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HomeMy WebLinkAbout0026 COACH LIGHT ROAD - , , c e e u w p5 p. jfk •~ � � � ,1 P � .T W', „ .., - '� ' 4n do : t, G x , 1 �•, . ., �,. � 0 �.. �� _ _ a r:-. .. .. _ �.. f � r _ . - E - .. -. d .. -�. _, _ .: , ... p ,. .. .. ,. - - c � ..� - .. ,. _ �: � � �- .. � .. � � r _. 4 1 � .. ., .. .. .. � r .. — ,. ... - .. ,.-. .t .. - .. .. w �� _ �- -. u .. .. ., n. - .. ' , a .. , -. '. .. .. ,. ,. �' T. '. .. ... P �. �VE Towri of Barnstable *Permit#c V[ Wzv SS � ald 'Z'� Expires 6 Z hs jrom' ue date Regulatory Services Fee BARNSTABM H 9Q "� ��qY mas F.Geiler,Director ' o i63 � � - - I " �®F 20,0 Building Division o �/1 B g Tom Perry,CBO, Building Commissioner '9Q`�.200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY nn Not Valid without Red X-Press Imptint Map/parcel Number Property Address z Cd,C� rrix 02632 G . [1 Residential Value of Work _ 7 Z ozl Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address /�renf1 e-tA L f'C)s1 4c Z4 (Jxa, Contractor's Name d 1�t'� Telephone Number S�)S �6t3-2�aC Home Improvement Contractor License#(if applicable)- Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor - ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name. Workman's Comp.Policy# ZZ qAl Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) { [�f Re-roof(stripping old shingles) All construction debris will be taken tom/ o,)A4 ❑'Re-roof(not stripping. Going over existing layers of roof) ❑ .Re-side #,of doors Replacement Windows/doors/sliders.U-Value (maximum,44)#of windows ' *Where.required: Issuance of this permit does not exempt compliance with other town department regulations;i.e.Historic;Conservation,etc.• ` ***,Note:'-. Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is ; required. R , SIGNATURE: C:\Users\decoliik\AppData\Looal\Microsoft\Windows\Temporary Internet Files\Content:Outlook\4STGU5QO\EXPRESS.doc Revised 090809 l ,,pper� ✓lie Vaminw�zuseacc�i o�✓�czaaac�u6 �\ Board of Building Regulations and Standards e , HOME IMPROVEMENT CONTRACTOR va Registration: 143053 Expi ration 6/14/2010 Tr# 268376 s .� rz Type DBA p Ott IF p ,N,= f KEATING CONST., x ,' Z a = TIMOTHY KEATINGki y 70, •• C 54 LOWER'BROOKtiRD can off .. O O U' SO.YARMOUTH,MA 02664 Administrator. r' N S i G O Z —� o only valid for individul a to: return �. rn o istratio, v -o License or regiration date. If found tandar ds �°. the exp s and S before a ulation �. r; of Building R g m 1301 -� „�, �,; Board shburton place_R u , one A. 02108 Boston, Ma. w N signature • � Not valid witbout ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) TM' 103/09/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Schlegel & Schlegel Insurance Brokers Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 34 MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i West Yarmouth, MA 02673 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: COLONY INSURANCE Timothy Keating Dba Keating Construction INSURER 8: CNA 54 Lower Brook Rd INSURERC: INSURER D: - South Yarmouth,, MA 02664 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD LIMITS TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MWDD/YY) - A GENERAL LIABILITY GL3594908 03/10/2010 03/10/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $100,000 CLAIMS MADE X1 OCCUR MED EXP(Any one person) $5,0 00 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT •$ ANY AUTO - (Ea accident) ' ALLCWNEDAUTOS - - - BODILY INJURY $' SCHEDULED AUTOS - (Per person) HIREDAUTOS - BODILY INJURY $ NON-OWNEDAUTOS - (Per accident). - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ AUTO ANY - ' OTHER THAN EA ACC, $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR. ❑CLAIMS MADE AGGREGATE $ - $ DEDUCTIBLE - RETENTION $ - - $ B WORKERS COMPENSATION AND 0224N37-2-10 03/09/2010 03/09/2011 X TORSLIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS beIS - E.L.DISEASE-POLICYLIMIT $ 500,000 OTHER - - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS TIMOTHY KEATING HAS ELECTED NOT TO BE COVERED ON HIS WORKERS COMPENSATION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 21 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO-DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY D UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. " AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 o�TME ram_ 1ARMABIX + 3 9. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize a2. to act on my behalf, in all matters relative to work authorized by Xbuilding permit application for: (Address of J t7 Signature of 6w;neV Date 4 kto 4?, Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Loca]\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 1 y ?'lie Conini`onivealth of Massadiuselts Deparhneitt of Industiiol Accidents ` Office.of Investigations 600 Washington Street ' Boston,M,4 02111 w►t`mmass gov/dia ' Workers' Compensation Insurance Affidavit- Builders/Contractors/Electiicians/Plumbers Applicant Information Please Print Lezibly Name g3usinenoganizationandividuat):__ k-e4•{;,'f Address: City/State/Zip: 5v,)U csnv,;4 A OZ � Pone ik 5e* ?6o Z70 Z Are you an employer?Check the appropriate box: Type.of project ro r . I am a general contractor and p J ( ���= 4 1.® I am a employer with i ❑ g 6_ ❑New construction employees(hall and/or part-time).*, have;hired the sub-contractors . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-contractors have 8_ ❑Demolition working for me in any capacity employees and have workers'' [No workers'comp.insurance. . comp.insurance.? . 9. Q Building addition required.] 5. ❑ We are a corporation and its 10.Q Electrical repairs,or additions 3.❑ i am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions sel£ o workers' right of exemption per MGL my � gyp• 12.❑Roof repairs' insurance required.)I c. 152, §1(4),and we have no employees.(No workers': 13.0 Other comp.insurance required.)! •Any applicant thatchecks boat#1.mustalso fill out the section below showing their workers'compensation policy infortaxtion- i Homeowners who submit this aff5daav a indicating they are doing allwatk and then hire outside contractors mnst submit a new affidavit indicat"such_ =Contractors that check this boat mast attached an additional sbeet 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 member. I am an employer that is providing workers'coaatpensafion insurance for m,.enapitryeex Below is the potiey and job.site information. Insurance Company Name: Policy#or Self-ins.Lic. Z,? L(Al 3 7—Z`/0 Expiration Date: 3 l4 /f Job Site Address: �� (/JKct%, L ye /te City/State/Zip. Can�er✓,`t f P f�'Jpti (J�6f j Attach a cop}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 under the pains and penalties of peditry Hrat the informations psatvided above is true and correct Signature: - Date: . 4 Phone#: S-Dk' O icial use only.,Do not write in this area,to be completed by city or town official City or Town: PermidUcense# 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#: 6 Assessor's offioe (1st,fl0 `1 r)4 � 7 /� ...... . .Assessor's, Board of Health" (3rd floor): p�f Sewage Permit number ��� �/o / ►1... / )..<....�............... Z BAHd9TODLE. i Engineering Department (3rd floor): oo rb 9, House number 3 m' �e ........................................................................ �'e ray a' a APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00•2:00 P.M. only' TOWN OF BAR s NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....60?Irk TYPE OF CONSTRUCTION ...w Oqc�... c c Y!�Q............................................................................................... I .............19. .1. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... n1�. i. ................................................................................ Proposed Use .... ..'..... Zoning District ............................................................Fire District ... @.�.�J!.....e ................................................ Name of OwnerG,..IA6f .,....`.`�Uc�.S...............................Address 1..y.�}..Rd................... Name of Builder .S—.!(J k'.!ps C A!.Q.a.............Address .1.?...�.6.ors.l!�.��h�. :................................. Name of Architect .....fX f:-�.....................................................Address ................................. r, >«C:.. n_ . .... �Sic, Number of Rooms .....k...........................................................Foundation .��.I��..�Q .�... .�ac vi ................................ ....... EX1eifor , .............................................Roofing .... " 5..\.. � , • ..j. .,.... �n.. . ) ..... ..................... Floors .....C...i.r,y: .-�.................`.............................................Interior ...... .f..?t. .:........................................................... Heating .G:S... 1;C� c,-iE��.......................................Plumbing. ................................................................................... Fireplace ..................Approximate Cosj.D.........9..��.;E :�,,:....................................... Definitive Plan Approved by Planning Board '' _ I , ''t] t-�----- ------ 19 ------ . Area ! 8 .......................... Diagram of Lot and Building with Dimensions Fee � .r. ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 See E OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ( � Name .�!.� .✓. 4:....... . a`--.. ................ O�rec , Sc, Xe ( (ac\0t,J'IUcv1 0) ,rc5�I( pn-) 4 Construction Supervisor's License ... ............. ROCHA, GLORTA A=172-098 No 31364~ permit for ..._Build Additio--i . ...................... Single Family Dwelling .............. Location ...26 Coach Licht Road Centerville .....................................................................I......... Owner ...Gloria....Rocha. . ' . ..... .. .................................... Type of Construction .....Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ...... G.toK.Q);...3 0.,,.,,.,19 87 Date of Inspection ....................................19 Date Completed ......................................19 File No: 1 1 1 5 5 CUent: Hayes & Hayes , Attys at Law, P.C. Deed Book: Page:--. Owner. Carrie I . & Carriann Y. Shultz CertofTitle: 77367 Applicant: Gloria T. Rocha & Jeanne T. Plan No.32851 -B Sheet 2 Lot(s) 43 _ Cucinotta Census Tract No: None Available Assessors Plan:J l ;.:Lot(s): 13 MORTGAGE INSPECTION PLOT PLAN IN BARNSTABLEfi � ` . N/F Marcus Connolly., et al :139 2i . Lot.} 44 Lot 43 . "` . u .W ; Shed LOt 42 W `fir Bu d Pati ` 1 Story Dwelling i y C.T.PC Orc1-1 T 131± Bit . 1 onc . +i/ . T41e Y5;ysTe,,.� M Ip/Fd 22.06; - 81 .3.6 R=325,86 . ;. !; Date: 2/5/87 C 0. A C H * L I. G H T R 0 A D Scale: 1 "=30 I CERTIFY TO HAYES & HAYES, ATTORNEYS AT LAW, P . C „NEWORLD BANK FOR SAVING AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE EA$EM_ENTS OR� ENCROACHMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY '' IMMEDIATE SUPERVISION , THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPL,I ANiCE WITH' THE LOrAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCT,EU;:6V'I•TH'`' RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS ,' i NOTE : LOCUS WAS UNDER SNOW ., C.OVER AT D.N. WOOD ASSOCIATES, INC. TIME OF LNSPECTION . 12 Welch Avenue,:Suite 6 THE DWELLING SHOWN HEREON DOES ;:_;N.OT Stoughton, Mgssachusetts 02072 1=80 ,-;442-(z464/(617)344-0202 FALL WITHIN A SPECIAL FLOOD'+-HAZARD- ��--�- " ��� ,.P,-, • ZONE A.. DELINEATED--AS ZONE ., ON A MAP OF COMMUNITY NUMBER. 250001C,•, ;DATED. >>�� 8/19/85 BY THE F . E .M.A. SNAYNE S. j o CARLSr:N NOTE : LAND I S SUBJECT TO EASEMENTS REFERRED; TO IN ABOVE MENTIONED CERTI— No 29`sj J FICATE OF TITLE . ISTe GENERAL NOTES:(1)The declarations made above are on the basis of my knowledge,Information;and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing In Massachusetts.(2)Declarations are made to the above named client only as of this date.(3)This plan was not made for recording purposes,for use in preparing deed descriptions or for constructions.(4)Verifications of property line dimensions, buiidinC offsets,fences,or lot configuration may be accomplished only by an accurate instrument.survey. Assessors offioe (1st floor): . 1, oFTNE T 1� Assessor's map and lot number ...... �� d 9 .....`.. Qu o` Board of Health (3rd floor):, i w;;: Sewage Permit number �� (a ��.... / J "� a��' i Eor® 3 ABLE, Engineering Department (3rd floor): Hdusenumber ........................................................................ ! �'a es APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only ENrAL TOWN OF BARNSTABLERE `-479 ' � BUILDING - INSPECTOR APPLICATION FOR PERMIT TO J'1 ..r!1... .......`.y.tX.�(. Gn, Codt'�1 W OU.. "t c..1M... TYPE OF CONSTRUCTION ..................................................................................................................................... r Q.c.A, 736......................19. . TO THE INSPECTOR OF BUILDINGS: t The undersigned hereby applies for a permit according to the following information: I Location .....a.�r... �C. `..L!5.K�:..1.!i.j.:.........�..�.n�e.ri�!)..!.!.�...�.�.4.:....................................................................... ProposedUse ... ............................................................................................................................................................... n � Zoning District ...11.. ............................................................Fire District ...o.S...e.6..V.).....e..............................� ............, nn (( \ n q ( \ Name of Owner .4� .J.06�� .... UG !-...............................Address .04. ..L.4 .!�. ! h� Rcp.^ (. �. ..................J. . .... .. ... Name of Builder .............Address 1.(1... ....................... Nameof Architect .....A-1q....................................................Address .................................................................................... Number of Rooms .....k...........................................................Foundation 3.4:.k........................................ \ L Exterior ....h1.`. .:....S. .............................................Roofing .....OS. .f`�.�. �� ^�.�P Floors .....C.4s.f 4!.1................................................................Interior ...... ........................................, Heating .......................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ........J.. I.0 Oov U. ............................................... Definitive Plan Approved by Planning Board --------n_1_G--------------19_______ . Area 0.0 ....... . . > ...... Diagram of Lot and Building with Dimensions Fee* ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regu*lations of the Town of Barnstable regarding the above construction. ^ 1 Name .. .... ................. e,.,v� ()61 c,nc�(J Vh P tk Construction Supervisor's License ...O..`it .Ia:.............. No Permit for ...2\D)?ITI0.N............ Single Family Dwelling .------------------------ ' Location —'2.6...Coaob.�I,ight ..Boad___ ' Centerville .---------------------'�---- ' ' (�Ioria Bool�a Owner ---------------------- . . ' � ' Typo of Construction ----��a--e-------_ ' . . —��— �---------------------- . ` ' . P| Lot ' — ' - �z~i� �mn�� _.U�tob���� 30�__]q 87 �—� — --' � --' . .~ . ~ ' ^ f |nxpocInspection ------------14 - . � . ' 57ate -Completed —'-------�=—'�]g _-~ . . ` ^ ' . . � - ^ _ ~ _ . ^ ^ ~ tn �� ' ' , - ` ' T"ET°�°� TOWN . OF BARNSTABLE i BARNSTABLE i N6 , BUILDING INSPECTOR �o war a• APPLICATION FOR PERMIT TO .`mil!/L.j....�..`......... .... !......................`.'`............................ TYPE OF CONSTRUCTION ......................................................... b.. :.'. ... •:..?�'.''`?.:: ... ..�...........®j..........19.��•`� t TO THE.INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the/following information: Location ....L..Q. ...�1��� l r��....!� �. `/.....1/. ?9'!�./. :...� /�L" ................................ Proposed Use ......?��. C��� ........ ............................................................................................................................................... Zoning District .T✓4d..�......................::...............................Fire District ...... IZ.../ Name of Ownerpjo!✓lt;-LA,..�.s�..��.Ofll�'�Iw�t1f:X .Address Name of Builder f C— .................................................Address .................................................................................... V.Name of Architect .. ./......... 1.... 2 ...�`.L...........Address .�.... .:3 ?Y / J✓.6 .. �l.af../`/ Number of Rooms .. .........................................Foundation Exlerior (!✓ft. ........................................Roofing ..1 ,� !9(�7 �ffl! J�Z ................................ ................ ~ L.L Floors T .�OD�........I.... ..............Interior .. .� :L .................................................. a HeatingV✓ ©/L....................:...................................Plumbing ....... Cf P�2-.................................................. Fireplace .......l ...... ......Approximate Cost/ ..0.D.O ............................................... Definitive Plan Approved by Planning Board -------19 7Z---. ` -1 7 0 Diagram of Lot and Building with Dimensions # 60 SUBJECT TO APPROVAL OF BOARD OF HEALTH W Ld 7' ( o m n �- H z cn _j Ld 0o z ¢ i � � m = o Y 7• Q 4' LL .LLJ F • ► OO lL—.--!!—I ,� U) z z LL — \ UJ 2 � z o4 o W 1 py 1 J 1JF�, 0 � W / Q 0 3, '��- Q I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above 1 construction. �C Name .. .....,...... .................. ............................................... Daniel A. Brown Jr. , Inc. r t — No .....15657 Permit for ....... one story........ + single family dwelling Location.Coach Light Road....................... + Centerville ............................................................................... Owner .........Dgp*n!l A. Brown Jr. Inc. 4 ................................ Type of Construction ............;CXA e................... ` ................................................................................ Plot ............................ Lot ..............A3........... Permit Granted ........November 9 19 72 ........................... Date of Inspection ....................................19 e Date Completed ......2 5 `6 a...19 PERMIT REFUSED ................................................................ 19 4 ............................................................................... ; I , ............................................................................... ............................................................................... ............................................................................... d Approved ................................................ 19 ............................................................................... t ...............I............................................................... I