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Home My WebLink About0062 OLD STAGE ROAD A r s n s it a If` , ° ° qV T Assessor's offioe-'(1st floor)i ' C?�10 a 3 WAQ".. 9 � TNEAssessor's map and lot number ................ ...............Board of Health (3rd floor):' 0 �'�� y c� Poste �Q o i- � W0Y1t5 CohS}r..C1kO- $err•'1s'} d a Sewage Permit number :.............. '...................... .. ........... �-f work d g . . h 8v+��h(� 5 4 Z HAUSTODLE. • Engineering Department (3rd floor): / `. / '=xCee AS . f O f+ L,Jw„} Fn>� �o rasa House number ............................. ..(0�. .°��:.............. .. .�'l�oti. . Y a�0 l Fo Yf 2 O�O b s APPLICATIONS PROCESSED 8:30-9:30•A.M, and 1:00-2:00 P.M. only SEPTIC M. E INSTAL Ma COMPUAmCp . TOWN !OF ., BARNSTA A&0 � M COME AM BUILDING , INSPECTOR TowFlEauLATiopis APPLICATION FOR PERMIT TO .�lll!I. .��X /A �'4 . ✓f7��..!O�'/{�Su��oot� ��iPrx� Aweoh TYPE OF CONSTRUCTION '...WqOe�...irrofte................................................................................................ ..........5J,..... 7...............19. TO THE INSPECTOR OF BUILDINGS: - The undersigned hereby applies for a permit according to the following information: Location 6cK ®� Sla�e...K •....Ce.�l !' 1/%�� 3 c'i�. :....... ....................l.�a Proposed Use ..........d6edl`17OA4,... ..�a'./Xs .............. ..............................................................................,........................... Zoriing District .............. ........ ............................................Fire District ..S .e17/.erW/ ... �J. Name of Owner ✓��r,9/!��?.: f�d!t?:.. /711NJ./E; ..........:..Address ..� .....a/a� Ta P Ce 11Yrvi��P 'vrR:........ / !tf ................... Nome of Builder ..Ci !!!c(.../v(ad..X..................................Address F!/ioT �CdO... enerv/ e..l".!.ai................. Name of Architect ........ s!,qn erl 6 Dwyer Bui/fde'` /f/ �'.........../...............Address ........ ......:.......... .................................................. Number of Rooms .......... :.................................................Foundation .....1 i/..X..?'..?./ ......Co!!Gl't% .............. [. / C� / n t Exterior .......��►1.11.t..�.4c.....J�r!.!! �2 . ..........................Roofing ..... 5 ./ .. !?./.. �e3 le,I%G�{Qvarih vQc ... .............. . . . .. Floors .... ou7��21`/1 /pjv9i^e/me...6A T96 Y-v 9y".'J .Interior � Sl,eeThoG� ................................:................................. Heatingboa-ce010/,. QT /'. ..Plumbingwt` ��aih�Co pr Grig7��/.��................ OOO. 00 Fireplace ...../� .�.............................................................Approximate Cost .. .......v! ............................................. Definitive Plan Approved by Planning Board --------------------------------19-------- • Area .0........ .. �..•. Diagram of Lot and Buildinb with Dimensions +;. Fee f�749.4........... SUBJECT TO APPROVAL OF BOARD 'OF HEALTH 'OCCUPAN Y 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 QQ ��02 L `` CROWLEY, WILLIAM 29881 Addition/ Sun Room No ..........:.... Permit for .................................... Single Family Dwelling ........................................................................... Location .......6.2...Old...S.tag.e...Roa.d...�.................... . ...... . ...... . ...... . Centerville ................................................................................ Owner William Crox4ley .................................................................. Type of Construction .................Frame......................... ............................... ..................................... Plot ...............I e............. Lot ................................ t Permit Granted September 8, 86.............!............................19 Date�of'Inspection ....... ...............19 Q07 Date Completed ............................... .....)90 cc cc CA Cr IV. 3z r Town of Barnstable *Permit# M %' Expires 6 months from issue date Regulatory Services Fee 3(o . ef 0 MASS �� Thomas F.Geiler,Director 1659. Building Division dK :/3))07 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1? O 3 g Property Address t/j �- esidential Value of Work�� •. ✓ Minimum fee of$25.00 for work under$6000.00 '1 Owner's Name&Address , r Contractor's Name I /( �sfyv, c c �n� Telephone Number 5G g-t{ 9-Q Q Home Improvement Contractor License#(if applicable) 1 �S 3 67 Construction Supervisor's License#(if applicable) 0Workman's Compensation Insurance -PRESS PERMIT Check one: ❑ I am a sole proprietor MAY 3 ZOQ7 ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNST'ABLE Insurance Company Name Workman's Comp.Policy# C( �) Q 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- - (maximum.44) Where required: Issuance of this permit does not exempt compliance with other town de ertt Ulatiotis;i f gStbvis"M-gelvation,etc. ***Note: ro Owne ust sign. r0 y wner Letter of Permission. Home enseisrequired. 71 :8 , 0 C OW !{OZ SIGNAT RE: 3`73 .l s °`r ?... ii �t� 1. Q:Forms:expmtrg f ' Revise071405 Fyn ��(I 1 `t J r a i Payable Immediately upon completion NO ,MONEY DOWN NO Payment at the start or part way thru, Payments accepted are, CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS "Any payments not made within 30 days of completion will be charged 1 MI.for every 30 the payment is late. FRMER CONSTRUCTIONI Warranties the labor for 1.2 ,years FRASER CONSTRUCTIONI'Warranties the shingles against Blow-Offs for 10 vears. ' CERTAINTERD Wananraes the shingles and labor 10(r/6 through the Sure Start "Warranty duration. CERTAINTEND Warranties the shingles to be ALGAE resistant for the duration r of the Sure Start Warranty depending on the shingle that was purchased. WeatherBoad Offers a Limited Lifetime Warranty with a completed warranty form and a copy of the invoice. (Rubber Roofing) Possible Extra-After the shingles are re tied from the roof, we will lift ane sh"t of plywood to make sure that the insulation is not up against the plywood, sheathizig preventing ventilation from the eaves to the ridge. If it is, ventilation pane1:9 will be installed by; removing the plywood sheathing, installing they Panels. turning the plywood over and then reinstalling the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood, Possible Extra-Any rotted or otherwise deteriorated trim, boards ' sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$50.00 per hour, plus materials, plus 20% overhead inark-up on total extras, Any deviation or alteration from above specification will be, executed upon written orders and will become Eui extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary inauzaance upon the above work, We,if not accepted within thirty days rmty withdraw this ' proposal. 3 FRASER CONSTRUCTION: Carries Workman'e CompensstEioa and]Public Liability lasurane• on they above work. I DAT ACCEPT OMe nor `Fraser Construction The Commonwealth of Massachusetts Department of Industrial Accidents. Office of Investigations 600 Washington Street Boston,MA 02111 s• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: CD City/State/Zip: t � C��(�3rj Phone#: �jO.g'YoC a g q Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. 'D 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. t 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 [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. a 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance_for my employees. Below,is the policy and job site information. Insurance Company Name: Policy#or Self-ins.L'ic.#: TI X U`'? Expiration Date: q 6 `y Job Site Address: 6102,old ca4I zlz City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration 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$1,500.00 and/or one-year imprisonment,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 violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here er t s and s o per ry that the information provided above is true and correct Si nature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. . City or Town: Permit/License# _ w 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#: Af PRODUCER THIS CERT0 Ns IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE? WISE & QUINN INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 449 PLEASANT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BROCKTON MA 02301 COMPANIES AFFORDING COVERAGE COMPANY 24WCB A HARTFORD UNDERWRITERS INSURANCE COMPANY INSURED COMPANY FRASER CONSTRUCTION CO B PO BOX 1845 COMPANY COTUIT MA 02635 C COMPANY r : ? ::::::: : : :::::;::.::.; .>:�::.:;::.;;:;.:.:.;:.;:.;::.:;:.;:�:.;:.::.>::::;::�;i:::;;::::::;5:::::::::::::::�:?:::fi:::i:::.:r:�i:::•:•i:::�:;::r:::::: LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE:::::;::;.;:.;;:.:i:;::.;:.>::.::.:;;.;;;:.>:::.x•::•:•::•::�:.::.:.;;;:.:.;:.::.;:.;::r:a:::�>;:.;:.::.;:.;::;:.;:<::::::.;;:;:.;;:.;:.:;::.;:.:::;:; :.;:.;:.:PER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE POLICY IOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MMB\DD\YY) DATE(MM\DD\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE D OCCUR. PERSONAL&ADV.INJURY. $ OWNER'S&CONTRACTOR'S PROT'. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIABILITY MED.EXPENSE(Any one person) $ , ANY AUTO COMBINED SINGLE $ LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY(Per Accldent) $ 4 PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ftEXCESS AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ IABILITYEACH OCCURRENCE $ RELLA FORM AGGREGATE $ ER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND , EMPLOYER'S LIABILITY (UB-794X619-1-06) 09-26-06 09-26-07 STATUTORY LIMITS ?'''' #z<s><3i THE PROPRIETOR/ EACH ACCIDENT $ -Ron nna PARTNERS/EXECUTIVE X INCL DISEASE—POLICY LIMIT $ son Ono OFFICERS ARE: EXCL DISEASE—EACH EMPLOYEE $ L 500 000 OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS I THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE:CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. ' ....!W'.T E b .:::.......::::::.::..:...................::.::::::::........................::::....:::...::.......... ::.....................................::::::..................:::::.::.........................::::::... . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE PO BOX 1845 FRASER CONSTRUCTION LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR COTU I T MA 02635 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE isiiiii:{t:::i1:;i:;ii.'•Y::::::i::iii:i•:i:::::`j?:.......::::::::::iiii}i::;::::{i:::Si:::iX::::':i::t::�:::::;:j:.}•': .::i':;::?•i:•i}i:•?i'.i?ii;.}}•:::::.:;.}•::: .: = Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement•�Oo:fttractor Registration Registration: 112536 Type: DBA FRASER CONSTRUCTION CO. Expiration: 3/23/20o9 Tr# 127920' DEAN FRASER P.O. BOX 1845 P COTUIT, MA 02635 'PS-CA' CO-5OM-05/06-PC8490 Update Address and return card-Mark reason for change. - ---- ----- — 'Address 0 Renewal [� Employment Lost Card Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for fndividul use only before the expiration date. If found return to: lug Registration: 112536 Board of Building Regulations and Standards Expiration: D13 3/ }009 Tr# 127920 One Ashburton Place Rm 1301 Type: DBprt Boston,Ma.02108 FRASER CONSTRUCTION GO.� pi qtf DEAN FRASER 4556 RT 28 COTUIT,MA 02635 Administrator t No valid without signature gnature Assessor's- map and'lot numberFTHEto SEPTIC SYSTEM MUST Sewage_ Permit number' ... � y,/V/ Jl. If11STl .ED 1111 COMPLI 4 / _ � 7:* l BARNSTABLE. i WITH TITLE 5 House number ....: ......::................................. .......... ENVIRONMENTAL CODE 9 rb 9 0� T01P1/ (� LATIONS o war a� • 'TOWN. , OF BARNSTA LE BIILDIRG ' INSPECTOR APPLICATION ' r^ j..0 FORPERMIT TO ��j /i! 7�1" � ��... ........ .... . .. ' TYPE OF. CONSTRUCTION .......... .................:::......,..................................................:............................................ Y '...0......... .............19..`T" TO"THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a ermit according to the .following infor Location ...... .......0.....�..............:........................ ...:......................... ........... ........... ProposedUse ........ cam- / .. ...........................:..................................................................................... ZoningDistrict ............................ District ....................�......................................................... Name of Owner .....��1,� ..f7` l.�g � `........Address .. `',,1.............. ........ Name of Builder . ... ............................ 1. �'� dress ............................ 0�G' ....................................................... 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 A I hereby agree to conform to all the Rules and Regulations of the To n of Barnstable regarding the above construction. , r Nam .................... ...... ................... .............. � - ' - . � . . . ' � . . . . ` - . . . . � - . . ' . ' * ` ' ~ - ' - / . . . � Centerville November 13 PERMIT REFUSED ' . . -- � '—' � � . � . � -- . . . � . '. ....................................................... � ^~ a` 'xe� .......................................... lA pro, , ^ . ----------~`--'^^--------' ` ' - _'------..------.,—~.....—..