Loading...
HomeMy WebLinkAbout0040 THREE PONDS DRIVE . e ry T own of BArnstableECE� 1' SAIDWANAV200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-17-2988 Date Recieved: 8/30/2017 Job Location: 40 THREE PONDS DRIVE,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: WINDOW WORLD OF BOSTON, LLC. State Lic. No:, 166025 Address: 24 CUMMINGS PARK SUITE 15-A, Applicant Phone: (401) 714-6399 WOBURN, MA 01801 (Home)Owner's Name: D'ASTI,STEPHEN&DIANE TRS Phone: (781)932 4803 (Home)Owner's Address: 57'CROSS STREET, STOUGHTON,MA 02072 Work Description: INSTALL(8)REPLACEMENT WINDOW INSTALL(2)REPLACEMENT PATIO''D`001 NO STRUCTURAL 1 r-.s Total Value Of Work To Be Performed: $6,666.00 -ti Structure Size: 0.00 0.00. 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above.property in accordance with the Workers' Compensation Act(Chapter.568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have ' been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief., All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: JEFF STEELE 8/30/2017' (401)714-6399 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees , Total Project Cost: $6,666.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $35.00 8/30/2017 $35.000 X)M-XXXX-X)M- Credit Card 7716 Total Permit Fee Paid: $35.00 v 1,1 _ s�:s a�,''' .3$'•}`"z.:< `�"` .,:ter xv��... oF Town of Barnstable ',Permit Z, # ' '� Erpires 6 inoit s j i ur r(arr 13taaRVStAELs. Regulatory Services Fee � �q Thomas F. Geller, Director — 1/l Building Division cy Tom Perry, CBO, Building Cominissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 5 08-8 62-403 8 EXPRESS PERANIXTAPPLICATION - RESIDENTIAL ONLYax: 508-790-6230 Not Valid tv11horrt RedX-Press Inrpriul Map/parcel Nurnber JRes, tyAddress rLe PON ) Resdential ��>✓ Value of Work — Minim m fee of S35.00 for work under S6000.UO Owner's Named Address Contractor's Narne Teleph e Number Home Improvement Contractor License # ifa licable T Q /Worucman tion Supervisor's License#(if applicable) "°�" S I 's Compensation Insurance BAR .9 2011 Check ne: ❑ I m a sole proprietor- TOWN OF BARNSTABLE ❑ am the Homeowner I have Worker's Compensation Insurance Insurance Company Name W /� .S �/ 'e Workman's Comp.Policy# �p /9 Copy of Insurance Compliance Certificate must,,ccompally each permit. Permit Request (check box) ❑ Re-roof(hurricanenailed) (stripping old shingles) All construction debris will be taken to ElRe-ro (hurricane.nailed)(not stripping. Going over existing layers ofr000. ❑ R side #of doors Replacement Windows/doors/sl_iders, U-Value maximum .35)#of windows *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.Improyement Contractors License& Construction Supervisors License is req u NATURE:` ' ' 'PFILESVORMSIbui lding penrjil formsTXPRL-SS.doc The Commonwealth of Massachusetts . Department of Industrial Accidents 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 Name (Business/Organization/Individual): (7-M Address: r}��5 � �5eiP rt� G� City/State/Zip: (&,ur = -3 ' 3 51 Phone #: Are you an employer? Check the appropriate b Type of pro' ct(required): 113 I am a employer with - t ' 4. I ama general contractor and I 6. ❑N construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. modeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. .❑ Building addition [No workers' comp. insurance comp.insurance.l required.] 5..0 We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all woik officers have exercised their 1 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' . IIEl 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. tContractors 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 am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. p,,��- Insurance Company Name: Policy#or Self-ins.Lic.#: t -Expiration Date: Job Site Address: `v i /V City/State/Zip: P 1 A A14. Attach a copy of the workers' compensation policy declaration page(showing the policy number and ex6ration 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 under"ins ins and penalties a jury that the information provided above is true and correct - Date: Signature: Lj Phone#: Jib '_ : 6 l 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#: The.Commonwealth of Massacl=eas Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,MA 02111' - - •• www.mass.gov/dia Workers"Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information A Please Print Legibly 'Name(Business/organization/Individual):. D Address: J Ci /State/Zi �57 Phone.#: ty p. Are you an employer?Check the appropriate box: Type of project(required):. 4. I am a general contractor and I 1.❑ I' a employer with 6: ❑ w construction mployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet 7. , Remodeling ship and have no employees These sub-contractors have g_ Ej Demolition employees and have workers' working forme in any capacity. 9. E]Building addition [No workers' comp.insurance comp• insurance.t equired] 5. We are a corporation and its 10-0 Electrical repairs or additions r - 3.El I am a homeowner doing all work -officers have exer"eisO their. I LEl 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.❑Other corrtp. 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 subconjractors and state whether or not those entities have employees. if the subcontractors have employees,they must provide their workers'comp-policy'number. Iam an employer that is providing workers'compensation insurance for my employees Below is thepoUcy andjob site information. Insurance Company Name: m Policy#or Self-ins.Lic.# S Expiration Date: Job Site Address: ( e PON City/StateJZip: 'eJV7 ^�datel;,. .�d-� �- Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration Failure-to secure coverage as required under Section 25A of MGL c. 152 can lead to-the imposition of criminal penalties(if a . fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in&e form of a STOP WORK-ORDER•and ti fine of up to$250.00 a day against the violat= 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 cerfiInder the pains penalties of-Perjury th the • affair provided above is true • correcx --�Si Date afore: I _ Phone# 007ctal use only. Do not write in this area,0 be completed by.city or town offcctal 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-#: - J' Office of Consumer Affairs&Business Regulation License or registration valid for'tndividut use only 0116iE IMPROVEMENT CONTRACTOR before the expiration date. if found return to: IE �� Office of Consumer Affairs and Business Regulation Registration: '126893 Type; 10 Park Plaza-Suite 5170 ra Expition: 8/3/2012 Supplement Card Boston,MA 02116 �f i The Home Depot.At-Homt Services DARREN DEMERS 2690 CUMBERLAND PARKWAYS Al'.ft'A,GA 30339 Undersecretary Not valid without signature I AM -Coll Office of Consumer Affairs and usiness Regulation 10 Park]Plaza - Suite 5170 Boston, Massa5hvsetts 02116 Home Improvement Cr�tractor Registration Registration: 132349 Type: Partnership Expiration: 1/11/2013 Tr# 207392 J &J Remodeling Joseph Duarte �= :'_ 15 Fall St. - Wareham, ma 02571 - v. A Update Address and return card.Mark reason for change_ Address Renewal 0 Employment Lost Card )PS-CAI A 60M-04104-0101216 OffiI. oaA.-MrWITIT ine"e Regu'ta" on License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Registration: .,•132349 Type: Office of Consumer Affairs and Business Regulation Expiration: I11112013 Partnership 10 park Plaza-Suite 5170 Boston,MA 02116 -_ Joseph Duarte 15 Pall St. I' " Wareham,ma 0257 . , of v d without �la�.uChusett•- Dcp:trttncnt of Puhiic Sitfct% Board of Buildimt Re"ulatiuns atttl %s undards Conttruttion Supervisor License License: cs 70077 JOSEPH C DUARTE 15 FALL 5T WAREHAM,MA 02571 , ♦ Expiration: 12/30/202 Tra: 7048 I0 30Vd Z9L656Z E9:ZZ ITOZ/ZO/I0 FROM DAN—MELLO FAX NO. 7742020232 Mar.. 12 2011 05:31PM P1 HOMF:IMIIROVlANIF'V•1't'ONT'RAC'I' t PLEASE REAUT"Iti Sold,Furnisht'tl and In talled by: Branch Name: Boston Date: TIlD At-Home.Services,Inc. 3/ d/b/a The Hour Depot At-Home Services 345A Greenwood Street,Unit 2,Worcester,MA 01607 Toll Free(800)657-5192;Fax(508)7,96 8823 Branch Number.31 Federul it)#75-2698460;ME Lic#C 02439;Ri Cont.Lic#16427 /� /� CT Lie#HIC.05&5532:MA Home improvement Contrvoor Reg;#126893 Installation Address: `7 o Qe f" Ca". City State Gip .� Purchaser(s): Work Phone: home Phone: Cell Phone: If J [ 011� 33t [ 1 [ ] [ 1 Home Address: (if different from Installation Address) City State Zip` K-mail Address(to receive project communications and Home Depot.updates): ❑1 DO NOT wish to receive any marketing emai.ls from The Home Depot f Project Information: Undersigned("Customer"),the owners of the property located at the above installation address,agrees to buy, and THD At-Home Services,Lie.("The Home Depot")agrees to furnish,deliver and arrange for the installation("Installation")of all materials described on the below and on the referencW Spec Slneet(s),all of which are incorporated into this Contract by this reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, Contract"): y Y' Job#: (IW-W Rd.-) Products. _ Spec Sheet(s)#: Pro'eci Amount J ❑Roofing ❑Siding Windows El Insulation $ Ct v G ❑Gutters/Covers []Entry Doors [I_. t0 a �� 3 S Roofutn []SidingWindows ❑Insulation $ EIGutteis/Covers ❑Entry Doors ❑ []Roofing []Siding ❑Windows insulation $ Gutters/Covers ❑Entry Doors❑_ ❑Rooting ❑Siding ❑Windovvs ❑Insulation ©Gutters/Covers ❑Ditry Doors ❑ $ Mioinuun 25%Deposit of Contract Amount dne upon execution of this contract Total Contract Amount NWne Purch2sers may not deposit inure than one-third of the ContractAmuunt $ 8 era Customer agrees that,immediately upon completion of the work for each Product,Customer will execute a Completion C'.ertificate. (one for each Product as defined by an individual Spec Sheet)and pay any balance due. As applicable,each Customer under his Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)included herein,ar its discretion,if The Home Depot or its authorized service provider determines that it cannot.perform its obligations due q)a structural problem with the home,environmental lwards such as mold,asbestos or lead paint,other safety concerns,pricing errors or because work required to complete the job was not included in the Co+nttricft Payment Summary: The Payment Surumaty# q. included as part of this Contract, sets forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). - NOTICE.TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate(note: there is one Completion Certificate.for each listed Product as defined by individual Spec Sheets)before work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD.AMOUNTS OWED TO THE, IIOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENT'S MADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and installation services and supersedes all prior discussions and agreements,either orai•or written,relation to said Products and Installation.This Agreement cannot be assigned or amendod except by a:writing signed by Custoniei and.T'he.,Home::Dzpot,C istorner acknowledges and agrees that.Customer has read,understands,voluntarily accepts the terms of and has received a copy of ifu`s A teem nt. Ac P y. Subm' bq: - lZ ad tr x 1 ) Customero Signature Date Sales otC� u—ultant's Signature Q, Date X Telephone No..__SZ) [LL(c� Customer's Signature Tate Sales Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (is sppiicehle) AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE, THIRD BUSINESS DAY .AFTER SIGNING T'IRS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERETO CONTAINS A FORM TO USE iF ONE 1$ SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. NOTICE:ADMIONAr.TMAS&Nil CONDMONS ARE STATED ON 11 .REVERSF:SIDE AND ARE PART OF TI1LS CONI'RA(:I' ..• .^•-.r Whirr—RrarwhFda Yeflow—Customer i .gig 'ytLf K �- -- ' Zsi oc � o7 C. ERT♦1 I E D PL 0T_ PLAN .' 1 L O C A T 1 ON F,O R S. :>i9/YI .S c�cT zz, /q8o 5C.j4L `E� DATE- 'R - • E-.F E R E N C E �C. D Al 4 A-CAE.B .Y CE 'RT1,FY 'rH-AT- THE 8 U I L D I N 6 R G. LAND SURV OR g'HO'W'N O'N' THIS PLAN 1S LOCATED ON THE - GA0UN D AS SHOWN HEREON, M 'oIVA1-tA .l , JR . & ASSO.C ! ATES . ,, REGISTERED LAND SURVEYORS& ENG♦INEERS � 651 MAIN STREET-• ;DENN ISP0RT MASS. 02639 • t TOWN OF BARNSTABLE Permit No. ----------_----------_--------- Building Inspector cash fie• --�----------- �O +6 9• P �aVAI OCCUPANCY PERMIT Bond r __------ "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 'c'iftue--L J • tt:n�V�S Address Norfolk, i�li fee Pond l� Wiring Inspector 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. ..................................................... 19......__ ...........................................»»....................»._...» _... ..» .» »»..».».» Building Inspector 61,r S s map and lot n u Toer-\...... ........... THE SEPTIC SYSTEM MUST Se wage Permit number ......�_s........................... INSTALLED IN CompU • STAMLE. House number, ...... .................................................... VMTN TITLE .5 MAO& 1639- ENVIRONMENTAL CO .4 DE LU A TIONS TOWN OF B.�RAS ry S.I.1 I LD ING,,,,,, I NSPECTO R SUBJECT TO APPROVAL OF , BARNSTABLE CONSERVATION APPLICATION FOR -PERMIT TO .......Q.IAO;��......VZ�?IV 4 4 SS ON ...................................... Als �*s TYPEOF. CONSTRUCTION ... 0....... .�. ............................................................................. ............................ ................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit,according to the followings information: Location ... ........�-�zf .....P.4,41,0.......D.ZJAI ........ ........... ProposedUse ...........44/4Z7_4� 4r.0'7�...................................................................................................................... Zoning District ...........I;. L.................................. ...............Fire District C.................................................) ................... Name of Owner .....u-!... ....Address 9�6 2> >Name of Builder / ...BkA/".� ..Address ... . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ... .........le.................................................Foundation ...Ip ......G*............. Exterior ....... . . . . ... .. ...............................Roofing ........ .................. ...................... ........ ..........................................Interior .......j%��. .. 6................................................. Floors ......... Z-. - ....... . . . ...... Heating ............ ............................................Pl u'41b i ng ............. ......:..................................... Fireplace ..........OcAl-d-A-e-1....................................................Approximate Cost ...................�z ........................................ Definitive Plan Approved by Planning ,Board P./,--------19--------- Area . ... ... ................ Diagram of Lot and Building with Dimensions Fee .......... .. .... .... SUBJECT TO APPROVAL OF BOARD OF HEALTH 4.0 0 I hereby'agree to conform to all the Rules and Regulations of the Town of Barnsta' ble regarding the above construction. Name 4,-6U�...... . . . ...................... IT MATTHEWS, SAMUEL J. - �42 One Stor Permit for ..................... .Y.......... Sin l F i� Y..Dw�.� li .... ...e ... . .. � ............ Location ..Lot #45 40 Three Pond Dr. : - ' Centerville ........................................................... .. .......... i ..•� : - Owner. ...Samuel ..J J................................Mws ;" ' 4 • Type of Construction Frame ;'� �' € ' ........ ............................... .......... .... ........... At '. .' • ! _ Plot ............................ Lot ....................7........ Nov. 5 80 Permit Granted ......................................:.19 Date of Inspection Date Co pleted �" �� 19 r€: PERMIT REFUSEDCV yr 19 } , . ...... ....................'-.........5.... ................................................ .................................................. •' t y. ...�. ................................................... 1 Y , .. C> . ............................................... . Approved ... .....................................: 19 ... ......................................................... 4 t 7 t e4l Assessor's map and lot number.,........... .`-'..� .................... — F THE T Sewage Permit number f.'.a.............:...:.:t. ............................. ~ Z BA"STADLE, i House number ...........'.:.1 ?.................................................... ! MA96 �O 1639. \00 Y ,Epm a. TOWN OF BARNSTABLE BUILDING INSPECTOR • ''.. APPLICATION FOR PERMIT TO ...... ..r...., :5'<z.2 :. ........................................ TYPE OF CONSTRUCTION ...�<.�r . a..tti...... ....... . f- %=.................................:............................................ 1 ........... .19.E�! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... '!.."? ° � '�.f: .... 1-°'/ll 1 ...... /*' A ' t /i, ..... l rgr . c.:;. i..',.. :.F....!.. ...... ProposedUse ............ Via:{# .:°..°+,. � `:r ..................................................................................................................... (P ZoningDistrict ........... .1..:........................................................Fire District ..!.....�` . .............................................................. V .Name of Owner �...... ! ....Address h i 1";�i I:`........�*........r ......r ?...:.................._ � Name of Builder s', tt rrc if I*�!✓r! r Address .... ', .114 tve;rf f.;r;,.. h art'.^..... .. .. l.t`f'..`"`: f - .. Nameof Architect Address.................................................................. ..................:................................................................. Number of Rooms .......... .?.................................................Foundation ...!_�.:::..., ' ... ... *�*......:............... r Exterior ..... %t�.. .. V........... x � ....... . Roofing ................... ` ? ........... Floors �r Interior ....... .1 Heating ;r Plumbing ...........:. 0.......................................... Fireplace .......... i'.^..,_.:.::. ....................................................Approximate Cost .................::.......... rsr ............................ 1 S -- Definitive Plan Approved by Planning Board ________________________________19--------. Area . ."�.. ..� ...!�.:::,4: ""..... Diagram of Lot and Building with Dimensions Fee t?:....<.rf.. �.:.. ::.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH �1, fl'• Z)- ,; ,t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namee.%'j'�`r .. . ........�4­;.:. !/r, `!..................... i MATTHEWS, SAMUEL J. =-193— �4 No .22642... Permit for One fogy 1 Single Family Dwelli .. Location ...Lot•••#4 5 4 0 Three P '`d:' Dr '��' f •••••••••••••••Centerville ,,,,, , 9 d Owner ... amuel J. Matthews .............................. .......... Type of Construction .......Fram........e „•,,,,,,,,, f ......................................................... ��................ Plot ........................... Lot ... .�.................. Permit Granted ..,,Novei`nber 5, 8 0 19 Date of Inspection .... ...........................19 Date Completed ......................................19 PERMIT REFUSED a .............. ...... 1 !.......... ....................►.. .................!.................................:. ............�. ��b. 41.. .<.� .�. 1............ f � Co. .. ..�. .. .................. Approved ................................................ 19 ............................................................................... IL