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HomeMy WebLinkAbout0022 JUSTICE DOUGLAS WAY �� �c�s� r`ce�o " �GC$ Lek�o a Town of Barnstable sib 4 Post This Card So`That rt is Visible From the Street Approved Plans Must be Retained on lob and this Card Mustbe Kept ) snersewa a + x e v nrwss $ `Posted Until Final Inspect�oi Has•Been Made z X e�+ i� ova Where a Cerfificate`of Occupancy is Required,such Bwldmg shall Not 6e Occupied until a Final Inspection has been made ..- w _..,. a.xt: ., _. Permit No. B-19-4232 Applicant Name: William Callahan Approvals. Date Issued: 12/24/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/24/2020 Foundation: " Residential Map/Lot: 191-191 Zoning District: RC Sheathing: Location: 22 JUSTICE DOUGLAS WAY,CENTERVILLE Contractor Name;; EFFICIENT BUILDINGS LLC Framing: 1 Owner on Record: WARD,CHRISTOPHER Contractor license: ,169944 2 Address: 22 JUSTICE DOUGLAS WAY Est Project Cost: $2,500.00 Chimney: CENTERVILLE,MA 02632 Permit Fee: $85.00 Descri tion: Weatherization Insulation: p Fee Paid' $85.00 Date 12/24/2019 Project Review Req: Final: �Gts��crn Plumbing/Gas ' Rough Plumbing: This permit shall be deemed abandoned and invalid'unless the work authorized'by this permit iscommenced within sizmonths after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents forZwhich this permit has been granted. ` Rough Gas: All construction,alterations and changes of use of any building and structures shkibe in compliance with the local zornng by laws and codes. g This permit shall be displayed in a location clearly visible from access street or 'pad and shall be maintained open for pu 11 blic inspection for the entire duration of the Final Gas: work until the completion of the same. ( The Certificate of Occupancy will not be issued until all applicable signatures by the Building and;Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:= ' Service: 1.Foundation or Footing x 3 _ 2.Sheathing Inspection j Y Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed m,_. _t ,, x 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 "Pe 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: �OpTME r Town of Barnstable *Permit J_w�" P O Expires 6 th fr r d e Regulatory Services Fee * BARNSTABLE, MASS9cb 039. ,0� Richard V.Scali,Director prED Mp'l a Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.toWri.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number t � Property Address l Residential Value of Work$ �� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ce I)D LLD Ir,-s Ce d to Contractor's Name �i Telephone Numbe�y— —1 1 Home Improvement Contractor License#(if applicable) Email:O' P)CA ` 2ZI C'l,Ll_ +'. Coyly). Construction Supervisor's License#(if applicable) o R k -E3<orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner D-ftave Worker's Compensation Insurance MAY 10 2616 Insurance Company Name �r� L�i J-6S(,t.rl l�I NSTAB LE Workman's Comp.Policy# UVL_V �S '" JOlpf11� Copy of Insurance Compliance Certificate must accompany ea6 permit. Permit Request(check box) E Re-roof(hurricane nailed)(stripping old shingles) All conshuction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIO I DHR\EXPRESS.doc Revised 040215 l` J The Commonwealth of Massachusetts 'r Department of Industrial Accidents I Congress Street,Suite 100 Boston, MA 02114-2017 www mass. ov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY,Applicant Information /, rPlease Print Leeibly Name'(Business/Organization/Individual): 7 U L— `J�' GA2Z1--A i_J � T JOti� Address: I " D S'i -x2 J 1 l_c MA City/State/Zip: Phone#: v "—�L9 `j I Are you an employer?Check the appropriate box: 'Type of project(required): 1.'n f am a employer with employees(full and/or part-time).* 7. New construction 2.❑i am a sole proprietor or partnership and have no employees working forme in $. Remodeling any capacity.[No workers'comp,insurance required.] 9. ❑ Demolition 3.❑[am a homeowner-doing all work myself.[No workers'comp.insurance required.]f 10 Q Building addition 4.❑f am a homeowner and will be hiring contractors to conduct all work on my property. f will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑ f am a general contractor and f have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.-* ther�� Uo 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. l 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 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 and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins. Lic,#:_ (V C 5— 3) S '3 67 6 6 z5xpuation Date: Job Site Address: 0S City/State/Zip: C)-:m Attach a copy of the workers'compensation poll1cy declaration p ge(showing the policy number and expirati n date). Failure to secure coverage as required under MGL c. 152, §25A.is a criminal.violation punishable by 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. 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 provideed/above is true and correct Si ature: ADate: `'l 2 Z11,6 Phone#: 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 6. Other Contact Person: Phone#: -- -- � Affairs Office of C n er ihd Business Regulation latzon J:t - o sum gu 10 Park Plaza Suite 5170 ` Boston; Massa'clusetts 02116 Home Improvexzient ContractorRegistration Registration, 103714 Type: Supplement Card Expiration: 7/9/2016 PAUL J. CAZEAULT & SONS, INC:.' RUSSELL CAZEAULT -- 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for-change. SCA 1 2QM-0�/1Y Address Renewaln Employment Lost Card c'p _ � - A Office of Consumer Affairs&Business Regulation License or registration.valid for individul use only n before the expiration date. If found return to: 17 BIOME IMPROVEMENT CONTRACTOR p Will Office of Consumer Affairs and Business Regulation �,7 Registration;;:j 03714- Type,' 10 Park Plaza-Suite 5170 y-' Expiratlon; :7/9120.16;;• Supplement'ward Boston,IYIA 02116 PAUL J.CAZEAULT.&`SONS;'1NG RUSSELL 1031 MAIN ST OSTERVILLE,NrA 02658 Undersecretary 4TT� id witho s nature VUlassachusetts -Department of°uuiic:Safety Board of Suiiding Regulations and Standards Construction supel-1-iso!' License: CS-103157 i RUSSELL CAZEAULT.;;; —. 2071 MAIN STREET :' Brewster MA 0201 -=- '--- o„Ymissioner 1112312018 DATE(MM/DDNYYY) A�Ro CERTIFICATE OF LIABILITY INSURANCE 8/11/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT-CONSTITUTE A CONTRACT BETWEEN THE.ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies),must be endprsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER DOWLING &O'NEIL INSURANCE AGENCY INC' NAME cT.:. _• - 973 IYANNOUGH RD PHONE FAX PO BOX 1.990 E-MAIL o Exf: AIC No HYANNIS, MA 02601 ADDRESS: • INSURER(S)AFFORDING COVERAGE .NAIC# INSURER A: LM Insurance Corporation - - 33600 INSURED - INSURER B PAUL J CAZEAULT&SONS INC 1031 MAIN ST INSURER c:' OSTERVILLE MA 02655 INSURER D: . INSURER.E: - INSURER F: - COVERAGES CERTIFICATE NUMBER::25918664 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE,POLICY PERIOD. INDICATED. NOTWITHSTANDING 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT.TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDL SUBR - POLICY EFF POLICY EXP TYPE OF INSURANCE - LTR POLICY NUMBER. MMIDDIYYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES(Ea occurrence)nce $ DAMAGE TO MED EXP(Any one person) $ PERSONAL&ADV INJURY. $^ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $^ POLICY❑PRO JECT ❑'LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - - - COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED- - - PeOPERTnt $ DAMAGE - HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ [hDXED CESS LIAB CLAIMS-MADE AGGREGATE $ - k" - RETENTION$ $ , A WORKERS COMPENSATION - WC5-31S-386670-02.5 8/10/2015 8/10/2016 �/ PER ERH AND EMPLOYERS'LIABILITY" - ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N NIA E.L.EACH ACCIDENT $ 1000000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1000000 If yes,describe under 1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES:ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION. PAUL CAZEAULT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE .THEREOF, NOTICE WILL BE DELIVERED IN 1031 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. OSTERVILLE MA 02655 AUTHORIZED REPRESENTATIVE LM Insurance Corporation u d ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014)'01) The ACORD name and logo are registered marks Of ACORD 2.9918664 1 1-386670 1 15-16 WC I.shankar.gadaleOlibertymutual_com l 8/11/201S 4:45:09 AM (PDT) I Page 1 of,l I I Property Owner Must Complete & Sign This Form If Using a Roofer 1 Builder. 1 (print) C dB grd SS (T, W fifiP , as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job Signature of Owner -0 wa,/ Mailing Address of Owner (('j9tr Telephone # ,��� v 7 -�cm Date Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com Asselor's map and lot number ...... ��......`..:........:. . 1 �l 1 ®T r 40 t7 4 SAC Sy" MUST BE A _ r 'AUCE tiro�E d:`� !1'''�=roc "`C;•;i�'3 1 61 � "�E ................. . Sri 1T =" .t7r�, Sewage Permit number ................. ....................... r COI; A�,'[} TOWN RE ATIO�d , , .,.. . .. ., °*THE Y TOWN OF BARNSTABLE ii i B,89SB4TODL i "6 9 ,,� BUILDING INSPECTOR O,p�O YPY Or 0 APPLICATION FOR PERMIT TO ....... ........................................................................................ TYPE OF CONSTRUCTION ............ ..... ...........19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby 'pplies for a permi ac in to th followi nforma�o� Location ......... ...................�t........... ..................... . ............�..... .. ............... ................................ .......................... ProposedUse ....�. .............................. ...................................................... .....!............................................................ Zoning District ........................................ ...............................Fire District .... ..... ........ . ,�! s........................... Name of Owner .. ... .....................Address ........... ..... .... r Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ........... ................................................................. Exterior .... ...... .................... :...... ......................................Roofing ... ........ ................... ................................................. Floors .........J016A.................................................................. .Interior ........ .. ..... ............................... Heating It..:....................................................................Plumbing ........... ..... Fireplace ..... ".... .. .! 1/ ..................................Approximate Cost Definitive Plan Approved by Planning Board -----------____---------------19________. Area S............ 0 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name� ............................................................................... � Small , -Alan E. � ��/ �, � c� /� x/ ' ^ ^ � No -l-?6m-.. Permit for ..........one—.m—t—u—ry. ...... single family dwelling -------------------~------' Justice las Loconon�/�� �� Way.���.��.�����—.� ���—.....----' Centerville _____........................ ........................................ � ���� E. SmallOwner -------.-�------------- � � Type of Construction .................frame_____ . ----.—.--------------------. . ' p1o* ` --------_. Lot ___..�.�����_____ ' Permit G,ontaJ---. .2D----.]P 74 Date of Inspection .................................... Dote Como��a6. .��r----]9 ' ���'����r� v�' ' , ' ' ) PERMIT REFUSED � / .----_-----..--------.. lV ' } | �' -----~--------'------------' � � —.~----.-----.-----.--------. � '—'—~-----------~'---^—^--^--' ` � ---..-----.---~.------..---~~. ` � Approved ................................................. lV � ^ --------------~--'---^--^--^ , ----------~-----------'''^--^ �� .:, r' ff � y F � �_ `� '' 6 '4` T. � � � yF a� �4 �.. � `..� �� �,� �� ���`` �~ ~ ~ Tom! Assessor's p and lot number ..`................:........................ f (/ i THE T Swage Permit number ..�. .... 41 . �' ILA PTIC SYSTEM MU INSTALLED IN OOM 9TADLE, i House number . ...... MU 6 :o rasa :.................................................. ENNIR 0 ONMENTAL CODE i6 aY k�O TOWN O F B A R N S Y "�M�'��'°'rioNs BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... .. ... ...... . .... ....... ................................................................ TYPE OF CONSTRUCTION ........ .. + ........................... ..19 �. TO THE INSPECTOR OF BUILDINGS:— The undersigned hereby applies for a permit according to the following information: Location Q.K. .P.S...................CAC AFTIT�`t�.!/�h�. ....... ......................................... Proposed Use ..Pt� .y..R...!�P. .... .T .!....!`.'......G !....��-. +. .�-!F......... Zoning District .. ........................................ ' ......... ........Fire District RA,..i. ......... Name of Owner ................................Address ..04Z...7 3,7 Boa- p,paey kAs.....Crtir,%arlw!►�^M%& Name of Builder M.�-176 rn .........Address ...API...yY..!7*,A loar?% ... .................... Nameof Architect ..................................................................Address ..................................:................................................. Number of Rooms ............... .................................................Foundation ..G.A.!4.G!{f«........:.......................................... Exterior SNPitM sh��wG-... Roofing ../g............ ........................... ............I................... P�y!1/dv�D a- /N�lr�p Interior ..s/7! !'Lr/ ,20G.t{ Floors ..................................... .................... ................................................... Heating /��...o .... �rpjw4 SY�Tdfir�.....................Plumbing ........................................................ ./ � O O .Fireplace .............................................................. Approximate Cost ........... .........�.....................................!)..... y Definitive Plan Approved by Planning Board -----------_-------------------19________- Area ................ ....... Q� Diagram of Lot'and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH /y a{ l P � QY v Go S I hereby agree to conform to all the Rules and-Regulations of the Town of Barnstable regarding the above construction. Name �!f�G�l1/� YI .�...�I .` `........................ WARD, CHRIS 4/ • No Permit for ....ARD I.T.I.OV .. .. .... .. . ................ Single Family Dwelling. ...... .... ............................................................... . ..... ...W 22 Justice Douglas W Location ........................................................ ...... Centerville ............................................................................... Owner ..Chris Ward............................................................ Type of Construction .....Frame .......................:............. ...........I...............................................................I...... Plot ............................ Lot ................................ March 26 .........1 9 81 Permit Granted March Date of Inspection ....................................19 Date Completed ............... 19 PERMIT REFUSED M ...... ..... 19 .fir................... C t j3................................................. .....................................e............. M ....... =A-Z................................................ VC-8-i.................................................. t7 0 M ....................................... 19 ............................................................................ ............................................................................... Assessor's map and lot number ,.......................................... �FTNETO ' � n Srage Permit number (74 a 1 BJSBSTLBLE, i House number r Mae" 6 O� 1639. \0� Q NAY tr' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... .:::' /, f .:a ........................... ............................................................... TYPEOF CONSTRUCTION .................:.........'..........................................:....r..........:....... ........................................ ..................:.f..... ...........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..................................................................................................................................................:.................................... ProposedUse ...................................................................................................................................................I......................... ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ......................................................................Address .................................................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .............................�..................................................... Fireplace .................................................................... ..........Approximate Cost .Y.......: ............................................... Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ................:......................... Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. WARD, CHRIS =191-191� No .2 4 8 Permit for .ADDITION Single Family. . . . ...Dwelling. . . . . ................... ....... ..... .. . .. .. .. ....... .. . .. .. Location .22. Justice. . ...Douglas. . . ...Way..... .. .. .. .... ....... ..... ....... Centerville ............................................................................... Owner .....Chris Ward .................................................... Type of Construction .....Frame ............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted .......March 26 , 19 81 Date of Inspection ....................................19 Date Completed ......................................19 r PERMIT,/REFUSED ............................ 19 ................................................................................ .... � ................... % .......................... Approved ................................................ 19 ............................................................................... ...............................................................................