HomeMy WebLinkAbout0406 SOUTH MAIN STREET ���
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NO. 1521/3 BG R
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ESSELTE 10'a
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Town of BarnstableBuilding
PostT.his Card"So That itas Visible`From the Street-A' gym•.. N pp Plans Must be Retained on Job and his Card Must:be Kept roved
Posted Until„F�nal Inspection Has Been Made ffi ,' 77, - °
Where a:Certific°te of Occupancy is Required,^"such Building shall Not'be.Occupied until a Final Irisp � ?ermit .
i ect�on has bdew cit e
ti
Permit No. B-20-1810 Applicant Name: James Curley Approvals
Date Issued: 07/14/2020 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/14/2021 -Foundation:
Location: 406 SOUTH MAIN STREET,CENTERVILLE Map/Lot: 207-009 Zoning District: RD-1 Sheathing:
Contractor Name. games Curley Owner on Record: NEEDS, EVA H TR . y Framing: 1
Address: PO BOX 671 Contractor License: 12`4310 2
CENTERVILLE, MA 02632' IJ Est Project Cost: $3,800.00 Chimney:
Description: Strip and re-roof approximately 12 square of asphalt.roof shingles Permit Fee: $35.00
Insulation:
Project Review Req: Fee Paid $35.00
Date: 7 14 2020
Final:
/ /
Plumbing/Gas
Gas
ter,-•— g/
Rough Plumbing:
g
` 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 application and the(approved construction docume5nts 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 zoiiing by-laws ahJ codes.
This permit shall be displayed in a location clearly visible from access street or,road'a�d shall be maintained open fo public inspectioA for the entire duration of the Final Gas:
work until the completion of the same.
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
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 6kJ Final:
S��T-
' Town of Barnstable *Permit#
Expires 6 montlis from issue date
' Regulatory Services Fee
Thomas F.Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable,ma.us
Office: 508-862AO38 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTLA-L ONLY
G Not Valid without Red X--Press Imprint
Map/parcel Number � Q� �'�} I
Property Address 4kc Jcuh K�W at a*—fv 1 6 f,
[Residential Value of Work $ 5000. 00 Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address EV A
Contractor's Name ��+, 1 l_JlN' I Telephone Number 1 l 0AR
Home Improvement Contractor License#(if applicab e)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
ClVck one:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must 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/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.
***No Property O r must st Propert Owner L tter of Permission.
py the Home vement n acto icense is required.
SIGNATURE:
Q:Fomu:expmtrg
Revise061306
1HE T ; Town of Barnstable.
Regulatory Services
�+ BARNStABLE. �
y MAS% Thomas F. Geller,Director
16.19. -
�.A' Buildfng Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,9v1A 02601
"v.town.barnstabk.ma.us
Office: 508-862AO38
Fax: 50&790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
-td& as Owner of the subject property
herebyauthorize � � Q to act on my behalf,
in all matters relative to work authorized by
this building permit application for:
1�1uo 'e(kxl l ,
(Address of Job)
1gnature of Owner D e
!Eva--- � S
Print Name
Q10R.MS:OWNE"ERM1S S JON
- 7'he COInInOmveaCth oflMassachusetts
Deparfntent oflndlIstrial,lccidents
Offee ofInvestigallons
600 Washington Street
Boston,AM 02111
` www.M ass.gov/dia
Workers" Compensation 7nsurnce-Affidavit: Builders/Contr.actors/Eleetricians/Plumbers
A licant Information Please Print Le 'bl
NaMO(Business/Organization/Individual):
Address:
City/State/Zip: �� m � Q phoneA 0
Are you an employer? heck the appropriate box:
1.❑��La employer with 4. [] I am a general contractor and I 'Type of project(required)
oyees (full and/or part_time). have hired the sltb-contractors 6 New construction .a'sole proprietor or partner- listed on the-attached sheet: 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers'
[No workers' camp,insurance comp,insurance.#' 9. []Building addition
required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions
•3.❑ I am a homeowner doing all work officers have exercised their 11.❑Pl bing repairs or additions
myself: [No workers' comp, right of exemption per '1
insurance,required.] t c. 152, §1(4),and we have no 12. Roof repairs
employees. [No workers' . •13.❑ Other
comp.insurance required..]
'Any applicant that checks box#1 must also MI out the section below showing their warkm'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.
tContractm that check this box must attached an additional shcct sbowing tho niunc of the sub-contractors and state whether ornot those entities have
employees. If the sub-contractors l
ave employees,they must pravidt:their wor)'als'comp.policy number.
lam an employer that is proNiding]corkers'compensation insurance far my employees Below Whe policy and f oi3 site
information.
Insurance Company Name:
Policy N or Sclf-ins.Lic.#: .
• ______._ Expiration Date;
,lob Site Address:Attach a copy of City/State/Zip:
the workers' compensation policy declaration pave(showing the policy number and expiration date),
Failure_to secure coverage as required under Section 25A of MGL 6. 152 can lead to the imposition of criminal penalties of a
fine tip to S 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 S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Invest, ations of the DIA f prance covers o verification.
16 h rehy certify,. er the In •andpenaldes ofperjrc01 that the inforrnation provided abo
P is Iue and correct.
Signature: f q
• Date: �j' j3
Phone 1 Q —
Official use only. Do not write in this area,Yb be completed by clty or town of-
City or Town:
• Permit/License#
Issuing Authority(circle one):
L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical S.PlumbingInspector
6. Other
Contact Person: Phone#:
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` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map C Parcel Permit# D
Health Division Date Issued
Conservation Division- a Fee ��-o�
Tax Collector �c3/
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board '.
Historic-OKH Preservation/Hyannis
Project Street Address
Village P �/�l�,P ew
Owner Z�1/-�} f 1�-e� Address
Telephone
Permit Request S
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Estimated Project Cost Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure - Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ' ❑ Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No-
Detached garage:❑existing ❑new size Pool:❑existing ❑new size ,Barn:❑existing ❑new size
Attached garage:❑existing ❑new. size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes;site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name -7j2 ig" (�) L d�'15 72C�C�1 cs p Telephone Number
Address '*7/ Ti90ef_S d✓1 License#
4�2 L Home Improvement Contractor# :5/,!5)
Worker's Compensation# ,/'I, /S i C? d/`7
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
. FOR OFFICIAL USE ONLY
PERMIT NO. r -
DATE ISSUED
MAP/PARCEL NO.,
ADDRESS VILLAGE ' r.
',tea .+•i..r;ie1!+ = y_ ` . of , !�.
OWNER , *„� ,., r•, f - f • . t. . e
DATE OF INSPECTION—
FOUNDATION
FRAME
INSULATION
FIREPLACE
` ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL.
- , r .. ram•°
GAS: ROUGH FINAL
FINAL BUILDING ^
DATE CLOSED+OUT Y f x+ -
f
ASSOCIATION PLAN NO.
N 1
k
i.
The Town of Barnstable
_ MIRMWAZZ
MAM
Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
f
Office: 508-8624038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
l;
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: Estimated Cost
Address of Work: :06C-LuM /n/9W '-574
Owner's Name: lZ V R V\9Y>
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under$1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Datd Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav
I he Commonweaun
.......
Department of Industrial Accidents
600 Washington Street
Boston,Mass. 02111 `
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❑ I am a homeowner performing all work myself
❑ I am a sole 'etor and have no one working m* any capacity
I am an employer providing workers'compensation for my employees,working on this job.
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Fapoi a to secure eovera-p u required under Section 25A of MGL 152 fin lead to Hie imposWon of eaindual pesuddes of a fine up to S1,S0MM and/or
one years'imprisonment as wen as"penalties in the form of a SrOP WORK ORDER and a fine of$100.00 a day against me. I understend that a
copy of this statement may be forwarded to the O>$ce of Investigations of the DIA for coverage verifiation
I do hereby fy pains ertalties of pMury that the mforrnation provided above a trw and correct
Signature -^ Date _ .
Print name Phone#
------------
of8cisl use only do not write in this area to be completed by city or fawn ofikisl
city or town. permib2cense# MBnilding Department
OLicmidng Board
❑check if immediate response is required ❑sdec6nen's Office
_ Malth Department
contact person: phone#; (]Other
(lewd 9195 PJ
Information and Instructions
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Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written. t
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the pemiit/liceose number which will be used as a reference number. The affidavits may be rctumed to
the Department by mail or FAX unless other arrangements have been made.
The office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call. r
The Department's address,telephone and fax number. '` t
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Oteice of iwesduadons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 eat. 406, 409 or 375
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HOME IMPROVEMENT CONTRACTORS REGISTRATION `A "` `
°Board of_ Building Regulations and Standards
One Ashburton Place Room 1301
-Boston , Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
Registration" 112536 .Expiration 04/06/01 � ,. -i ----
Type DBA -17 HOME IMPROVEMENT CONTRACTOR
, ,. Registration 112536
FRASER CONSTRUCTION co s. `rka Type - DBA
- DEAN C . - FRASER
Expiration 04/06/01
71 TARRAGON CIR
'COTUIT MA 02635 .' _ FRASER CONSTRUCTION co
DEAN C. FRASER
7I TARRAGON CIR
�i � TUIT HA 02635
ADMINISTRATOR