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0129 WARWICK WAY
ia� Zc��6r�� .� Town of Barnstable Building °s .-o h ` Retained on J U 1 Post This Card So That rt is Visible From the Street Approved4F.;Plans Must be ob andwt is Card Must be Kept � MASS. vr4 r ` • s639 , Posted Until Final In HasBeen Made. * f 1 Permit, iorea�` Where a Cert°ificate'of Occupancy:is'Regwred,such Building shall Not brte Occupied until a Final#Inspection,.has been made r 1 �i ijllt" u .J ,. .. p a: u Permit No. B-18-792 Applicant Name: DONALD B. BAKER JR, BUILDER Approvals Date Issued: 04/02/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/02/2018 Foundation: Location: 129 WARWICK WAY,CENTERVILLE Map/Lot: 148-112 _ Zoning District: RC Sheathing: Owner on Record: WESTON,JOHN 6&NANCY L ContractorNamee DONALD B. BAKER JR, BUILDER Framing: 1 Address: P O BOX 1061 x Contractor-Li cense 1102335 2 - . CENTERVILLE, MA 02632 Est ProjCt Cost: $6,500.00 Chimney: Description: Repair of roof damaged when tree fell on it,will include removing Permit.Fee: $85.00 shingles,plywood and eight broken rafters installing new rafters, Insulation:. Fee Paid;,' $85.00 plywood and eight broken rafters installing plywood and shingling Final: the total back roof, replacing trim on gutter, repairing railing on the Date`: 4/2/2018 deck that are damaged,deck boards that are brokenm repairing . Plumbing/Gas interior damage to bathrooms,some sidewall shingles will need be replaced I Rough Plumbing: - .. Building Official Project Review Req: _{ Final Plumbing: Rough Gas: 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 documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures4shall 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 openfor.public inspection for the entire duration of the Electrical work until the completion of the same. Service: 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: �`" . >" _ ,a: �" Roug h: 1.Foundation or Footing 2.Sheathing Inspection Final' 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ��� ���,� ,� ' 3 Aa¢ W�. e y +� '.. -.n�, 3 �'� #,tl ,rf.kS: I�I �� _ `��'\ P,, -�; `��,�V, �. - ��. r' �t f� �' r� •e. 0 a�� ��I� �, ci�F � � � 'n, �It' a y `�� i.- r � ��� � � ; t•� ��fi P- . �� ,p?�����,r;���,r %�l,�i�� ,, ��,,'� � ������ �+''jj'��'��4Ff''i`t :<� l �' r���a�, �'��w�� � ;,,y��� ., ��-�r, ,, � ,;� i�{ �. «�' ;n 4f * 1 � ��>I' 'q{',i f � � � ' �'�: � . "� �; �, .,�, 4:; ����; , � - ��, �. , �� -� � ,� � ` ns a`�' � - � '�a. �� Application Number...:. BARNMEM NAM Permit Fee...... . ..: .......Other Fee .... 03 Total Fee Paid.... ......... ........ ........ ......... ........ .. .. ...... . TOWN OF BARNSTABLE Permit Approval by �- .......on... BUILDING PERMIT Map........ ... ...... ..Parcel........ ....................... APPLICATION - Section 1 Owner's Information.and Project Location - Project Address t Village _ co Owners C= - LJJ .P.. �. Owners Legal Address `V City State _ Zip Z L �® M z co Owners Cell# E-mail O 0 Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet R-:Single/Two Family Dwelling Section 3 -Type,of Permit ❑ New Construction ❑ Move/.Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Ret 'and,wall• ❑ Solar ElRenovation ❑ Pool ❑ Insulation.', Other—Specify Section 4 -Work Description f ` L L�_ Tact im6ted:2/9201 S ' 3 Application Number..................:................................. 1 Section 5—Detail Cost of Proposed[Construction!d(,2 quare Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6— P Project Specifics �] Wiring ) ❑ Oil Tank Storage ❑ Smoke Detectors © Plumbing &vk6A� ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Addlrelocate bedroom Water Supply Public ❑ Private ' Sewage Disposal ❑ Mum ci pal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: S S ��r I am using ❑ Yes U No �P ty g a crane Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated n/2018 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):. Address: 2 D L City/State/Zip: ��y i''�fYlZ,6`ZC, Phone#: 0 3,&5 S22`Z Are you an employer?Check the appropriate bow Type of project(required): ` 1.El am a em to ' with 2. 4. ❑ I am a general contractor and I P * have hired the sub-contractors 6. ❑New constriction employees full d/or part time). ` 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• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• . . [No workers'comp.insurance comp.insurance.$ 9. El Building addition 10.El Electrical repairs or additions required.] 5. ❑ We are a corporation and its officers have exercised their 11. Plumb' repairs or additions 3.❑ I am a homeowner doing all work ., ❑ � P _ 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' 13.0 Other comp.i„surmce required.] i *Airy applicant that checks box#lAst also fill out the section below showing their workers'compensation policy information. t Homeowners who stibmk this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContraetors that check this box must attached an additional sheet showing the name of the sub-contractors and state vfbether or notthose entities have employees. Tf the sub-contractors 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 acid job site information. Al p � Insurance Company Name: e�J1/y1 1'`trQ Policy#or Self-ins.Lic.#: 16 W L G G�Sy G iration Date: 14�,I 1 Job Site Address:t20\ W W LM City/State/Zip: Tfkk., 02 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 ir,srrrmce coverage verification. I do hereby certi fejufy 1pry ' n that the information provided above is true and correct. sign e• � �r ���� Date: 3 [j 1 Phone#• '3DS �R S Z2 — Q411 20�_k Official use only. Do not write in this area,to be completed by city or town ofjIMal 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service,of another under any contract of hire, express or implied,oral or written." 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,§25C(6)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,MGL chapter 152,§25C(7)states`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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town) 'A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Dq artFnent of Tndustriat Accidents office of Iivestigatioas 600 Wasbington Street Roston,MA 02111 TeL#617-727-4900 ext 406 or 1-977-MASSAFE Fax#617-727-7749 Revised 4-24-07 wmass,gpv/dia f ' I ammuy j e. o! cca�acluca CYR C2� .SS L`3CC''-or r..gt9#ratz(Il va r 1" H hi GC7`�T� �a Bg7sT5sltf3355 Ty .; Office of Conzil@e: kffall J 10 Paris Plaza Se to 5171 �...E ,a, ", ,S 0SA .Boston,NIA t02h B . Y.BAKER_--l1ts 26 4f1 , t CnGV1c,E 5 �a fy \ ►l� i'f.1�rz a t.+ary IvOt valid with��, Massachusetts Department of Public Safety/ ` Board bf Building Regulations and Standards License: CS-004648 Construction Supervisor DONALD B BAKER PO BOX 1216 " DENNIS MA 02638 -� . ..€xp.i ration: Commissioner `0311812018 61 (Policy Provisions: WC 00 00 00 C) 54' GX INFORMATION PAGE WEG WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY INSURER: SEE ATTACHED ENDORSEMENT NCCI Company Number: 14974 THE Company Code: 9 HARTFORD co Suffix _ LARS RENEWAL o POLICY NUMBER: 76 WEG GX5461 16 Previous Policy Number: 76 WEG GX5461 HOUSING CODE: 76 1n 1. Named Insured and Mailing Address: DONALD B BAKER JR DBA BARER (No., Street, Town, State,Zip Code) BUILDER N PO BOX 1216 Ln FEIN Number: 046303681 DENNIS, MA 02638 State Identification Number(s): UIN: The Named Insured Is: INDIVIDUAL Business of Named Insured: CARPENTRY - CONSTRUCTION OF RE " im Other workplaces not shown above: 2 6 JIMMY CROWELLS PATH DENNIS MA 02638 ® 2. Policy Period: From 08/14/17 To 08/14/18 a 12:01 a.m., Standard time at the insured's mailing address. am Producer's Name: PAYCHEX INSURANCE AGENCY INC MW iaim PO BOX 33015 amm SAN ANTONIO, TX 78265 Producer's Code: 210705 gas Issuing Office: THE HARTFORD 3600 WISEMAN BLVD. SAN ANTONIO TX 78251 (877) 287-1312 Total Estimated Annual Premium: $3,146 Deposit Premium: Policy Minimum Premium: $500 MA i Audit Period: ANNUAL Installment Term: The policy is not binding unless countersigned by our authorized representative. Countersigned by 07/01/17 h Authorized Representative bate Form WC 00 00 01 A (1) Printed in U.S.A. Page 1 (Continued on next page) Process Date: 07/01/17 Policy Expiration Date: 08/14/18 ORIGINAL Application Number ..................................... .. Section 9-.Construction Supervisor c Name '�Jc;nn �GtiNWL Telephone Number S0S �5� Address 'U B R a City; 1� Q'.V"tate u), Zip 0-2 G 3 G License Number C S`f?bg(, 1-1 License.Type GS Expiration Date 31\S h Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor m 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.Attach a copy of your license. Signature byk" Date Section 10 -Home Improvement Contractor Name 5 Telephone Number Address City State . Zip Registration Number 10 2535— Expiration Date 1 l l I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State.Bu ilding Code. I understand the construction inspection procedures,specific inspections and documentation required by 780CMR and the Town of Barnstable.Attach a copy of your IUC... II Signature Date l' Section 11—Home Owners License Exemption Home Owners 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 APPLICANT SIGNATURE Signature aw'u bakm Date h. 1 F— ame Name V) c� \� ��0.\< �' Telephone Number E-mail permit to: ajl/ T—4--A. A.01 mnA10 - i Section 12 Department Sign-Offs ; Health Department Zoning Board(if required) Historic District ❑ Site Plan Review(if required) 0 Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvak Section 13 —Owner's Authorization I, 7 25" 0e S �--o k 7 as Owner of the-subject property hereby authorize :1D D i'l a a (f Y' to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of job) ignature of Owner date , Print Name Last undated:2/92018 t� #tom l T, 7. Y r C} 95 t1 f �,'S•* ! .� o- 1 ui 1t 'F1. •{ 7 Ak 'Afti Na' - r �S: 4L \. . � ���.-! ♦• � � � �1 ii '�1eYb fit[ _ { 41K, �kt 'a /Gill��. x. `! -r�k ¢ { �S x 1 t k •5Y4 yq{'�'.L^t tie �' F• ` � ' 1. � �i 4<G5� k ?'M#i FYI` �E ^r tti 'aF A4 day.✓„ V, �. 5 r ^. �{ 4^:d �'�'•4 F.E '-l.s.-.�}. ..'�S� �.-L �i tAv`�. FYI._ L-., .i ^, 4�+f 1eH � S 6 Sr 11,11, APIL efeI�. T/®�✓' t f �/�f_ ' /L /,09 S�, —:/+^l r` t►64� i�l/ d Ath Z o 7 ee>o A—' r' � !;!�!'f-✓ PV 7' T A-47- AAVA✓ CA./ Th//S feL.4 rV. /S L O C 09 1 O.1/ V6IO WN N,Vd4ec%46/ s-4A ZD 7-"o97' /T co.v�o .tis � T� �o,w/.v�- ►eta " .r n. a� TMC rt�wti/ o,CA.r=.�/sTs7 Es't , (� "(PA A C—AIS TBGJC TE D.ya _.;•t, �o` r?9 m oJALa e 9 E.V4/.eJEE.eS 3 L<7.t/D SC/E°V6 YO.EIS F Assessor's ,ma ` and lot number L 'p; .1. .......................... ir 6 UST �y z : SEPTIC SYSTEM M BE ;- I.... ..... .`' .... .. ' I LLED� IN COMPLIANCE Sewage Permit number .. ! _ � I� �aTA ,r ''!TN A'2TlC� E II STATE All .C^DEAND TOWR7NETTOWN.y OF BARNSrrR',' p. �-� -; r_. bQr.. pw t7 + O i � i Z EARNS ADL&. i a 1639a,0� DUILDINS INSPECTOR < APPLICATION FOR«PERMIT TO. `....�...`...`..................... ..................... .... ................................................ 01 TYPE OF"CONSTRUCTION ..4 Ll .... E"........................... ................... ................ t .. .... ...............................1 7. ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for-a permit according to the following information: ............... l� Location ....... ... 7.' �. .../. ... .r ........................................ ProposedUse ....... i' ,G,,� ....... / '.y(..........: Arr..l.l..C./L./d,..........:...............:.....................�................... Zoning District ........./.........<................................................Fire District ......... .. ................................... Name of Owner .!....�.. .. ./...........i..,..........................Address ...3!!.. ... ��LJQ: �....f�....... // 4r / t Nameof Builder .........................................Address ....................................................... .........................S.. Nameof Architect ........I..........................................................Address ........................ .......................................................... Number of Rooms ...........: j................................................:Foundation .. .: .y �. ..................... .............Roofing ............ � lv1 .. Exterior . ., ... `/T1 1/ ..Interior ........ Floors ....................................:................ ......... ..�.....J. ..................... Heating ...... .................. .....Plumbing ...........z................................................................. Fireplace ......................./.........................................................Approximate Cost . ... ./. ....... Definitive Plan Approved by Planning .Board ________wl_ ----19.7 Area ys ...................... Z Diagram of Lot and Building with Dimensions Fee '� SUBJECT TO APPROVAL OF BOARD OF HEALTH me yn� .. • . /ZC/ I hereby agree to conform to all the Rules and`Regulations of t Tgwn of Barnsta regarding the above construction. No ..................................f. ............................c/.. I Capewide Development N 18189 Permit for one story, i single family dwelling ► ,..., ,��arwick"May ............ .................... nLocatiQn ......................................................... Centerville I Owner .......Capewide. ............................................Development s ...... ........ - } 117) frame ' Type.of Construction .............................`............. � .4 ,Plot ............................ Lot .......::4�32:........... f �/✓' - February 24 '� 76 Permit Granted ............................ ....... 19 Date of Inspecti n .... Date Completed PERMIT REFUSED ie ................... ............................... S19 `• - `.'''' , T' , i. 4• '�� .. ........:........... ........ ................... .................... ... ... - .r� ► r!r.' r": tJ;• _ry r. . ................ ................................fI /V �+'^• �({j^�' 4. 1 .... •.•�z ...... � � � • /cr all �•/ . '� . '<.............. ... g.................................. ......... Approved ..........................................:..... 19 ' .......................................................... ... r• - • r- - _ r ........................................................................... 7r ci �f ••�• 71 Assesso' p and lot number .......................................... Sewage Permit number Q�ofTNEro�° TOWN '! Of BARNSTABLE $ASBSTOHLE, i ! "6 BUILDING INSPECTOR o MaY a' APPLICATION FOR PERMIT TO ......�..�.................................................................................................................. / TYPE OF CONSTRUCTION ...................r.........:...............�..................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... f7r........... •1..z'......................!+//r ........... .! ....If...................1'ry....... .........!... "...f.............................. Proposed Use ........�' /c-/ ?`fa�dr tom....... . �/••.;��.n..................................................................... .......` ...................... ...... .......... e l � Zoning District A— Fire District . � .................................................... ...........:0...... ............:..........................._............ Name of Owner - ?• 6G// /r � 1 :.....:.............Address ....J ...-L� lalcJ� tt�� ................. . . . ..................... _ .......... ,�1 � Nameof Builder .:........ .. ....................................Address.................. ....................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms 6,................................................Foundation i�,L-tz. ' `E V!1 f I ?` ?'! .................................................... Exterior t .....................Roofing ............ ...r!...1.......................................,.............. l,_.................... 1...!�....................... / r Floors / . .� S � � .. ?��. ....................................:.........................................`............................Interior ...........:............................... :. 4 Heating ....�t.t1.`?..................i.� r............................Plumbing 2. Fireplace .......................1.........................................................Approximate Cost ......Z .. .....................................• Definitive Plan Approved by Planning Board -------- !_____19.7 Area ...... J _� ...................................... Diagram of Lot and Building with Dimensions Fee :..`�p -a�'...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH _ Y4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardiri.g the above construction. �� Name ................. ....................... Capewide Development A=148-112 18189 one story, No .........:........ Permit for .................................... single family dwelling ./.. . r. ?g Warwick Way .- ...................... Locaflip ...................................4 ............................. Centerville .. . ...... ........ . . ........................... Owner .........C.a.pew.i de..D.e.vel.a.p.mien.t............... . ...... . .... .. . . . . ...... . frime Type of Construction .......................................... .................................................t............................. #32 Plot ............................ Lot .............................. ...... Permit Granted .........Fehru0 19 76 V, Date of Inspection ..................... .............19 Date Completed .............. ........................19 PERMIT REFUSED ................................................................ 19 .......... ..... .............. ............. ............... .............................. .............. ................... ................................................................. ............. Approved ................................................. 19 ............................................................ ................................. .................I. ........... t li - l•. 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