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HomeMy WebLinkAbout0371 MARINER CIRCLE� i' ... V _ .. � __ 72 X-PRESS', PERMIT AUG 2 Town of Rarnstabl� TOWN 0 LE *Permit# -7-7 Expires 6 months fro s me Regulatory Services 261 Fee pA�� Thomas F.Geiler,Director Building.Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 www.town.barnstablema.us Fax: 508-790-6230 EXPRESS PERMIT APPLICATION Not VaUd without Red X--Press Imprinnt�E ONLY Map/parcel Number Property Address %Residential Value of Work (0 S Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name— Telephone Number 50�—q A e- Home Improvement Contractor License#(if applicable) / o�J 3 l� Construction Supervisor's License#(if applicable) zworlman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ lam the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# clit lyq 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. U-Value ---(maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation etc. ***Note: ro Owne ust si HomeN �' Wner Letter of Permission. ense is required. SIGNA RE: Q:Formv:expmtrg Revise071405 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): J� Address: CD � cy 1 gq`' City/State/Zip: G'9635 Phone #: �o g--qA q" a gq g_ Are you an employer?Check the appropriate box: Type of project(required): 1.VI am a employer with 4. ❑ I am a general contractor and I 6 ❑New 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. $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.fKkoof repairs: insurance required.] t employees. [No workers' 13.❑ 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 1 `T lrj Expiration Date: C7 — 6 Job Site Address: City/State/Zip: V MA G-P 63.5 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 insurance coverage verification. I do hereb��f rP er t ' sand e+errlt s o per ry that the information provided above is true and correct. Si afore: Date: ` 02 3 ' Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or7own: 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#: A)z I.�1 � Q ML MIR Fraser Construction CONSTRUCTION Roofing & Siding Specialists ROOFING P.O' Box 1845, Cotuit MA. 02635 SPECIALISTS 508-428-2292 Email: fraser constructiongveri zon.net www.ftaserroofing.com Phone 1-508-428-2292 & FAX 1-508-428-0123 RE-ROOFING PROPOSAL PARTIAL FRONT ONLY HOUSE & GARAGE DATE: July 9, 2007 Revised: July 18, 2007 NAME: BettyAnn Freeman PHONE: 508-428-2376 MAIL ADDRESS: same JOB ADDRESS: 371 Mariners Circle Cotuit, MA 62635 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 - Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, .ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. L(S& G�AZ_VINIzED 9-7'v)9,M 1VF,jLS Color: . PRICE- $3,695 Initial Price includes • Remove & replace white cedar side wall on cheek includes ice & snow on entire cheek (owner to pre-paint all w/c shingles) • Re-flash chimney as needed ice & snow under flashing ie• Re-lead- rchimney as needed • Waterproof chimney • Paint rake boards (paint provided by customer) `Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: �z Homeowner Fraser Cons ruc-lion ' tlJ�l d�7"l�A� T� f/fITG N l C3 )Pi�lcc BZI-oAF &s 6RJ� 9E61)vs 7-2 4 -Board /> Place - ®ston- Alassachusetts 0�1 t 021 1301 Home ImDr®ven.ent'C a 0� � ra�t®r Registration ��5�� ReAis#ration: 112536 CONSTRUCTI®IV co. Type: Dsa DEAN N®RA ER Expiration: 3/23/2c)oq C®TUIT �q845 A 026-3.5 Tr# 127s2o DP3-CAI SOM-05/08-PC8490 - Update Address and return cur Addr ❑ ggenew d mange. s ]Board of au��g Regulations -- - ❑ �'maplo9� , HOME inns and ❑ �®st award VEfUlEA1'r CO'gTRACTOR License or re 'Regisgratioet: i 12536 before the g. anon valid for indavid ftphti�: 312'• OD9 Board of1$��ataon date. Hfound re use se only Vie: •D(3 Tr# 127920 One Ashburton g�egaalations aad,Standards ERASER CONSTRUCTION 1 �ostoffi H'ton Plaee.ln 1301 cTION j"i ,19�a.02,08 DEAN FRASER 4556 RT 2$ - COTUiT,MA 02635 for IDTot valid without siiguataa e PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WISE & QUINN INS AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE, 449 PLEASANT ST OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR, ALTER THE COVERAGE AFFORDED Bif THE POLICIES BELOW. BROCKTON MA 02301 COMPANIES AFFORDING COVERAGE COMPANY 24WCB A INSURED HARTFORD UNDERWRITERS INSURANCE COMPANY COMPANY ERASER CONSTRUCTION CO B' PO BOX 1845 COTUIT MA 02635 COMPANY C COMPANY 77 THIS IS TO CERTIFY THAT THE P OLIO ..::.::::.:::::::::::.:;:.;:.;:.:.:.;>:::z:>::>::::::>:<::<::<:.;>:3::»>:::'ii;:::':::;;::::::;:•:;:'::::::>:>:.>:. INDICATED, NOTWITHSTANDING ANY IREQUIREMENT,NTERMSOR CONDIBELOTION OF ANY CONTRACT OR INSURED THER DOC AXEDMENT WIABOVE TH FOR THE POLICY PERIOD, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY DATE(MM\DD\YY) DATE(MMWD\YY) LIMITS COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE OCCUR. PRODUCTS-COMP/OP AGG. $ OWNER'S&CONTRACTOR'S PROT. PERSONAL&ADV.INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIABILITY MED.EXPENSE(Any one person) $ ANY AUTO COMBINED SINGLE ALL OWNED AUTOS LIMIT $ SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) $ NON-OWNED AUTOS BODILY INJURY (PerAccIdent) $ GARAGE LIABILITY PROPERTY DAMAGE $ ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE. $ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-794X619-' 1-06) 09-26=06 09-26-07 STATUTORY LIMITS THE PROPRIETOR( ?'r: i�'t: PARTNERS/EXECUTIVE X INCL EACH ACCIDENT $ OFFICERS ARE: EXCL DISEASE—POLICY LIMIT $ OTHER DISEASE—EACH EMPLOYEE $ 500 000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS r THIS REPLACES ANY PRIOR.CERTIFICATE ISSUED TO THE CERTIFICATE HO .....:..::.�::::::::::::::::::::::::.:.-::::;:::::.::::::::::::::.::::::;.;•.�:::::.:.::::.;:;::.:::._::.�::.>-::.�:::.�:,:::.:r...;:...:..::::::._:.:-:::::.�:: .. ... ...:.:....:..:.:-::::.�:::.................. ERS COMP CO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I EXPIRATION DATE THEREOF, THE ISSUING COMPANYWILL ENDEAVOR TO MAIL ERASER CONSTRUCTION 10 DAYS WRITTEN E NOTICEvoTHECERTIFICATEHOLDERPIAMEDTO TH PO BOX 1845 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION TH OR I COTU I T MA 02635 LIABILITY OF ANY IOND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ........:.....4.....�:::�.::::.:�ii•::.�:.�i:.i:.::::::.�::::i?i'.�::.:�:::::.O:i::::::::.�.�::IX:::::::::.�::iii'.�:::::n�:i::4iil:::::::::n�:ii:i:{::::::..�:i::::::::::.�::::::}i:::::::.�::..: ..... '..........:::.�:::::::::::.ih;:4iii:•;i}i::ii:::iij{:Y,.i:•:i:fiiii::::4:;i:J::i;`?�;:ijj;i!;i:4J>;:v iii)i::::•iiii}i+i;:i:i:;(i}':}4??{?iii:::(:ti;ii±:�::..::":::..::.::.}:iyi:�;::::ii:::j/•ipi:`>::�n:'::::.:iJii::: W:,:�:.::..............................:::::::::::::::iv:•ii;?•ii:•:iLf::i:;; $:i:{:;;ii�:ti:}:::':::::::::i:::::::::ii::i::iti::i:::::::•':�i'..::ii':::i::::::i::i'.::i::i::::::::Y::::::::::.lr1Hi' .-...'. 1LI�.l�'A:iA'd1iiRII::L'w'�i��`?' '. Asse_ssor's map and:lot number .......... r,?/V d'a y -�- -SEPTIC SYSTEM M MU . Sewage Permit number ... ....�...q.................... ...... INSTALLED ��� '� •=M Tff1� BAHHSTSIILE, i Z House number ..................... .................. ..................... NTA1: C � ENVIRONMENTAL ,• neGULATIO ""'� TOWN OF/ BARNSTAWtr .:a : . BUILDING INSPECTOR • •.A Y' APPLICATION FOR .PERMIT TO � ....... .............. ... ..... . . .. .... .................................................... ...,.. TYPE OF CONSTRUCTION ....... .... ... .. ... ..................... . ............................ .........:...1, ..3 ...........>I9. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 'l�Z�a�r�jtl�C� Location ..... .......... ............. ........ ..... ... ProposedUse .................. ....................I...................... . ............................................................................... , t Zoning District ......... ..... ...... ..................:..... ...................Fire District ................ .... Name of Owner ... :.Address ............. .. .. ................. .. . ....r ......Name of Builder .... ....... . ...7 w60...............................Address ..................... Name of Architect.............. .....Address ................................................ .................................................................................... Number of Rooms .................. ........................................Foundation ... 'r�� '4r�' ��'�d ............. ............. Exterior ..�`:`�`.'�...` ...... `+` ... Roofing .... 4 �� 'L .... . Floors ... ....&J:............ .. . ........A.**..*.., . . . ...............Interior .. .... :. .......... ............ ... . ................................... Heating ........ /•1•••� �•........ ................Plumbing ....................©,........................................................ Fireplace ......................... Approximate Cost ..1..................................................... ..... !P�. ....�.............. /// ,• Definitive Plan Approved by Planning Board ____ ____ _._�3_______19_(__ Area .�./. .... ............ Diagram of Lot and Building with Dimension 1 Fee ���. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTHQ ` i " — I here y agree to conform to all the Rules and Regulations of the Tow f Barnstable re g the above construction. Name .. ........... ...... . .. ....................................... .. s CEDAR ACRES REALTY TRUST No ... Permit for ............ . ......Sib.gle...zamily...D.We.11ixig.............. Lot #65 371 Mariner Circle. Location ................................................................ C ot u i t Owner ..Cedar Acres Realty Trust ........................................................... Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot .................... • Permit Granted ......August...12..............:.19 81 ,,tl jj�k AV ate;10 Ins pLion ............................ .......19 Date Completed ...... 7 .19 -7 PERMIT REFUSED, M ........... ...... . ...................................... . 19 4v Mb - W ......Jr. IT~. —A................................................... 70 .....fZ ...... ac, Al . ..Z.41, -...........*....................... ............. 54 . ............................................ :1 ro Itr ' C) A d . —7 19 i .............................................................................. .......... ........... . ......... Jai- Assessor's map and lot number ......:=°� ::? .`...�.' ....... THE % r ♦0 'Sewage Permit number ..�� .. ................................... n/ L BAHBSTADLE, i House number / ...... 90o M639.................................................................. 0 UP y. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......................::1-��L:....�- `- ..................... - TYPE OF CONSTRUCTION ...... .......... ................... `P":. �r'`G ........................... ................... ......................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the (following information- Location .... !...°- .....�. ...... ...... /Cc'.G.? t::......{:: ..t: .: '. ." " ............................... ProposedUse .........................i............ ... .................................................................................................. ^ `_ . Zoning District iC ...................Fire District ..............: ° .... ...................................................... ... ........................................ Name of Owner `.f•✓t'.•..l t ......) ,PA ... .. ........Address ............. ......:..!...............................f..................... �J /T;.% l .......4�-��J Address Name of Builder .:....... :.................r !i................................. Nameof Architect ..................................................................Address .....................�..........,..�................................................. Number of Rooms �` ? ........................Foundation ��-ll �• -.......................................... ... .. ............... ... ...................... Exterior �t C-..k �_kf...Lti� C✓ `^!% Roofing / .%'1W d`... C�i !2 ��.................. iv ....... Gc... c.f'u ..,'I�C... Floors �..`,...j.....................................................Interior ..�.........:``.....::...,....-..................................................... �I Heating r . / ...Plumbing A roximate Cost 41/1, t, Fireplace ........................ ....................................: pp .............. <, . Definitive Plan Approved by Planning Board ___�________ ________________19_ Area Diagram of Lot and Building with Dimensions �' Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i J t I i j.- 1 I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... :........................................� III T CF,0AR ACRES REALTY TRUST24-149 23361 One Story No ................. Permit for .................................... ...... ingle...Zami 1.y....Dwe.11in g................ Location ...Lot„#65 371 Mariner Circle ................................................ Cotuit ............................................................................... Owner ..Cedar Acres Realty Trust ............................. Type of Construction .......Frame................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ....August 12, 19 81 { Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED _ ....... ................... .........�/�19 /•�!•. .�./�. ......... /.�.l.. ............... p ............................................................................... ............................................................................... ............................................................................... F Approved ................................................ 19 ............................................................................... ............................................................................... t tiw ` ��7� -a/4 ,may- - • ��� 0PLAN' SHOWING, � " 'LOCATION � -. FOUNDATION- zw ou GOT I T, NIASoACHUs Q� OWNED BY• �+ �y,.y�j ` ,'4 k l` C x' C i4Vi'1�JCi C ,. � r t F/„' Ste: 0cm: SCALE 00 m NORMAN GROSSr#AN-= REGISTEREDLAN'D St1RVEYQ}t C ' (�' t HEREBY' CERTIFY THAT' THIS FOUNDATION /S LOCATED ~;•, _ ` ON T'HE LOT AS SHOWN AND CONFORMS TO THE TOWN �P OF BARNSTABLE ZONING REGULATIONS RtSARDINGNoA F `• y j' ,a := SETBACKS FROM STREET LINE'-S AND LOT LINES.. ,�ACiSrt� � fn 0.'12175 Q CiV Q -A. Q!'$r: NORMAN GROSSMAN ©ATE �R I of♦rc TOWN OF BARNSTABLE permit No. ---------_--------- 1 I,v�T,II Building Inspector � ma Cash -------------- 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 "fYct i—y, Ae7res Rpa 1 t,y `! 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 ....__ ............................................................................................._...._._._w._ Building Inspector