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Home My WebLink About0131 OLD POST ROAD (CENT.) J f L �5 'ear: � �: t `��'� rt�x '�' n._ ah 7�r� r !�•� r� f t 5 x � k F f ' S M1 )`r }:S 7r 1 is F a♦ J �:.Ct;, , , . ,�.: , ..,r:_ . ,, .,,. ..:,r ,,�• .� ;a w � to Fr r fr � t,.i �. •4 4 � ^r Zf 5, *j � v sr a } kx s ti4 fit v y r � l e a s i t£ 4 a r f �. _—_. .,-.. „ .. :r... .. ..... .:.. ....,.. ._. �f��'�e..��1.d..i..,,:. s„��::c e,.....,.t]...L.-a<.+.� i•_,.uc..,,v..wl:' ^u,u _e,-,...._ye.�„ne -- .._�.,...._..sn.,.. i t Town of Barnstable *Permit /C90 PERMIT Ex ires ths�om' ue date Regulatory Services Fee WXNST" « � MAC' 02 2012 Thomas F.Geiler,Director 1639 �rEC MAC& Building Division TOWN OF BARNSTABLErom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY of Valid without Red X-Press Imprint Map/parcel Number Q Property Address EIIQdential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name l' ec Vj Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Wdorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I-have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑lie-roof(hurricane nailed)(stripping old shingles) Alfconstruction debris will be taken to A 1 A, in ❑Re-roof(Hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑Fence over 6' #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must' tgn Proe Owner Letter of Permission. A copy f- a pro/ e t Contractors License&Construction Supervisors License is SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 �`: ✓lze -Panz.�aoizcaeal&C./ �✓�aooac�u I ': -_... -_....�. .�.._ ,-__.-_-.._,. _..•� a, Office of Consumer Affairs Business Regulation Y License or registration val►d'for individul use only (� HOME IMPROVEMENT CONTRACTOR N; before the expiration date.-If found return to. g Registration:.- =126480 Type::`` Office of Consumer Affairs and Business Regulation i 1� Expiration 6/8/2012 Individual { l0 Park Plaza-Suite 5170 j F Boston,MA 02116 HERBST MARK HERBST. 35 PEEP TOAD RD'J Foq ; OENTERVILLE,MA 02632= J� Undersecretary i Not valid`wi o t signature 1 Massachusetts -Department of Public Safety .Board of Building Regulations and Standards Construction Super isur License: CS-048546 f MARK D HERr9T 35 PEETTOAb R1D 'OE CENTERjLE`MA�02632 Expiration Commissioner 01/27/2014 3e rt'+ ,'a{ 'r _~q. •„c'�@ 'f', x va x . c-f ,' -t `"` - [` �.'b s• �"'-*y.r� y�.aa�_ =.ri Gam. ". y=�a r� " ' + �s-,},-,•"'` -� t?'' '3 •r. MWU � �`�''!�,..:a YIRP' �r:..:. -fit->"�� •�' �•5'i.�ns��'�`��i,�'�,•�'c-•-��t`• r - t'�t� ','.k .�£ .r �.� ��•�'r"� asr-�� ""f "u 'k`S r -{,-*� � '•°Lss�sYr� � Z '%<a .1 g,ytF `b.. S, t�rY'-•.,.. ¢�'i.y � F'(s�t � L. +�;� .hy�i£S ' - m � rIIARK I=RBST � � � F _ {� r . _ � �, 3 r NTT.ERVILLE MA 03632"� a 7 _ z 50&420-6216/774-238-2938 . Y www.markherbst,.c a PROPOSAL SUBMITTE TO: WORK PERFORMED AT. �s Glen Williams z 13101d Post Road Same ` Centerville MA _ 774-31.3 0048 508-957-2013 � F We herby propose to furnish the materials and.perform the labor necessary for the completion of ttV YY { Remove 1 laver of existing shingles Re-nail any loose boards r Install 8"drip edge ; t Install ice&water at edge&in valley areas Install 151b.felt paper Install Certain Teed LandMark 30yr,algae resistantshingles r a Color( )'Please fill in, Thank You Replace plumbing boots - r r Cut ridge&install cobra vent �t :418 Storm nail all shingles. Protect porch ceiling with z"plywood. ` Price includes material,labor&dump fees , All material is guaranteed to be as specified. The above work will be performed:in accordance with the specifications submitted c And completed in a substantial workman-like manner for the sum of, Six-Thousand Two Hundred � r Dollars($6,200.00)with payments as follows:Fuiiamountdue upon comp/etionA. Any alterations from above proposal involving extra costs.will be added under a separate written agreement and become an extra' s , ,. charge over and above�said pro sal, RESPEC FU / 'T 03124112 ark Herbst j ACCEPTANCE OF PROPOSAL The above price;.specifications and conditions are satisfactory.I herby accept this proposal. You are authorized to do the work and payments will be as specified above. { .. ry' : .. i � SIGNATURE: Rum M *This proposal may be withdrawn bysaid company if not accepted within 30 days. - wt g ,s } yin7.t rr• ritti 'ri. €, s'�i). i`Y-0 S _ at Y t - J�ri`Y+`{ t �. ,, �r v .•-�' a-�rwrs�' '�r�u: x 'y'ier;'�.�..�,� E-.+y" - s M � r. r 't is yr z �3�!"'?:z. xrr "c 4X,lt' a � J'' _. �*y " �' rf "i'.r ✓ 7q r ak'S-s 1 a -y s, u ;.�r i i _r 'df- +'�' 1: �.� ".�•7"'�a'".'. Y,'sri -''.Zt- '"ti -,i ," # r r y k L�"'T 7+1� r •'' yl- e `e' .A A,,.. ..' .:. s.. `;r F �'v.. `Y ],, M • y`}, a;'"•F ..z trk p s.��.- "� ry sue+- t.: �.'.� - ��°'c°a'++'?� ��F=''e •fix•.e'Ss'l ��+�U,-0.+�L4'.-rT{� ��wk.J.D)•-�"- r`a,ems -* x "�'ir� 'S- 't'r�t 't'f hud+.fi_wT `G5 +A •TY "s vrv'Y - -,�Y' 4i'.Y;'Y J �6- LL .:i:..5 1" •�{Yhq .a-X ` ' , .,r t a•�Fi•-nr.Y. rt T ' - t '�w.u. .,. - ... `N `•a„f' Imo -:. ' n."- .....' .. --� 'kT... ..>- ._r .:«_..+..-_j_• :-'t-"k.._.,.::r?`�^r.,.�'t'., ',., ;..%: .a... .. .j, The Commonwealth of Massachusetts ' Department oflndushial Accidents Office of Investigations 600 Washir gton Street Boston,M4 02111 n7m mass gov1dia Workers' Compensation Insurance Affidavit: Bugders/Contractors/Electricians/P}umbers Applicant Information Please Print Legibly A, Name(Bus�esstOrgauizat onflndividnaq_ O \ (V- L e n � Address: � C�ee�Z y C,J City/State/Zip: (` C Mr— � Phone ik Are you an employer?Check the appropriate box:° T of ro'ect am$ en�a1 contractor an YID ]p € 1.0 I am a employer with 4. I_3 0 g tt d 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. y- ❑ g ship and have no employees These sub-contractors have 8_ ❑Demolition working for me in anycapacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance,I 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 I LE]Plumbing repairs or additions myself [No workers'camp- right of exemption per MGL 12.[:11Go t.repairs insurance requited.]L c.152, §1(4k and we have no employees-[No workers' 13_0t&er i -"comp:insurance required-]', ji ;Any applic=*at checks box#1 toast also fill out the section bela4v showing they workers'compensation policy iaform9tim Homeowners who sabmtit this affidat ft indicating they ere doing all work and then hue outside contractors nmst submit anew affidaeat indicating such ICoatractors that check this box rust attached an additioual sheet showing the name of the sob-cantractors and state whether cur not those entities have employees. If the sub-contractors hate employees,they mist provide their workers'comp.policy number. I am an employer that is prm:ddWS nwrkers'compensation insurance for my enrplo;,eaL Below is the policy and job site information l Insurance.Company Name: Policy#or Self-ins.Lic.9: .C l7 9 90 1 PL- Expiration Date: �- 4 Job Site Address: t J ( � t � City/State z* QQi1-t ��17 Attach a copy of the workers'compensation policy declaration page(showing the policy number and espu-ation date). Failure to secure coverage as required under Section 25A of MGL c 152 can lead to the imposition of Criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonments as well as civil penalties in the form of a STOP WORK ORDER and a fine - of up to$250.00 a day against the V lator. Be, d��sed that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance C cation. I do hereby c-Rrfifjr t n d s of perjury drat the information pro ded above is true anti correct Si true: 1IV Date: 6 -,A • Phone#: Official use only. Do not write in this area,to be completed by city or town ofrciaL City or Town: PermitUcense# _ Issuing Authority(drde one): 1.Board of Health Building Department 3.Cityfrown Clerk 4.Electrical Inspector 55.Plumbing Inspector 6.Other Contact Pe rson: Phone tt- . ;6 VLf LV/ GV.6 AW 71 4/ Xa JVO -V 4` VV LGV++Otti wjw.f vv. e yUts'�a0-tea;Co WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Industries of Massachusetts Mutual Insurance Company 54 Third Avenue,BudingWn,Massachumits 01803 (800)876-2765 NCCI NO 26158 POLICY NO. I AWC 7016215012012 _ PRIOR NO. I AWC 7016215012011 ITEM 1. The insured Mark Herbst Mail Address: 35 Peep Toad Road Centerville MA 02632 street No. Town or City County State Zip Code ' FEIN m000i2887 Oftic dual . ❑Partnership ❑Corporation ❑Joint Venture ❑Assoaatfon []Other Other workplaces not shown above: 2. The policy period is from 01/10/2012 to 01/10/2013 12:01 am.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation:Law of the states listed here: MA B. Employers Liability Insurance:Part Tiro of the policy applies to work In each state listed in ftenr3A The limb of our liability under Part Two are: Bodily Injury by Accident$ 1Q0.000 each accident Bodily Injury by Disease $ 5 ).000 policy omit Bodily injury by Disease $ 100.000.each employee C. Other States Insurance:Coverage Replaced By Endorsement WC 20 03 05A D. This policy includes these endorsements and schedules:SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating plans. AU information required bebw is subject to verification and change by audit Classifications Premium Basis Rates cow ESWWW PerSiOD Estanaw Na Toter Annual or Atmuai Renwwation Remunastim Premium INTRA 150148 SEE E crmsioN OF INFORMATI PAGE Minimum premium$ 500.00 Total Estimated Annual Premium $ . As indicated interim adjushnents of premium shall be made: Deposit Premium $ ® Annually ❑ Semi Annually ❑ Quarterly [3"Monthly MA Assessment Chg. - $1,649.20 x 5.9000% $97.00 This policy,including all endorsements,Is hereby countersigned by 12/12/2011 Augwrinciftwitoe Date GOV GOV I KIND PLACING I CLAIM NAME SAFETY Leonard Insurance Agency Inc STATE CLASS AUDIT OFFICE OFFICE. CHECK GROUP 683 Main Street Suite B MA, " 5845 2 704 Osternlle,(IAA 02655 WC 00 00 01 A(7-11) includes oopfthted mauler of the Naiortsi C=W on rbizWwbcn rnsumnce, used will de permission. oF� ; . The Town of Barnstable • ,�ttrrsr�i.E, • 9� MAE& �m� Department of Health Safety and Environmental Services 39. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION _, 131 Old Post Road — Centerville, MA 02632 Location of shed(address) Earle C. Williams 775-3774 Property owner's name Telephone number R ' x 12 ' _ 209-063-001 Size of Shed Map/Parcel 4 July 16 , 1998 Signature Date Hyannis Main Street Waterfront Historic District?. 0 Old King's Highway Historic District Commission jurisdiction? y Conservation Commission(signature required) THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg I ce,a / o p � 4 ' �► to F,�, � �► '`mac/ '�? �o, _ S _7 S3 Out/ Assessor's map and lot-'nu mber .. 0..� ....... h.. ;.; r �` r. Sewage Permit number ....... ........ T"ET° TOWN OF BARNSTABLE i BJBHSTADLE, " BUILDING INSPECTOR O'FO ypY a APPLICATION FOR.PERMIT TO ..I.Build a...deck... ..... ............................................................. TYPE OF CONSTRUCTION ....:......RW44.d........ ......................................................................................................... . August..26 ................:19 81.. TO THE INSPECTOR OF BUILMNGS: The undersigned hereby applies for a permit according to the following information: Location ......131. Old Post Road Centerville,...NW9.0.A.................................. ..................... ProposedUse ...Deek.................. ............................. . ........................................... ................. ................................... Zoning District .Rc.......................................... ...Fire District Centerville-Ostervil. le ................ .......................................... ............... .. Name of Owner Earle C . Williams „Address 131 Old Post Rd. Centervil e ............................................................ . ...................................................................I............. Name of Builder .. The Barclay Cori Address Same 8s above ............................................................................. Name of Architect ...Same...a.s...abO.V.e............................Address ....................................................................................... .. .. ....... .. .. Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ................................:...................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................•..................:.............................. Fireplace ..................................................................................Approximate Cost .......... .....,< . 0................................... Definitive Plan Approved by P6nnning Board -----------______-___ 12 X 18 t . -------19--,------ . Area .......................................... po Diagram of Lot and Building with Dimensions j Fee .......... ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 6 I hereby agree to conform'to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name J 44-ev xle ..sv� WILLIAMyIIEARL C. No Permit for ..ADDITION .................................. Deck to Dwelling�g............................ Location .131 Old Post Road . ............................................................. ................Centerville ll..e ..... ..................................Owner Earl C. Williams ................................................................ Type of Construction ....Frame ...................................... ................ ................................................................ Plot ..................... ....... Lot ............ Permit Granted .....August 27,-, 8 ........................ ......i7i 9 Date of Inspection ........ .......19 Date Completed ......... PERMIT REFUSED ................................................................. 19 ................................................................................... .............. .................................. ............................................................................... ............................................................................... Approved .................................................. 19 ............................................................................... ............................................................................... 2.3 � /- 7� Assessor's map and lot number .. ... ......... .:.�.•.•• J Vic' /�l -'� - Sewage Permit number r 7NET°�� TOWN OF BARNSTABLE a-` Z4 i Z HAWSTADL'MABISL E�1639 �•0 MPY OU 11DIN-G INSP: MAI INSPECTOR,OR, 9�C p'' .�. t , �i APPLICATION FOR'_'PERMIT TO ................. ............................. E TYPE OF-CONSTRUCTION � i ray TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....e4#!. ...1�. (�JciC,. N®tye.�....../..�': ! .....1- lv�f...•.......`' ILL� ProposedUse ..........................•.................................................................................................................................................. 09. ZoningDistrict ........../y. . 7..................................................iFi.fe—Distnct -..,....^....................................... ......... ........ Nameof Owner . .......................�.�..........®.... ...A ress . .................................. .... ............ Name of Builder AA..._.... ............ ..........! ...... Address .��. 6�°•, --, `' � `• ►� Nameof Architect ..................................................................Address ......... .................................................. ............... Numberof Rooms. ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ................................................................ .....................Interior ..................................................................................... Heating ..................................................................................Plumbing .................................................................................... Fireplace ...............................................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 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I � I Name .. . .sG�s. .. .... .�•..G�".":�... i Leslies Edward �Q 063 20030 dormers No ............:.... Permit for .................................... ....................�.:3� off.. os ..... Location ....................................n....g.................. Centerville ` ............................................................................... Owner Edward Leslie ................................................... Type of Construction ..................frame........................ - ............................................................................... Plot ............................ Lot ........................... Permit Granted ...............Marcia...21......................19 78 Date of Inspection ......... ........... ..............19 Date Completed ..... ,.! '... t ..........19 PERMIT REFUSED .................. .......................................... 19 . ............................................................................... ............................................................................... ............................................................................... Approved ............................................................................... t.4