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Home My WebLink About0044 LINDEN AVENUE � . � _ :. , . :� �, , �� .. ��fi ; .� __ ., s _,�.;,�.� , . v. ., e, �` - � ". .. - � .. �. .. � _ .. � ... :. Q ,. r ... � � _ _ r .. _ a .� � o d � F , u ,. �, - .. -. a p". � - c -., } �: _ � .. .. v .. ,. -.. :.p -. .... � - ... .: _ s � .. .,_ - �'�_ .. � .., .gyp- .. .. .. �. ... A �, .. � � - � - � _, .. •: � .. .. _ � '. Town of Barnstable *Permit# 0`0 (-P /66Q Expires m the from issue date X-PRESS pER l#egulatory Services Fee ` Thomas F.Geiler,Director NOV 16 2006 Building Division TOWN OF BARNSTl 9;Kerry,CBO, Building Commissioner Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint p/parcel Number @ 0 Cp® l perry Address tni LAi d �n�G,44,,,<! ((,e m A kesidential Value of Work Minimum fee of$25.00 for work under$6000.00 ner's Name&Address Vl! ��1'1 �/� C, e— Aractor's Name Telephone Number me Improvement Contractor License#(if applicable) risffMMMSrMvisor's hicense*# -iftppiicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insupprannce urance Company Name )rkman's Comp.Policy# '7 / t(x 6 / 5 1 py of Insurance Compliance Certificate must be on file. mit Request(check box) Re-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 (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. A c of the�Hrovement Contractors License is required. 3NATURE: orms:expmtrg ise061306 r y FRASER CONSTRUCTION Warranties the labor for 10 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. I CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. 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: Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: Homeowner Fraser Construction a T f r ✓tie�oryrvnwouuea� a�✓�/�aaaae`ivaetYd Board of Building Regulations and Standards License or registration valid for individul use only HOME IM M`OVEMENT CONTRACTOR befom the expiration date. If found return to: Registrre` 12536 Beal 'of Building Regulations and Standards One.kshburton Place Rm.1301 r 23/2007 Bost6n,Ma.02108 ONS kSER 3ON CIR IA 02635 Administrator j Not valid without signature w106 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAMEND,EXTEND OR ALTER THE COVERAGE WISE&QUINN INSURANCE AGENCY AFFORDED BY THE POLICIES BELOW. 449 PLEASANT ST BROCKTON,MA 02301 COMPANIES AFFORDING COVERAGE COMPANY A HARTFORD UNDERWRITERS INS CO LETTER .. COMPANY B LETTER INSURED COMPANY C FRASER.CONSTRUCTION LETTER PO BOX 1845- COTUIT,MA 02635 COMPANY LETTER D COMPANY E LETTER 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 CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE /DD/YY /DD GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LL1BII ITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any One F re) $ MED.EXPENSE(Any one person $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS - (Per Accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ STATUTORY LIMITS A WJPd�EIt`$COiviPENSAiION EACII.dLC=EN $i00,000 AND 6S60UB-794X6191 09/26/06 09/26/07 DISEASE-POLICY LIMIT $500,000 EMPLOYER'S LIABILITY OTHER DISEASE-EACH EMPLOYEE $100,000 DESCRIPTION OF OPERATIONS/LOCATTONS/VEHICLES/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ERASER CONSTRUCTION EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 PO BOX 1845 - DAYS WRITTEN NOTICE TO TIRE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL JMPOSE NO OBLIGATION OR COTUIT,MA 02635 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE f1S?�.C�?t%?4�150'j2 i The Commonwealth-of Massachusetts A ! Department of Industrial Accidents l Office of Investigations ! 600 Washington Street - . \ [, Boston, MA 02111 f 3� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Cl- Address:— P y k l G K City/State/Zip: �'c,�— Phone#: 14 — `2Y ?S Are you an employer?Check the appropriate bog: Type of project(required): VRR i am a employer with T-. 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the'sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑Remodeling ship and have no employees ' These sub-contractors have 8. ❑Demolition working for mein any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its i0.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions . myself, [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t 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 information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. kContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. tam an employer that is providing workers'compensation insurance for my.employees. Below is the policy and job site information. [usurance Company Name: , 4 x/� Policy#or Self-ins.Lie.#:_ —72 7 /y 6 j(7 Expiration Date: / d Z02 7 fob Site Address: q V !-1 tr d,,-, . /g-c.P City/State/Zip: C 4ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). y ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . .me 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 )f up to$250.Q0 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of L.nvestigations of the DIA for insurance coverage verification. f do hereby cg a pa' and f perjury that the information provided above is true and correct. 3i ature: Date: ?hone#: � �-- 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#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual;partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certi.ficate(s).of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to.the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitilicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy.information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 4f17ee'of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-8.77-MASStAFE Fax#617-727-7749 Revised 5-26-OS wwwmass.gov/dia i k�y'ki2 KrrS FRASER CONSTRUCTION Warranties the labor for 10 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start f Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration Of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be x P 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: Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: Is 00 Homeowner Fraser Construction rt= x ta PIE Ne y t 3kr' Assessor's map and lot 'number ,. .o.. /.s�.. ......... + �'$'� _ P�oF THE roof Sewage Permit number• ......:................•.............:................... Z � BABBSTABLE, i House number .9T......Q.1..A.'..............................I.................. r 900 N 9 0� 0MAId` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... : t .. ?.�*'��*....... �> � ......... ...................................................:.......... TYPE OF CONSTRUCTION ..................... .......................................................................................::.:. ................................................ p TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/, permit according to the following information: .Location .........7` ... ��II J. ./� .tT. d(,j ........ ............................................................. N(s- :.. . h � ........................................................Use ...L•/ ( : OSr 1� ( . /..... �..... -.Zoning District ......................................../.................................Fire District ............................................................................... Name of Owner �� .!.�Y�.. .. �t.��..��..d.., . 1I / ....Address .... f..L mi/�E/V..AVL.....� f /V 7u6/(t//;;;L;F Name of Builder ?gglr✓E /ljl ou.11 ./11•I .: /.(.......Address .. $- �/ . JVOU(r{} k ............:.............:................... Nameof Architect ............... ..........:........ ............... :........Address .................................................................................... Number of Rooms ...U/� ..... ! f t !'7)...............Foundation ... Xls��/1!.��'........................................I.......... It,o,c 16 oC CHpc�d¢rS� !b 6`Exterior ..�?``tx,,`-t• th!l�k�.s �.X..�..�kY�F�'t4:S aXta Roofing ....�4x�''••a•�'`�C�tZS, �.�/� �-x�...#'.�.NkF-,;7 .�JF�I_+�. ,: ... ..... /. ...... . ..... ;f ................ ... .. .vcRecc �1� Tc Floors =... .�..SI/.Jvw...f. ..... Interior ........ ......EZ..�L� la.�.�-................................. ......... ........................................ HeatingAlkv.&Alkv,.&................................................................. ... ............................................................. Fireplace ...it/Urj(c.................................................................Approximate Cost°.....!/ �.a UU-......0................................... ..... Definitive Plan Approved by Planning Board ---------------_---------------19________ . Area .../¢Lk..................... Diagram of Lot and Building with Dimensions Fee ` '�6 f..��... .�..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 1 3 • �r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ... .. .�!(. `��./ ................... Construction Supervisor's License ......... ^ . - ~~~ � - ' Mrs L8-1 44 Linde/Avenue Centerville Mr. & Mrs. Louis Leonard � Owner --------------------_— frame Type of Construction ........................................... ^ � ' _---.---------------------- Plot ............................ Lot ................................ November 13 84 Permit Granted -------------lV . . � .bate of.Inspection ------------lq ' � . ` . � Dote Completed ......................................lg ' ^ ' , ` . ' ' ` . . ^ . - ' � ' . . . | � _ r -• Ac3s�soIs map and lot number ..� � ��.:/�. -1 . .. SINE SEPTIC SYl Sewage Permit number ........................................................ �- z o� BAflHALLED IN Co ADLE, i Howse number. !.T.. :..................................:............. W H TITs e st63o E �]j-R 1V1E1y °AL �"rE o"FOYRY Iw�9 TOWN OF BARNSTAfi� � y+41Ge' DURDING INSPECTOR f APPLICATION FOR PERMIT TO .......... /...P..E ....d ' ..............................................:......:.. + , /.G .. s ...... � . TYPE' OF CONSTRUCTION :..........4.......:..V4 A. .. ..h.....:...................................................................................... f1 �� ................................................19P/•• TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a permit according to the following i/nf/ormatiom. Location ......... /.....�/l.�l dJ /!l...ITVil1/•U:4L........ /.I!.l. .!\.d�h.cC,. ............................................................ / / 2XI NCr \ Proposed Use .... �1. <.� ..✓ (,�. .c,.l-4.....�.. .+ \ .l..l.� ..... M. ...................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .......1. ..h�U.IS..L...�.01M.I. D....Address ....�...............�............!a....U.:...�.... �..... Name of Builder 17 0 .-e...I mM.MMEZVT....Address Nameof Architect ........................:.........................................Address .................................................................................... Number of Rooms ..,UN� � �s7-/WG'�...............Foundation 6. C cRewlea- AC Exterior ............ . �,um.....l...c�.X..�Q..................... 1..v�. ....:.......Roofing ........... ............... l Z,sx� �N ...................................... ................ t Floors :X.�.Sr1.N... �L .ucR�TC� .........Interior � TER �C-I��.?(? ........................................... .... ...................................... .... Heating .../10AI .........................................................:......Plumbing ...11V.°/j6,........................................................... �� 400U, 0v Fireplace ... :.V ...................................:....Approximate. Cost .................. ................................................ .. ............................. Definitive Plan Approved by Planning Board ________________________________19________. Area .... *...................... Diagram of Lot and Building with Dimensions Fee ` SUBJECT TO-APPROVAL OF BOARD OF HEALTH 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. Namet 4 ...'�-�✓.Z.��... .......... Construction Supervisor's License G .��Z� lr.�......... Leonard, Mr. & Mrs. Louis 5 27212 . .enclose porch LY ...... Permit for .................................... ........................................................ ................. , f 44 Linden.Avenue' Location ; Centerville .......................................................................... .r 4, Mr. & Mrs. Louis Leonard Owner .................................................................. frame . Type of Construction .......................................... J ,..{Plot ............................ Lot ................................ g, J Permit Granted .....,,.,November 13" 19 84 Date of Inspection ....................................19 f- .Y 1-6 Date Completed — .A. ✓ ,i, r...L9 Q ' _ Al i. ' J 1� 2J � �o S � /p� oet,LQ//�� o o y o � . o 80. 33 AVE NU I NDEN MORTGAGE SURVEY P LA► N Location: CENTERVILLE S I N 20� August 22 1984 PI'an Reference Being Lot N24A on a Plan entifled Centerville Estates Recorded in BARNSTABLE Registry of Deeds. i hereby certify that the building shown on this plan is located on the ground as o�'� AR U� shown thereon and it conforms to the zoning laws of the Town of Barnstable. L\ i I. certify that the above property does not lie within the Flood Hazard Zone as 00 del iniated on Community Map No. 25000 1 0020 B. ISTER`�� Q'� This Plot Plan was not made from an instrument R s aSSOClatt?S. 224-375$ survey and is not to be used for fences .etc., and is drawn for the use of the Mortgagee.. 13 Carolyn D• Plymcm+h Mass, �_ �