HomeMy WebLinkAbout0033 HIGH NOON DRIVE l
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01 f Barnstable *Permit# I
Town o
G- Expires 6 months from issue date
V
Regulatory Services Fee X�-
,��� Thomas F. Geiler,Director 13 1��
Building Division
dF Tom Perry,CBO, Building Commissioner .
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERIMT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint .
Map/parcel Number
Prope ddress �� �� 6"n
Residential Value of Work inimum fee of$25.00 for work under$6000.00
Owner's Name&Address To n,, �
3 A,, �
Contractor's Name / f l 1 0h T % Telephone Number_ �,71
Home Improvement Contractor License#(if applicable)
Cons tion Supervisor's License#(if applicable)
orlonan's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurances
Lurance Company Name : / (u
Workman's Comp.Policy# V A/� OG S3f z aoo&
Copy of Insurance Compliance Certificate must be on file.
Permit Request heck box)
Re-roof(stripping old shingles) All construction debris will be taken to S�^r✓torls�e�s
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.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 Permission.
Home Improvement tractor e-is-required.
SIGNATURE:
Q:Forms:expmtrg
Revise071405
L
Department oflndustrial Accidents
Office of Investigations
600 Washington Street
' Boston,MA 02111
wrvw.mass.gov/dia'
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
ATYDlJcanf Information Please Print'Leldbl
Name (Businesslorganization/kavidual), I�
Address.
City/State/Zip: • UU� i Ph' e#:
Are y an employer? Check the-appropriate boa: Type of project(regaired);
1, I aYn a employer with 4. ❑I am a general contractor and I 5, ❑N onsttuction
employees (fall and/or part tone)* have hired the sub-contractors 7. emodelia
2.❑ I=a sole proprietor or partner- listed on the attached sheet 3 g
ship and have no employees These sub-contractors bane SS ❑ Demolition
working for mein any capac#y.. workers' comp,insurance, g, ❑ Building addition
[No workers' oomp,insurance 5. ❑ We are a corporation and its
required.] officers have exereised.fL+ 10.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plnmbmg repairs or additions
myself.[No workers' comp. ' c. 152,§1(4),and we Iwo no 12.[3 Roof repairs
inwance rcq*ed.]t . Cnip1oYms•[No workers' 13.❑ Other
camp.fish nce required.]
*Any epplicaat did cbeclsa box#1 muat also fill out the section below showing•hair workers'compenwtioa policy mformetion
t Homeowners wbo submit this ati davit indicating they are doing aU work aadthen hire outside eonh ctms must submit a new zMWit mdicatmg'such
ZContractors that check this biz must attached an additional sheet showing The name of the sub-contractora end their workers'eoaop,policy fnformgatti=.
ram an employer that is providing workers'compensation insurance for.my employees. Below is thepolley and job siti
Information. /�G'. . . : :•J.
Insmenct CompanyName: /"«LS S.
Faliv#.or Sci4mi ice.j.. .Daix G 7 0'
lob Site Address: 3 G`ity/5tate/Z4j:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and eapirastion date).
Failure to secure•coverage as required undei Section 25A of MGL c. 152 can lead to$ie imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprlsonment�as well as civil.penalties is the.forin oi;.a STOP WORK ORDER and a fine
of up to$250.00 a day agaalst the violator. Be advised that a copy of this statement may be forwarded to the Office of
Imyestigations of the DIA for insurance coverage verification.
1 do hereby eerh;o under the p ns nd pena ' f-perjury that the information provided above is true and correct.
Mature: Date: ?azz
Phone# P -77nz-
orc►ai Asa sw�. fro f RW e M,his Ma,to be'emweftib..ak,or tM officigL
City or Town: Permifti icease#
Issues Autharlty (circle one):
1.Board of FLe&,.h 2.Building Department 3.Ctty/—i own Clerk a.Electrical inspector S.Plumbing Iasper-d4or•
6.Other
1
Coeact Person:
Phone#:
Jun 13 2006 1 : 18PM HP LASERJET FAX 509-295-8443 P. 1
Bill Bachant Builden
9 Tyler Ave. Proposal
Wareham,MA 02538 Date Proposal #
Tel: 508.295.7T12
Fax: 508,295.8443 5l512006 30
www.biliba&onibuilders.com
blllbachan tbuiiders®comcast.net
1Bill To-
John Robichaud
33 High Noon Drive
Centerville Dr
Contractor!icense #: CS 067506
Terms: Project
Description: Total
New Roof,remove old rcof replace with riew 7,000.00
r Ili
Contractor Signature: Date:
All material is guaranteed to be as specified. All work Is to be completed in a professional manner cccording to standard practices.
Any alferofion or deviation from above speclflcctions involving extra costs will be over and above the estimate. Ali ogreements
contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and compensation insurance.
You,the buyer,may cancel this transaction at any time prior to midnfgnt of the third business day after the date of this transaction.
Cancellation must be In writing. This proposal may be withdrawn by us if,not accepted wifhin 30 days.
ACCEPTANCE OF PROPOSAL-by signing this proposal you accept the outlined prices,specifications and condifions and
authorize us to do the work as specified.
e
Customer Signature: . Total
$7,000.00
Date:
f
NOTICE NOTICE
TO v TO
EMPLOYEES EMPLOYEES
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
600 Washington Street, Boston, Massachusetts 02111
617-727-4900
As required by Massachusetts General Law, Chapter'152, Sections 21, 22 & 30, this will give you
notice that I(we) have provided for payment to our inured employees undd.r the above mentioned
chapter by insuring with:... .
ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY
NAME OF INSURANCE COMPANY
54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803-0970
ADDRESS OF INSURANCE COMPANY
VWC 6005387012006 05/07/2006 - 05/07/2007
POLICY NUMBER 213 Main Street EFFECTIVE DATES
P O Box 700
Legacy Insurance Agency Wareham, MA 02571
NAME OF INSURANCE AGENT ADDRESS PHONE
Bill Bachant
dba Bill Bachant Builders 9 Tyler Avenue Wareham, MA.02538
EMPLOYER ADDRESS
05/08/2006
EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish
adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act.
A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician.
The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary
and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that
the insurer has arranged for such attention at the
NEAREST AND BEST MEDICAL FACILITY
NAME OF HOSPITAL ADDRESS
TO BE POSTED BY EMPLOYER
s
BOARD OF BUILDING REGULATIONS
icense: CONSTRUCTION SUPERVISOR
Number: CS 067506
irthdate: 02/21/1965
Expires: 02/21/2008 Tr,no: 18462
Restricted: 00
WILLIAM P BACHANT
9 TYLER AVE
E WAREHAM, MA 02538
Commissioner
Board of Building Regulations and Standards License or registration valid for Individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
n, 11828 Board of Building Regulations and Standards
egtstratlo
One Ashburton Place Rm 1301
Explrati n 2/23/2007
Boston,Ma.02108
°_ Iyptd, Private Corporation
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BILL BAC BUILDR§fN�CP ,
WILLIAM BACHANTV�1� y'
9 TYLER AVE. --
E.WAREHAM,MA 02538 Administrator Not valid without signature
Assessor's map and lot number ., .....
��!! ......
�OfIWETOE
Sewage Permit number .....6.`Mw?............. .................
Z EA"STADLE, i
House number ......................:�......... .......?...................... t 'p� 2639.
ON a\
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....RV d u5 -�9 to fi•��a.G..' r`/CJ
TYPE OF CONSTRUCTION .............64"C3CO........E-Y/9ira..�"............................................................................
................ ................ ....
......57c?7.....9.�"V...................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
.<G T Z / i d7 .VCIGJsv � i(i E.-- - �c��vT�'/vr
Location .............................r�................��...................................................................................................................................
Proposed Use ................/..�..r.G.............F........ f� .............................................Zoning District Fire District C�P.vT.. G.5
.......................................................... ..............................................................................
Name of Owner u. /wcT Address ..................a �t�'l�.Tr�'/G i.........................L.......... ? .
Nameof Builder ....................................................................Address .....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ........ �C�t?f...........................................Foundation ....... . .............................................
Exterior ...............................................{���l.... ?.h'r'Q�'— ...Roofing /i5 /gjG
.............................................................
Floors ............................................Interior ............... Y..v.�C .....................................
Heating Plumbing i
r s r f�A7 f�
Fireplace ................................................................Approximate. Cost ...............................>.............. �
Definitive Plan Approved by Planning Board ---------- f 9 Area �i! ....r.�... .................... f
Diagram of Lot and Building with Dimensions Fee '... ..................... ...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
J y.
I hereby agree to conform to all the Rules and Regulations of the�Town of Barnstable regarding-the above
construction.
Name ...... Iy ....................................
Construction Supervisor's License ....................................
i 7
DAVID BUILDING TRUST A=193-229
No 29569 permit for One StV-oonrive
.................
Single Family Dwelling
............................................................
Location Lot #19, 33 High...........................................
Centerville
Owner David Building Trust
..................................................................
Type of Construction "Frame
..........................................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ........June 26, 19 86
Date of Inspection ....................................19
Date Completed ......................................19
c:
v
y ,Apesscir'- map and lot`number .,1."/.�.._`.../,2?f/R ..........
SEPTI1i SYSTEM MUST B Q,,�`THE roe♦
Sewage Permit number ..... ......v/.� ..7.J .'. INSTALLED IN C0MPLIAN
r L C
WITH
�7 TITLE
/�ic�G�7 Z BAHB9TADLE, •
House 'number. ...............'........ `
—?J�....G`TS..:..................' N ne9
I E VIRONMENTAL CODE A M63 .
ti Y TOWN REGULATIONS OR a\
TOWN OF BARNSTABLE
B�UILDINO--m, INSPECTOR
o
APPLICATION FOR PERMIT TO .... 4:.Rol....�:;v ......!C! � Z.........`7�4?! ..........................
TYPEOF CONSTRUCTION ............................. .... ....�n ..................................................... .................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
.CGT / i� �/ psvR/lam Ca7�s^UiL:
Location .........................Z91................ .. ?.......... ............................................. ..... .................................
. '........! '''a. 'C}f.... ' ?. .............................................................................................
Proposed Use ........... i v.
Zoning District ..........
.../.................... ................................i...Fire District ........:.....................................................................
�.
Name of Owner : '),,q ll b Oui'LQ'i,vo //US%Address ... .... �o �E'�t. �Q :
............ .......... ........ P�r....�Y...................... .........................
Name of Builder .................Address
Nameof Architect ................................:.................................Address ............................................:.
Number of Rooms .......:��'�. h ....Foundation .......�O;vC/ .............................................
.......................:1......:..............
Exterior ........ae
d.9� .....,5 ..Roofing e� ............................................................
Floors ...............:...........................Interior .......... Ytc;!.9;L.................................................
O ......................................Plumbing � THeating Fireplace ........s �iC/G, 9 �L<1C/< .Approximate Cost .... .G.. .......................... . ..............
' 8............................... I cle X rS (�
Definitive Plan Approved by Planning Board _---�� G /
-- Area ..
Diagram of Lot and Building with Dimensions Fee ... Cr.. ......
SUBJECT TO APPROVAL OF BOARD 'OF HEALTH r
• .
_ _ n
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of th Town of Barnstable regardi above
construction.
NameO .. .... ............ .. .. .................................
Construction Supervisor's License ... ................................
DAVID BUILDING TRUST
.... Permit for ...PR!�.. ............
..... ••Family Dwelling,••••••••,,,•••,,,••„•,
Location
Centerville
............ ..................................................................
Owner .........Day.i.d..Bu.ildin.g..Trust.............
...... . .. .... . .... ... .. .... . . ..
Frame
Type.'6f Construction ...........................................
..................... ..........................................................
Plot ............................. Lot ................................
June 26 86
Permit Granted ................................
Date of,Inspection ... 9
Date Completed ... .... ...............!I gor
P i k I
NZ
Ilm-
0
M
M cc
M
a y
20
W 0
C5 :3 0 0
oFtxE>o TOWN OF BARNSTABLE Permit No. . 2 69„.„.
BUILDING DEPARTMENT
Cash ....... .
TOWN OFFICE BUILDING ""' .
�.[..
• HYANNIS,MASS.02601 Bond .....X
CERTIFICATE OF USE AND OCCUPANCY
Issued to David. Building Trust
Address Lot #19, 33 High Noon Drive
Centerville, Massachusetts
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID,.AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH-TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE. ----
February 4, f37.......................... 19................. _.: ....... .
Building Inspector
k a
•.. 1 T �. y
��..� °�• TOWN OF BARNSTABLE
BUILDING' DEPARTMENT
_ BA"ST /
NASAL TOWN OFFICE BUILDING
�
gr •639. HYANNIS, MASS. 02601
MAX►
MEMO TO: Town Clerk _r.
FROM: Building Department
DATE:
v An Occupancy Permit has been issued for the building authorized by
BuildingPermit $k.........» ..».. ............. 7................».......... ........................
_
issued to ..........:_ ! / �..:a..! .......�, /a C /�; ....»...»...» ...»»».........»..»».»»».»
r'
Please release the performance bond.
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
im F-
DATA F
TOWN.OF BARNSTABLE, MASSACHUSETTSPERMIT
+' JOB WEATHER CARD
un
DATE 19 PERMIT NO. Me.q 56
APPLICANT li'a�l'1i1� ADDRESS
(NO.)' (STREET) '(CONTR'S'LICENSE)
PERMIT TO liLij.Lli ,.1'„'',_L} ,:15. ( 1 ) STORY ,.>.:.!!,..�t-_ L" .!11l".:. NUMBER OF ..
' DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
r'- �t �:<., r- j ZONING
AT (LOCATION) ,.")_ i'1J� _i� - ;;It ,i..,,, i.): J_'.+.:? G�311+.;a�J.....5.:5
(NO.) (STREET)' DISTRICT
BETWEEN AND - I
i (CROSS STREET) (CROSS STREET)
'i SUBDIVISION LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
._.
TO TYPE . .
USE GROUP. BASEMENT WALLS OR FOUNDATION
' (TYPE)'
:�#EMARKS:
1
AREA OR PERMIT I
VOLUME: FEE
(CUBIC/SQUARE FEET)
(Ju.V.ill ?Al Lid ir11. T:"l Y',•__;C
I OWNER
V BUILDING DEPT.
ADDRESS :L.i_ c
-
i. By
1
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK ,OR ANY PART THEREOF. EITHER TEMPORARILY OF
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST—BE AP-
PROVED BY, THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEC
I ;,,FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION'
?;(OF ANY,APPLICABLE SUBDIVISION RESTRICTIONS.
Mi NIMUbI of THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
;`INSPEOTIONS REQUIRED FOR P D KE
PT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE, REQUIRED FOR
:,ALL CONSTRUCTION WORK: - ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY `IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALLNOTBE OCCUPIED UNTIL
MEMeFINAL INSPECTION
TO LATHE FINAL INSPECTION HAS BEEN MADE.
. � 3. FINAL INSPECTION BEFORE
.. OCCUPANCY.,
POST �PHM CAm"D 50 IT 05 '11SIBLE fin® ��m���
j BUILDING INSPE TION APPROVALS- PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS '
1 �
ce
2 2 � 2 -
. I
3 HEATING NSPECTiNG A16PRO ALS REFRIGERATION INSPECTION APPROVALSF EA
LTH
OTHER I
I
wt�RK SnAL_ NCT ?RO_EED UNT:L THE PERMIT W!LL BECOME.NULL AND.VOID IF CONSTRUCTION INSPECTIONS INDICATED ON TH!5 CAP.
:NSaE S OF NAS APRPRC iON T4E 'iAPlQUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE BE ARRANGED 91 TEL:_Pt;or:r ,CAN GED FOR
STAGES OF cDNsr4uCTIDN' PERMIT IS ISSUED AS NOTED ABOVE. 0R WRITTEN NOTIFICATION.
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MCHARD u
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WA ER
R:o 24048 �.
CERTIFIED PLOT PL A N
I CERTIFY THAT THE '-ov Q O A-rt o 0 LOCATION C C w T-C--12v I L C
SHOWN HEREON COMPLYS WITH SCALE DATE Cam- Z - 6
THE SIDELINE AND SETBACK
REQUIREMENTS OF THE TOWN OF PLAN REFERENCE
5hiz�3ST Ai3LL AND IS NoT' LOT i 1
LOCATED WITHIN THE FLOODPLAIN. �� 13�L 32� pG, 27
DATE la /- BAX R TE � NYE, INC.
THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS
INSTRUMENT SURVEY AND THE OSTERVILLE^- MASS.
OFFSETS SHOWN SHOULD NOT BE
USED TO DETERMINE LOT LINES. APPLICANT Drlvli�:) 5i:luiL.o
JOHN F. THIBBITTS
ATTORNEY AND COUNSELLOR AT LAW -
2SS MAIN STREET - POST OFFICE BOX 276
` HYANNIS, MASSACHUSETTS 02601
(617) 771-2690
October. 24, 1985
Mr. Joseph Daluz '
Building Inspector
Town of BarnstaFle
South Street
Hyannis , Mass. 02601
Re: Reference made to a prior .let:te:r dated October 21 , 1985
concerning Lot 19: high.. Noon Drive, C..enterville, 'Mass .
Dear Mr. Daluz ,
r
Lot 20 .as s.h.own. on that •plan eras sold to, .J.eff.rey Latimer
et' ux .by deed rec4.rded Ba.rnstab-l'e. Re.g ;stry .of� Deeds Book '3546.
Page 128 and %s� not 'in c6mmon ownership vi'th David Goldman
at this time.
{
Very tr.uljr, you'rs"
John 7. THibb,.itt-s: `
JFT/a,pt
copy; David A, Sa:uxo., T.-Ku ste-e.
David Buijding Trust
JOHN F. THIBBITTS
ATTORNEY AND COUNSELLOR AT LAW
255 MAIN STREET - POST OFFICE BOX 276
HYANNIS, MASSACHUSETTS 02601
(617) 771-2690
October 21, 1985
Mr. Joseph Daluz
Building Inspector
Town of Barnstable
South Street
Hyannis, Mass. 02.601
Re.: Lot 19, High- Noon Drive, Centerville, "Mass. , as shown on
plan filed in Barnstable Registry . of. Deeds' in Plan
Book 326 Page 27
Dear Mr. Daluzs
Lot 197 as sh-own" on the: above plan, contains 15 , 610 .square feet .
When this plan w"as .prepared and approved, this area was located
in zone RC w-ha ch required a minimum area of 15 , 000 square feet .
On February 28, 1985 , Lots -1, 6 , 8 , 10 ,. 15 , 17 and 19 on said
plan were deeded to David Goldman by� deed recorded in Book 4433
Page 86 .
On the same date:, Lots 3 , 5 , 7 ,' 9 , 11, 12.,. 16 and 18 were con-
vey ed Ito Joanne Goldman -by deed recorded in _Book 443.3 Page 87 .
T trust that .this information will enable you' to issue 'a building
pe:rmi.t for this -lot,
Very, truly yours,
9"M f, A u
John 7, Th_ibb.itts°
ccs David . A. 8guro,: Trustee.
David Hutldi`ng- Trust
h