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HomeMy WebLinkAbout0259 MARINER CIRCLE , � - - i i �� 3o �� . Town of Barnstable .*Permit# Expires 6 months from issue dte Regulatory Services -, E Richard V.Scali,Interim Director ; Building Division NOV 2 2 7�1 Tom Perry,CBO,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF BAD=l Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY r Not Valid without Red X-Press Impr' Map/parcel Number Property Address Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name u04W.4 Telephone Numberg0k'7/4i/(31 9 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) 076o 7 Xworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner , �I have Worker's Compensation Insurance Insurance Company Name b.6— J&Ab,'Ou— /Ps • (:�� I��d33 Workman's Comp.Policy# s 7j�3 f q Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to—C� /�l!/�Ll � ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side //,, Replacement Windows/doors/sliders.U-Value � 3V' (maximum.35)#of windo �• , #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 Aign^perty Owner Letter of Permission. A copy of the Home o ement Contractors License&Construction Supervisors License is required. SIGNATURE: T:TKEVIN D\Building Changes\EXPRESS PERMI . oc - Revised 061313 i Pnnt Form.' The Commonwealth of Massachusetts _1 Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ®►� F f1—J�tp% Address• Pet,,e City/State/Zip: 3 o-33 Phone#: Are you an employer?Check the appropriate bpx: Type of project(required): 1.❑ I am a employer with 4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 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• ❑1 9. Building addition [No workers'comp.insurance comp.insurance. 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.❑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' 13.90ther (,)I MM) 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.. :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. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy.and job site information.Insurance Company Name: Nuo gao.>4;`L'.. co 4 Policy#or Self-.ins.Lic.#: 1 V � �� � � /q Expiration Date: Job Site Address: � �l�— �1 City/State/Zip'.. Aq 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 insurancqc?)Iage verification. I do hereby ce!#&under the gains a d ald o e 'u that the in or_nwion provided above is true and correct Si ature: __ _ _. _ _y. ._. _:. ----_i Date•. 'rf Phone#: `w 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#: lop Y v ass ' f s - Department of Publ' 4 ,d ' ng Ar Regulations 'mot - Y gi e J„ d License: CS-070077 DUARK"O J+ r' r ........... 1.01 W.W4 MPMff*6 !,-,wiA 02,15T 1-4~- k4�k, E x pi r all 10 n imp �r r I 1' n ' `-. F 0fr1cc of ('onsumer . HOME IMPROVEMENT CONTRACTOR s : � et� ��►trt�or� 1 03 2 34 p i rati o n : 1 /11 /2015 Parinership tr i & J Remodeling Duarte 5 Fall St. 77 e . ovr q a dtill: IvIla 00 ' r i ° � .� � ate,,.. , a R a s va , 3 . �r et p ` 4 Oltr s-� r tn � w r • . - ,� ' od s- ne a TaIrsi ° w li'Am-AM s �'- s�x .-wo te w a 21 ­6 IRO y� N C� '. ..� y...�: r �x 1F �-' �. ■�l A. 'd� y 4Y h� �� 8sli' �' r A ,.. _ r «.." ..tip '� '� y�... .e �„,y, ;,... M y �.. � .�. �,i*.'•;' L..F� z,'� ';'r'e "x'' g '.s•s ti M .r"; x :e is' �, - r �,,s."'. 'k y ":a '.,',.. :7 ,y Al A It A—V vv ithout -signa TV y - r R a�. ��_ �x�„ c`t 3�`1rR � �'t�,`��, �n � "y �w �a 4,#'S.stR�" x� >< a"r .� y� a',Sy�•a r �Y �y - 9... w M r `'R 8 - 1 May 11, 2013 , 4 Barnstable Building Dept. The following is a list of our approved sub-contractors for The Home Depot: f Ericsson Torres= CSSL,# 100546 HIC # 163528. Michael Viola — CSSL# 099403 HIC# 140993 T Vincent Smith - CS # 106837.. a HIC #-165927 ' Timothy Thomas— CS # 51899 HIC # 152121 ' Ronaldo Solano — CSSL # 101027. HIC # 1S2206 ; Joseph Duarte - CS # 70077 HIC # 132349 Douglas Szynal,-- CSSL# 103950., HIC #-146142 •. jA s Brian Laroche — CSSL# 100478 HIC # 152612 Joseph McKeon — CSSL# 98863 HIC#'132614 If you have any questions please contact Mike,Bedard our permit*, _ coordinator at 508-962-6942 or m self at 617-438-901 y Z , S' erel uss one : Bra Installation Manager n t - THD At-Home Services,Inc. - _ 908 Boston Tumplke- Unit 1 •Shrewsbury,MA 01545 m Phone:774-275-2139•Fax:508-845-6076•Toll Free:800-657=5182 , i c%Ite r,�ec r,� ci i O ice o ,onsumer ai and usmess Regulation b 10 Pairk Plaza - Suite 5170 Boston, Massachusetts 02116 jFforne lmprovei)3pVQontractor Registration Registration: 126893 Type Supplement Card Expiration: 8/3/2014 The Home. Depot At-Home Servids f,ANDREW SWEET - 2690 CUMBERLAND PARKWAY`5U1'1a� 1 �'. -- ATLANTA GA 30339 Update Address and return card.Mark reason for change. [] Address D Renewal E] Employment Lost Card DPS-CAI 0 °AM-04/04-Q101216 sc�" Office'&"farma rs usifuese egu at� License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to; 1 Office of Consumer Affairs and Business:Regulation ReglsLfatlow. g, 88-93 '1 Type: ... �,. , 10 Park Plaza-Suite 5170 Expiratte0;,4/3l�:bt4l Supplement Card Boston,MA 02116 901ne Depoi,464'9mis— arvid 6 ANDREW SWE7 :� 2690 CUMBERLAN16 P—AR'`I — A` 1 �1,GA 30330 ,, j Undersecretary y ah t on signature` —~ ` e:16:06 AM PST (GMT-8) FROM: 100005-TO: 15087302086 Page: 2 of 2 t ®� CERTIFICATE OF LIABILITY INSURANCE '"TE°'°"°"'M THIS CERTICERTIFICATE DO DOE SS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS _ CERT)FlCATE E8 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 iSSUIN13 INSURER(S), AUTHORFiED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poiley(les)must be endorsed. H SUBROGATION IS WANED,subject to the tern and conditions of the policy,certain policies may require an endorsement A statement on this csttifieab doer not confer riyhu to the certlticats holder In lieu of such endorsemen a. PRODUCER PAUL 8 SULLIVAN INS AGCY INC FALL,RIVER MA 02724 � D 1 AFFORDINGCOVt;<IAfiE NMCaM riaU �JTSEPH DUARTE&JOHN DALEY f4sum■ DBA J&J REMODELING ftummc, 15 WILSON WAY 11"UMMO: MIDDLEBOROUGH MA 02346 nsum E asuffeltz. COVERAGES CERTIFICATE NUM ER,-15914016 ISION NUMBER., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD "in.n.cD. MCIUMEEMENT,TERM OR LAAYYi11yN ur AI'IY 80isiKAGi illi VTMEK DOCUMENT WIjT1 REHPECT TO WHICH THUS CERTIFICATE MAY BE ISSUED OR MAY PERTAM,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN L4 SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID MAIMS. uum ACM SUN TWOOF NSURANC18 IN POUC r Hume" t DENERALLIAeU RY � FACH OCCURRENCE COMMERCUL C04ERALLKMLITY 171Rr110r S CLAIMS-MAN a OCCUR MEO OF[Aprons PERSOM 9 ACV INAMY I GEMAODtEOATE LIMUTAPPLIES PER: UMEMLAGOMME _ PRO PRODUCTS-col"OPAOG f POLICY LOC AMMON LE LWARY s ANYAWTO �09NE BOOILY IN,AIRY NEo �0 (►er Per) aCOILY INJURY(Per HIRED AUTOS B/�NITO x UMWUA.A L" OCCUR = ExCEss L1Aa EAjcH ocow Ma s CLALUSilAOE OOREGATti f' OEo RETewom A i A VYOR118RaC0A1PtiNSATION f AMD NOPLOYkRs'uAaa.rtY- YIN WC531S384800-W3 2/2/P013 2=Oi4ANY sTA 0FF10EPjL*M6 REXCTti�;.p��Rr,�a MIA ELEACFfAU:CRIENr. t 100000 OFFICi WL1EMaER ExCtI7DED7, . _ IArandNay In NFL) ., � . If Yes.daaM under EL OISFASE-EA Et/P1 GVEE li 0 SCWPTION F OPE ONSbobw EL DLR"M POUCYLear f yQQ(JQQ DEBCRi OFOPEM ILDCAT IVEIe (IUhsbACORDWI.AddWond Rom"ecMdul% no►ssprrsbtsgWred) Workers compensation irmurance coverage applies only to the workers commsaHeon laws of the state of MA- N. PAkMERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY. ION SHOULD THD AT HOME SERVICES,INC.AND THE EV�T oTHE ATiE THEREOF,ABOVE° ef DEC WILL Be OEEL BEFORE THE HOME DEPOT ACCORDANCEWfTHTHEPOLICY PROVI91ONB. 2690 CUMBERLAND PARKWAY SUITE 300 ATLANTA GA 30339 Aun*xum rx"NMATM jeffEldrWas ACORD ZS 20f OVD O 1 988.2010 ACORD CORPORATION. All rights reserved ( 5 The ACORD name and logo are registered marks of ACORO flllr"08ertti �cate ca°MTiICeg°s`an�laupari�c�eg` (.pzovjous?yi1liAjjoi�ca°rtticatas. i �•""'�� TOWN OF BARNSTABLE Permit No_ -----------------------________ Building Inspector I "mrr."c Cash �O t079. P 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 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 _ �s 1.2 S o a S� l/ T' u C) t3►- u MZC 4z) V)w G zJ� }wpc;r T� v 0 w wWw �4 ° ovVi�+.Zr •� P - a . 6_a y 13 i PLAN SHOWING FOUNDATION LOCATION C O T UI TO MASSACHUSE T T S OWNED BY: SCALE : DATE.: NORMAN GR0SSMAN------ REGISTERED LAND SURVEYOR I HEREBY CERTIFY THAT' THIS FOUNDATION. IS LOCATED ;N a ON 77HE LOT AS SHOWN AND CONFORMS TO THE TOWN �� ` �qc IL OF BARNSTABLE ZONING REGULATIONS REGARDINGoetthrt N� SETBACKS FROM STREET LINES AND LOT .LINES . cHossary ' 127)5 0 NORMAN GR0SSMAIV R.L.S. DATE WSsor's map and lot number ... .. ....................G.............. . SNoutignb3b NIVI01 pi THE TO �S ONV 3003 1V1N31NN0 Sewage Permit number ..........V.......1....................... 9 31111 1'111M t HafiB9TADLE, ouse number 1IN"& 039. .............. ...�.-�. ..�..�.�........................... o 3aNVfhdWO� N103llfl 381Sf1W W31SAS �Ild 0 ypY a�e� TOWN OF BARNSTABLE BUILDING INSPECTOR k... APPLICATION FOR PERMIT TO .................... .. .............. ........................ .................... TYPE OF CONSTRUCTION L� .. ✓��� . ..... ....... ...... .... ................. .. ,.................. ...................... .................... ............. ./�•• ..��....19........ 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi g information: Location .. . ...... ................... Proposed Use ......... Zoning District .............�:�.................0�0�. ..Fire District ...............� ............................................ Name of Owner ��!a-c�... :fir:.... ..:7-Address ..................... .......... � . Nameof Builder. ..: . . .... .... .6.'.L. ........Address .................................................................................... .Name of Architect ..................................................................Address .........................................:.......................................... Number of Rooms ...........................Foundation/.............. .f .... ... .................. ....... Exterior ..LTV .....all ..�....... .... ...................Roofing ....... ................. Floors i!�� ..5/ `- ..........................Interior G�. -1 Fieafing ......./; �^, :......i . ...-f:>c?0........................:Plumbing .......... .//........................................................ Fireplace ........ . .....................................................Approximate Cost .......d.4.G!.y'. ............................... Definitive Plan Approved by Planning Board ___ _ _________/_-1-----19 _. Area . Diagram of Lot and Building with Dimensions Feed ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 80AID o � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...k ... ............. ; .CEDAR ACRES REALTY TRUST a 2234.9.... Permit for One...S.tor.y............ Single Family Dwelling ........................................................... Location .....Lot....5.5....#.2.5.9...Ma.r.in.e.r...Circle location Cotuit ............................................................................... Owner ....C.eda.r. ...Acre.s...Realty. ....Tr.u.s.t .. ....... .. .. ....... .. .. ....... .... Type of Construction ...................Frame....................... ................................................................................ Plot ............................ Lot ..................... ............ Permit Granted ......J.uly..17................19 80 Date of Inspection ....................................19 Date Complet .....19 PERMIT REFUSED C', 19 . ...................................................... ............................:................ + ..................................................... rp - a I. ............................................. ...... 0 .. Apprp,ved ............................................ 19 ............................................................................... .. .................................... Assessor's map and lot number OF THE To Ad may/ Sewage Permit number ...................................... �o Z BAR35TABLE, `House number .......................................................................... r rose 039. j �MPY a' t TOWN OF BARNSTABLE _ BUILDING INSPECTOR APPLICATION FOR PERMIT TO � !4. ........................................................................ TYPE OF CONSTRUCTION .... rCf/l' Yrt,,....... ................ ............ . /� r�J....19........ o' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby •applies for a permit according to the following information- ' Location .��... ...... �� /.,! /?l ...... .��t.Cr�l�. , rn.l i..... �`:..:........ ProposedUse ....... /,1 . . ....... .............. .................................................. Zoning District .............//�: ..�.............. ..............Fire District ............ ).............................................................. a Name of Owner ....�' Q'L..� 7..rlj� : ...f ....Address ..................... ........� .......... A, .. Name of Builder .. ?-�-!� •�� /!T, l ........Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................ .............................................Foundation ......... , ..... Exierior l ...- #...................Roofing .....1.•��.x.. ...................: Floors {.�i�'1.1 ..................................:Interior................... . . ...... ....................................................... Heating ...... 1',.LC%•........ <%.......................Plumbing ........... / ,......................................................... Fireplace .........�y .. .` ............................................................................................................Approximate Cost ........d.!t�................................................... v . Definitive Plan Approved by Planning Board ----�Vi _ _ 19_� _. Area 21­5..,.�.�.Ab ................. Diagram of Lot and Building with Dimensions r Fee 0 SUBJECT TO APPROVAL OF BOARD OF HEALTH �000 61 i 37 l q+_3�_ Iy t. F I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... , ._......a_6..... ................................................... 24-14 A-24- CEDAR ACRES REALTY. TRUST ar No 2.2.3.4.9.... Permit for QrLe...S.tQ.rY............ ....Slagle...FamiLly...Uwellinc ................. Location LQJ;...5.5...4.2.5.9...Maxin.er...Cir.cle ..............JcatuLt................................................. Owner ..Cadar..Ar-r:,/q..MRe.a1ty...Txus.t. Type of Construction . ra �e............................ ..................................../........................................ Plot ....... Lot ................................ Permit Granted .........July...17.............19 80 ..J-U.l Date of Inspection ................19 on ............................... . Date Completed ................... .................19 PERMIT JRFUSED ................................................................ 19 ............................................................................... ............... . ................... .................... ................................................... C) Approved ...D..... ........ . ... ........... 19 ..................................... ...... ......... ....................... .................... ..........................................................