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0114 MONOMOY CIRCLE
�/y ��► �� r'� r r i I Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and-this Card Must be Kept SAMOrABLE MAS& ;Posted Until Final Inspection Has Been Made. Permit s6 4 �ti� Y i Where a M,r P 6 p y q y uc g all Not be Occupied until a Final Inspection"has been made P Where a Certificate of Occu anc is Re ulred such Bu�ldm sh Permit NO. B-19-1524 Applicant Name: Thomas Capizzi Approvals Date Issued: 05/16/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/16/2019 Foundation: Location: 114 MONOMOY CIRCLE, CENTERVILLE Map/Lot -191200 Zoning'District: :RC Sheathing: Owner on Record: VANSCOY,JAMES J JR&TINA G Contractor"Name:""�,,CAPIZZI HOME IMPROVEMENT Framing: 1 INC. 2 Address: 114 MONOMOY CIR Contractor License: 100740 CENTERVILLE, MA 02632 , � Chimney: Description: Replace an existing bulkhead . Same side, location and model as the Est Protect Cost: $3,000.00 original. New bulkhead to be Bilco type C Permit Feb: $35.00 Insulation: Project Review Req: g Fee Paid`. S 35.00 Final:. Date, 5/16/2019 Plumbing/Gas 4 1 Rough Plumbing: :.Final plumbing: " Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sidx months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the.approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open fo'r public inspection for the entire duration of the work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: `^ Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site, ,�� Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT O � J T. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ( Application # pX1p.)M6Q Health Division Date Issued < < ( �-- Conservation Division Application Fee Planning Dept. Permit Fee 3� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Y�i M a (-/ C%/-C�-� Village 6'I-kr V 11k— /� ©oZ(p3.- Owner �hn 'Pe- 'C�'C_(-r-S 1 Address Ze'54{ M6?7 0,1-nQ V C%rc/ Telephone T)e_+�r" GLc5 t Permit Request 7:;A S"Aa�_L_r--\ Z646_e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation J,G YS QV Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type:. ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing.: ❑ neyv size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:° - C Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ G: Commercial ❑Yes ❑ No 1f yes, site plan review# r Current Use Proposed Use - - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name MSh EMUYAd Telephone Number Address 0 3 3 License # / 1 1 rt�LV o �NI !l y D 4( Home Improvement Contractor# (-9,r2 1 J Worker's Compensation # W C V®0! 5 9?60 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ACU4e* b'-s Q d r kC',ta/lS , DATE SIGNATURE �4 FOR OFFICIAL USE ONLY f APPLICATION# DATE ISSUED MAP/PARCEL NO. N' ADDRESS VILLAGE OWNER ,y DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING k } DATE CLOSED OUT ASSOCIATION PLAN NO. Si 3 K a° 3 1. Tire Commonwealth ofMassachusetts ' Department of Industrial Accidents Offlce of Invesdgadons 600 Washington Street Boston,-MA 02111 www.massgov/dia ' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Auuticant Information Please Print Lembly Name(%new on&divjdual): �b6 � Address: 3o k (,p 3 J Ci / tate/Zi 7c ✓o Vl/f 6oZ(o(o6 Phone#: �Z ?� ql gc�" ql 3 73 Are a an employer?Check th a ropriate box: r . I am a employer 4. [� I am a general contractor and I Type of project(required): employes(fun and/or p -time). have hired the sub-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling ship and have no employees These subcontractors have woricin�the in any capacity. employees and have workers' 8. ❑Demolition [N comp. insurance comp.insurance,t ❑Building addition 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 . l 1. Plumbing myself.[No workers'comp, right of exemption per MGL g repairs or additions 3a[] insurance required.]t c. 152, §1(4),and we have no• 12.0 hoof repairs I am a homeowner acting as a employees.[No workers' 13.0 Other genes contractor(refer to#4) comp.insurance requited,] 'may applicant that checks boa pt moat also fill out the section below showing char wotkW t Homeowners who submit this affidavit indicating Y am doing all wont and then hire outside contractors mst submit a new affidavit indicating such. =Conttatxors that check this box must attached an addidoasl sheet showing the name of the employees. If the sub.00ntmet�have employees. d" nal s fit s dtair wotkars' �and state whether or tort dmae entities have �R.policy number. I an nit employer that isPraviding workers'conrpensadoR insrance fat mJ'emP�.Y� Below is die Inforemdon, / . Policy and job site Insurance Company Name. /Ch'I'/-( 'r l�r < Policy#or Self-ins.Lic.#: - GOCV 009 37 cTbz, / Expiration I>ate:�� 8 Z - Job Site Address: C/ �,0/j 8 m- y �1/'G/�E' City/Snit MP , 1yrl�� 1/1'1/� ao2�32 Attach a copy of the workers,compensation policy declaration page(Showingthe Failure to secure coveia as e implicy number and expiration date). ge required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil Penalties WORK ORDER f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forn the form of aTward d to the Officeof d a Erne Investigations of the DIA for insurance coverage verification. I do hereby cN4#under the parrot and penalties of perjwy Nlrat tli►e Information f Pd abow It tune and correct lama f Offlcial we only. Do not write in A&arr%to be eompkted by city or down QQ7cial City or Town: Permit/License# Issuing Authority(circle-oue)e 1.Hord of Heaitb 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Ptumbin In 6.Other g Spector Contact Person: Phone#: ;VYaxc+achus►ett,c- Department 4)GpumIc 5s►fety Board at'Buildin{t Reltulatinm+and StitndstrQa ; .. w:�,,acst�ewc'Y3x�U'E��s�!ns�x i.asst,�aan .. 1.laenaec CS 1 JOSH EMONq So SUNSET DRIVE sisvrmt-Y, MA o1 A16 _. Expirations MOM Tr#s t • rt�,�nasrl+iwl�mur _ C f Licenieerngbvadon furtsu0vW useo* HOME CONTRACTORb�rc�e die. fff�ret�ato: t5 Typw t of Cessamer Af ws and BvmBm RgFfttbm E)WkaBm AN hxwibd 10f'srkFk=-Sute5170 BostmMA UM6 J EMOND , - t JOSH EMOA® SU SUNSET DRNE BEVERLY,ANA0191sr"y NotvaOd . w i NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES , The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street-Suite 100, Boston, Massachusetts 02191 617-727-4900-http://www.state.ma.Us/dia 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 injured employees under the above-mentioned chapter by insuring with: , Insurance Company: Atlantic Charter Insurance Company j Policy Number. WCV00939901 Effective Dates: 11/23/2011 TO 11/23/2012 Insurance Agent County-Insurance Agency,'Inc, 123 Sylvan Street Danvers MA 01-923 Employer. Building Performance Contracting, LLC 50 Sunset Drive , Beverly, MA 01915 Workplace: Building.Performance Contracting, LLC { 50 Sunset Drive Beverly, MA-01915 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 NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER OWNER AUTHORIZATION FORM r� + r- Pe,.+cy-C-us k-j e-- (OWNERS NAME) Owner of the property located at: C? O O /-C/-c- (PROPERTY ADDRESS) (PROPERTY ADDRESS) Hereby authorize (SUBCONTRACTOR) An authorized subcontractor for RISE engineering,to act on my behalf to obtain a buidi,ng permit and to perform work on my property. Owner's signatur Date The Commonwealth of Massachusetts William Francis Galvin -Public Browse and Search Page 1 of 2 t •a=s The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth,Corporations Division f._ T FAD:` One Ashburton Place, 17th floor Boston,MA 02108-1512 Telephone: (617)727-9640 BUILDING PERFORMANCE CONTRACTING, LLC Summary Screen Help with this form equeste?Certllcate The exact name of the Domestic Limited Liability Company(LLC): BUILDING PERFORMANCE CONTRACTING,LLC Entity Type: Domestic Limited Liability Compan, Identification Number: 001019295 Date of Organization in Massachusetts: 01/08/2010 The location of its principal office: No. and Street: 50 SUNSET DRIVE City or Town: BEVERLY State:MA Zip: 01915 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the.location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: JOSH EMOND No. and Street: 50 SUNSET DRIVE City or Town: BEVERLY State:MA Zip: 01945 Country: USA The name and business address of each manager: Title Individual Name Address (no Po Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code MANAGER JOSH EMOND 50 SUNSET DRIVE BEVERLY,MA 01915 USA The name and business address of the person in addition to the manager,who is authorized to execute documents to be filed with the Corporations Division. Title Individual Name Address(no PO Box) First,Middle,Last,Suffix Address,City or Town;State,Zip Code The name and business address of the person(s)authorized to execute,acknowledge,deliver and record any recordable instrument purporting to affect an interest in real property Title Individual Name Address(no Po Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code http://corp.sec.state.ma.us/core/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... -12/13/2011 i Gf"E 11, . The Town of Barnstable �m Department of Health Safety and Environmental Services 1639. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) Village Property owner's name Telephone number Size of Shed Map/Parcel# SZ, ?Signdliure Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? v Conservation Commission(signature required) 1 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg t_ STANDARD LEGEND NOTE:not all symbols will appear on a map r AP 191 - _____.._...._..._.... _ ....._..,,,w GOLF COURSE FAIRWAY i ; j i i ar='r EDGE OF DECIDUOUS TREES 1 � - 0 121 A P 19 EI ""Y`' EDGE OF BRUSH ljI O J' !I f..., ._ ORCHARD OR NURSERY EDGE OF CONIFEROUS TREES ' j J MARSH AREA i _�,_ � -—• • •---- EDGE OF WATER i J� DIRT ROAD DRIVEWAY I PARKING LOT PAVED ROAD 1 — — DRAINAGE DITCH PATH/TRAIL ttt J ,7 MAP 191 PARCEL LINE** 1 rf MAP 110 E—MAP# r', i':..._...._.........._..._....._...-_....._...__..._....._....._....._ 21 E PARCEL NUMBER E 1 #1860 HOUSE NUMBER 0 1 � �( f 2 FOOT CONTOUR LINE —E�— 10 FOOT CONTOUR LINE 0 4.9 SPOT ELEVATION i STONE WALL X............._X._. FENCE `"---- _, RETAINING WALL it —r= T RAIL ROAD TRACK STONE JETTY ! AP 1 / 1 SWIMMING POOL j PORCH/DECK J' 01 1 'r ❑ BUILDING/STRUCTURE 104 I fit " DOCK/PIER/JETTY t HYDRANT r e VALVE O MANHOLE O POST 0" FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H I C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .p SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE: This mop is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 1"=100'scale ma and ma NOT meet of roe boundaries.The are not true locations,and W.Sewall Company.Topographyand ve vegetation were interpreted from 1989 aerialphotographs b GEOD 0 UTILITY POLE n TOWER w E P V property V P V 9 P V 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards p LIGHT POLE O ELECTRIC BOX s t INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 1999 Town of Barnstable Assessor's tax maps. ,lessor's office(1st Floor): / /1 assessor's map and lot number / �j�f7�� U ;, �VfN f t0 r Board of Health(3rd floor): ssss�r�nt t Sewage.Permit number rum Engineering Department(3rd floor): "; -; °o �a�o• \�8° House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ! TYPE OF CONSTRUCTION _ 4W1,?11,V-4T L/17A4 L-dzf v!=/ 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefollowing information: Location // i�0i✓®�®N <` i.PCG�r ���72/ //G�G� Proposed Use Zoning District Fire District Name of Owner Address10, Name of Buildervyr _ Address AG�fs/�Cwi✓K� Name of Architect Address "— Number of Rooms Foundation Exterior Roofing Floors V/ Interior Heating Plumbing Fireplace Approximate Cost vv'y Area O� Diagram of Lot and Building with Dimensions Fee 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 Construction Supervisor's License 0-,46/e9 —JAME S No 35885 Permit For STRIP & RE—ROOF Single Family Dwelling Location 114 Monomoy Circle Centerville ' Owner James Vanscoy Type of Construction Frame Plot Lot 's Permit Granted May 18, 19 93 '!Date of Inspection 19 Date Completed 19 i 1 t e ti , Assessor's map.and lot number '�.. ...... '........ -�/��/7 C SYSTEM W33T B� ,, . INSTALLED IN COMPd:lANGIr Seeiiage.Kermit number .. .... I STATE SANITARY CODE MD TOM MCE t: V THE OFLBARNATA TOWN Z HAWST LE. s ON�639.a. RUItLDIHG INSPECTOR APPLICATION FOR'PERMIT TO ........ .....:.. u .. ... .............................................. ....................... ...................... .... s, TYPE OF CONSTRUCTION .......... .................... .......19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby, applies for a permit according,to the following information: Location .... .. . ........................... � .. ....... .��... .. .............. ... .. ProposedUse ..... ......................................................................................................................................................... Zoning District .........................................4t.0--ou ...................Fire District .................................. .. ............ ................ Name of Owner .. .. . mr!"b .:. .e....� :. ......Address .................:..............................:................................... Name of Builder .Address Nameof Architect ..................................................................Address ............................................P..................................... Numberof Rooms ...... ..........:...........................................Foundation ..........................:.:...:...:...........,.:............................. s Exierior :... '.... .............Roofing. ......... ...................................... Floors .......................... .:.........................................................Interior ......... ....................:........................................... ...... .:........................... Heating .............................Plumbing .......r� . .....:... ..:................. +f�. ... . ... ...F -!�..... Fireplace ... .......... .. ......... ,.-:/...................................Approximate Cost ........ !.......................................... : is . . Definitive Plan Approved by Planning Board ________________________________19________. Area �............ Diagram of Lot and Building with Dimensions Fee ............ . .... SUBJECT TO APPROVAL OF BOARD OF HEALTH r n I hereby agree-to conform to, all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam : .. �: .................. ... Small, Alan E.,.-.� No ` 17152 Permit for ...;,,one stork, single familx dwelling......................... Location .�. y Monomox Circle ...... ..................... ............. Centerville ............................................. Owner ............Alan E. Small Type of Construction frame . ....................................... .................. - Plot . ...................... Lot .........#34................ Permit Granted June 18 19 74 Date of Inspection �Date Completed + �... .......19 PERMIT REFUSED ....................... .................................... 19 .......................:..................................................... :. y ............................................................................. ............................................................................. 1 Approved .................a............................... 19 ................... .........................................................