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HomeMy WebLinkAbout0033 HIGH NOON DRIVE l 0 o --� � r CoDle 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 r v_ 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. a r, li - r LoT a 36- 'f ' ;+jb 38't p 2 R N IS 61 o S-F. 48'± 1 (DO �K of . :c Lc�-Z' zo y4' MCHARD u A. -- 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