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HomeMy WebLinkAbout0110 PRINCE HINCKLEY ROAD 1. rye- II e f r o u Town of Barnstable Building 4 y Post This Card So Thatfit is Visible From the Street Approved.Plans Must 6, Retained onJob and this Card Mustbe Kept +n.�ARIV�TAfILL, r ` s a, Posted Until,Final Inspection Has'BeenMadeq� Permit na�°r Where aCertificate of Occupancy is`Required,such Building shall Not be Occupied until a Final Inspect ion'_has been made 1r111 Permit NO. B-20-378 Applicant Name: Craig Bishop Approvals Date Issued: 02/07/2020 Current Use: Structure Permit Type: Building- Insulation-Residential Expiration;Date: 08/07/2020 Foundation: Location: 110 PRINCE HINCKLEY ROAD,CENTERVILLE Map/Lotw 172-184 Zoning District: RC Sheathing: Owner on Record: CRONIN, DANIEL J III&RUSSELL, MELISSA Co t actor Name:'`,.CRA1G P BISHOP Framing: 1 Address: 110 PRINCE HINCKLEY ROAD Contractor License: 109777 2 CENTERVILLE, MA 02632 a Est Pfbje'ct Cost: $3,112.00 Chimney: Description: Air sealing, attic damming,cellulose in open attic space,vent � � 'Permit Fee: $85.00' chutes, bath fan vents;soffit vents,weatherstn mg ppdoors' Insulation: Fee Paid 5 85.00 Project Review Req: Date 7 2/7/2020 Final: Plumbing/Gas Rough Plumbing: ui rn� icia This permit shall be deemed abandoned and invalid unless the work authorized by thisperiiit is commenced within six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the approvedconstruction documents for which.this permit has been granted. All construction,alterations and changes of use of any building and structures shall"b"e in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by»the Building and,,Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy - Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: S�*�T- 1 BUILDING DEFT. FEB 2 6 2020 Ch%PIE C(M:)' TOWN OF BARN,.,-� "S �-; 378 Route 130 Sandwich,MA 02563 PH:774=205-2001.844-90-AUDIT Permit Affidavit Permit#: I,.Craig Bishop,confirm that the weatherizatio.n and air sealing worktompleted at n i? k\ e-A 11 QQ ,I� �C M �\ i° I D has been completed.in accordance with 780 CMR. Signature: Date: _ oaU i r �Application number...". .... ..... . ....... ........ R► TOWN Of SARNS Fee`........................ .�..r�: ............. _ ! . .2 AM' 4? wilding Inspectors Initials...... . ........................... NAM4 Date Issued.:......UL ................. ........... ......... t?.�........ a9 � Map/Parcel.............:...l.. Q� t TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION ' PROPERTY INFORMATION Address of Project: 10 f C�clL� Ctincic� t. - 2-�y � NUMBER STREET 0 VILLAGE Owner's Name: Aak,s s u55eA Phone Number ?Zt-Sad-J 1)-a Email Address: kS S dk 0 C4� `�ti� c'6'.� Cell Phone Number- Project cost$ A6C) ,off _ Check one Residential _ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize " to make application fo a building ermit ' accordance with 780 CMRP Owner Signature: ' ,Date: TYPE OF WORK ❑ Siding Windows(no header change)# © Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than`1 la er of shingles) Construction Debris will be going to ,��� 3a��°nr� _LM► �-�� CONTRACTOR'S INFORMATION Contractor's name asJ, J uS ��Qcr��, S -j� C_- Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# l 0 (S 0,� - (attach copy) Email of Contractor MPhone numbers ALL PROPERTIES THAT HAVE STRUCT)RES OVE 75 YEARS OID OR IF THE SUBJECT PROPERTY IS IN • ue�r�n��n��Tmi+r v0%11 AA§IBT/1nTAIA/LIICTADIr AODD/11/A/ QCCADC A DCDAsirIAAl 929 IMWn APPLICATION NUMBER *For Tents Only* y Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No I Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or> Yes No ,if yes, a gas permit is required. Natural Gas Yes No , if yes,a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4.30pnL Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction ins ' n ocedures,specific inspections and documentation required by 780 CMR and the To a table. r, Signature - Date I'2 - PLICANT9S SIGNATURE Signature Date _ -All permit applications are subject to a building official's approval prior to issuance. •� s The Commonwealth of Massachusetts Department of IndustrialAccidents -Office of Investigations 600 Washington Street Boston,MA 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly • 1 - r Name(Business/Organization/Individual): Address: City/State/Zip: v k Phone#: 7 `! —a 3 1 7 Are you an employer?Che k the appropriate box: Type of project(required): 1.0-1-am a employer with 9, 4. ❑ I am a general contractor and I have hired the sub-contractors 6. ❑New construction employees(full and/or part-time).* _ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling t ! ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• t 9. ❑Building addition ; [No workers'comp.insurance - comp.insurance. required.] 5. E] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[Z-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 state whether or not those entities have employees. If the sub-contntctors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ,A _ ! Policy#or Self-ins.Lic.#: L S��0 I ik a o L`� Expiration Date: Job Site Address: D fri v-L'o—, 40A'Lyig:4 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 hereby certify un a' and penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone#: 7 7 q )-37 Official use only. Do not write in this area,to be completed by city or town ofciaL City or Town: Permit/License# 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#. z Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an mployee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or tten." An employer is defined as"an' dividual,partnership,association,corporatio;tatives 4 other legal entity,or any two or more of the foregoing engaged in a jo t enterprise,and including the legal repres of a deceased employer,or the receiver or trustee of an individ partnership,association or zacceptable al hty,employing employees. However the owner of a dwelling house having t more than three apartme resides therein,or the occupant of the dwelling house of another who empl s persons to do mainten truction or repair work on such dwelling house or on the grounds or building appurten t thereto shall not becch employment be deemed to be an employer." MGL chapter 152,,§25C(6)also states th "every state or locing agency shall withhold the issuance or renewal of a license or permit to operate business or to cobuildings in the commonwealth for any applicant who has not produced acceptab evidence of com with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)stat "Neither the cealth nor any of its political subdivisions shall enter into any contract for the performance of p blic work untilable evidence of compliance with the insurance requirements of this chapter have been present to the contrcting authority." Applicants Please fill out the workers' compensation affidavit co letely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(e and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or L' it Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry work 'co pensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that th affida it may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be re to sign and date the affidavit. The affidavit should be returned to the city or town that the applicatio for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any qu ions regarding a law or if you are required to obtain a workers' compensation policy,please call the Departm t at the number li ed below. Self-insured companies should enter their self-insurance license number on the a r ri to line. City or Town Officials Please be sure that the affidavit is complet and printed legibly. The De artment has provided'a space at the bottom of the affidavit for you to fill out in the ev nt the Office of Investigations to contact you regarding the applicant. Please be sure to fill in the permit/licens number which will be used as a r erence number. In addition,an applicant that must submit multiple pennit/licens applications in any given year,need my submit one affidavit indicating current policy information(if necessary)and der"Job Site Address"the applicants uld write"all locations in (city or town)"A copy of the affidavit that h been officially stamped or marked by the ity or town maybe provided to the applicant as proof that a valid affidav is on file for future permits or licenses. A w affidavit must be filled out each year.Where a home owner or citize is obtaining a license or permit not related to business or commercial venture (i.e.a dog license or permit to bum eaves etc.)said person is NOT required to comple this affidavit. The Office of Investigations wo d like to thank you in advance for your cooperation and s uld you have any questions, please do not hesitate to give usA call. The Department's address,tel hone and fax number: The Conunonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington,Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE _ Fax#617-727-7749 Revised 4-24-07 - www.mam.gov/dia DATE(MMIDD/YYYY) ACCWf> CERTIFICATE OF LIABILITY INSURANCE 12/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:C CO Allison Petkiewich-Sousa RSC Insurance Brokerage,Inc. PHONE (781)986-4400 FAX (781)963-4420 - (PAC, AC No Ell: A/C No 15 Pacella Park Drive E-MAIL a etkiewich-sousa risk-strat ies.com ADDRESS: P Suite 240 INSURER(S)AFFORDING COVERAGE NAIC 9 Randolph MA 02368 INSURER A: AIM Mutual Insurance Company INSURED ' INSURER B D3 Builders Inc,DBA:D3 Builders Inc INSURER C: 65 Treasure Lane - INSURER D: INSURER E: Mashpee MA 02649 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1982027776 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS,&, COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ _ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLI ES PER: GENERAL AGGREGATE $ ' aPOLICY PRO JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: - $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAR- OCCUR - _ EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - 500,000 A OFFICER/MEMBER EXCLUDED' ❑ NIA WCC50050193032019 08/22/2019 08/22/2020 E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Harbor Ridge Homeowner's Association ACCORDANCE WITH THE POLICY PROVISIONS. 21 Harbor Ridge Rd AUTHORIZED REPRESENTATIVE Mashpee MA 02649 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r ✓fLG C'J//77/720/2!UP.CGCI,/L O�✓(/l�arlcfll,•C/J,CCJP.I./,ry .. :_-__.. _ .. ._ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only- TYPE:�Individual before the expiration date. If found return to: Registration Expiration Office of Cons r Affairs and Business Regulation 1fi20$1 07/28/2021 1000 Washi torVStreet -Suite 710 DAVID WILLIAM iCHAR S � Boston, 02)18 em I71 DAVID RICHARDS;ti� ; 65 TREASURE LANEi, „�3 ' MASHPEE,MA 02649 ` Undersecretary. 1 alld Wlth ut signature ®is Commonwealth of Massachusetts... Division of Professional Licensure F Board of Building Regulations and Standards Constirjh*iNbp�rvisor. CS-101506 empires: 11/29/2020 P I r r5.; +ry ii DAVID W RICHARDS 66 TREASURAN l MASHPEE MA 0. .i40 r Commissioner �✓L i II 1/2/2020 Mass.Corporations,external master page 1�;r•aa��l Corporations Division Business Entity Surrionary ID Number: 001180205 F Request certificate t New. seap;h Summary for: .D3 BUILDERS INC The exact name of the Domestic Profit Corporation: D3 BUILDERS INC Entity type: Domestic Profit Corporation Identification Number: 001180205 Date of Organization in Massachusetts: 07-04-2015 Date of Revival: 11-03-2017 Date of Involuntary. Dissolution by Court Order or by Last date certain: the SOC: 06-30-2017 Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 12/31 The location of the Principal Office: Address: 65 TREASURE LANE' City or town, State, Zip code, Country: MASHPEE, MA 02649 USA The name and address of the Registered Agent: Name: DAVID RICHARDS III Address: 6S TREASURE LANE City or town, State, Zip code, Country: MASHPEE, MA 02649 USA The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT DAVID WILLIAM RICHARDS III 65 TREASURE LANE MASHPEE, MA 02649 USA TREASURER DAVID WILLIAM RICHARDS III 65 TREASURE LANE MASHPEE, MA 02649 USA corp,aec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001180205&SEARCH_TYPE=1 1/2 1 1/2/2020 Mass.Corporations,external master page SECRETARY 'ANTHONY EMIDDIO FRANZE 2310 MAIN STREET WEST BARNSTABLE, MA 02668 1 USA DIRECTOR ANTHONY EMIDDIO FRANZE 2310 MAIN STREET WEST BARNSTABLE, MA 02668 USA Business entity stock is publicly traded: The total number of shares and.the par value, if any, of each 'class of stock which this business entity is authorized to issue: $ 0 .00 21000 -� Consent .:`Confidential Data Merger Allowed Manufacturing View-filings for this business entity: ALL FILINGS . Administrative Dissolution Annual Report Application For Revival Y Articles of Amendment rYrew ngs Comments or notes associated with,t his business entity: INev+ search; corp-sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001180205&SEARCH_TYPE=1 2/2 . r �oFt►+E r � 'Town of Barnstable *Permit# a--aefo 3 ,4 0 Expire months op issue date Regulatory Services Fe / �' t anxxsTnsrE, Thomas F.Geiler,Director MA SS.i6 13S r 39• SYb ����.� Building Division � rfD MA'l Tom Perry,CBO, Building Commissioner /- 200 Main Street,Hyannis,MA 02601 ��� secs www.town.bamstable.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 Property Address l Residential Value of Work C� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address %K1b, Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable)❑Workman's Compensation Insurance &PRESS PERMIT Check one: ❑�, I am a sole proprietor JUN 2 5 2008 \ `�1 I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) El Re-roof(stripping old shingles) All con ction debris will be to en to ltr►�1 ❑Re-roof(not stripping. Going over existing layers of roof] ❑ Re-side ❑ Replacement Windows/doors/sliders. 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: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:\WPF[LEST0RMS\building permit forms\EXPRESS.doc Revise020108 `r OFYHETo Town of Barnstable Regulatory Services HASS.I'E ; Thomas F.Geiler,Director f Building Division Tone Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 , www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I C.. 1' , as Owner of the subject property` hereby authorize 1�fY--, _��.�1c11� to act on my behalf, in all.matters relative to work authorized by this building permit application for: Y (Address of Job) .0ature of ner Date f Print Name k If Property Owner is applying for permit please complete the Ho`meowriers License Exemption Form on the reverse side. 1 Town of Barnstable Hof the rosy Regulatory Services • . Thomas F.Geiler,Director swttrrs-rwat KMASS Building Division PIED 1"��a Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnsiable.ma.us Office: S08-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER name home phone# work phone# CURRENT MAILING ADDRESS: ci to state zip code The current exemption for"homeowne s"was extended to incl de owner-occupied dwellings of six units or less and to allow homeowners to engage an indi 'dual for hire who do not possess a license,provided that the owner acts as supervisor. DEFINITION OF OMEOWNER Person(s)who owns a parcel of land on•w 'ch he/she resid or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached detached s tures accessory to such use and/or farm structures. A person who constructs more than one home ' a two-year erzod shall not be considered a homeowner. Such "homeowner"shall submit to the Building O cial on a rm acceptable to the Building Official,that he/she shall be responsible for all such work erformed under a buil emrit. (Section 109.1.1) The undersigned"homeowner"assumes responsi I for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/sh u erstands the Town of Barnstable Building Department minimum inspection procedures and requiremen and at he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings c taining 35,000 cubic eet or larger will be required to comply with the State Building Code Section 127.0 Cons ction Control. HOMEOWNER'S EXE TION The Code states that: "Any homeo er performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1..1-Licensing of tiuction Supervisors);provided th t if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as s sor." Many homeowners who use this a emption are unaware that they are assumm g the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construe on Supervisors,Section 2.15) This lack of wareness often results in serious problems,particularly when the homeowner hires unlicensed pen: . In this case,our Board cannot proceed agar st the unlicensed person as it would with a licensed Supervisor. The homeowner acting as S sor is ultimately responsible. To ensure that the homeowner s fully aware of his/her responsibilities,many comet ities require,as part of the permit application, that the homeowner certify that he/she un erstands the responsibilities of a Supervisor. On the]as age of this issue is a form currently used by several towns. You may care t amend an adopt such a form/certification for use in your community. n,- Y � y achas ',&.t 'k .s'?kf' +'7�..a ::v ,d�'...�sS`ti w ..q�,`' q4ass _ ^ r{ � . r � n r � .i � :.. . .,per• .. _ v s i. 3. a - .. u rs. � 4 - i y�, Y: f � M1 w 5 ' , T e, 7�_ ae•wM€N�,-- t y �+ Assessor's map and lot'number ............................................ %THE tvi 0 — Loge Permit number 3.3.................................. SEPTIC SYS'VEIc J"T 37: ;NSTALLED IN CONTPLIANI" % 333ARUNST L House number .//0................... .1-1/1............ 1, .1 4 NAB ............ -0- ........... WITH TITLE 5 1639. DE AN 0 MAR A, ENVIRONMENTAL CC I?MAR A, TOWN " :OF BA.RNSITI,'A]3'L-"] ,E-""-""8 • BUILDING INSPECTOR /��� .. , � � � oaf APPLICATION FOR PERMIT TO .................................................................................................... �00,0 TYPE OF CONSTRUCTION ....... .......*... ....... .............................................................................. Towy, 0??0W................................ 9 $ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ee Location .....�Ap//w .... .... ....ceiep.r� .�#.............................................. ProposedUse ....so fl) ............................................................................V Ze/c ZoningDistrict .........W..........................................................Fire District ................................................................... ,-'? :z I 6a 1-1(11Z1tt1116 LAA -e .................O.Address ................................................................;�...... ftps Name of Ownqer . . ....................0. -91,(fro�uWwlc "ILLS Name of Builder Address/.�o /— //-?/ .................................................................... ........................................................................... Name of Architect ..................................................................Address .............................................:—**---............. ............. Number of Rooms ....... .....................................................Foundation ............................................... .......... ........ ..... m . Exterior ........s.#/ )......Roofing ...... ..... .... . . .................................................................... Floors ..... ................................................Interior ...7-ex7vie I- // .... ... ... ... ...... ................................................................................ Heating ......NPM�,........................................................Plumbing .......IVA 41.IC......................................................... 016 Fireplace ......N-Ak-l!.........................................................Approximate Cost ... /........................................................ Definitive Plan Approved by Planning Board ____________-------—-----------19--------- Area .......................... ............. Diagram of Lot and Building with Dimensions Fee ...........A.......... ..y............... SUBJECT TO APPROVAL,OF BOARD OF HEALTH 16 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town f B stable regard' g e abov construction. at the Town ;able..re.g.a.rd ..g ....e..abov t Name ................... ....... ..................................... ............ C structio S oo struction S ervisor's License .0.0.0..................... _T_ CeCENZO, PAUL D. A�WITION No .... Permit for .................................... Single Family Dwelling ............:................................................................... L8cation ....1.1.0...Pr.:L.nce..Hinck.ley..Road....... .. . . .... . ...... ........... . .... ......... t. Centerville -' .....................:......................................................... �!..D. CeCenzo Owner .... ..... . ........... ........................ ....... Type- of, Construction. ......Frame................ ................... .............. ............. ............................................ ............ .................Plot Lot............. rt 0 -January 29, 85 Permit Granted ........................................19 Date of.Inspection.................. ...... ......19.. Date Completed ................. ............11 _!7 S r i. +1 — —�--- --'�------ -�— 1 44 WORK 4.-7tA a toQ�'' 20 ,•"�DhD P.� fhD4NG t O• .� '..... y —POOL LOCP-7' ,ON ORO Use Adjustable A-Frame Safety Line Braces At Wall Joints A �5 M0.10t8 A o Indicated.° B A.y v Digging Layout tgrD 0. ,v See "Wall Corner Detail" (Typical All Comers) TYPE II DIMENSIONAL SPECIFICATIONS AS APPLIED TO � •,N =�20"' WEATHERKING POOLS �, „<•° or t. Overhang of diving board from edge of pool is 2'-8 7/8" (±3 inches). A n 40'-0• A A 2. Water depth under tip of diving board is a minimum of 72" at Point"A" Plan 3. Maximum board lengt!t is 8' -0 4. Maximum board height over water is a�oi,.:��sy4jv Note: 20 inches. Stainless Steel Wall 5. Diving board must be centered in width •7� DAvto �•.,., 2' 8 7/8" (3 3") Overhang Distance Panels 41" High. All of pool. Others 42" High: t QEa' -; � o` 6. Refer to manufacturers'specificationsQ, ,J!,,P�20',,"Maximum Height Above Water for fulcrum locations.° 7. Safety lines must be mechanically at Safety Line Minimum Water Level I lathed on one side supported by 4" Below Top Of Liner buoys.-Toin "A". \—Undisturbed Earth 8. A step or ladder or other approved ee ote 2 Vinyl Liner Over I means shall be provided at both the 2" Compacted Sand shallow and deep ends. 4'''0- B'-O" 12-0" FOLLOW ALL APPLICABLE SAFETY AND Profile BUILDING CODES, AS WELL AS INSTALLA- TION INSTRUCTIONS FOR THE POOL AND ALL EQUIPMENT AND ACCESSORIES. 19' l91 l9vz' _l9vz' ' CAUTION: DIVZ FROM DIVING BOARD ONLY. 2Ox 40 RECT. 20.r 40 RECT 2 -1SECTIONS 2 19` SECTIONS WEATHERKING PRODUCTS, INC. /B 4 -l9, SECTIONS /B` l9` 4- l9vz'S£CTIONS l9' 4 'I PC.90'ROLLED CORNERS 4- 3 PC.90°CORNERS /0 COPING CLIPS /0- COPING CLIPS EAST GREENWICH, R.I. L __ DRAWNA F1HW1 APP: J.P.P. /9` 19` l9iiz" 1911d 20 X 40 X 8 B GT 11 DATE: 1 Z_8Z ; Holiday Coping Layout Snap Strip.Coping Layout RECTANGLE Zr Assessor's-map and lot nunp ..........7 .. ..!...y . ..... Sewage Permit number . . . .. .. . ........ . .. ...... • +) Z EA"STAIDLL i House number /i O : roes 4C........:.................... .. ........... Op 1639• \009 'FO u a' i TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO t'v�fi 5 VJ I wr U .�.h. 00.�.............. VLC v eTE TYPE OF CONSTRUCTION .l)! .....�.t.k�� ..... .� �4,�...... a�lS... ...C ........................a.5..56!M...... 1 . .. 3....................1Z�?�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follo ing i formation: Location ....1 10......... �I/t 1� le.. ......:... � 4.. . .�r.. .1� -.......... ................................... Proposed Use T' l�/CL '� .x. .�........Sl cWlc �Y4 .......��.................................................. . ................ ................................... ... Zoning District ...:..... Fire District .C: �1 `�. �... s� �v�.�.f. n.... .. l ' I LP �/ / C I7! kl�V Cd kn41 Name of Owner !. aol....... DK.Ct:....Z... ......�....... `/!?.. �..................... .. ...... ............... �?� r— Name of Builderlr .... Qe ....Address .o.,(!lG.11.�, ........................... Nameof Architect ...............................:..................................Address....................................................................................... Numberof Rooms ....... �.1................................................Foundation ......... / ..................:..................................... >s 4 Exterior .......................✓ , rL..........................................._.......Roofing .......... ..............:....................................... Floors ..................../4! ............................................. ......Interior ..........N .. .......................... cd hieating ..................N �.....................................................Plumbing G��� .........:1�Q............ �Y 070 Fireplace ...........Approximate. Cos Definitive Plan Approved by Planning Board -----------____---------------19________. Area ............................................ Diagram of Lot and Building with Dimension Fee ::...(%! �: + SUBJECT TO APPROVAL OF BOARD 1OF ALTH �U V1_ lo °I boo I aoxq o ,o exl57rK6- mouse 45� OO OCCUPANCY PERMITS REQUIRED FOR NEW DWELLING�J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega ding the above construction. Name .. /6 . ...... ,�r.... .......... Construction Supervisor's Licensee n2 .............`.............. `y DeC ENZO, PAUL A=172-184 No' 6 Permit foraCcesso�...tQ............... ...... -` ;.,. dwelling (swiirffnnq.P40I,?.................. y '"-.- Location ..... ' ldclgy..Road...... ..........: >` Centerville M Paul DeCenzo - Owner, .................................................................. Type of Construction .. ...... concrete bottom vinyl liner �......... " Pot ............................. Lot �►.. Cr r - Permit Granted. .......August.24.__:_.......19 84 S Date,of Inspection ....................................19 Date Completed ...Z .......... .19 v Y � Assessor's map and lot'number .....................:...:-........*...... I _ SEPTIC SYSTEM MUST BE 7 INSTALLED IN COMPLIANCE Se age hermit number .................................y. .. t WITH ARTICLE 11 STATE SANITARY CODE AND TOWN _.i �ofeT14Ero�� - TOWNS OF BAR' MAB, Z BAHB9TSDLE, i ,'r I �;v _ . b 9 >•� a owar BU:=ILDIHG INSPECTOR ° a• APPLICATIONFOR.PERMITJO ..................................... ................................ ................................................ TYPE OF CONSTRUCTION .....:...... .... ... ..l...................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereb applies for a permit ac o ding to the following informs ion: Location ....../ ... .......................... ...� ':`•`"(••.. ......... �• .....y/ 2�v. ProposedUse ....... ............... ................................................................................................. Zoning District ............. ..... .......Yj Fire District .. ...........,------..................:................................. Name of Owner Address.. .......... .. ................................ Name of Builder l( C :...........Address ..............................................................................:...:. Nameof Architect ..................................................................Address .................................................................................... Numberof Roo ......................................................Foundation ...... ....................................... 1 Exterior . .... .................... ....... .............................................Roofing ..... .. . ... ........ . ....... ......,.................................. Floors ....... �` 4..........................................................Interior ......... ....... .... ........GT Heating ..... ....//..... ...............................................Plumbing .......... .................................. v Fireplace ......=byPlanni ..............................Approximate Cost .....�...........�...........QQ....................... .... Definitive Planoard _____________________________19________ . Area ......./..(... O ..S ® ........... Diagram of Lot and Building wit Fee ............. h Dimensions .q /' ....... SUBJECT TO APPROVAL OF�ARD OF HEALTH i I hereby agree to :conform to all the Rules and Regulations of the Town of Barnstable rega ding the above construction. Name .... ......... .. Small, Alan E. 195LO one story No ............ Permit for .................................... singke family dwelling ...........I................................................................... 10 Pr Loc6tiot ..................................................ince Hinckley Road.............. Centerville ............................................................................... Alan E. Small Owner .................................................................. Type`of Construction .........frame rame....................... . ........ . ........................ ........................................................ #125 Plot ............................ Lot ................................ Augu'st 17. 77 Permit Granted .......... ........!19 .Date of Ins ection p . ... .................19. Date Completed ....... ..........:..19 PERMIT REFUSED ........................ ....................................... 19 ............................................................................... .............................................................................. .............................................. .................................. ............................................................................... Approved ................................................ 19 ............................................................................... . ............... ......................................................... THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A , I / �C(�J- L DATA i LvT lZG. ,'D? 12 Q. 1 i,qy=9G8 _Lr6Z 7 IG n = y�•S 92r o SAN A � XG c� T CaZTlV-iELD PLbT' Pt./a1`I �f Tc�r 1��C ��/� sc,��'� �cnl✓� I"_ ��� t�A.-�� -�, zL,�, cmtzTt;= -{ Tt4AT T14LPPO? 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