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HomeMy WebLinkAbout0123 TROUT BROOK ROAD /a3 f rdu, 13 rov � . 'I Town of Barnstable 5 : � Building t iPost This Card So That it is�Visible From.the Street Approved:Plans Must be-Retained on lob and-this Card Must be Kept sAMMnei.e, ?X&A Posted Until Final Inspection Has Been Made. °� i619r ti i „ „ ' i Where a:Certificate'ofOccu anc.:Fis,Re wired such Bu�ldm shall Not be,gccupied until.a Final Inspection has;been made , ,` ���M1 P . ...c, ,. Permit NO. -B-18-4171 % Applicant Name: Jonathan Whipple Approvals Date Issued: 12/26/2018 Current Use: Structure, .Permit Type: `Building-Insulation Residential Expiration Date 06/26/2019 Foundation: Location: 123TRO.UT BROOK ROAD,-COTUIT' Map/Lot 008-0,06 _ Zoning District: RFC Sheathing:. MATH AN N WHIPPLE 'Framing: 1 . Contractor NarnSe: JO g• :Owner on Record.. MILKS,70HN K � '" 'r. . �. Address: 751-EAST STREET t Contractor'License CS=078683 2 ct Cost: 2 467.00 HAM MA 02026 'Es . Pro e DED t 1,. $ Chimney: Description: Insulate basement sins and air Seating Permit Fee. $85.00 r - . Insulation: Project Review Re 3 Fee Paid: $85.00 1 final: Date: 12 6 1 2 2018 Plumbing/Gas Rough Plumbing: r < .. '- w 'B - . u•IdingOfficial Final Plumbing: This-permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months,after:issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the-approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws-and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. ¢ • Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are"provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing ' Rough: . 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing inspections to be completed prior to Frame Inspection - 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage"Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r -3�t ' Town of Barnsta* ble 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No; TB-17-3287 Date Recieved: 9/23/2017 Job Location; 123 TROUT BROOD ROAD,COTUIT Permit For: Building-Shed-Residential-200 sf and under Contractor's Name: State Lic. No: Address: Applicant Phone: (520) 282-1116 (Home)Owner's Name: john k milks Phone: (520)282-1116 (Home)Owner's Address: 123 trout brook rd, cotuit,MA 02635 Work Description: building a shed approx 12x10 I ' �b to 03 Total Value Of Work To Be Performed: $2,500.00 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: john milks 9/23/2017 (520)282-1116 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,500.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee; $35.00 9/23/2017 $35.00 XXXX-X)M-X)M- Credit card 9826 ...................................................................................::.............................................................,......................................................................................................................................._......................... ....... Total Permit Fee Paid: $35.00 - 6�........ zzY: .. S ..ua 'W.# uo� xu�urt. "� �.�•jiw..e M. /f� - o�j„E Town of Barnstable *Permit Expires 6 mortiks in issue dat Regulatory Services Fee a HMMSTnBLE, v$ 1°M ,0$ Richard V.Scali,Director 'DrEb nny't°` BuUding Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 EXPRESS PERIMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number O/(f (�oZ Property Addre ss 7 (.aS'f a �� [Residential Value of Work S 7, 62 — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address LL faS� C '4 M 71 � Oi T bL 9 v D ( ' Tele hone Number[t-(O 2 r Contractor's Name 'll�t7al 2?� /I �� p Home Improvement Contractor License#(if applicable) / 73 2, 4 S Ema �' Construction Supervisor's License#(if applicable) c7 7- �Norkman's Compensation Insurance J ORI eP �qp' 0 Check one: OfA�J/t I ❑ I am a sole proprietor t rl V STgB�� ❑ �m the Homeowner . [_I have Worker's Compensation Insurance // Insurance Company Name F. r P_,,,�('le' 1' & .En slB/•°ni-,a e Lfz Workman's Comp.Policy 2-0 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 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ side 3 [ Reeplacement Windows/doors/sliders.U-Value z-"L (maximum 32)#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 wner must sign Property Owner Letter of Permission. -- A copy the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\Decdllik\AppData\Locai\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2P1OI DHR\EXPRESS.doe Revised 040215 Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal By Andersen of Southern'New England. Tom&.Cindy Sullivan.. MRILACMENT. Legal Name,Southern New England Windows,LLC 71 Wa0oit,Rd East RI#36079,MA#173245,CT#0634555,Lead Firm#1237: cotuit,MA 02635.10 Reservoir Rd I,Smithfield,.RI 02917 - H:(508)280-5616- Phone:.866-563-2235 I Fax:401-633-6602 1 sales@renewalsne.com Tom A.Cind Sullivan 09/11./17 . Buyer(s)Name: Y � Contract Date: Buyer(s).Street Address: 71 Waquoit Rd East,Cotuit; MA 02635 Primary Telephone Number: (508)280-5616 Secondary Telephone Number: . Primary Email: tpsulliyanelectric0liye.com Secondary Email:' Seco '1: Buyer(s).hereby jointly and severally agrees to purchase the products and/or services of Southern New England-Windows,LLC d/b/a. Renewal By Andersen of Southern New England("Contractor'),in accordance with the terms and conditions described in this Agreement Document and Payment Terms;any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorp orated herein by reference{collectively,this"Agreement). Buyer(s)hereby:agrees to sign a completion certificate after Contractor has completed.all work under this Agreement. Total Job Amount: - $7,620. By signing this Agreement;you:acknowledge that the Balance Due,and the Amount: Deposit Received: ::" - $0 F r financed must be made personal check,bank check,credit card,o cash Balance Due.' , • $7,620 Estimated Start': Estimated Completion: 6-9 weeks 6-9 weeks Amount Financed: Method'of Payment: Credit Card ...We schedule'installations based on the date of the signed contract and secondarily on the date in which.we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and.time at a later date.Rain and extrem.e.weather are.the .most common causes for delay Notes: •1/3 deposit;1/3 at'start;113 at completion Buyer(s)agrees and understands that this Agreement constitutes:the entire understandings between the parties and that there are no verbal . understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without.the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)"hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement;"and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above'and2)was orally informed of Buyer's right to cancel this Agreement: NOTICE TO BUYER:Do.not sign this contract if blank.You are entitled to a copy of the.contract at.the time you sign. YOU,THE BUYER, MAY.CANCEL,THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 09/14/2017 OR THE THIRD BUSINESS.DAY AFTER THE DATE OF:THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED.NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT -Legal Name:Southem.New England meadows,LLC. - dbai Renee 1 y Andersen'of Sywhern New England Buyer(s) Signature of Sales Person :` Signature Signature Paul Sandrey Tom Sullivan. _ Cindy Sullivan Print Name of Sales Person Print Name: : Print:Name UPDATED:,09/1.1/17. .. _ Page 2 / 10 Massachusetts Department of Public .3afat j F card of Building Regulations and Standaris _icense: CS-095707 ` BRIAN D DENNISON 7 LAMBS POND CIRCLE,-I.!.,4 CHARLTON MA 01507 =Y 0 i:r31iCn: Commissioner 008,2018 a)L'•sume Af aSS/-nd Busi less �-�a1_at G 10 'ark P?aza - Sui_e 5'TO i✓oston,Nlassac uses t;'__- _ _N_G%1e Lm rG ement G Cracror Fe"isi?atior - -_ Registration: 173245 Type: Supplement Card =apiraticm: 9119/201 S SOUTHERN NEON ENGLAND WINDOWS LL BRIAiN DENNISOI`I — p-.---_- -- 26 ALBI ON RD ---- -— — LINCOLN, RI 92865 _ - --------"---- T7odme.-Wdr^ss and rcwnt mrd.Ylarf::cusuo . .Address _ 3ene:9al _implo_Toe _i,ust Cad :1�ffice ui Cna+timer.\Rains i.lusin�s�,vl-d- Re isrmrion-mlid for in 15e only Deface the , espiratiim Gate e£Fomd reta m to: j_iHOME IMPROVEMENT CONTRACTOR ;-.asumer A:Tair..and Usine s,ge m2pne ="i'9egistraUon:.1.3245. Type: 10?ark PUM-Soitc 5110 � Expiration. 9i.1912013 Supplement Card Boston.NG\12116 bOUTHEP.N`LeN ENGL AND VQINDOWS L-C. RENDVAL V ANOER ON 3RIAN DENNISON , UNCOL.N.RI 02366 Not s i f ` The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information G Please Print Legibly Name (Business/Organization/Individual): e L E ows Address: City/State/Zip: Iu Phone #: 161 - 2 w Are you an employer?Check the appropriate box: Type of project(required): 1_X1 am a employer with ZO employees(full and/or part-time).* 7. New construction 2.F_�I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.F�I am a homeowner doing all work myself.[No workers'comp.insurance required.)t ]0 D Building addition 4.❑1 am a homeowner and will be hiring contractors to conduct 9 work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other i52,bl(4),and we have no employees.[No workers'comp.insurance required.] rel,,le lk1�5 *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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. n— Insurance Company Name: ire MQ S w Q/ Policy#or Self-ins.Lic.#: U A ZIS 7 Z q " 2— Expiration Date: Ll O Job Site Address: -7 !tea �io� r1 N GrS� City/State/Zip: �A Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 th ains and penalties of perjury that the information provided above is true and correct w _ Signature: Date: 7— Phone#- 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#: . Y �1 ESLERCO-01 SANDERSO ACORO` CERTIFICATE OF LIABILITY INSURANCE FDATE,MM/°°"YYY' 06/07/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES 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 ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT N E: CoBiz Insurance,Inc.-CO PHONE FAX 1401 Lawrence St,Ste.1200 (ac,No,Ext:(303)988-0446 lac,No):(303)988-0804 Denver,CO 80202 E-MAREIL SS:COMail@cobizinsurance.com ADD INSURERS AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED INSURER B:Firemens Insurance Company of WA D.C. 21784 Southern New England Windows,LLC.dba Renewal by INSURER C:Libe Surplus Insurance 10725 Andersen of Southern New England 26 Albion Road,Suite 1 INSURER D: Lincoln,RI 02865 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD M D MWDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR CPA3158728 01/01/2017 01/01/2018 DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:'- GENERAL AGGREGATE $ 2,000,000 X POLICY JET '❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: EBL AGGREGATE $ 2,000,000 A AUTOMOBILE LIABILITY EOM�BIINdED SINGLE LIMIT $ 1,000,000 X ANY AUTO CPA3158728 01/01/2017 01/01/2018 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON ED PROPERTY DAMAGE AUTOS ONLY AUTOWN ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CPA3158728 �01/01/2017 01/0112018 AGGREGATE $ DED I X RETENTION$ 0 Aggregate $ 1,000,000 B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER WCA3158T29-20 01/0112017 01/01/2018 1,000,000 ANY PROPMEETORlEACLUDEDXECUTIVE ❑ E.L.EACH ACCIDENT $ oFFICER/MEMBER EXCLUDED? NIA 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Worker's Compensatio WCA3158730-20 01/01/2017 01/01/2018 1,000,000 C Pollution Liability TIEDE654296117 01/01/2017 01/01/2018 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 17-18 Workers Compesnation Includes-All states except ND,OH,WA,WV,WY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IFOR InformationalP ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Barnstable 200 Main Street, Hyannis MA 02601 508-862-4038 .:7. Application for Building Permit Application No: TB-17-3320 Date Recieved: 9/26/2017 Job Location:,' 1148 MAIN STREET(COTUIT),COTUIT Permit For: Building-Siding/Windows/Roof/Doors „ Contractor's Name: STEPHEN J DEVLIN State Lic. No: CS-047993 Address: COTUIT, MA 02635 Applicant Phone: (508)420-1340 (Home)Owner's Name: HISTORICAL SOCIETY OF SANTUIT& Phone: (508)776-6660 COTUIT (Home)Owner's Address: 1148 MAIN ST, COTUIT,MA 02635 Work Description: Replace existing white cedar siding with some Total Value Of Work To Be Performed: $9,500.00 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: Steve(or Lorri)Devlin - 9/26/2017 (508)420-1340 Applicant Date Telephone No. Estimated Construction Costs./Permit Fees Total Project Cost ; $9,500.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $160.00 9/26/2017 $160.00 XXXX-XXXX-XXXX- Credit card " 1823 ................................-..............................:..............:...........................................................................................-............................................_................................................................................................. Total Permit Fee Paid: $160.00 3-1 7 Town of Barnstabler�: '4 :, 200 Main Street, Hyannis MA 02601 508-862-4038 ° Application for ]WIding Permit Application No: TB-17-3272 Date Recieved: 9/22/2017 Job Location: 94 SCHOOL STREET,COTUIT Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: LONG ROOFING OF MASSACHUSETTS State Lic. No: 187510 LLC Address: 10236 Southard Dr., Beltsville, MD 20705 Applicant Phone: (240)473-1459 (Home)Owner's Name: gARONER,JAIMES A& CYNTHIA Phone: (507)737-0621 (Home)Owner's Address: BOX 953, COTUIT,MA 02635 Work Description: re roof,tear off and replace Total Value Of Work To Be Performed: $13,999.00 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). 1 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: Michael Bell 9/22/2017 (240)473-1459 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost; $13,999.00 Date Paid' Amount Paid Check#or CC# Pay Type Total Permit Fee: $71.39 9/22/2017 $71.39 XXXX-XXXX_XXXX_ Credit Card 0873 TotalPermit Fee Paid: $71.39 ...................................................................................................... _.............................................................. . ....................................... i� 0- Town of Barnstable I Q. oaaxerx p. 200 Main Street, Hyannis Kk 02601 508-862-4038 Application for Building Permit Application No: TB-17-3288 Date Recieved: 9/23/2017 Job Location: 171 TROUT BROOK ROAD,COTUIT Permit For: Building-Shed-Residential-200 sf and under Contractor's Name: State Lic. No: Address: Applicant Phone:. (617)877-2123 (Home)Owner's Name: ROCCO,THOMAS P&PAULA& Phone: (617)877-2123 NYKIEL,MARTHA (Home)Owner's Address: 171 TROUT BROOK RA, COTUIT,MA 02635 Work Description: build a 12x10 shed ;. P � _. cn Total Value Of Work To Be Performed: $3,000.00 "" rn 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: paula rocco 9/23/2017 (617)87772123 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $3,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $35.00 9/23/2017 $35.00 xxxx-xxxx-70x{- Credit Card 9826 .........................._........_......................................._.............................._,.........................._..................._..................................._.................................................................................................................. ...... Total Permit Fee Paid: $35.00 .a: r i � f - / r s t yAa4f 1:,Zi" t�j,• P jAE ti � - - - � � P•e s..a, ram. Vql 10 �Ss,,, p Y f r ali y ei jv r N� "��a' � , '�F � �, d �rr�„€ ✓rya' `r3�} - r P 5t 4 ;ef , Awl ZAP'Itel©4�17- 0- F" k /p'1►,GiI�G�fi�I\/��i i' `: ��/�0� ��TG�.. �lF.�-�f �F�s.. � V NJ � tJ. 10 rk AI000 7'!OIAF BlJ/LD,nVeG Orv,9S.i/ a , AVA./- O.V T!�/v3 foLOi.1/ /9F LOGof7-eD..•Oft/ T4-/� ,0 fVlD . AMIAS sWOW.V 4W4eCaOA.1 A4fv0 7W09r /T CONF®Cn-1 TD ldx-011 Z"O.LJ/A/c� 7=LgN/S O.- rW.- 7-OWA.1 OF dAi>�JSTi4.f�C C� "ARIVCt ��G t r �t'/rF//�8�1/,;.''CO.V.ST.�C/C TE D. N'', ,� ,� y,�= � r��`,. �r''�i�* •i�A` � fill 3 2634 } wn ca� ��.I�/^ �'�I��� /� i- a� � k t .+2 ,�1 Jf�f '}y' �} F �fh�,�d' ; a'la• .3- 1P i�'OCJTE 6•�7^-�J�i✓lOt/Tf-�, MASS. � re�j ' ,�e� .wa � �/ w^'+�T'��' xy-}�' �, �? 3 Assess Xd' -.6' -7 ".�' �L is mop and lot' number. `.' SEPTIC SYSTEM MUST BEJ�/� w: J INSTALLED LLED IN COMPLIANCE Sewage.Permit number ..................... ....._,.,,.,,...........: t WITH ARTICLE II STATE ' .SANITARY CODE A D TOWN yoFa�ETo�� TOWN OF BARN TLIIBUE- Z BARNSTA A-F. "�` :� BUILDING . IN �O 1679• �9� ' APPLICATION FOR PERMIT TO /0/k.. ..............v.G............................. ..................................... ............. r. TYPE OF CONSTRUCTION :...(.✓... ..._ :L•�.��`l' ..................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the, following information: Location .. 1'.. ...... '` ..... Uv. ...... ' U0.....<..... ^. /l'j!L..... .C.. .7 /.7......... y./< 4- e J%) Proposed Use . Uf! J/ ......./�..�!v .....L L�.� .�.......r� ..................................... , Zoning District ........................................... .........................:....Fire District ...............:.....:........................................�.�...`.°..�.......... . v o � q ..........s' ... .....�Name of Owner y�t.fU// 1. ......�.. �� ...... ! v/ ..Address � I .... .... ..... . NJ Name of Builder L ....I.........AddressjG .'....... �f/..l....5. ✓........ ......... y.................................... L...t./...%..�.. .a......�7�....a./..,.//if Nameof Architect ..................................................................Address ..................................................................................:. Number of Rooms 5 .........................Foundation' 97!K�! � Exterior(fL}}!�.. ��n..... ...s.�.. L? ........Roofing .... /! / L"...�................................................ Gc.�i /- C Z4.y......lnterior ..✓ . ......................................... Floors ............ ... ...................................................... ................ Heating 1 a.. ..... � J .%Z D..r... .%.L Plumbing J �J .T ................................................ Fireplace ...... .........................:.......................................Approximate Cost .... .. Definitive Plan Approved by Planning Board ________________________________19________ . Area / U .........q.a Diagram of Lot and Building with Dimensions Fee .........9�.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 64 ??a P&5 fz"� I ' d TK'a r- r?,2aU, t < I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction: Narne � '�'v`.. Davis,.,Mr. & Mrs. Joseph 18729 one story, No ,................ Permit.for......:................................ Q�%ingle family dwelling ............................................................................... Location'V7 1.Troutbrook" -44 ....... ..: L-aVE.................... .......................C.O.t.U i.t........................................... .. . ...... . Owner ..........Mr. ...Mrs. Joseph ..... .. . . .. ...... . ...... .. .. .... ...... Type of, Construction .............frame ..........................................................I............ Plot ... ... Lot .............BBB....jk25 October 12 76 Permit Gra6ted ......... . ..............19 Date of Inspection 0/07— /4 - -.19 Date Completed ...1�1717-,�...............19 PERMIT REFUSED ................................................................ 19 ..................................... ....................... .......................................... ........ ........... ............... ..................................................... .......................................................................... Approved ................................................ 19 .......................................................................... ............... ......... .................................................. • .-..,++�:+�rvr�,.:F.:.w-a::v+w*-;';'w.`-,y.=..._..+-.."- ..<,.,,..=+�.qr'+..�+w.... 4,r�*p�.�j,,•��✓;J�.1*Y7,.S`'s`%e.�<+•.+'� 4«.9.- `�'" i' � a.`#"^^ �1 yd}t,,. S'^....�.a�.r.+-.. .,.*_ .c:� .r i' •"�^ i�.s.,i*�`<a�'`�',�a''�,m����%,� .�t.;'»�"�fi.c: �.`-o$n<�� F'r�rr's,�;'. Assessor's map and lot number ..F. ...... ...":................ Sewage Permit number .�%................................. ................ THE T��y� TOWN OF BARNSTABLE li BABBSTA7ILE, i ,639.a BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... 0nS NeW DWellinq Frwie TYPEOF CONSTRUCTION ....................................................................................:................................................ ........May...5..............................19 7-5 TO THE INSPECTOR-OF BUILDINGS: Th2 undersigned hereby applies for a permit according to the following information: Location ...........LOt 28 'l iztbrook Rt7 d..'.."I LT�CR S'l'n„ t i ..7n.Ba n-9tak�le........................................... ...... ..... Proposed Use DWell.i.nQ............................................................................................................................................... ........... ....... 2 ....Fire District ....�uit Zoning District ........ .....................................<...................... Name of Owner SEA—LAKE CORD BOX 264.. a2.r1C�W�,cY1...... .�................. �....................................Address ...P�...Or................... Name of Builder -SE.A �� 7� ....Address .............................................. Sc............................................................................ Name of Architect ....------ .-..........................................Address ...........-:7=................................................................. Number of Rooms .............Foundation ..................................................... .............. ....... Ex1erior4#tq„Cedar Clear S....ncrles, * 7i fiRoofing 235# Self:S...a .� Agt�halt S.hingles.......... .................................... Floors K?-t` ath—Vi,riyl sheet/all 017her hardWOOdI nterior ......'N"..Sheet CCk ............................................................. ................................................................ Heatin s.......G�.�.................Plumbing .....Cmper & Plaati_O ......................................... ................................................................. Fireplace .........Y...e..s....................................................................Approximate Cost .....$20,04000 ....................:.:....:�...�........ Definitive Plan Approved by Planning Board _____15__________ 73 . 21..04 � �........ -19- Area Diagram of Lot and Building with Dime ons $23. Fee ................00............................. SUBJECT TO APPROVAL OF BOA OF HEALTH � a t� ( 151 /a "^ /�,/l------------ - I hereby a ree to conform t all the Rules and Regulations of the Town f Barnstable regarding the above constru ion. Name ................... ""�- ........t................... �U Sea-Lake Corp. ` No ...,17705 Permit for ....one story, single family dwelling ................................................................ Location/ 3 Troutbrook Road ............................................................. . Cotuit Owner Sea-Lake Corp.i. ....................... ....................................... Type of Construction ....frame ................................................................. ../........... Plot ............................ Lot ............. .................. Permit Granted ..........Ma.y..2. .................1.9 75 Date of Inspection ............ .......................19 Date Completed ...... ...........................19 PERMIT REFUSED ................... ......................................... 19 ............................................................................... ............................................................................... Apprve ................................... ............ 19 ................................................................................ ............................................................................... Engineering Dept.(3rd,floor) Map Parcel • d� `��-: Permit#M "✓ S v House# ZC2 3 Date Issued Board of Health(3rd floor)(8:15=9:30/1:00-4:30) 7 J51V_41 Fee, 19� Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin.Bldg.) d n+E rq Definitive Plan Ap d by Planning Board 19 SEPtIC.S ';' T BE I STALLE 1ANCE ,6 TOWN OF BARNSTABL 9 .gam Way ROkMENTAL CODE AND Building PermitApplicati Project ress Village" .> C9?-�,& �� ; Owner ' 2 w � !`� Address ,3d r'it//G. D40 Telephone ,Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 3 :-0 Zoning District Flood.Plain Water Protection Lot Size. Grandfathered ❑Yes ❑No Dwelling Type: Single Family [ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No. Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) - ❑Other-(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 194o If yes, site plan review# Current Use Proposed Use _ Builder Information y Name % 7� Telephone Number :e�g Address lrZt?'yw j'?n License# 49 S2 OL3 2— Home Improvement Contractor# 0®O 7VO Worker's Compensation#0 a 08 Z 2 8 Z NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS AESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -- DATE Ile �--9 BUILDING PERMIT DENIED FOR THE FOL OWING REASONS) FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED MAP/PARCEL NO. + t s ADDRESS •� VILLAGE OWNER DATE OF INSPECTION:; FOUNDATION FRAME , - T } ; -_ " � r 9 '... , • INSULATION r r FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH i FINAL f } GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , / / IOV2, c.� RV Boston, Mass. 02111 . Workers' Compensation Insurance Affidavit dRt,licant information _ ime: � titan• .� . - CM, nhonc 01 am a homeowner performing all work myself. 1 ani a sole proprietor Sid ha've no one\corking in any capacity am an employer providing workers* compensation for my employees working on this job: om an\• name: 2Z Ztitlrecc• Ole, 45� � T��� r,) Ali L9 Z,,� 36 nhonc M• 171 /• insuranccco _L nolic� a®Blest.+ r�Z �Z� 1 am a sole proprietor. general contractor•or homeowner(circle one) and have hired the contractors listed belo\\ \\ho hav the follo\\ins workers• compensation polices: s91�.P.1n}• n• cc• ft1 _ nhonc fJ• erica trice cn policy If .... - . m an city, phone If: poficr# ` tach•`i3dili'od�jSF,PIt�tc Failure to secure coverage as required under Section 25A of%tGL IS2 can lead to the imposition of criminal penalties of a fine up to SI,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ST00.00 a day against me- I understand that a copy of this statement may be fort,arded to the office of investigations of the DIA for coverage verification. !do hereby cereal} ua r ins an enalties ojperjury that the information provided above is true and correct Signature oats: m Print name �� e � Phone official use oniv do not write in this area to be completed by city or town official city or town: _ _ _ permitAiccnsc ifoBuiidiag Dcpartmcat 01-1censiog Board 0 check if immediate response is required OSelcctmen's Ogee 011caltb Department contact person: phone if;_ — MOther_._._— The Town of Barnstable Department of Health Safety and Environmental Services yOrfD ►�� Building Division . 367 Main Street, Hyannis MA 02601 n Office: 508-790-622 IZa1Ph Cr osse. 7 Fax: 508-790-6230 Building Commissioner For office use only Permit no. : Date /0—7-q AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW. SUPPLEMENT TO PERMIT-APPLICATION. MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: 017f 1T 6��r9' Est. Cost �o — Address of Work: 7"L17- Owner's Name Date of Permit Application: _7-34 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under•S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROG:ZAhi OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date C Registration No. OR Date Owner's Name ✓Xe &, HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards i One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR ------------------------------------ Registration 100740 Expiration 06/23/00 i Type - PRIVATE CORPORATION ✓ ort4 - ��: IH=ROVEAE4T CONTRACTOR " Registratic,, 1G0140 CAPIZZI HOME IMPROVEMENT , INC . ( _j _ r a-. Thomas Capizzi , Sr . Ez� rtiPR A;A . CORP^RA-10N 1645 Newton Rd . �= r• 05�23w0 Cotuit MA 02635 ! CAP._'T7ii HAM:. . . j�ysas CaOi:: Sr. 1545 4ewtor Rc Cotuit MA 02634 f- --------------------- - . i ✓fie L4��r»za�r*oea/!� a�.��y;���;elL OEPARTREXT OF PUBLIC SAFETY CONSTRUCTION SUPEFVISOR LICERSE Nuttier: Expires: Restricted To: It �.:... i TRONAS I CAPIZZI JP, t 288 PERCIVAL OR SIDEWALLING ❑ If located in OKH or Hyannis Historic District-Certificate of Appropriateness required unless same color/same materials specified on application. Sign-offs from: Health Tax Collectors' Office Treasurer Owner's name& address Estimated Cost Complete dwelling Information for the Assessor's dept. Correct square footage OR number of squares of shingles(times 100 sq.ft.) Applicant's telephone number Signature Q—"Vorkman's Comp. form Home Improvement Contractor Affidavit Home Improvement Specialist's License OR Homeowner's License Exemption Fee q-forms-PERMITS I Rev 6/2/98 UL-A� s OF ow Zo4 p _ -- - _. L- j_ ` �i.rB it'tel�t. ;:�•--- _I�. ,,�ra r/rr¢r•J' nn° '. _ � � - �t • e:: :-.-.� .5c�raanad i�la/a.-. _ - .,..•►= As Stii� is d�la/rrer _ , r ` rzs r _ •. . . ;._ '_. i �cuva`r,� t o ., pp- C�.rh/rap orarjtcr�a - 9 SEA.- LAKE CORPORATION 2 x¢I•�aadc�, F f I R.O. SOX6t4f1(�ipYJtCH, MassAGHu3ETT8 ✓n dad'/Gze•® ,�sx�•.fi�ap,dQrt 3�OH/� ©RWG NO. • � � �. ,. d ,r 7� !� _ ��� `/S 9� ,`�„�...;'` arm t JT 41 - E71aTE:C�RAWN: o-6-�b Scarf" E , �1 JogcwplEllft f _Ad �' Subs/oor ' y As /lia�f Ihin�GS Ad %Z Y ShdwerouE /, 2=f3 "'IaDR, E,e l�/avoaWs j� � _ �..Iw" Awl 5id6 ?guar=!v6r' r �. '-�T _ r } ma`s �D/�E,uSro.VS .� (r , •. ��- .. /osy. 7- - - . , f i4rK8 /2�c 6+c�•� Gx8-6j/ 4+a8 �s '��! wq� t —_ / , �r r t da o. r" : +.a- . -'•ti 4 •"{-ak e' ,T+^• •a f..'*M. _.. ' .,r#:. - .. _ _ a, 4 _ '.{,f1�A.+.. 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