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0042 CONNERS ROAD
• -Ao i �' `',.As.:fi+• Jt� p. 1>fA a 1r {.C� t w _�•y`! @� i t �� '� .,Gr y -t� �s �Sb ., aei -t y 'i,,.a t.' i ii r.,'. r h•_ � i :S A � y I M1 %\MCCARTHY °C( ,)k 'RUCTION CO. --�_ jesid�tial and Commercial Builder f 4 a ���EATIZATION SPECIALIST` r ��y r Date: Building Commissioner Town of—B41""I"1c- RE: Insulation Permits To whom it May concern,- This affidavit is to certify that all work completed for permit application .Status A; Parcel yZ- OD006" qS> Cc sVe"N\iF Permit Type RADD and.issued on '1-3 �� has been inspected by a certified Building Performance Institute (BPI) inspector.All work performed meets or exceed Federal and State requirements 41 Sinc Michael McCarthy McCarthy Construction . Town of Barnstable BUlldlil o LW h,#t e.T:�dh$iL swl nGtadr``.d�`a'n'S��ao:t l T;eI`�nhrt�amsap ec�.ti'?i oVni H�s ibalse�B'�Fereo��nm'. M�t;h;:_a.�e d eS t,r��e^�e t� �A, pprco ved'Pr�ai ano-s_Must.be�R�eta lne°td` oY n�J�,�o band�t�h�i�s C.a,a�+'"r�d-�:�,'M ust bemK�e:_pt�'` t' Permit it Permit No. B-17-2868 Applicant Name: MICHAEL MCCARTHY Approvals + Date Issued: 09/06/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 03/06/2018 Foundation: Location: 42 CONNERS ROAD,CENTERVILLE Map/Lot 2S1-026 Zoning District: RD-1 Sheathing: Owner on Record: RONCHETTI,IEFFREY L&EMILY F �a Lontractor Name: MICHAEL MCCARTHY Framing: 1 Address: 76 OAK STREETS Contractor License 169393 2 WELLESLEY,_MA 02482 . . _�,.. Project-Cost: $ 1,600.00 Chimney: Description: weatherization Pe mat Fee: $85.00 Insulation: Project Review Req: weatherization � FeePa�d $85.00 Date 9/6/2017 final: Plumbing/Gas , RoughPlumbing: _.__. Building Official Final"Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterlssuance. Rough Gas: All work authorized by this permit shall conform to the approved application an pproved 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 ormroad and shall be maintained open for pubI nspectron for the entire duration of the work until the completion of the same. Electrical ... - z F The Certificate of Occupancy will not be issued until all applicable signatures by the Building andfi�e 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" (asset 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 ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 7 � Health Division Date Issued Conservation Division `-\D C'Q Application Fee n Planning Dept. 23 2®11 Permit Fee auG Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis 0` g� i9`v Project Street Address l G�h Village Owner � -�., 1��-�L.L Address S.y Telephone (_(1— 0 - 4 1 Permit Request �a.4l.kr„c, A\_�_ See , �� Cc�f�l>P �- -Ac Y)) ex set rx Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay. Project Valuation �� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U.- 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 Number 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 Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number a e c a Address P® Box 52 License# West Dennis, JV17V 02670 Cell (508) 280-6964 Home Improvement Contractor# CSL-58633 ,- Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO +) SIGNATURE DATE V6 3/1 A.b 9Ae*11C_ FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL:, ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f CC to„y Towne of Barnstable Regulatory Services �EAW=AWZ. S Richard'V.Scalia,Director BUM 0:%q- Building IDiAsion Tom Perry,Building Commsss:omer .200 Na.im Stied H)abnis,1ViA.02601 F www.town.barnstable_tna-us. Office: 508-862-4038 pax: 508-790-6230 Property Owxxetr Must Complete and Sim Th s. Section If UsinoABuilder (` ( ? --t. Emily Ronchetti„ as Owner of the,subject prop�In.�� hereby aurhorve McCarthy Construction a act on my behalf; iu all matters relative to work authorized by this bu�ldin&permit application for. v� � I'S R vc� C r�;-t�n i � ' N 6 Wdrm of fob) Pool fences and.alxrms are the responsll�iky of the;appi cant. P0�61s are not to be filled or utliced before fence is-inst:a]Ied and L f ina wSpections I performed'and accepted. S, f Sipature of;applicant Print Name Print lame 7117 Q;FORMS;Qtv!CFFP ?�JSSIONP(X)Ls f Office of Consumer Affairs and Business Regulation 10.Park Plaza- Suite 5170 Boston,U4040usetts 02116 Home lmprovemmtractor Registration Type: Individual MICHAEL MCCARTHY "-'--' � Registration 169393 P.O.BOX 52 Expiration: Of�15/2019' WEST DENNIS,MA 02670 r�t Af ,Y Update Address.and return card. Mark reason for change. SCA 1 Co 20M-05/11 �p CI,Address (-1 Renewal El Fmplovmont ❑`Lost Card �e- tpamzrrrao�zurea,��o�C�aaa�uder�a' _T— — Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only i TYPE:Individual before the expiration date. If found return to: h kea'Ittration Expiration Office of Consumer Affairs and Business Regulation _t69303 06/15/2019 10 Park Plaza-Suite 5170 J Boston MA 0 116 MICHAEL MCCAflT ! i.e r MICHAEL 6 RANGLEY LN. SOUTH DENNIS,MA026 Undersecretary Not valid without signature r" Massachusetts Department of Public Safety Michael McCafty Board of Building Regulations and Standards McCarthy Construction License:CS-058633 Construction Supervisor Has successfully completed the National Fiber x iy f Cellulose Training Course MICHAEL J MCCARTHY` fithi n,day of August 2011 t P.O.BOX 52 �' r # WEST DENNIS MA 026 0. s i x E tfYtftHationallfter Nr( k. 1 Director ofSeimNATIONAL FIBER - n ' i f Not Wildunleesembossed � t_Jl— Expiration Commissioner 04/10/2018 i<` - ", HeyoAa Safu(ous,lJ.Ca,+d Cape.&IsfmuLs SelJRe/iaixr , OSHA 001558712 � 1 (Eaul6nghun�atetpY�trW`arljigf([crtitication lr i , U.S.Department of Labor' Occupational Safety and Health Administration Michael McCarthy y Suceessfullyc6mp)e4iii the.C g onibnied Crew Chief/BuiichngAnaly;st Fr Comhristion Safety has successfully completed a 10-hour Occupational Safety and Health Course' Training Course in 32 H6urs of Class Time and S hours of field time Construction Safety&Health ,f� z s f 9/9/07 r , t (Tr r) (Date) 1 The Commonwealth of Massachusetts Department of Industrial Accidents ME I Congress Street,Suite 100 Boston,MA 02114-2017 wmassgov/dia kip— wlu Workers,Compensation Insurance Affidavit:Builders/Contractors/glectricians/Plumbers. TO BE FILED WITH THE PERT MMUG AUTHORITY. Auffeant Information lease Print Le ibl c Name(Business/Organization/Ittdividuaq: -� Address' City/*State/Zip: wed fin-..I 01(7-Phone#: 5-04 -Xr- -,Ccc'- Are you an employer?Check the ppropriate box: Type of project(required): . t,�.am a employer with employees(full and/or patt ti=).t 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in , $• Remodeling any capsoity.(No workers'comp.insurance required.] k . 9. ❑Demolition 3.131 am a homeowner doing all work myself.(No workers'comp.insurance required.]t 10[]Building addition 4.0 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have worker:'compensation insurance or are sole 1 J Q Electrical repairs or additions proprietors with no employees. 12.[3 Plumbing repairs or additions 5.[31 am a general contractor and I have hired the sub-contractors listed on the attached sheet. ;3.�Roof repairs These subcontractors have amployess and have workers'comp.insurenca= 6.❑We area corporation and its officers have exercised their right of exemption per MOL c. 14.[]Other 152,11(4),and we have no amployeft(No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then bite outside contractors must submit a new affidavit indicating such. Contrdctors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not*boss entities have .mployees. If the subcontractors have employees,they must pmvida their workers'comp.policy number. t am an employer that is providing workers'compensation insurance for my employees. Below fs the policy and job site »for matdon. :nsurance Company Name: �k"�,—( Z-►`��� �k c�� i"'��'zs. �} �J C-717 5''7`f Expiration Date: 1;- r y 1%l ?clicry 9 oe Seri-ias.Lic.#: — fob 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 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. f do hereby certify under th an des of perjury that the information provided above h true and correct Si afore• Date: t Phone# - off elal 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 S.Plumbing Inspector 6.Other Contact Person: Phone#: MCCART9 OP ID: KS I ACORO+ DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/20/2016 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 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 endorsements. PRODUCER CONTACT Bryden&Sullivan Ins Agency NAME: Dennis Office PHONE FAx of Dennis Inc. 508-398-6060 1C No):508-394-2267 485 Route 134,PO Box 1497 E-MAIL So. Dennis,MA 02660 ADDRESS: Dennis Office INSURERS AFFORDING COVERAGE NAIC# :INSURER A:National Liabilit 8r Fire Ins INSURED Michael McCarthy -INSURER B: Construction Inc PO Box 52 INSURERC: West Dennis, MA 02670 INSURERD: INSURER E 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE J=WVD POLICY NUMBER MM/DD/YYYY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTE9__ PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY a PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB i I I CLAIMS MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVEY/N V9WC747574 12/15/2016 12/15/2017 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Michael McCarthy has Opted to Exclude himself for Workers Compensation benefits. CERTIFICATE HOLDER CANCELLATION CAPELIG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. BOX 427 Barnstable,MA 02630 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i 1 Assessor's� map and lot number ......... ..... .................. .....� 'i� THE ej � ji Sewage Permit number DARNSTAX House number ............................... r rasa TOWN OF.- BARNSTABLE RUIL111HG� °I# PECT0R APPLICATION FOR PERMIT, TO :;:. ............:........ ..x:.... ........................................)..................................... TYPE OF CONSTRUCTION .... ...........................-J ;r�._:....:.... (ZC.��!1�:P ..................................................... `�.... '` ..�........�.._... : �• l ... ............5...............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for(a�permit according to the following information: Location ... .. r.......1f: ................ C ?Lt !r.C,i.flip.... .............:............ ProposedUse ...� :...............................................................................................................I......................... Zoning District ....V4" .L......... .........Fire District ...� ...:. :.................................. -_ •vir;�;;r Name of Ownery Z:P ✓ of ' ............P 7 ? Name of Builder .�!!!'kuGY/..... c�1,C?:..?ci C 07� �. /�Idi�� «ems/� 7 Address ....................f.............. .. ......z.J,..../�(.:...../...../}. Name of Architect !k?! G../.. ...........................................Address Number of Rooms ........ ...........................................:.Foundation ....la.lK............:: ............................................ .... GGC/ /�9r<lfFf � GU S Exterior .. ...........�..�........ ...+........................................Roofing ....�C.......:.......�,,,1:..::......�......./............................... Floors ............................................................Interior S /.!. L'f✓: ................................:..............:.... � a Heating ................................................Plumbing ...... .....r... .............................................. Fireplace ................. .............n _.. ...... .....................Approximate Cost .... ...U,... l/ .......................................... Definitive Plan Approved by Planning Board __________________________ 11!/ - -19- ---. Area ............. Diagram of Lot and Building with Dimensions Fee ................S'.. .b..............r SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. NameC ..... ..��.......... :.. ... tsl Construction Supervisor's License .................................... GOODE, VIRGINIA ----A=251- 6 No 25047 permit for ADDITIO SUN ROOM/SINGLE FAMILY ............................................................................... Location 4.2...Conners Road . ................................................ Centerville ............................................................................... Owner Virginia Goode ................................................................ Type of Construction ....Frame ........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ....... ..................19 83 Date of Inspection ....................................19 Date Completed ......................................19 ,W 0 1Assessar's map'and lot number ......................... ......... ... �.. 10 v THE . . yo f ... ♦� Sewage Permit number' :�,��.. ...61.. ..... ... .. rC , • . / + Z EAWSTGDLE. i House number 900 .................................... MM6 1639. TOWN OF BARNSTABLE BUILDING •I.NSPECTOR ,ddl/.1 t LI ��G�v/ �Loo APPLICATION FOR PERMIT TO ................... .�........................ . ...............C.......... ....:................................. LQJG f' 2Gi TYPE OF CONSTRUCTION .........................:.... .......4l�...................... :...........................:.............................. .......T........ ...........:.....191,7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for ((,ap��ermit according to the following information: Location ... q....4, ":'L��l�:L'I .......�-�!��................. ................ ........................................... ProposedUse ... kf .. f :................... ......................................................................................................................... ZoningDistrict .... ...........................:.................. .Fire .District .: '........................................... Name of Owner :/.!°ff.�L............... ................Address ............... :`�s�.....4�11.:................:.................... I . �. �Q/� Name of Builder ��J/..... d1a/C�.....�!...................Address .. ............................ 1� ��... ................ Name of Architect ... .................................:............Address ........ Numberof Rooms ........1.......................................................Foundation .... ...1ef4............................................................. Exterior ...... ...............................Roofing ....: C..�i.�!......� i ............................... Floors ......Grlri.o.. ,..-:.............................................................Interior .K'lf./ fit. ............................................... Heating :.?.<.:!i2.........................:........................P.lumbing ......./...1�.�< ....:....... .......................- • t Fireplace ..............:. -C..................................................Approximate,Cost ........ OG. ..^....................................... Definitive Plan Approved by Planning Board -----------------__----- ---- --------. Area ..k7..... ................... Diagram of Lot and Building With Dimensions Fee SUBJECT TO APPROVAL.OF BOARD OF HEALTH h 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 .. ..... Construction Supervisor's License .................................... -GOODE, VIRGINIA 25047, - ADDITION � •• No ................: Permit for .................................... SUN ROOM/Single Family Dwelling ....................................................................... i ' 42 Conners' Road - Location ( _ , i Centerville f^ ..1....... .. .a G... ....................... . ......... Virginia .r �, ;= r`; �•a `7 - s oode , Owner .............. ................................................... Type of Construction ..Frame.......................... y .. ... ............................ ?lot ............................. Lot ...................... ` Permit~Granted .M4Y... .c. .......: ....19 83 1 , Date of.-Inspection ....................................119 e <`D#e Completed ......8K_'z .r..:.......19 ,, _ 1 67