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0020 CONANT LANE
�� ��1�--Y1�"` " ���' `fir - _ � �- ,� , ., v � ,�. � .: ,, .' :. .. ,. v ,. � � _„ y o m . ..� s �. ,. N �. .,. � � � � r Town of Barnstable Building z Post This Card So That it is'Visible From the Street Approved Plans Must be Retained on Job an -this Card MusYbe Kept > . _ • M Posted Until Final Inspection Has=Been'Made er it s6;q `IWhere a Certificate of Occupancy is,Required,such Building shall Not be Occupied until a Final inspection has been made Permit No. B-18-3893 Applicant Name: WILLIAM J. FOGARTY III Approvals Date Issued: 12/19/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/19/2019 Foundation: Residential _ Map/Lot 173-054 Zoning District: RC Sheathing: Location: 20 CONANT LANE,CENTERVILLE ' Contractor Name:c>WILLIAM J FOGARTY, III FramingdKEAD Owner on Record: SMITH, DENNIS M&SUSAN W i Contractor'License: CSFA-064245 2 Address: 20 CONANT LANE '" A. Est Project Cost: $9,000.00 Chimney: CENTERVILLE, MA 02632 Permit Fee: $95.90 Insulation Description: REMODEL 1ST FLOOR BATHROOM . Fee Paid: $95.90 NEW TUB/SHOWER ' Final: SINK VANITY TOILET FLOORING Date: 12/19/2018 UPDATE: INSULATION ON OUTSIDE WALL OF NEW SHOWER Plumbing/Gas Project Review Req: -REMODEL EXISTING FIRST FLOOR BATHROOM MAY REQUIRE _ Rough Plumbing. TEMPERED GLAZING. z x _ �` Building Official Final Plumbing: Rough Gas: ` Final Gas: I [ s t Electrical This permit shall be deemed abandoned and invalid unless the work authorized by this permit'is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved=construction documents for`which this permit has been granted. Service: . All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public inspection for the entire duration of the Rough: work until the completion of the same: v _.. _ ^ ..Final: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Low Voltage Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Health 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Fire Department Final: Wheve applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. a 0 All �o 0 cr 70 , 0 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 Les_ibly , Name(Business/Organization/Individual): �(3U1A2z/ , Address: t- 6 U E f MFEGL GOzr r)=RI LLE MA r City/State/Zip: 0s;EP_U i LLF_ Phone#: 670 V - 73 7 1 S l/ Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with- 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.9 1 am a sole proprietor or partner- listed on the attached sheet. 7. tF Remodeling ship and have no employees These sub-contractors have g. El Demolition working for me in any capacity. employees and have workers 9 ❑Building addition [No workers' comp.insurance comp.incnranCe t required.] . 5. We are a corporation and its 10.E Electrical repairs or additions 3.El officers have exercised their I am a homeowner doing all work 11.El Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required]t c. 152,§1(4),and we have no 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 snob. :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 mast provide their workers'comp.policy number. _ I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: 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 under the pains a nd penalties of perjury that the information provided above is true and correct I Z Simi re: ^t 0 Date: J' /S,ORO/S Phone#: SO Official uNe only. Do not write in this area,to be completed by city or town q f kiaL City or Town: PermitlLicense# 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of su&employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a,business or to constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or gown that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts` Department of Industrial Accidents Office of Investigations 600 Washington St=t e Boston,MA 02111 Tel.#617 727-44.00 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 424-07 w€wMass.govIdia a l0 C A T 10N,39 c , S E:W A G E PERMIT NO. VILLAGE F i I N S T A LLER'S NAME & ADDRESS R U II D E R OR OWN ER Su �nLK t�j5f4��t-� DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1 i 2 L- toil -' I - j - . (Jlte zyrranu� c Office of Consumer Affairs&Busev iness Regulation HOME IMPROVEMENT CONTRACTOR 1 RegistPation valid.for indrvitlual ct8e onY m� „F•. TY134,0ndnridual before the expirattori date. If found return to: Rggl��atton ExpJration Office of Consurer.Affairs and Business Aegutatwn 17g�1 s-T 09/01/2020 1000 Washington Street-Suite 71Q`- ' Boston,MA 02118 WILLIAM J.FOGA,�,_ &W W ILLIAM J.FOGART`7 '`�� 46 VERMEER CT ` : �'z,.." U of valid without signature OSTERVILLE,MA 0265 - ' Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations.and Standards Constructlott ,1 8� 2 Family ".yam CSFA-064245 a r,� Y Aires 10/28/2020 n a > V41LLIAM J FbCyART��f� 46 VERMEER OSTERVILLE IUI 0265 Commissioner Cz R ' ~� C��C Y�007L77207t1!/�/L O��i� �GCdP,�.6 ,' .. .. .:• :�' :, .: Office of Consumer Affairs&Bu?iness Regulation R istfation valid.for individual-useOrtfy HOME IMPROVEMENT CONTRACTOR e9 TYP Individual f before the expiration date. If found return to: e i Expiration Office of Consurner-Affairs and Business Regutatlon 17g � 09/01/2020 1000 Washington Street-Suite TtQ;,;i.' _. Boston,MA 02lie A ri' 1 W ILLIAM J.FOGA�'f*�lj�i •�,, c •. •; A i � W ILLIAM J.FOGAFI `Tf' k'• �" �`� 46 VERMEER CT of valid without signature OSTERVILLE,MA 0265 Undersecretary t t ' Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction4e 1 & 2 Family CSFA-064245 � 3, 1�ires 10/28/2020 MIILLIAM J FOOARl 46 VERMEER'0 OSTERVILLE MAt 0265 x r3?' Commissioner �`_' O Application Numb...........6.-lY..................................... BARMAHM MASS. Permit Fee.......................................Other Fee........................ 059. TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE n Permit Approval by.. ......On... —------------ �2 J�a�! ..... BUILDING PERMIT .1,18p...........1.7.3................Parcel....... ................. APPLICATION Section 1 — Owner's Information and Project Location Project Address a CO'1Vq.,V7- 44414—: Village Owners Name- t 05,4 A) ti Owners Legal Address RO City Cf-A07-441-MCC j5 State zip Owners Cell# E-mail 5M ITH 60rY--P6T,, A,19')— Section 2 —Use of Structure Use Group_ F] Commercial Structure over 35,000 cubic feet Commetcial,Structureundei 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction -E] Move/Relocate [:] Accessory Structure E] -Change of use 0 Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild 0 Deck Apartment El sprin�, ,,Ier System ❑ Addition ❑ Retaining Wall E] Solar Q14,014, 3 Renovation El Pool ❑ Insulation *0k,99 Other—Specify. Section 4 - Work Description w TO I L 5:7 FL40 P,IAJQ t Last updated.11/15/2018 Application Number......:............................................. Section 5—Detail Cost of Proposed Construction ��oOy Square Footage of Project 6o 54•FT Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ® Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney . ❑Add/relocate bedroom Water Supply 2.Public :r ❑:Private Sewage Disposal ❑ Municipal ® On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: A&U6 +pLE 1D U m p I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Application Number................................................ Section 9- Construction Supervisor Name_W t Li�..Km -,7-; j7aa ptp-w Telephone Number Address LY, V F zrn eeg C► City State Zip License NumberC'754-06g;t'45 License Type 14 X FAfi Expiration Date l®- Z Contractors Email W T 1CO 6r3 2 A i M Con Cell # 6OS- 733;- 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.Attach a copy of your license. Signature Date F Section 10—Home Improvement Contractor Name_ �,t�o^. JO��R 1 Y Telephone Number Address t46 JEL>M F Fk CT City 66'MR01.LCCz State Zip O�6 5 j Registration Number 1,7 9 717 Expiration Date 9-- L- IA6 120 I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners 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 SIGNATURE Signature 1141474 Date Print Name �iC.�s Ali �' �.c.C'y''�/ Telephone Number 0Ey&2 A i E-mail permit to:W Z7" F O 3 A! o o/a Last updated: 11/15/2018 Section 12—Department Sign-Offs ' Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ - .,� Conservation ❑ - For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization I, _De o�J tiS 5*1 ►ti)4 , as Owner of the subject property hereby authorize ;LA:,am Fo G A i y to act on my behalf, in all matters relative to work authorized by this building permit application for: GnNesN)T-Lio. M 4 (Address of job) 9m4l I ISignature of Owner date Print Name - ,A Last updated. 11/152018 TOWN-OF BARNSTABLE �: - Permit.`xo __ 20 79 �- Building,Ispector{ sARIYY.0 -r+ :Cash --------- OCCUPANCY . PERMIT Bona, _- "No building nor structure shall be erecteda d nio 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 Jnspector.'No'building shall be"occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Suffolk Realty Trust Address Box 308, Centerville lot A39 20 Conant Lane, Centerville wiring Inspector r = /F,�'_; Inspection date ^ Plumbing Inspector ���� Inspection date Gas Inspector Inspection date Engineering Department t n d ti In specoae / r 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. fi _` _........_... , 19_ BuildingInspector " or Assessor's map and lot number-........ �D*THETo� - Sewage Permit number .......................y............................. Z BAHBSTADLE, i HOUS2 ni nber ....................�....-.0......................................... 90� mum 00� 0 NO a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......Su: olk .tealty Trust ..............................................................................................:......... TYPE OF CONSTRUCTION ........... inprle amiJ_y residential ...............................:..................................................................................... November..2...................19�. ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........�t-:.. 39 Conant Lane ...... Centerville. 1?# 0?�i3? ................................................... ................................................................................................... Proposed Use ........single.....mile.....;esider?:� a?:.................................................................................................. Zgning District ....S.-. .,:.; • Fire District ....Q -ntervi.. —Gsteryi-1.J P ....... ............................................................... Name of Owner .......Su.r...olk...::ea1tV„Tru.st..........Address ........P.�?.r...Box., �f�9............................................. Name of Builder ........Same.................................................Address SMe .............................................................. .... .. ...................... .Name of Architect ..................................................................Address .................................................................................... Number of Rooms ...........Severe Foundation ............iou-Pd E'con `" f'P P..................... ....................................... Exierior ..cedar shingles ...Roofing asphalt ......................................................... Floors .o� oetina ©vet underlavmen Interior ....... k m., f�c7 t �1_ ga Heating ..,r.rC d hc�t t t r by n� g .......................................:1,:......................Plumbin r.......t�c^ ..........................:.................................. Fireplace ........lhr f crk...!:.. E??,n(7k.................I......................Approximate Cost ...... .t� 0.0r);. ?n.................................. Definitive Plan Approved by Planning Board ________________________________19--------. Area ......?.30.7).......................... Diagram of Lot and Building with Dimensions .. ^Fee .. ... ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH CIO I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name /.. ,: lc .:: rl::?�::.. .. �.�............ Suffolk Realty Trust A= 173-54 No ....... 0879 Permit for .....one story sigle family dwelling .................. . .......................................... ...... I Location AU Conant Lane . ........... Center . .11e ...................................... Owner Suffolk Realty Trust Type of Construction frame . .......................................... ............................ ..._ ......................... Plot ............................ Lot #39 Permit Granted .........,�ecember .. 19 78 Date of Inspectio ....................................19 Date Complete• ......................................19 PERMIT REFUSED ................................................................ 19 . ................. . ....... ..... ............. U .............. ...... ..................... . . , L . ..nA / ............ Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot numb 3 !..( �.... ' 1j SEPTfC SYSTEM MUST BE �O�TFIET4�-� INSTALLED IN COMPLIAN o Sew g ,Permit number ...:......................:.............. WITH ARTICLE 11 STATE �.� � dITAf�Y C BARNSTABLE, i House number AND TO rasa ....... ......................................... I`h I rLl�TIONS. te39.a�0�' . 0 YFy TOWN OF BARNSTABLE BUILDING -INSPECTOR APPLICATION FOR PERMIT TO ....,,,,Suffolk Realty Trust TYPE OF CONSTRUCTION ..........single family residential .......... .......................................................... ............................................. Nov.ember. ....2.................... ........ ....... .... .. . TO THE INSPECTOR OF BUILDINGS: - M The undersigned hereby applies for a permit according to the following information: Location Lot # 39 Conant Lane Centervillet MA 02632 Proposed Use .......... family...residential...........................................................................................::..... Zoning District ...S.F.R..................... Fire District ....Centerv„ille-Osterville Name of Owner .......Suffolk Realty Trust Address .......P.e.O. Box 308 Nameof Builder ...........same..................:......................................Address ..........szttle............................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms seven .....................Foundation ..........POwed„concrete ............................................. cedar shin les ...Roofing ........aSPhalt...S�1�,1�glea.................................. Exterior ........................incr................................................. Floors ............Interior ........5XiM...QRat...P1.a -�X.................................. Heating forced hot water„by,,..Q.ix.................::.plumbing �.tvc.......................... . ............. ........................................ Fireplace ........ .......................................Approximate Cost $3.5,.O.O.Q..00.................................. Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area ......1303.......................... Diagram of Lot and Building with Dimensions Fee ... . 9 a s ... .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH � Q0 t t , 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ . ' ` , ^ . . - ` . . � . ^ ^ ^ / Suffolk Realty Trust 20879 one story e family dwelling Centerville P|c» _-----..�--� �t ----���----� . w : ^ Permit Granted December l lq 78 .-----------'-� � r Dote of | ....................................lg .-r--._ ` � �y-7�� Do�e Comp|e�a6 / �y...�°(---`,lA � ' . ~ (* , /J l J - - PERMIT REFUSED .,—.—.~--.—...-.--...---.--.. lg --.—..---.-..../—.—.-------~^---.— --,-.,—_.,.----.—..—.----~.---..' . . ^'~—'--'---^—^^^^'---^—~--'--~^`~' —.--..,.....----.--........---....... � Approved ' '. - ^ . —_--------_—.---.. lg ' . , � --------.-------.--------~—. ----.--------------.—..~.~~.^. . � ' } 40 J .3 S 4 / .:s vex co�L. lie x1 , Go 77J�7 CO /V,4-7A/ / 1-2A/Lo PER 7"Ol://�/ REG'0 -D5 D/9 SCf1LE. •� 7-cwA`l 7-ER S AVA / Lei � LE /A/SP ,�? r42oV roZ M / N D /nJG .5ETBAeK ,eEG?U/,2ENIE,v7:5 /,=.2 cp/.-/ 7- '20 ' S /D Z=- R C 41q ,e /�} DR / VE ;.✓,9y NOT To 23E LOCF� TED PROPOSE D 5 ,6- z)/ea ©MS 0VER SE WE12F1GE SY57-E/'I U/IIL ZEE SS DESIGI/ FL.OI✓ ...?3e--> GA,L1Z>>9- 14- eO DE5IG /v LOf3DIAIG /5 USED . p,�pppSED LEAG'/�1 f/�EA � SEATtO Sy-S 7'"E_ /"I CONST�.' 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