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HomeMy WebLinkAbout0002 CLARK AVENUE s u - x_ c r � F Town of Barnstable Building PostTh�s:.Card`So That.itPo�s Visible From the-Street�A roved;Plans,Must be Retamed;art 1obandthis„Card Mustbe;Kent , ' an v'STeesx, 3 s- ,T�; ','s a`.s: .'�`A,'"`�.:k >" ki=bZ PP;? .i; "rR's,�c 3 a�:: -, '"1' ssP Yr. r a y. 6 Posted Until;Final Inspeet)on Has Been Made g " �� s n Permit "r a . . w ;'.; . .. .z - w "...: z, .y .,., F <, 1 el lily ° Where a Ceificate of Occu""` anc Re u�red;such Bu�ld�n�shallNot be Oecu,piedunt�l a FinalNlnspect�on..has:been>made Permit No. B-19-2062 Applicant Name: WATER TIGHT INC Ap provals Date Issued: 06/24/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/24/2019 Foundation: Location: 2 CLARK AVENUE,CENTERVILLE Map/Lot �226 050 Zoning District: CBDCV Sheathing: Owner on Record: 99 LAKE ELIZABETH LLC s Contractor Name"'°.,WATER TIGHT INC Framing: 1 Address: 28 SUMMERBELL AVE Contractor License: A4951 2 CENTERVILLE, MA 02632 Est Project Cost: $8,000.00 Chimney: r r; Description: re-roof-brothers disposal Permit Fee: $40.80 Insulation: Ar Project Review Req: i„� . Fee Paid:f $40.80 r1 ADateX.,` 6/24/2019 Final: �� 77 s, .. " nFr _. Plumbing/Gas Rough Plumbing: g'n �. i ding Official Final Plumbing: h s 'z� n This ermrt shall be deemed abandoned and invalid unless the work authorized b 'th"is ermit is commenced wrthm six months after_,ssua ce. P y -: p ,,. All work-authorized by this permit shall conform to the approved application and the approved construction documents for which,ths permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonmg-by laws and codes. This permit shall be displayed in a location clearly visible from access street oar roamed and shall be maintained open for publicfmspection for the entire duration of the Final Gas: work until the completion of the same. c a° r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building andFire Officials are provided on this;permit. Minimum of Five Call Inspections Required for All Construction Work: Service: Iv 7 = .t 1.Foundation or Footing „ 4;, Rough: i g 2.Sheathing Inspection .�<. I g � � • 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: "P sons contrac ' with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department C ti All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ^O . j; r. Application number...... ......... Fee........................... ............................. SAMSTAB "NESS LE. , MAM Building Inspectors Initials......... ............... JUN 2 4 2019 Date Issued............... ..................... TOWN OF BARNSTABLE Map/Parcel.... .....a—.at................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: (A�(,C A 1) e-"FW-r-,0C-k1li-LC NUMBER STREET VILLAGE Owner's Name: r6o Cam" Phone Number ed 3-3 V -7y Email Address: rn a Ian It C-d)i4 Cell Phone Number Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property.I hereby authorize So k M4E�v to make application for a building permit in accordance with 780 C1\4R Owner Signature: Date: Ii TYPE OF WORK ED Siding 0 Windows(no header change)# ED Insulation/Weatherization F 1 Doors (no header change)# Commercial Doors require an inspector's review 23 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to &(2T6E.L �Ilrplo A 1, CONTRACTOR'S INFORMATION Contractor's name—:5J-2 f CE ROMA191.0 Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# .(attach copy) Email of Contractor- hme o 1,1ya;/,1^e9eP`7 Phone number(S v _, S) ALL PROPERTIES THAT HAVE STRU&URES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance.. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual):..Idza r '-i Address: ,a2 y ,�07F_ r A ?/�c_ City/State/Zip: ,6? / Phone #: o Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 3— 4. I 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 working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance.: g 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 13. Other employees. [No workers' 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. A,� // / Insurance Company Name: /17q� p�(� %/�/Q/�� �/�J I.gt5 '�/5�_^/�� G pM��Al y Policy#or Self-ins.Lic.#: 61 8 r 1, 3 3.0 30-1-/9 Expiration Date: O Job Site Address: oa GI L& AIJ6 , cLnlrF=, V/,l ,za 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 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 hereby certify u e !7�andpen,alties of perjury that the information provided above is true and correct. Signature: Date: — ' Phone#: L -3 6 Official use only. Do not write in this area,to be completed by city or town offlciaL 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#: r Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10M Washington Street -Suite 710 78ositon, 2118 Not valid without signatures Office of Consumer Affairs&Business Regulation HOME IAAPRO,U:EAAENT CONTRACTOR TXPE-Comoration Renistrati_0 Exalration Construction Supervisor Specialty 03/20/2021 Restricted to: WATER TIGI—M.l s[!y CSSL-RF-Roofing _- -__..- . JORGE ROMER6 24 POTTER AVE HYANNIS,MA 02601 Undersecretary Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commonwealth of Massachusetts Division of Professional Licensure For information about this license ' Board of Building Regulations and Standards Call(617)727-3200 or visit www.ntass.gov/dpl Construction Jp&isor Specialty CSSL-106159 Expires: 01106/2023 JORGE L ROMERO ; 24 POTTER AVE HYANNIS MA-02601 " Commissioner uDAC i ,Tnaan WORK ERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6S60UB-4N33030-7-19) NEW-19 INSURER: HARTFORD UNDERWRITERS INSURANCE COMPANY NCCI CO CODE: 1045G 1. INSURED: PRODUCER: WATER TIGHT INC DISCOVERY INS AGCY LLC 24 POTTER AVE 668 MAIN ST UNIT A HYANNIS MA 02601 HYANNIS MA 02601 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 04-30-19 to 04-30-20 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: ' MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in, item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 1000000 Each Accident Bodily Injury by Disease: $ 1000000 Policy Limit o_ Bodily Injury by Disease: $ 1000000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B ul-- D. This policy includes these endorsements and schedules: o—� SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE _ 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating-;- Plans. All required information is subject to verification and change by audit to be made ANNUALLY. • I DATE OF ISSUE: 05-14-19 AS ST ASSIGN: MA OFFICE: ORLANDO DA HTFD 05G nnnniingm. nTcrnvFRv TN(; AGCV LLC 79F8X • • I � Town-of.Barnstable:,: - g 0 Expires 6 months fromissue date. Regulatory Services Fe / 9� 16 9. Thomas F.Geiler,Director. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyanni)t."ESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 $EP 2 6 Z003 EXPRESS PERMIT APPLICATION - RESIDENTIALO= Not Valid without RedX-PaM"?OF BAR Map/parcel Number o Property Address esidential Value of Work Y © Owner's Name&.Address e f,r L c ri Ci Contractor's.Name ,W e 1( VyL,,*rV P'✓ �� Telephone.Number Home Improvement Contractor License#(if applicable) / 2 2 IF f� Construction Supervisor's.License.#(if applicable) ❑Workman's Compensation Insurance jam' C=7 i Check one: _ < tea sole proprietor ❑ I am the Homeowner � " ❑. I have Worker's.Compensation Insurance. Insurance Company Name cn Workman's.Comp.Policy# Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ,cS ❑Re-roof(not stripping. Going over--- existing layers of roof) Re-side _ : . y k .0 Re lacement Windows. U-Value (maximum.44) ty *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. Home pr m Contractors License is required. Signature �2 /V QTorms:expmtrg Revised 121901 ylf l 4} V °FTHE,° Town of Barnstable y Regulatory Services Y # BAMsrABLE. ' Thomas F.Geiler,Director MASS. a 9° i639. °' g``� Buildin Division °'°Ten nnA+ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section r If Using A Builder I ,as Owner of the subject property hereby authorize a R 04 4to p4/f 7"TZ L to act on my behalf, in all matters relative to work authorized by this building permit application for: A4-- (Address of Job) zG U Signature of Owner Date w A Print Name Q:FORM&OWNERPERMISSION v Board of Building Regulations and Standards HOME IMpt29VEMENT CONTRACTOR Registration: 122811 Expiration. -10f23/2004 Type: DBA MANTEL`CONSTRUCTION&=REMODELING NORMAN MANTELI,R 883 PARKIPOST OFFICE'BOX 663 S STOUGHTON,MA 02072 - �-h ✓fee -Garn�noouuea/.!/a o��/l�laaonu,/u�ael� BOARD OF BUILDING REGULATIONS } License CONSTRUCTION SUPERVISOR s � . � e f { Number CS 067804 1 rr Birthdate'OtiN8/1969 i Ezp�re 06/18%2Q04 Tr.no: 27056 t ' r • �. Restricted ;gq NORMAN J MANTEL A TM M PO BOX 663/883 PARK 3T STOU.GHTON, MA 02072 Administrator h