of Rooms ....................F..... ...iye............................... FQuXCCl...Condre.te...................... Exterior Clapboards...•... .•...••..... . .........................A h .. Roofing ...S.j?...$l�. t.......,................................ Floors ..............C...a.r et & Pi . ... ... . n ...................,..................Interior .....................SSi q...Plaster............................... Heating .........GRS„W8Y[il..A r.......... ...........................Plumbing ................... ............................... 'Fireplace. . . . ......... ? ...-... .� i..................................... ............................ .........Approximate. Cost ...6.Q.NQQO..:QO:............................... Definitive Plan Approved by Planning Board _____-__?'_30-__-__ __ 0 '.. - 9 84--. Area ........... ..................... i Diagram of Lot and Building with Dimensions Fee ......: 9 ` 5Q SUBJECT TO APPROVAL OF (BOARD OF HEALTH 3G I mil-' �s aSr 8 3� j q ! 2- OCCUPANCY PERMITS REQUIRED FOR NEW. DWELLINGS I hereby agree to conform to.all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. . .i. cr.-�� ........................... Construction Supervisor's License ... � ,1........... lt?>3. & MRS. WILLIAMS, ARTfM R. 27122 One Story No ................. Permit for .................................... .......SIngle..F ari y...Dwelli Location ...Z,ot..7.......27..Hauyl'Ujd..way.......... ,: { ...............fit 11e. ............................... Owner I, ...R. Arthur Williams .. ....................... } '• Type of Construction ...Frame............................ ... ....................................... ............................ PlotV,�...................... Lot ................................ - October 22, 84 Permit Granted 19 ti Date of Inspection ......................................19 Date CompI ted. .�!�! '..C ............ .19P, 'Cz- Assessor's map and lot number f t7 ,1,'",^..' d................. ........... C3 - OF THE TO Sewage Permit number („ r Co. G Z B9BBSTSDLE, i House number: ................. ' MAl6 6 vo 039. ♦� �FG YPY p,. TOWN OF BARNSTABLE BUILDING INSPECTOR t �Sua.l c� NeN I m� . APPLICATION FOR PERMIT TO .......................................................:.........................................................:. TYPE OF CONSTRUCTION ............... We Q0.. ,rA!ng..................................................................................... ...... ............. .. Set lt.emhe ..........................10A.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ��'1'�tP ;t1U.J. ................. .................................................................... ........................... ................................................. ProposedUse ...........3AY1g.Pi... m. 1J tr..................................... ......::.....................................................I......................... ZoningDistrict ..........................................:..................Fire District .............................................................................. Name of Owner Mr./Mrs e..:g.s:..Arth;Ei�'...Wi.I .,7 amt2Address ..........`1�f ..T'�!?��urc�4�...Rn d............................. Name of Builder ... s...t#r t1�"„W 1•l .r... „Iz1C.o..Address .. �•2•,...() ;j{...5 1p..................... r Name of Architect ....................N.On.e..................'..................Address .................................................................................... .. ... .. Number of Rooms five .................Foundation 1?�at r.e.d..�omr.ehe ................................................. .............. ..............:.......................... (:Exterior ........................ ... garda .......................................................................... .............. Roofng .......................�. Floors CtarDet & Pine.......................................Interior `��• >�1.�5t--x - — -- Heafmg---;---��;s.•-?�+;�-�;;tn-:?�'r'�'-'r.`.:�:-:..'-' ...:............:.Plumbing ...................::..,................ .......................................... Fireplace .................Ot1��..:....:36."...........................................Approximate. Cost ............�!O•, laa 10................................... Definitive Plan Approved by Planning Board --------- 30 _19 8 __. Area ............20 2..................... Diagram of Lot and Building with Dimensions Fee 9.1...50 SUBJECT TO APPROVAL OF BOARD OF HEALTH Sr i% r �e 41 r"r y ,�lr. i �1 , " i yCz 2 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above } construction. /��- Name .................................................... OI�f oc/ Construction Supervisors License 1 WILLIAES, ARTHUR R. A=193-12-59-58 No 27122...... Permit for ...Qne..Stor . .. .... ... ........ ........Sijagle..Fami ly..Dwellling.......... .......... Location ..Lo.t..7,....27..Haviiand..wa.y... .. ... ................. ...................................... Owner ...Arthur..R.—Wid.Uanis...................... Type of Construction ......Frame .................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....040ber.'.22 *......19 84 Date of Inspection ..:.................................19 Date Completed ..........................................19