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HomeMy WebLinkAbout0127 PATRIOT WAY ia7 oFTME rq�° *Permit Town of Barnstable # Expires 0 months f -'issue date ^- - . _.. Regulatory Sem—lees. ...Fee•• SARiV6CA'BL�n'� :. _ ... 9� nrnss, _ _ _,Thomas:F.Geller,Director . ...Building Division- _. — ' `"Tom Pe Buildin Commissioner. 7" " .200Main­Street,•Hyannis,MA02601-•••,. _PR7S s M Office: 508-862-4038 N-IIt Lu Fax:'S08-79�0-6230' --...._ :. �3 Y. —• -L11CZlL�Sf7. L` [�LYIIJ•L�f�1�1X1L01\ J<i�S1LL1\iJ�e1C9 - — rs: ar Not Valid withoutRed X-Press Imprint Maylparcel Number 121-�V I V '44t, Property Address residential Value of Work um fee of$25.00 for work under$6000.00 n '0 000 Owner's Name&Address r _ { Contractor's Name Telephone Numb—] er Home Improvement Contractor License#((if applicab e) Construction Supervisor's License#(if applicable) nn D 6 P) ❑Workman,8 Compensation Insurance Check one: ❑ I am a sole proprietor ° ❑ I amthe Homeowner , �I have.Worker's Compensation Instpcance Insurance Company Name e v Worlanan's Comp.Policy# Copy of Insurance Compliance Certificate'must be.on file. Permit Request(check box) , -roof(strippingold shingles) All construction debris will be taken to�1 �Re ' ❑Re-roof(not stripping. Going over existing layers of roof) r [� Re-side r ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this t does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: r 0 r must sign Property Owner Letter of Permission. ome 3prov ment Contractors License is required. ' Signature QTorms:expmtrg Revise063004 MIKE MONGEAU (508) 778-9797 PROPOSAL 77 Tradb`rs Lane Cell (508) 367-2646 W, Yarmouth, MA 02673 Lic, No, 006670 Date: Proposal Submitted To: Mailing Address Work to be performed at: 7 Name; Street: Street: City: City: State: Zip Code: State: Zip Code: Home Phone: , Work: NOTES/Suggestions: /ail r Vow - We Hereby propose to furnish the materials and perform the labor necessary for the completion of: MbRemoving old roof, install new roof .with a () ,��-t�t�/� shingle estimate ( ��_) sq. This price will include a I year warranty on workmanship, new alumi- num drip edge, 15# felt underlayment, roof vent collars, install ice and water barrier around chimney, valleys, nail loose boards, clean gutters, and total clean up and removal of all debris, Color of roof is to be A k,,Gad 2. Venting - can be critical on certain homes (a) Install' ft. of Cobra continuous ridge. vent $ (b) Install ft. of Hicks vented drip edge on soffit, (c) Do not want to.upgrade venting. (d) Other S All material in guaranteed to be as specified, and the above work to be performed in accordance with the specifications submitted for above work and completed in a professional workmanlike manner for the sum of $ , with;ayme,n's to e as follows: Deposit of $ ��0. Balance due u4rererve Respectfully submitt ACCEPTANCE OF PROPOSAL right t replace any rotted or broken roof or trim The above prices, specifications and conditions are boards. This will be an extra cost above the quote roof price. The satisfactory and are hereby accepted. You are charge for this will be, if needed, $50/hr, plus materials.All agreements authorized to do the work .as specified. Payment will contingent upon accidents or delays beyond our control. Outstand- be made as outlined above ing balance over 30 days will incur 1.5%finance charge per month. Date; g Owner to remove all valuables from walls, Liability Insurance on all above to be taken out by, Signature:. Mike Mongeou The Commonwealth of Massachusetts _ = Department of Industrial Accidents -- Office atlnvesdoatlons = 600 Washington Street, 7`h Floor ____`,� Boston,Mass. 02111 Workers'Compensation Insurance Affidavit:Building/Plumbing/Electrical Contractors name: address: city state: zip: phone# work site location(full address)' ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel ❑ I am a sole proprietor and have no one Working in any capacity. ❑Building Addition.31 __ ❑ I am an em loyer provide g worker 'com sation for my employees working on this job. yF p ?c {yt:: �:b 4k;�a q g F . ans7irande ca.. ..; _ „_.r a, IYc.• ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices t A". i x 7 !3 r Y c a:•Ia ti F.,, h 4 pltione# ,insuranceto. '.k.. . s.". .. . ..,...... ...., o1�c #... i d i -94d y � ` y D one# u ltr$tirantC: �:r. . :Qhl .# Failure 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 well as civil pe ies in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement ma a forwarded tb Office of Investigations of the DIA for coverage verification. I do hereby ce the p ' an en )ties of perjury that the information provided above is true and corr i. Signatur Date Print name APhone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept 2003) '\ t Information and Instructions Massachusetts General La chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from th "law", an employee is defined as every person in the.service of another under any contract of hire,express or impli ,oral or written. An employer is defined as an indivi al,partnership,association,corporation r other legal entity,or any two or more of the foregoing engaged in a joint ente rise,and including the legal represent ives of a deceased employer,or the receiver or trustee of an individual,partnershi association or other legal entity, em oying employees. However the owner of a dwelling house having not more than ee apartments and who resides th ein,or the occupant of the dwelling house of another who employs persons to do main nance,construction o/ub rk on such dwelling house or on the grounds or building appurtenant thereto shall not be ause of such emploeemed to be an employer. MGL chapter 152 section 25 also states that a Qry state or loca agency shall withhold the issuance or renewal of a license or permit to operate a bu§' s or to conildings in the commonwealth for any applicant who has not produced acceptable ev�ne,., ce of comth the insurance coverage required. Additionally,neither the commonwealth nor any political ns shall enter into any contract for the performance of public work until acceptable evidence f compl the insurance requirements of this chapter have been presented to the contracting authority. Applicants ` Please fill in the workers' compensation affidavit complet y,b checking the box that applies to your situation. Please supply company name, address and phone numbers along ith a c if cate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for onfirmati of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to e city or to that the application for the permit or license is being requested, not the Department of Industrial Acc' ents. Should y have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call th Department at the number listed below. win City or Towns Please be sure that the affidavit is complete an printed legibly. The Departm\and a space at,the bottom of the affidavit for you to fill out in the event the Office of Investigations has to ding the applicant. Please be sure to fill in the permit/license number w ich will be used as a reference davits may be returned to the Department by mail or FAX unless othe arrangements have been made. The Office of Investigations would like to thank you in advance for you coopd you have any questions, please do not hesitate to give us a call. iiX The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: r AND C OR L7§earq Search Results RNo. App.l_i_c_ant 4 St� 1 l__ _Name� i_ — iration_4t reet Cy JK"ted� E le_]Ex € j Bryan's Maintenance 405 North Mongeau, ! I � 129353 } & St Westfield MA 01085 Bryan Owner 8/17/2005_I Restoration j 77 MICHAEL W. 1 MONGEAU,i { 126178 MONGEAU TRADERS;YARMOUTH MA 02673 MICHAEL ,OWNER; 4/29/2006 I LN. _ ROBERT F. 1 350 Black � Mongeau, [114557 MONGEAU,�Duck Ctwy' Brewster MA 02631 Jr., Robert I[Builde�j10/4/2006 JR. � Target Cleaning & 241 E. Mongeau, j 124168 MAIN ST Westfield i MA 01086; Owner 5/20/2005 Disaster 4145 ! Gerald Restor. Total of 4 Records l matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 3/3/2005 Town of Barnstable ernut: 7� % oFtHKE rq�, Regulatory Services ate: -4-"3-� 3 Thomas F.Geiler,Director �v ee: BAMSTABLE. : Building Division v NAM..9m� Tom Perry, Building Commissioner s63 AlfD MP'� 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT 5^off ,Mf Owner: -e- Phone: Install at: /�7 f!Gc r� �� Village: Map/Parcel: /�/.,�� Date: O Stove -j A. New C/Us�ed B. Type: Radi Circulating C. Manufacturer: S' Lab.No. _ .,� r D. Model No.: Na C) > -Q Ch• ey 77 A /Existing (If ex sting,please note date of last cleaning B. Flue Size m C. Are other appliances attached to Flue? D D. Pre-fab Type and Manufacturer �� � Ps os E. Masonry: Lined/Unlined Hearth A. Materials: B. Sub Floor Construction: 1,241 Installer Name: _ 17 Address:Phone: Location of Installation: 4�/y�ll� APPROVED BY: _S) Please make checks payable to.the Town of Barnstable =*Thistitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 ` r 1969 F I J • }# •4 `��.al4`'`'�__�}}5 "4 Q l ,fir r 'r �•^`i' •�K..�'�+..`"�i�'g�'�� 1 `'~' �'{�.r'° � y�_ iti:fit, ,i' ��j � ��� � +.'Sir l+ �'•��sf R .L /'� :�f � �a ± � �e: ,-�: , ♦ � ti si i y ,�O � l¢ir7 ', � '�1� �r ��` ��,h• ty sus"s�•� si"YT • A 77 Av .:��+�- �,Y* i '"f a �:� (►�c '�>r lr. Al •..� e+"+L� rA Rl 'A�9s�{e ��r , 40 lit OVA �' •�. xt I e . ~.,off •^' .t 4 ;-t r Assessor's map and lot number...... ..j. .....:........... ..��.�.... SINE Sewage Permit number ................... ........................... Z EAR3STME, i House number ....... /2 7.................................................... 90 rasa � p 1639. \00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....� � * ? TYPE OF CONSTRUCTION .............1 p ar ^A�`a .................... r4►-�-� ............................................ ............. .. ..�' ...�..............19...��. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......4, `T � -r ! T �2 ��a'4 .... Q ,?f' �t�� � ��1ZL ................. Proposed Use ........... _ `.t �>Y «a��" ........................................................................................ - ............:.............. ..... ........ ....................... Zoning District ..... Fire District .........:.:.........:........................................................ 1�- ................... Name of Owner . . ��. ..�.Address . t. 1 , M.AA - yAnv < .................................. Name of Builder ..................�....:.............. ....::.......................Address ,1�. -- .................................................................................... Name of Architect .......................:�Q ..........................Address ................................. ....................... Number of Rooms ................��'??,? �'.,........................Foundation ....)jQ-.fE�.... ... .,.... ......... ....... Exterior ........... �-I i(�rti�4 2 ........Roofing �-1-�. ............................... f" A R �t� �� 1 /\\�}�.!L- ...........Interior -., �\A , � '_? Floors y ......... �. ................... ......................... t /'� Heating .... .A.n.1. nl� t E-r^ s2.0 1? IL g (IN ice. / IP V ................ ............................... ...................Plumbin ...... ........ Fireplace �..... ..................................Approximate Cost ................. _, Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ...... �6. C� .......... .... ............. Diagram of Lot and Building with Dimensions Fee ............................................. ,SUBJECT TO APPROVAL OF BOARD OF HEALTH I1��b I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �Name ............./.,...t'.........!.......�...:�,r'!:F!� ....... r— Banner Home, Corp. A=192� , LZ7 No 20837 Permit for ...,,1 112 stor .......... ........Y...... single family ,dwelling ............................................................................... Location ... 127 Patri.ot. ..Wa.y .. . .. .... ............................ Centerville ............................................................................... Owner Ban. .. ner �. ... me Corp. .. ................ ...... ...... . . . ...... . Type of Construction .,frame ........ . ....................... ......................................... ...................................... Plot .......................... . lot .CiD........... Permit Granted .......�OYewber..20.........19 78 Date of Inspection ....................................19 Date Completed ......................................19 PER ;IT REFUSED ......................... .................................. 19 d .. .... ....... ./ ................ ..... .......... ..... . .. ..... .. ....................... Approved ................................................ 19 ' ............................................................................... ............................................................................... Assessor's office (1st floor):.: , c Assessor's map:and lot number ...... .. ... ... ^�ED IN COMPLIA��� .. _ �♦ Board,of Health (3rd floor): �''`ITH TITLE S. Sewage Permit number ....... ..': 1.7.. ENV a " N • ` ,Z�.. C'��EIVT,�L CODE �YV® : H9Hd9TODLE, MAX& Engineering Department (3rd floor) o i --RECULATiON'S '�o s63'9. \0� House number_ ..... .. ..:... C. ,/ ''rto y a. Definitive Plan Approved by planning Board,'_:. :____ ____________19-------- . ,. APPLICATIONS PROCESSED 8:30'-9:30 A.M. and 1:00.2:00 P.M. only :f a TOWN • OF , BARNSTABLE . . F BUILDING INSPECTOR p x G �G oAJ �� eG APPLICATION FOR PERMIT TO R.....:► ?�. ..........: .....!. .1 1lt?........ .... ..1 .........14., .1�::.r�c. L.......... '\.. TYPE OF"CONSTRUCTION ...: ..tJ .... .Pae...�....... ......... ........ ......... .::...:.. :.......: ....... .... 1. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies,for a permit according.#o the following information: R � Location ....�..<X.. ,.....Irt, r.'�?..�:S Vr�.!?9. ...:..!✓. I11!G. �..l�l..`� ...... Proposed Use ....... R._es o........ .......................................... y Zoning` District ................. .. .. ......... ....:.... ........ ........Fire District ... ....... . ..... . Name of Owner : ail !. h..�.i .... �,1..4....L,.°.�.aw ..V. Name of Builder 7}/ S/.Ar ..C,- ..:.. //tiC°' 1,e VIe4.� t.. D2 �, i� sv,G� Address .:: - �....... .... ..... Name of Architect ......... .y(, ....:.: Address .... ......... Number of Rooms ....... •. .... foundation ..:,S.Q.?�.�►...;. V. .>✓ �........, .. Exie for ......... .., ......... ......... ........:.........Roofing ..... . Floors ......`:........ Interior Heating ..:.: _:.:. ....::::. ......:., ...;:..:.Plumbing. .:. v ............................................ ........ Fireplace :...:.. :.::... ....... :....: Approximate Cost �� o.�. ' Areav Di r m of Lot and Buildin with. Dimensions ' _ ag a g - . - Fee . .............. ................. _ R o iy 1 ' �_1ftSi tiJ?o L6 y� l 36 . G S'fl AITl Tor/3e t. �m T.iru,�g ,OCCUPANCY PERMITS REQUIRED FOR°N E W DWELLINGS .. S:re Ip 5� I hereby agrees'to conform to al,I-the'Rules and •Regulations of the Town .of Barnstable regarding'the-above construction. .:' Name ,/ ...... y/ onstruction Supervisor's license.•.. :...OP.Y..4?:6. :. 4' - •CROWLEY, BARBARA -J. r 31805 Remove .& Add New Deck No .......:........ Permit for .................................... _ • �� ....;Single F.amily....DWelln.�:...:... . - • -,' • . Location` ............................................127 ^Patroits Way �. . r .. - " - A Centerville - f _. ... ....:.............................................. .... .............. x Barbara J. CrowleyOwner. . ......... ............. .. .... Frame Type of Construction ........................................ Plot ...................... `Lots................................ t om.! t• � Permit Granted Aprr1..:14:�... ..19 8 8 _ _ ti . ' Date of Inspection ..... .. .. .19 , Date Corppleted ...:.:....... 1 ..... .......19 , CO cc M 0it ' 4 f ;y w.