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HomeMy WebLinkAbout0211 MONOMOY CIRCLE .���d �d 1^h.p� �.i x"; fir/, :��`� �. � A.� v � i.: .. n i ,. - � o Town of BarnstableBuilding Post.This Card SobThat it Is Visible From the Streef-Approved Plans Must be Retained:on Job and thiSrCbrd Must be Kept `" C . : k . el;:F�nal lnawss PostedUnt spection HasBeen Made 163 ot beOccupied until aFinal lnspctonhas. en PeTMRCupa :is,Requird,'such Building shall N mWere aertcateo ncy Permit NO. B-20-2044 Applicant Name: BRIAN DENNISON Approvals Date Issued: 07/31/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/31/2021 Foundation: Location: 211 MONOMOY CIRCLE,CENTERVILLE Map/Lot: 191-220 Zoning District: RC Sheathing: Owner on Record: ADAMS, ROBERT A&JUDY M Contractor Name .SOUTHERN NEW ENGLAND Framing: - 1 WINDOWS LLC Address: 211 MONOMOY CIRCLE 2 Contractor License; 173245 CENTERVILLE, MA 02632 Chimney: Description: INSTALL( 1) REPLACEMENT WINDOW NO STRUCTURAL'' Est Pro' Cost: $3,739.00 Per Fete: $35.00 Insulation: Project Review Req: GLAZING REPLACED IN HAZARDOUS LOCATIONS AS DEFINED Final: IN 780 CMR MUST BE TEMPERED OR EQUAL. . ' Fe.e Pai�. $35.00 Date; ` 7/31/2020 Plumbing/Gas Rough Plumbing: �Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six 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. ► I. aFinal Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws an codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open or public inspection for the entire duration of the work until the completion of the same. { Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: W Rough: 1.Foundation or Footing m 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. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "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 D N��^'E V TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 s l36 �(C 6 Map 1 Parcel q 4pi—icAtion # Health Division Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 61 "V, (� Village �lti Owner . Address Telephone J Permit Request !' `fZ'��' •� �� « �� ��� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total rrevv Zoning District Flood Plain Groundwater Overlay Project Valuation �Pb Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporl1ir do."C mentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Xr ca m Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 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 ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Colo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name aow Ci�J/��IJJ��c�� Telephone Number Address /k 4� License # /19zP 9 Home Improvement Contractor#/Tmaz Worker's Compensation M ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO yi ru SIGNATURE DATE &T1 w FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED F MAP/PARCEL NO. '4 !i ADDRESS VILLAGE OWNER it '4 'f 'i DATE OF INSPECTION: FRAME P� - INSULATION 'i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING.' ; `- r 1,= DATE CLOSED OUT 'ti ASSOCIATION PLAN NO. i Massachusetts -Department of Public Safety 2 Board of Building Regulations and Standards Construction Supervisor License: CS-100988 HENRY E CASSIDV rr 8 SHED ROW WEST YARMOLPPH 1 2' r . Expiration Commissioner 11/11/2015 V'C''� 1 0111ce U I: Consumer Affalt-s and Business Regl.11atloft 10 Park Plaza -Suite 5170 , Boston, Massachusetts 02116 Home lnrlprovement Contractor Registratior> Registration: 'I5356 Type: Private Corijoi ation r, Expiration: 12/-151!�^t)14 "l-r-ir 'z3au31 CA11F COD IN SUt.-ATION, INC l if'.:NRY CASSIDI _. FAI- S0. YARMOUTH, MA 02664 _ Updetc ALldress aild ret u'ti curd. Mark rcusotrtitr change. f Address L I Rellesval li:III ploy-Ill Vitt I 1.isl C'arll uui c ut t ,ni,uulcr Allen, & Ltusiness Itegulati,l,t License ur registrilliun.lulitl for indivitlul use only illt;`ttmN IMNKCiVkMkNl CQN1 t{AC fOh herute the expiration datt:, lr l'ouutl return Lu; 153�Ci/ Type'. l)lfiteur(unswuerAtfatrs.tnctBusinessRe6ulation 1:520'14 Private Corporatic,r 1U t'Ti-k Place-Suite 5170 . lioswo,MA 02116 ul,M I Tilly.'INC' P:i u i l i i kl,9 U1G(:;4 Uutl�tsrcrclttrY ot1;iI W (ho t wit 1'e The Commonwealth.of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 wwn,mass.gov/dia Workers' Comlpensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibis N411le (Business/Qrganizabon/l.ndividual): City/State/Zi ? Phone#: ,SSG �'� Z / '-re you an employer? Check the appropriate box: 4. ❑ l am a general contractor and 1 Type of project(req�ulred): 1.�.1 am a employer with. .,1�,�_ employees (full antpr part-time).* have hired the sub-contractors 6. New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet 7. Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp. insurance.t , 9. [❑ Building addition required:] 5. [] We area corporation and its 10.❑ Electrical repairs or additions j •❑ 1 am a homeowner doingall work officers have exercised their el I.[] Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12,[]s Roof repairs insurance required.] t c. 152, §1(4), and we have no 3a.❑ I am a homeowner acting as a employees. [No workers' 13.ZTOther Z U J, 72 40/ general contractor(refer to#4) comp.insurance required.] �Azy applicant that checks box#1 must also fill out the section below showing their workers'compensation jiolicy information: r Homeowners who subunit this affidavit indicating they arc doing all work and then hire outside contractors must submit a now affidavit indicating such. 'Couuucton 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-conttatetors have employees,they must provide their workers'comp.policy oli number. !am an employer that is providing workers'compensation insurance for my employee&- Below is the policy and job site information. Insurance Company Name: 47-1ZA`//1, Policy#or Self-ins. Lic.#: 14111-1' �5 G1 Expiration Date: Job Site Address: l/1� M491 City/State/Zi Attach a copy of the workers' compensa on policy declaration page(showing the policy au tuber and expiration date). Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a tine 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 tine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of lnvestigatioas of the DIA for insurance coverage verification: I da her certify nder the Da nd penalties of perjury that the information provided above is true and correct Date; -D&41 Phone#. 4; Official use only.. Do not write in this area, to be completed by city or town official City or Tovvrn: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing in .6.Othec Contact Person: Phone#: } CAPECOD 27 MYOUNG �.._- 'CERTIFICATE C� LIABILITY INSURANCE DATE(MMfDDIYYYY) ( _ ( 7/812013 1 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. — — -- _ IMPOR rANTi If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to tho certificate holder in UOU of such endorsenlont s , PRanuctR License# PC-514062 coNrgcr — Rogers&Gray Insurance Agency, Inc. NAME: Margaret Young --- �1J41{ttf 134 PHONE IAIC.No Extl' -- I FAX 1(AIC Not South Dennis,NIA 02660 E-MAIL __ T__ — — --- — _-- I ADDRESS,myoungi rogersgray.com. INSURERS)AFFORDING COVERAGE - NAIC 9 I -.---.....:..._.._...--_.--.....-- iNSURERA:PEERLESS INSURANCE COMPANY_ I INSURERS:COMMERCE INSURANCE COMPANY Cape Cod Insulation, Inc. INSURER C:Evanston Insurance Company l 18 Reardon Circle I wsuRERo:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E: INSURER F COVERAGES _ _CERTIFICA_CERTIFICATE _ REVISION NUMBER IRIS IS 1*0 CERTIFY THAT TI-IE 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 PHIS C:ERIIFICA fE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 1-0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ----------- __._.—. - -AMC SIIBR LfR I'YPE_QF INSURANCE POLICY NUMBER MMIDDNYYY AmlowyYYY - LIMITS - liENkIiAL LIAt11LITY —�^ - •---_ EACH OCCURRL-NCEA $ 1,000,000 A X COMMERCAL GENERAL LIABILITY CBP8263063 41112013 411/2l)'14 -bAMAGETO RENTED-- — ••- - PREMISES f Fa ocalrrence) $ 100,000 CLAIMS-MADE I XJ OCCUR MED EXP(Any ona >ofyan)-- S,000 ---L----- _._.-_...-...... -- PERSONAL&ADV INJURY $ 1,000,000 i -- ------------- GENERAL AGGREGATE _ $ 2,000,000 UIi.N t AGUrtkGA I'E I.IMI-I'APPt.IES PER: - - PRODUCTS-COMPIOP AGG $ 2,000,000 PRO- J 1'OLICY.I-�.1LS�T. CLOG - 1 AU 10 MUbILE LIAFJILITr COMBINED IN LE LiWI 1,000,000 Ea at:daattq _ $ __ +B AN'r'AlJ'IU _ 13MMBCKVMK 4/1/2013 41112014' BODILY INJURY(Perparson) $ ^ ALLUWNED SCHEDULED — -- — ---- AUl'OS X AUTOS BODILY INJURY(Per acodent) $ ! X HIRED AUTOS X A°AUTOS Pf3OPERl4TJAWAG _ —_..$ -._.�. ' PER ACCIDENT ----------- Ma $ X URELLA LIAR PX OCCUREACH OCCURRENCE $ 1,000,000 —+I C I KCESS LIAR I'CLAIMS-MADE X ---111 ONJ453512 4/112013 4/1/2,014' AGGREGATE $ 1,000,000 uto X RETENTION$ 10,000 $ - WORKERS COMPENSATIONSTATU- OTI-I• I AND EMPLOYERS'LIABILITY L D ANY PKOPRIkToR/PARTNERIEXECUTIVE YIN' WCA00525904 6130/2013 6/30/2014 E.L.EACH ACCIDENT $ 1,000,000 MdodLR ry In N R EXCLUDED"! (� NIA __-- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,UU0 ( I tr ves,doxriUr,under DESCRIP110N OF OPERATIONS below E.L.DISEASE-POLICY LIMIT' $ 1,000,000 I ------ -'----- ------ _ --- _. —_.._.. I ' u¢SCRIP PION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more spaco Is required) Workers Compensation includes Officers or Proprietors. Addtional Insured status is provided under the General Liability when required by written contract or agreement with the Certificate Holder. - I I F f CERTIFICATE HU_LDER_ CANCELLATION ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE — Cape Cod IhSulatiort, Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD -=" OWNER AUTHORIZATION FORM I, (Owner's Name) owner of the property located at c C (Property Address) (Property Address) 0 hereby authorize in S 0 f G . , (Subcontra ) an authorized subcontractor for R E Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owne s Ognature Date df t r _�rl�. _ __._ .____ is�$r~; ' -... �:, �a S .. , [`,:.. rsr A' ai x i^5$ _..{..r-.�.r_....____._. — , . 4 jl .I ;mil V,. c s q, 7 �j";ter, , t,° .. ;' i 7 ?k h . CHARL. N SAVEF$�f , . �NCORPORAT.ED . � :�� `;: -". I � 11 y 5 �. /0� MAIN �.I -HYAOV'� s 1` InkY$s x c r � , s� *r; t k atftt �har � Y P' �ei91`i '140 -_4,q_Qi � +�T �s�� � �j I� VV 1 �5� �iy-fir ; o ts, , r ro 4 'a yr « A s 'r 'a .� y t� , >.v 1 r GG .tFnk a�$t _C r 3 "% ,t - a r � � a ,J r r 'k a 5 t #�:Q � y, '"'' ''- r5 '�Q4�"ac 'S. 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'�'2t,.iK�. - -s.-,..�._-.,-•ram. -.--...n._.._--._.... ..-r...-.-._.-..-......_., _...ti��.-_.r-^•^^-.."".-.--•^.-�-+�,..-_.....yv-.-.-...._-.-.�... .---„«�.--^�..-. ,__� .ti.��-�...-..:. .�..�.ti, I AVtssora, map and.lot number 1-9/ ................:............ . ` r SEPTIC SY,&Tm'.M T SC 7S ` INSTALLED tpq t ME Sewage Permit 'number ...................I ..................................... : 4 . ass:.a a__ ;I T SA ITAR C�x� w` t- D. `I°O�V�+ R �Q�ofTHE lo�o TOWN t OF BA MARNSTSDLE, i 1639- OM DUIjLDING '] N',SPECT0K' 'E• PY A'' - ' . 4 APPLICATION FOR PERMIT TO ................ TYPE OF CONSTRUCTION ............. .�....�.�............................................................ ......................a/... ...... A.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... / ........j1-5.-7 ©/��d/fl .. ........0 . �� C, ProposedUse ...... ZAI'<5 ."................................................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner �`�/✓ � y. ...............Address .........��..�........ ........ Name of Builder .......................�........................................Address .............................f Nameof Architect ................C..................................................Address .................................................................................... Numberof Rooms ..........�................................................Foundation .............................................................................. Exterior ........ 1/.. .......::. —..................................:.Roofing ................. ........... G ....................................... Floors .............................................................Interior ......1 � �' Plumbin �� � Heating ............................................................................ g .................................................................................. Fireplace .... � Approximate Cost .... F � —� ........ /. SDefinitive Plan Approved by Planning Board ________________________________19________. Area 1-5-60 ........................`.. ...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH -7 t' t 17 Z 4; v I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding a above construction. Nam ....... ..............1W.. ............................. Small, Alan E. (,r, ` 17635 one story, . .................................... 4 single family dwelling ............................................................................... Location Monomoy. . ..Circle. . . ...................... ........... . .. .. . . ...... Centerville . ............................................................................... Owner Alan E. Small frame Type of Construction .......................................... ............4................................................................... Plot ........................ Lot ..........#57 ...................... ?Permit Granted April 10 75 Date of Inspection ..../ ..'P,/)......../-.T.........1 Date Completed .6. ......�..�....... .... - ^y PERMIT REFUSED ........................................................... 19 + ............................................................................... ................................................. ..................... .................... .. ' ....... ...................................:.. ............................................................................... Approved ................................................ 19 . ...............................................................................