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Town of Barnstable Building
Post This�Card So�T:hat it��s-Uis�ble:Fro`�m;the,�Street �A , roved,Plans.Must�be,Retamed,on Job and his�Gard Mustbe�Kept � .:
4ARNLTPA[SLL,..• ',.` `��;°'.i"?;' .�°°�_ �. .,>x es'R 5 `, ,?; ,Pp,,. xr ;�,'� '� �' s b %��%� . ,x�, .� � t? €sus
R Where a:Certificate'of,Occu ant A1s..Re wired,such Buildm shall Notbe'Occu ied until a�Final�lns ect�onhas been made �` Permit
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Permit No. B-20-427 Applicant Name: Craig Bishop Approvals
Date Issued: 02/14/2020
Current Use: Structure
Permit Type: Building-'Insulation-Residential Expiration Date: 08/14/2020 Foundation:
Location: 258 MONOMOY CIRCLE,CENTERVILLE Map/Lot:., 191 214 Zoning District: RC Sheathing:
Owner on Record: SIMAKOFF,OLEG&ANNA Contractor Name CRAIG P BISHOP Framing: 1
Address: 4 WILDROSE.AVE � ;, Contractor Licens� 1�09777 2
WORCESTER,MA 01602. �; _ �Esx�Project Cost: $3,787.00 Chimney:
Description: Weatherization&Air Sealing '. 3 Permit Fee: $85.00
x z Insulation:
Fee Paid $85-.00
Project Review Req: 0R7f Final:
Date 2/14/2020
r Plumbing/Gas
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$ � Rough Plumbing:
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Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authonzed bq th-s permit is commenced within six moths after issuance.
All work authorized by this permit shall conform to the approved appl catiowand'the-approved construction documents for whichxthis permit has been granted. Rough Gas:
�FWM ="
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' road and shall be maintained open for public inspection for the entire duration of the
Final Gas:
work until the completion of the same. '
xP Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the,Building and Fire Offieialsare�prowded on thispermit.
Minimum of five Call Inspections Required for All Construction Work. _ u Service:
1.Foundation or Footing r ;
Rough:
2.Sheathing Inspection4,
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 Final:
5.Prior to Covering Structural Members(Frame Inspection)
Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
" erP ons ratting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
N Fire Department
Building plans are to be available on site
c Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
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BUILDING DEPT.
FEB 2 6 2020
C PI 00 TOWN OF BARNSTABLE
E"Eftey S<M.mams
.378 Route 130
Sandwich,MA 02563
PH:.774-205-2001-9 844-90-AUDIT
Permit Affidavit .
Permit
I,Craig Bishop,confirm that the weatherization and:air sealing work completed at o7 Si� 1%n rn 1 �e.
(4 . U 0 �,���has been completed.in accordance with 780 CMR.
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Signature: rjL6 Date: L l
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All �wae
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of Me r Town n ®f�apIIStable *Permit# Z.�� �Q
Expires 6 months from issuf date
s
• � Fee .
�sr . . .. : _ 1Zegulator S erviees.....
,Thomas F.-Geller,Director r:
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lllld D1Y1S1
XR .
Perry, Building Commissioner
200 Main-Street,- Hyannis,MA 02601--•••• �1 F
Office: 508-962-4038
Fax:'508-79'0-6230' . .. . Q .y_� . (-�_�... ( ...(... 7.�T. .. 'REBID +' 1JV d �.., z
. ..• '_ "iJ1LC i`�SU 1:ll�liaa i••L11 PUCITI01\ �'. ... .
Not Valid withouUM X-Press Imprint
,qep/parcel Number
property Address
f'Io�d e-
�o
❑Residential Value of Work � 7 nD a Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address Meg c -N-4tw UK(zt6-&v_
C
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
(Q I amthe Homeowner
❑ I have Worker's Compensation-Insivance
Insurance Company Name
Worlonaea Comp.Policy#
Copy of Insurance Compliance Certificate'must be on file. <
Permit Request(check box)
Re-roof(stripping old shingles) ,All construction debris will be taken to 9
❑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: ,t Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is required. ;
Signature f
Q�orms:expartrg r
Revise063004
•
IN
The Commonwealth of Massachusetts
_
e artment o Industrial Accidents
-
OA776d Blllli'�S�$8ff9�3
600 Washington Street
Boston,Mass. 02111
V; Workers' Co ensation Insurance Affidavit-General Businesses
•�"ley"`�.!/` �••':"'�.�C.�-L�Ty-`� •• ,,•, .. -
ame Y V• •
address' .
city
e state' a
work site ocation full ad as
❑ I am a sole proprietor and have no one Business Type: ❑Retail El Restaurant/Bar/Eating Establishment
working in any capacity. ❑Office❑Sales(including Real Fstate,•Autos etc,)
❑I am an ens to et with .19// ��i%/,tart ////i //%///// WAV/%//l///�
I am an employer providing v prrkeas' compensation for my employees working on this job.
COMP! 9me:
addressr "r•'
bone# "
.instirence.eb: ., .. .:,•. :'; . v�•.., i•..,�.,. '. %• . .:: ....::,: • ....: .:.
I am a sole proprietor and have hired the independent contractors listed below who have the following workers'
compensation polices: ::•:;
coinr'an name: ,
address{.•�'.• : • . „ •. •':.••'.': •>•:•;
t' hone'#:'
insurance co.
eons-eri!lteiite: '�,c':+,. '"• .. .. .
address
r hone#i
iolicv#,.:'
irisurence 60•:11`'.•;.'•:f? :;.: '' '` <: % /// j.,:,::,, .: : • .; .:..•..•. : �////�.
Fallure to secure Coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as wen as civil penalties In the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that it
copy of this statement may be forwarded to the Office of Investigations of the DIAfor coverage verification.
I do hereby certify an40h pains and penalties ofperjury that the information provided above is true and correct
Date
Signature q `
Phone#
f print name
`official nse only do not write is this area to be completed by city or town official
permit/ticense# QBxdldmg Department
city or town. QLicensing Board
QSelecimea's Office
rg ❑check if immediate response is required , Q$ealth Department
p QOther
contactperson• phone
(mvned SepL]!IDS) ,!
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Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' ensation for their
employees. As quoted Born the"law', an employee is defined as every person in the service of other under any contract
of hire, express or impli oral or written.
An employer is defrned as individual,Partnership,association,corporation or other leg entity, or any two or more of
the foregoing engaged in a jo' t enterprise,and including the legal representatives of a d eased employer,or the receiver or
trustee of an individual,partn hip, association or other legal entity,employing en3plo ees. However the owner of a
dwelling house having not more three apartments and who resides therein, or the ant of the dwelling house of
another who employs persons to maintenance, construction or repair work on su dwelling house or on the grounds or
building appurtenant thereto shall n t because of such employment be deemed to b an errployer.
MGL chapter 152 section 25 also stat that every state or local licensing age y shall withhold the issuance dr renewal
of a license or permit to operate a bus ess or to construct buildings in the ommonwealth.for any applicant who has
not produced acceptable evidence of co fiance with the insurance cover ge required. Additionally,neither the
commonwealth nor any of its political sub ' ions shall enter into any contr et for the performance of public work until
acceptable evidence of compliance with the' urance requirements of this apter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit c letely,by the g the box that applies to your situation. Please
supply company na , address andphone numbers alo with
me a sate of insurance as all affidavits maybe submitted
to the Department of Industrial Accidents for confirmati of insur 'ce coverage. Also be sure to sign and date the
affidavit. The affidavit should be returned to the city or t wn tha a application for the pern3it or license is being
requested, not the Department of Industrial Accidents. Sho d y have any questions regarding the"law'or if you are
required to obtain a workers' compensation policy,please Department at the number listedbelow.
City or Towns '
Please be sure that the affidavit is complete and printed le ly. The apartment has provided a space at the bottom of the
affidavit for you to fill.out in the event the Office of Inv 'gations has o contact you regarding the applicant. Please
be sure to fill in the permit/license number which wiill15 used as a refer ce number. The affidavits maybe returned to
the Department by mafi or FAX unless other arrang have been ma 1 e.'
The Office of Investigations would like to thank ybu advance for you co eration and should you have.any questions,
please do not hesitate to give us a call.
The Department's address,telephone andfax.numb'
The Commonwealth Of Massachuse s
Department of Industrial Accidents
,,' N w of feeesffgatl®ns
600 Washington Street
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617)727-4900 ext.'406
Assessor's map and lot number ........... ................................`�' THE
Sewage Permit number SEPTIC SYSTEM MUST 0
INSTALLED IN CC)11 PLIIAN!" � BAHa�SeTa LE.
Hobse number ........................................... @OmIITI TITLE 5 '°o NAM \�
EtNII��, NMENTA 0vls ,'�OMaYa.O
TOWN OF BARNSTvARR,LK Io s
BU1'LDING ' INSPECTOR
APPLICATION FOR PERMIT TO ..... ...r....... ... .. .... ` ..... ........... .....f 1d 4.r............�.....
TYPEOF CONSTRUCTION ............. ................ . .......... ..... -...............................................................
TO THE INSPECTOR OF` BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ... . .. ...... .. ............................ F. ........ �... .........
Proposed Use ....../ ' .......
..............................................................................................................................................
ZoningDistrict .......... .........................Fire District ..............................................................................
Name of Owner ..... ... ddress .. 1.. .. .. . . ...
' W
Name of Builder' . .. . ... .................�....... ... .. ...............Address . ....... COA... .. .. :.
Nameof Archite t ..................................................................Address ....................................
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Number f Rm ...........Foundation ..... ........... ..o ... U
................... . ... e
........ ......
Exterior os . . . .....Roofing . . ..... ......................................
Floors .......................................................................................Interior .. . ........f...!../..............................
Heating ...f..P ......................................................Plumbing .......:.. ...[ w. ..
Fireplace ........ .. ......x—,�........................................ ....Approximate Cost ..... f.l.S�...........................................
.......
Definitive Plan Approved by Planning Board -------------------------------19_______ . Area .......4�3 ... .........................
Diagram of Lot and Building with Dimensions Fee .......... `....�...............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
o�
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• ! 7 IA6
30
160
M
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 ............................................ ......... ..................
:`MARTIN, ALFRED J.
lql
237L�-
! ose
No 3trm,t for �En
Existing Pa ' o
...............................................................................
258 Mongi�)y....Circle
Location ..................... . ..............................
Centerville
...............................................................................
Owner ....Alfred...J.......Martin...................
Type of Construction ZraMe............................
Plot ............................ Lot ................................
Permit Granted J?el�emb.er. 23,.-....-.19 81
... ........ .... ........ .
Date of Inspection a.:n 19
211_1zr_z_1...........
-Date Completed ....................... 9
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Acc17,541
a 17,54 TOWN OF .BARNSTABLE, MASS.
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d THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO
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b S.3 TO ..............................................................................._.........._..........................._... _._._................................................................................................................................................
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(BUILD) (ALTER) (REPAIR)
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M NI� (APPROXIMATE 91Z[)
1. (TYPE OF BUILDIG
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v o ,o LOCATION ................................................................_..............................._—.._. ..._........................................................................................................
.:.._._� _
)STREET AND NUMBER) (VILLAGE)NAME OF BUILDER OR CONTRACTOR ..._......_--....—_................................_..............._............
YYN...._._......_..._.._........_.— ...__
A
APPROXIMATE COST..
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y om I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN
y OF BARNSTABIL REGARDING THE ABOVE CONSTRUCTION.
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fin1 d m go (OWNER) (CONTRACTOR)
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.•.. _....._._—.........._—..........._._.__.................._....._...__...................................................................................
go BUILDING INSPECTOR
Subject to Approval of Board of Health.
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Asse'hsor's map and lot number
Sewage Permit number ............................... .............. CWaITH ARTICLE 1f .:TA�
MW
INEr TOWN OF , BARNS""'
i EARNSTLBL
MA86
9�p 0 9 9�
a,MpY a. BUILDING .
j I N S Pl E C T 0 R
-
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APPLICATION FOR PERMIT TO ...... ........ ....................................................................................
r; TYPE OF CONSTRUCTION ......... .................................................... .................................... .......
O.AAe...........................10..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to thefollowing information:
Location ...../� .'..... .......i!w.� �°:�.6 -!....... /!.Fma. �'`^... /
... .........................................
O
ProposedUse ..... ........... ... ..............................................................................................................................:.......
Zoning District Fire District ........ .
Name of Owner . . ...... ...................................Address ...............
Nameof Builder ..........��........................ .........................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
. ..Number of Rooms ........�.....................................................Foundation ..... . ..... ......,. ..................................................
Exierior ...........................................Roofing ..........CS.... ... . .. .....................................................
Floors � "'� .........................Interior ........ .. .:..... ......lam . .............................
Heating +..... .................................................Plumbing ........... .......464 .. .........................................
Fireplace ...... :.......................Approximate Cost ............. �... --�
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .....JJ.C., / ..S'............
Diagram of Lot and Building with Dimensions Fee . s............ .................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable egarding the above
construction.
Name. ............................. ..............................................
Small, Alan E.
17541 one
Permit for
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—.------~--..�—. .
Location
—. ..[1rcl .............................
.-'
Centerville '
-------------.-------------
` Owner ......Alan..8._Dluall...............................
^ .
Typo of Construction --�rag.e.........................
, -----.---.-----------------.
#84 .
� Plot ..... ...................... Lot ................................ `
�
December 31 74
Permit Granted ........................................lV �
'
Date �� —...—�V ~ -
Dote Completed
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PERMIT REFUSED
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. Approved lQ
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