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Home My WebLink About0131 HOPEWELL LANE Town of Barnstable RECEt�PT MASS 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit - Application No: TB-17-647 Date Recieved: 3/10/2017 Job Location: 131 HOPEWELL LANE,COTUIT " Permit For: Building-Insulation-Residential Contractor's Name: Carl J Rebello State Lic. No: CS-084358 Address: Swansea, MA 02777 Applicant Phone: (508) 567-4109 (Home)Owner's Name: TRAVERS,MARIE A Phone: (774)239-7576 (Home)Owner's Address: 131 HOPEWELL LANE, COTUIT,MA 02635 Work Description: Attic insulation&Air Sealing = , CD Total Value Of Work To Be Performed: $2,605.00 Structure Size: 0.00 ' 0.00 0.00 ' M 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: Carl Rebello 3/10/2017 (508)567-4109 Applicant Date Telephone No.' Estimated Construction Costs/Permit Fees ` Total Project Cost: . $2,605.00 Date Paid Amount Paid Check#or CC# Pay Type. ` Total Permit Fee:,. $85.00 3/10/2017 $85.0__O PayPal~ PaYPaI ' ... _ ...... ...... ..................... ...... Total Permit Fee Paid:` $85:00 fn� y �F114E rOk'1 Town of Barnstable *Permit#� 3/ Expires 6 ffih fro n�re date 0 PERMIT Regulatory Services Fee I * BARNSTABLE1639- . Thomas F.Geiler,Director �ArED Ntv, 272013 Building Division C $'Z7 C3 TOWN OF BA Tom Perry,CBO, Building Commissioner 1IY 200 Main Street,Hyannis;MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY -1 "f Not Valid without Red X-Press Imprint Map/parcel Number �J: V/S �-- Property Address I c a)4 [residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address n e'r p� TLJI T V Contractor's Name Telephone Number, ��✓' J Home Improvement Contractor License#(if applicable) 13 6 - Email: �. Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name i. Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each-permit. Permit Requ t(check box) [gRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over %existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 Improve ent Contractors License& Construction Supervisors License is req • ed. / SIGNATURE: C:\Users\decollik\AppData ocal\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 f_' e omrrcaouoeirlC�a�C�i2CcrvJacxm;efts "Office of Consumer Affairs&.Business 14 L.aligtt OME IMPROVEMENT CONTRACTOR ff egistration 136972 Type �zpgation: 9/2301/4 �, `DBA RALPH CRO_SSEN ;tom ,{ P 291 4 RALPH'CROSSEN r 18 WOODRIDGE RID r( / E:"SANDWICH MA 02537{ ' r 'Undeisecretaey�vl . 1. s Massachusetts Department of Public Safety Board of Bu.ildmg Re u g lations and Standards "`Construction Supervisor License CS-070029 .�ATi RA CROSS 18 WOOIDRIDGE'RD s E SANDWICH MA 0153G r ��► ExpiYation {' Commissioner 11/15/2014 y . OF THE 1p� + BARNSPABLE, MASS.9. Town of Barnstable ATFD MA'I A Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.tow n.ba rn sta b le.m a.u s Office: 508-862-4038 Fax: 508-790-6230 Property Owner. Must Complete and Sign This Section If Using A Builder I, "J2,6 C. A V- y C�r S , as Owner of the subject property hereby authorize• to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) arm Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 r ?Ire Commonwealth ofMassrrchusefits D , hnent ofirndaasfrial ccideids Office of Investigations 600 Waslriagion Street Boston,MA 02111 w mj% a s&gov1dira T Workers" Compensation Insurance Affidavit. Bl tders/ContractorsXlectrzcians/Plwnbers. Applicant Information Please Print Legibly Name r I Aiddress: k", "00 R City/Stater: - Phone# Are you an employer?Check the appropriate:bogy Type of project.(required�: _ contractor and 1 6_ ❑New consconstruction1_.❑ I an employer with ❑ I am a � employes(full and/or part-times have hired the sub-contractors 2 I aM a sale prDpriettar or parr listed on the attached sheet_ 7_ ❑modeling and have no employees, Thine sub-contractors have g. ❑Demolition working for me in any capacity_ employee and have wodcers' 9_ ❑Budding addition [No workers'camp_insurance comp_inssurance 1 required-] 5_ ❑ �3e are a corporation.and its: li?_❑Electrical repairs or additions 3_❑ I am a homeowner doing all.work. officers have exercised their 11_❑Plumbing repairs or additions myself [No workew comp. right of exemption per MGL l2NRnof repairs insurance required]I c_ I52, §1(4X and we have nG. employees_ o workers' 13-❑Clthe[ comp_insurance required-]. ,Any applicant fat checks box#1 mist also fill oru the section below Awwmg their woikeW compensation policy infarmadma- llameo®+ners who submit this affidavit in&catmg they am doing all wed:and then hire auttide contraciurs mmst sabunt a new affidavit indicating such- TCantr3ctnr5 that cme&this box must attached mi additional sheet showing the r of the and state whetber or not tbnse entity have employees. If the suh-caat=mrs;have employees,they must provide their wwkeas'comp-policy number_ I am as e►np",that iSPFOVidinff tuaii•)iers'cnatpeMadifl irrsrrraace far My eftTE0JWea: BdOW is the patucy and job site inforinadaiL Insurance Company Nam: Policy 4 or Self-ins-Lac_#= E irationDate_ Job,Site A 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 pena ties`i' ti fb of a STOP WORK ORDER and a Fine of'up to$250.00 a day against the violator. Be advised that a copy of this`statement'irzay be forwarded to the Office of Investigations of the DIA for insurance coverage verification_ , I.do hemby certify s andpnad of pet acrF thatfive iufor ratiaar1ar tided ataove is tare and carrect Si tore Date:phone Official me only. Do alit Mite in this area,to bri`sa+rarp)reted by city or town offitiaC City or Town: )PermitUcense# A Issuing Authority(circle one):' 1.Board of Health 2.Building Department 3.City1rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.tither Contact Person: Phone#a 6 y} � .�5..� r^q.,e... d �.�,�"w ✓`Y _,'i`. z°'�' *r. t r^,?`f r:�+.a�"E�fl' �'s" ^� �r"'. ....s. 'r +• _ j TOWN OF BARNSTABLE Permit No. ..2.8161 BUILDING DEPARTMENT I " a TOWN OFFICE BUILDING Cash ............... . a6�9• - HYANNIS,MASS.02601 Bond ................ «1 CERTIFICATE OF USE AND OCCUPANCY Issued to Harry Theoharidis Address 131 ,Hopewell Lame Cotuit, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. February7, 19.....89................................... ........... ....... ......... Building Inspector 246. e M , 00 N , a 0 W .` SS 541 ;o C➢ }. N : b 'f4NEt N w rvo A - f� r o r o . . o N 6 o v . o -7°-4(. vQr 17 I CERTIFY THAT THE FOUNDATION SHOWN DOES NOT VIOLATE ANY : EXISTING ZONING REGULATIONF-„� ��H OF r�qs." CoTv THE TOWN OP.A.ZA2tJ SQ-74$ WALTER t A y TT o DHAM #23207 74 Assessor's map and lot number �..L......................:..........:. d g �. " C gSEPT US cF T Er Sewage Permit number l� .... 0'7J......... y S•�-�q®��g��, g�ygg��y�,�e�y�p d� � ! d'Sll LED IN Co"' L „i;,Ba;�asTADLE, i House number ........................ . � o.3 I a"war9. ... ... ....... .......:.....:. F ENVIRC a 7 �ems e ��jjsr r to TOWN 'OF �BARNSTABL�E U BUILDING. INSPECTOR APPLICATION FOR PERMIT TO ....... ........ ......ks.V.41...................... , i TYPE OF CONSTRUCTION ....:.....:. .. -1.....:............................................................ r NO J/..........'.<.,.(,�................19,?. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 1..0Cl..7.Ind............../ ef...... ,L�j!)...�.,�.. ................................................ ProposedUse .......... .1N.. ... '.....................................................l.................................................... Fire District ....6 .U44...... .. . Zoning District ............(,,,�j... .� ................ ............. .. .. it Name-of Owner Z.(.. .........Address .7. .... k'LC'�S�t?. .(,r-kJ....�fJ.. Nameof Builder ................... .. .e...........................Address ....................`. .r /Yh. ............................................. Nameof Architect ...............YI.A.11..e....................................Address .................................................................................... Number of Rooms .........6.....................................................Foundation ... .. . . ............................................. W W Exierior .....A .''L"r•0••..... . .. . . .......................... Floors ....................Interior ........[).V-wma-� Heating g _ ........... . . . ..............................................................Plumbin ...1....... Fireplace .............. . .........................................................Approximate. Cost ........r x.. .......................................... G Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area �� .P...... .................. Diagram of Lot and Building with Dimensions Fee �4ec�..... ... .. ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH j�5- y y N' ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 147................ Construction Supervisor's License ..... .... .. ..o.... , ' THEOHARIDIS, HARRY 28161 1j Story '1-4 No ................. Permit for .................................... I. Single Family Dwelling ...........I................... ..r...............71........................ -.131 h/Wwei Lane Location ............................................:.................... I Cotuit ................. ................... Owner ...........Harry Theoharidis ........... Type'* Construction Frame ,.......................................... ................................................................................ olot Lot. ................................ Permit-Granted ........................................July 8, e-- 85:19 Date of Inspection Zlz-�7v........ ......119 Date',CompI ed', "IN � or Assessor's map and lot number `�..L......... yoF................... 4' THE ro Sewage Permit number .... ... ^4A�.............. Z 33ARISTADLE, i House number f ' .. 9 ""Ba r....................... 2639. \00 p MFY of. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......f.6,4AAC")...... } ..... t r r ?!1 ......� .��..: '?.f...................... r r TYPE OF CONSTRUCTION "" 10........... -6..117........1..._........19 Y . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according, the following information:^ l Location .............(..�..^.... ... �/........................../ . '....2......,�.. ....... yr� ! �) y ProposedUse .......... .......................................................................... ............................................... /1 .............Fire District .... ..... I f�l. Zoning District ...........' ,.�7. °1 A.. . .................... .......!.t...................................... .:. ......: .... .... .. Name of Owner � / ' " .n.✓!. ,f �..(14..:+.........Address .... +E ,?�� °3,• ,,,P,; ( -fit f „ ,...,(..ki........... Nameof Builder ............................Address ....................:: . ............................................. Nameof Architect ............... 1.t%. 6�►, '....................................Address .................................................................................... Numberof Rooms ......... ?......................................................Foundation ... ,. .. ?.t `:................................................ Exterior /rr.Pry. ........................................................Roofin 'fiP. f.. T.... ..?!.3`P. �' ?........................... Floors ............... .:.............:.....................................................Interior ........t:.!.. .�. .. ......L.................................... Heating ....... ..............................................................Plumbing ........ ............................. i Fireplace ........ .. '.........................................................Approximate. Cost ........ D,r.a ...................... Definitive Plan Approved by Planning Board ________________________________19________. Area .................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH v� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameAi...... .!•..- / Ir , /r jz. ?................ Name Construction Supervisor's License .!' .�../.I� n ..�. ..f..v. .... THEOHARIDIS, HARRY A=39-72 No , 28.161 permit for ....1 1 Story Single Family Dwelling Location ..,131 Honewell Lane . .................... Cotuit ............................................................................... Harr Theoharidis Owner ............Y..................................................... Type of Construction Frame . .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .......July 8....................19 85 Date of Inspection ....................................19 • 4 Date Completed 19