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0315 PRINCE HINCKLEY ROAD
r • !� �., 6. .. �! .. �i D Town of Barnstable Building . a Post this-Card So That it is Visible.from the Street-Approved Plans Must be,Retained on Job and;this Card Must,be,Kept s BARNSTAB • . "�" Posted Until Inspection Has Been Made. Permit Where a Certificate of Occupancy,is Required,such Building shall Not be Occupied until a Final Inspection has been made. , Permit No. B-19-3828 Applicant Name: Oliver Kelly Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/13/2020 Foundation: Location: 315 PRINCE HINCKLEY ROAD,CENTERVILLE Map/Lot: 171-122 Zoning District: RC Sheathing: Owner on Record: PETERSON,ANNETTE W& PRESCOTT, Contractor.Na e" Oliver Kelly Framing: 1 Address: 315 PRINCE HINCKLEY RD (' Contractor License 12857 2 CENTERVILLE, MA 02632 a � Est Project Cost: $9,000.00 Chimney: Description: Roof € ',Permit Fee: $45.90 l Insulation: Project Review Req: Fee paid.,° $45.90 k Date- 11/13/2019Final: _ i Plumbing/Gas j Rough Plumbing: i - `,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved appl cation and the approved construction documents for which.this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: work until the completion of the same. v z Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials'are provided on this.:permit. Minimum of Five Call Inspections Required for All Construction Work:' Service: 1.foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r M - Application num ..............� ... Q� J-2 Fee ................. t.... .................... KMK ` Building Inspectors Initials........ . Date Issued.:............. Ael........................... Map/Parcel.................... .. . .... ...................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NNUNqW�R STREET VILLAGE Owner's Name`` ���CS3�f`x Phone Number2� Email Address: Cell Phone Number 39 Project cost$ n_00 Check one Residential mmerci OWNER'S AUTHORIZATION C3 As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR , 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 layer of shingles) Construction Debris will be going to ., CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# D� l (attach copy) Construction Supervisor's License# 0 q16 T (attach copy) Email of Contractor AOL hone numberALL PROPERTIES THAT HAVE STRUCTURES OVER, YEAOR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. / \1 APPLICATION.NU.MBER....................................................�....,.. *For Tents Only* 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 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-4.30pm. 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 inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANKS SIGNATURE 1T q Signature Date ' t� official's approval prior to issuance. All permit applications are subject to a building The Commonwealth of Massachusetts ` Department of Indttstrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 ulV* www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organi ation/individual):: Address: ,'V Ci /State/Zi � )>r7+ n ty p: qw-� �"ly't Phone#: 60c, U .- �t Are you an emplover'Check the appropriate box: Type of project(required): 1.E! `am a employer with _employees(full and/or par mime).*` 7. ❑New construction 2.O I am a sole proprietor or partnership and have no employees working for me in 8. n Remodeling' any capacity.[No workers'comp.insurance required.) 9. El Demolition, 3.❑tam a homeowner doing all teork myself.[No workers'comp.insurance required.]t 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. [will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.[ oof repairs These sub-contractors have employees and have workers'comp.insurance.+ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c• 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box K I must also fill out the section beloxv 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-contractors have employees,they must provide their workers'comp.policy number. I ain all employer that is prov ding workers'compensation insurance for my employee& Below is the policy and job site information. Insurance Company Name: t ' ()-c-Va ' W Policy#or Self-iits.Lic.#: �v�V 1 1p�ration Date: S Job Site Address• ]Uwex_uz� City/State/ZipLUCAJ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation-punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereb' ti �lyder the pains and pe es perjury that the information provided above is true and corn cb Si natu e. Date: Phone#: C Official use only. Do not write in this area,to be completed by city or town official. 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#: KELLY ROOFING PH. 508 509 4640 8 Rhine Road MA C.S.L. #099167 Yarmouthport MA H.I.C.R. # 128957 MA 02675 INSURED October 19' 2019 Proposal submitted To Mr. Don Prescott of 315 Prince Hinckley Road Centerville MA We propose to supply all materials and labor required to remove and replace the existing Asphalt roof at the address above. Protect all walls, Windows, shrubs, plants etc. during roof strip. All debris to be removed to town transfer. White Aluminum Drip Edge to be installed on all eaves and rakes All Roof Decking Secured Ice and Water damage protection membrane to be installed over first six feet of all eaves.and around all protrusions Remainder of Roof Deck to be Covered with Synthetic Underlayment Install Certainteed Landmark limited lifetime warranty Architect style Shingles, Using all Certainteed Starters and Cap Shingles to maximize available warranties, (Color to be Specified) All shingles to be storm nailed (6) Repair all flashings as necessary, including.Chimney. Install Certainteed Filtered ridge Vent on All Ridges with hand Nailed Caps Replace all Plumbing Vent Pipe Boots With new. r,, Complete Clean up off all areas including all gutters and all nails after project complete. Obtaining Of Town Permit At a total cost of$9,500 Payment Schedule; Balance upon Completion Proposal Submitted by, Oliver Kelly Proposal accepted by: ok)Cl� PJ�,I—ITL Date. Jd / 1/ /2019 Best Contact Phone Number:p g 7 � This proposal is valid for 45 days from date above, please call to verify thereafter. -1 ACC CERTIFICATE OF LIABILITY IN DATE(MMDD'"YYY) 1` INSURANCE 07/02/2019 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 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 CONTACT NAME: Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PHONE 508 775-1620 aooaess. Isuilivan@doins.com 9731YANNOUGH RD INSURER AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: ACE AMERICAN INSURANCE CO _ 22667 INSURED INSURER B: KELLY ROOFING INC INSURERC: INSURER D: 8 RHINE RD INSURER E YARMOUTHPORT MA 02675 INSURER F: COVERAGES CERTIFICATE NUMBER: 420827 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. INI.TR TYPEOFINSURANCE ADDL UBR POLICY NUMBER MOMluDD/EFF MPS YEXP LlMrfS COMMERCIALGENERAL LUIBILITY EACH OCCURRENCE $ CLAIMS MADE 0 OCCUR DAM GE O N EDPREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ N'OTHER: L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY❑JECT LOCPRODUCTS-COMPlOP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED, PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR -d CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION _ AND EMPLOYERS'LIABILITY YIN X PER ER ANYPROPRI ETORIPARTNERIEXECUTIVE A OFFICERIMEMBEREXCLUDED? WA WA WA 6S62UB8H08580919 05/10/2019 05/10/2020 E L.EACHACCIDENT $ 500,000 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ 500,000 If yyes,describe under DESCRIPT1ON OF OPERATIONS below EL DISEASE-POLICY 1 IMrr I$ sw000 NIA DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay Cairns for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance).. The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensationrnvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Barnstable Insurance Company ACCORDANCE WITH THE POLICY PROVISIONS. 108 Route 6A AUTHORQED REPRESENTATIVE Yarmouthport MA 02675 Daniel M.Crow ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �o '.Ace law e � Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual OLIVER KELLY Registration: 128957 8 RHINE RD Expiration: 06/13/2021 YARMOUTHPORT,MA 02675 Update Address and Return Card. SCA 1 v 20M-05//1177' 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 Consumer Affairs and Business Regulation 1289.57 _ -_ 06/13/2021 1000 Washington Street -Suite 710 OLIVER KELLY':" = ' ";; "`: Boston,MA 02118 OLIVER M.KELLY. 8 RHINE RD. YARMOUTHPORT,MA-02675 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure U- Board of Building Regulations and Standards Construction.Supewisor Specialty CSSL-099167 Expires:09/2812021 OLIVER M KELLY 8 RHINE ROAD YARMOUTH PORT MA 02675 Commissioner �. avR171 122. LOC 0315 PRINCE HINCKLEY RO CTY-10 TOS 300 09- KEY 99672 --i-MAILINO ADDRESS--- ---- PCA 1011 PCs cc *R 00 PARENT PETERSON, ANNETTE W MAP AREA 37AC iv 1171,11-0 0000 DONALD J PRESCOTT spi SP2 315 PRINCE HINCKLEY RD l000� UT 1 l..1T . 52 SO FT I CENTERVILLE MA 02632 AYB 1900 EYD i9oo OBS CcNST (.,,I C)0 0 LAND 0 7 0 0 imp 95100 OTHER ----LEGAL DESCRIPTION---- TRUE MKf 125800 RE A CLASSIFIED #LANID i 30, 700 ASO LNO 30700 ASO IMP 95100 ASO 00-1 #BLDG(S) -CARD-1 1 95, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 315 PRINCE HINKLEY RD TAX EXEMPT VO T 72: RESINT" 1258 200 1500LLO DEL 00 150 20 #S! 02/80 21 $00073000 1 OPEN SPACE #RR 1314 0100 COMMERCIAL. INDUSTRIAL EXEMPTIONS SALE 00/00 PRICE ORB 3055/17 AFD LAST ACTIVITY 00/00/00 PCR Y ----------------- . . August 10, 1994 AUG 1 6 Zoning BoardCoy C Town of Barnstable Barnstable Town Hall Hyannis, MA 02601 RE: UESTION OF ZONING LA Gentlemen: Unfortunately, a business commitment has made it necessary L a 1 a. t as a. 1L..�L be awa fron rape Cod this wee owever, back . k, h , I shall be y - on the Cape the week of 8/22 and plan, at that. time, to make a . personal visit to your office. In the meantime, I would like to make you aware of my situation so as to have same checked out prior to my return. _ The question I have is in regard to zoning in a residential. neighborhood: Recently, I have looked at property in Barnstable County end was most interested in a location up off Old Stage Road. The house is on Eben Smith Road. Each and every time that I have visited this neighborhood I have noticed . a Lawn Mower Repair Shop at one house on Prince Hinckley Road and an Auto repair shop two doors up on the same side of the street. The Lawn Mower Repair Shop is at #295 and the, Auto Repair is at I. believe either 305 or 315; here again on the same street. I myself have .a small business and before purchasing property I want a written document stating whether or not Commercial Business can be conducted from the proposed address on Eben -Smith Road at the Corner of Prince Hinckley Road. As .I stated I shall be back on the Cape shortiy and will meet- with your office personally, but would appreciate your checking these two businesses and making sure that my machine shop type operation can _be conducted from th=_s location. Thank you for your time and. do hope to get in touch with you soon / Yours. trul , Her ert Garber U a r R TOWN OF BARNSTABLE Permit No. --------__---------- Building Inspector ).nrrw .... Cash -----------------\ OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address lentervilIe Wiring Inspector X _s /; r':,:, f Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .................................................1 19......_ _ ........................................................................_.....__......._. ..__._.._._ Building Inspector �1✓�lG►�1 ba.TA- - uo C�AfzSAG� UrzF,,ro>� \2�.�,2 Iad►��( Flow _ 110 -4 3 t SSO G•P•b 330,. ISc %. • 4-956.Pv. LA m lfltaeyAq-77 9..1.C' V-JC. �o S,%Wr uSf--- t ood r--VAL.. 'b15Po�AL p1T - uSE locoo Gam. ------_ ! Z TOTAL 42S G.P.D. d N PMC—DL&TioLi tZl&Tr-- : Clo 2.ml Q, otZ La% � (1 ILI ���Q �; t: {Op•Ot7 , Z> TCST tI(2 ��-1`� -9g t .. 4. 11JN. Q�,o LOAM Q"pie laao 11h1 �dFS�Dft., 'So1( Sepne 10' All Z fq&�o V TTn Q K I OOO � IV, W. GAL. 9G•z- QG�c� LAN A PIT ' 'j ��pv/ W�'T^ii •� WAflatiD � STow1� O.p ' CEC�TtF1EC� ptrbT' PL.!-�1J PQoi=tL. LoGAT1OW 6.ej�l /t1.1z t2• it �D bATt= Qo 1 GGRTtP�{ TI-(A TNE. ToO!�'t�AT'iOtj Staoru►J {�i,,� 1 41F:Q1=D�J GGWlC�L�(S W IT1-1 TNT �jlDtr 3_1►-1� -I� �uv ScTt�n�IG �cQu1�EJvtc�T4 ot± TµC- . -To w u Ot= 'aA eiT . rJA-c� lC t� a t2GG1S It1ZGD 1J1 Wo SUeV`YUc�S 'Z 141.5 C3i..!>►i4 I•S LJOT t?�A�,C'U Una _At,J _ OSTE�'VIL�G c� tbCASS• IWS('�:J/✓1L�J /�Ut_.Jc=� TNL- UFt=; T'�, S11awLt� APPt-1GAt-JT ' t.k:,T' But U<"eo TO -70 Assessa. I map and lot num 'L...................... �F THE TO} Sewage Permit number ...... ..%........... ........................ SEPTIC SYSTEM MUS '9T11DLE, • House number ......':....3.I..S............................................. �, . INSTALLED N COMP LIA 16 WITH TITLE 5 O r TOWN OF B-AA/R, N Pryr.vv r-00E AND / } H;+f k F /� �i�I.J rs'�$ r BUILDING INSPECTOR APPLICATION FOR PERMIT'--TO . .... ..............................................................................:......... TYPEOF CONSTRUCTION ........ ... .............................................................................................../.......................... .................lG-..1.4..........19� ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. 7............ ..... .. ........ 4!••........................................................................ 2._ ProposedUse ....L.4 . .. .............. ..................................................................................................................................... ZoningDistrict ................................ ...................................Fire District ............................................�................................... Name of Owner .................Address ......... .......................................... Name of Builder < < .............................Address .Name of Architect .................:................`�............................Address .................................................................................... /,, .................Foundation Number of Rooms .... .......... ............................... ............................................ Exierior .... ...Roofing .......... ..... . ..................................... Floors .... . . . ....... ..............................................................Interior Heating . ..... ...... .. ..................................................... ...Plumbiny Fireplace . .! .::.-.....................................Approximate Cost ........GO...�� .. ................................... Definitive Plan Approved by Pla ing Board ---------------____-----------19--------. Area F... ...Q.0- 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 To n of Barnstable regarding the above construction. Name Small, Alan E. 21876 one story No ................. Permit for .................................... single family dwelling .............................................................................. Location ... 315 Prince Hinckley Road ............................................................. Centerville ............................................................................... Alan E. Small Owner .................................................................. Type of Construction ...........................frame............... . ................................................................................ Plot ............................. Lot .....715)e ........................... December 10 79 Permit Granted ........................................19 Date of Inspection ................ .................19 Date Complete( ..........19 (3 1 0 ffiRMIT REFUSED Vr ...........M.. ...... .............................. 19 C- tz ........... ................................................. 7 ............. ....................................................... P-0-W-1i V.1 nj ............ ........................................................ ............. ....................................................... MIA t�7 Approved ............................................. 19 ............................................................................... ............I-- -..........I.................................................. a;c