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HomeMy WebLinkAbout0366 NOTTINGHAM DRIVE 4-NI, 'j 2�iN, #4� ;.�g AR"i'� M!Nojlt! Niv"K J. W rvl P T 4.1� -.4 0 q4, yk��jr,, .v%, ii� il W Mfl"�i l,- ME 7 A tt 31 WIN gigh g, '14 ly m va rf" a, 61 6m. RRk, g� �14tr��*V l J�g,,4y, -p-I, 'AIA' W, af, ZV1 Mi ON 'Up FAN't"?r -w Am iia 1, 7,1 �g gg ........... N g' n RX,_4 Y1MW11.1Si'f1 N woom� w­ wg1j", I ON ""A V 6 41 j'� plmv.,� gg NV'j"vi lle��5o 7 �9,�A �.v -C, �'u, T 1 , ��lNA"�Tk','�,, If, 2 M Eli �X5 gf,; NX W, Aalt,� ,c mu 't�A . ?,, WU, .,F"- 1 5 M, a 'o ,Ali MEN Vi, T, q, N N!" Xj� i'A, lk _" , f,'­ I- ��7 �k,.: 2 a, W )f WIK I.,�11101 v. Um­ X1,4 �337' X 5ji , - I Kim"XI is "'N��tN"M 'W, M M Mk6NROT q, w sy, .11 fli ­l;v mo M, t.1 64 ""WA"W,591 Al Rl:j, m `0 U� �p, OF 2" WNW 4 ZI nj, Ao .31 'kt ......... MA g �,�wo'. M, _P1">1W145"I"11111 I ,, , N_11111� .)" � V A A -4- M RAN 4,P, P01. Town of Barnstable *Permit#;;�LL Expires 6 months from issue date XoPES PERMIT Regulatory Services Fee .�y Thomas F.Geiler,Director JUL - 6 2007 Building Division Tom Perry,CBO, Building Commissioner / TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 7/17/6� 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 Map/parcel.Number ! l I � Property Address t V1 r^ Z 00 [V�Residenri _al Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address r'QnC1<- TC)L$48.cb TContractor's Name 1Inc • Telephone Number 0`$'_&4GL- 0114qq 5 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) VWorkman's Compensation.Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Q(`� .1.1��{t e l��(�.�'�Tc�' lnk1 . LSO. Workman's Comp.Policy# LJCC,rho RA54p i rg 6r-0 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 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side [/Replacement Windows. U-Value �.?J (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: erty Owner must 1. P perty Owner Letter of Permission. 0- Impro en ontra ors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 Date: :/3/2007 Time: 3:59 PM To: H 9,15083626115 Dowling ✓t O'Neil Page: 001-002 Client#:9742 2BAKERAS ACORM CERTIFICATE OF LIABILITY INSURANCE o5fo�""" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency HOLDER. THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC it INSURED INSURER A Harleysville Worcester Insurance Co. Baker&Associates,Inc. INSURER a Associated Employers Insurance Compa P O Box 923 INSURER C: Centerville,MA 02632-0071 INSURER D. INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RECIUIREMENT,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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT TYPE OF INSURANCE POLICY NUMBER DATE fROMMY1 DATE(MWDOjYYj POLY EFFECTIVE POLICY EXPIRATION UNITS A GENERAL LIABILITY CB831748 "19107 "1901 EACH OCCURRENCE $1 W0 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 000 CLAIMS MADE a OCCUR MED EXP(Any one person) $5 000 X PD Ded:250 PERSONAL a ADV INJURY $1 000 000 GENERAL AGGREGATE $2 WO 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2 000 WO POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea a ciderd) $ r ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Par persmr) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) - GARAGE LIABILITY AUTO ONLY-FA ACCIDENT -$ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ _ B WORKERS COMPENSATION AND WCC5002454012007 "23107 042M X I WC STATU- OTR EMPLOYERS'UASI ITY - ANY PROPRIETOWPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1 OO OOO OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deened to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _—U_ DAYS WRITTEN Thomas Perry NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Hyannis,MA 026M REPRESENTATIVES. AUTHORIZED RESENTATN C.-27 ACORD 25(2001108)1 of 2 #47454 JV a ACORD CORPORATION 1988 The Commonwealth of Massachusetts ' Department of Industrial ial Accidents " Office.of Investigations' ' " 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Complensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information i Please Print Legibly Name (Business/Organization/Individual): �Q �' `►' A4bC_,(D(,- IQ.+C,�:, e Address: City/State/Zip: AA(a-3a Phone#: Are ou an employer? Check the,appropriate box:. Type of project(required): 1.9J I am a employer withrJ 4. ❑ I am a general contractor and I 6. ❑New construction employees(full"and/or part-time)-* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.$ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition o workers' insurance 5. ❑ We are a corporation and its � comp. 10.❑ Electrical repairs or.additions required.) officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL ME] Plumbing repairs or.additions ,152 4 myself."[No workers'-comp. � c. §1O,and we have no 12.❑ Roof repass insurancerequired.]t employees. [No workers' 13.[ Other . comp.insurance required:] 'Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information: Homeowners_who submit this affidavit indicating they are doing all work and then hire outside contractors must.submit a new affidavit indicating such. ContractDrs that check this box.must attached an additional sheet showing the name of the subcontractors and"their workers'comp.policy information. am an employer that is providing workers compensation insurance for my employees.'Below is the policy and job site nformation. nsurance Company Name: ► U)o f- ?olicy#or Self-ins.Lic. #: 1OCC SOo ag S 401 60-1 Expiration Date: AIa l�a lob Site Address:?J(9� ►"1 City/State/Zip: kttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). aihire to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of nvestigations of the DIA for insurance coverage verification. 'do hereby u d the pains a pen ties of perjury that the information provided above is true and correct. >' ature:. Dater S 'hone#: 5�U' _ c9a' Of,j`icial use only. Do not write in this area,to be completed by city.or town official City or Town: Permit/Lkense# 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#: Board of Building Regulations and Standards License or registration and for indh idol oot onk HOME IMPROVEMENT CONTRACTOR before the expiration date. If found reUtr�T to: Registration: 118494 Board of Building Regulations and Standards Expiration: 2/1l2009 Tr1t 126302 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: DBA BAKER CUS I OM ALUM 8 VINYL INC. f Y } } -f— MARK BAKER � ! r 521 SHOOT FLYING HILL RD. CENTERVILLE,MA 02632 Adminisaator Not valid without signature ...�� C!C✓iJFa)7�72fll+eU.{��L !/f c_'IGX.:k3�Li'f2f14£�F Board of Building Regulations and Standards r. Construction Supervisor license t_tP": CS 74.417 Birtht4ate. :1/6/1973 EX15irdtiOttr V6120Q9 Tr* 8139 Restrtatton. 00 BRETT J BUSSIERE'` 111 WAREHAM LAKE SMORE C EAST WAREHAM,MA 02538 Commissioner ofE Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, V-ray)G IS �)o UZ ,as Owner of the subject property hereby authorize Le t `J to act on my behalf, in all matters relative to work authorized by this building permit application for. c� ( ss of Job) Signature of Vwner Date Print Name yd sor's Office(1st floor) Map /"71 :Parcel 0 c?'b Permit# Conservation Office(4th floor)(8:30-9:30/1:00-2:00),. Date,ssu Tec'� Q" ®a� QI J , �. B and of Health(3rd floor)(8:15 -9:30/1:00-4:45) Engineering Dept. (3rd.floor) House# ;j�� d rnE rq Planning Dept. (1st floor/School Admin. Bldg.) , RNSTABLE. ` Definitive Plan Approved by Planning Board 19 a 9. TOWN OF BARNSTABLE Building Permit Application Pr 'ect t t ddress ` Villa PIA VC?0 V�� 1; )l Owner iiVl r 6`�o v ddress �.G G\y; �_ ��►�- �1�t 4 /�.� Telephone Permit Request ® ' ZForp P First Floor square feet Second Floor square feet Estimated Project Cost $ ��6 a Zoning District Flood Plain Water Protection q Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other ( Builder Information Name Telephone Number 1 °2. T� Address License# V41 v 04 a • Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION D BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � S SIGNATU DATE /0 /G BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED f MAP[PARCEL NO. ADDRESS ' VILLAGE s OWNER DATE OF INSPECTION: — . , FOUNDATION 1 , FRAME INSULATION FIREPLACE ` r r _ ELECTRICAL: ROUGH FINAL PLUMBING,:,, ROUGH FINAL ' GAS: 7 "�n t ROUGH FINAL FINAL BUILDING ` DATE CLOSED OUT ASSOCIATION PLAN NO. ' , i The Town of Barnstable • s�vern�. •peg Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosses Office: 508 790-6n7 Building Commissioner Fa= 508 775-33" For office use only Permit no. i Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"n=nstrnction,alterations,renovation,repair,modernization,conversio improvement,.removal, demolition, or construction of an addition to any owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: !� ��u Est. Cost 2:r-q Address of Work: Oaner.Name: Date of Permit Application: D I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WtfHt RECi FOR APPLICABLE HOME IMPROVEMENT W���NOT 142A HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR ' Date Owner's name . 90 model.-.Barnstable *.rHE TOWN OF BARNSTABLE AW ABLL 11639.Ar BUILDING . INSPECTOR em Build One Family Dwelling APPLICATION FOR PERMIT TO ....................................................... ....... ............... W TYPE OF CONSTRUCTION .................00d Frame................................................................................... ................................. ............ ..........1923 ... .4 ... TO-Ti-LE INSPECTOR OF BUILDINGS:j The undersigned. hereby applies for a permit according to the following information: • Location ..... ....... ....................... ............. ................................................... Proposed Use Ae.s.ide.n.ti.al...................................................................................................................I........................... .. .. . ....... .. .... ..... RD-A Centerville-Osterville ZoningDistrict ........................................................................Fire District .............................................................................. st I ' . Name of Owner ...I..N..........orme.....................Homes.............nc....................Address ......Ashley... . Dr.. C.ent.ervi .le................ . .... .. ....... ..... ..... .. .. ....... ............ ..... Name of Builder Normest Homes Inc', same ....................................................................Address .................................................................................... Nameof Architect .......ARPB................................................Address .................................................................................... Number of Rooms ..................6.............................................Foundation ......Po.ure.d...C.onc.ret.e................................. ... .... ....... .. .. ....... ....... .. Exterior .........411pa..........................................................Roofing ...Asp .lt........................................ .......................... ....... .. .. Floors .........C.arp.e.t.............................................................Interior .Dr. ywall....... . . ........... .. ....... .. .. .. ............... .. .................................. .......... Warm-Air 2 baths Heating ..................................................................................Plumbing .................................................................................. $ 20#000i--- - Fireplace ..........Y!�§�...............................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -------------—--------------19--------- Diagram of Lot and Building with Dimensions CAM ly SUBJECT TO APPROVAL OF BOARD OF HEALTH /440 e, 13,1 too f Loi N\ C,) j a: x co 4 Z co La 40 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ............................. Normest Homes Inc. No . 16018•. one story Permit for .................................... single family dwelling i Locatio`n��..Nottingham Drive .................................... Centerville I a i Owner ............Normest Homes Inc. a ...................................................... t1� Type of Construction frame lr ......................................... .............................................................o................ Plot ................:. ................... ......... Lot I � V Permit Granted March 21 ?3 19 Date of Inspection .. ...... . .. ....... Date Completed ..... .�.... ........19 i PERMIT REFUSED ' ................................................................ 19 I ............................................................................... ,I a ............................................................................... Approved ................................................ 19 ...............................................................................