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0038 COVE ISLAND ROAD
Q I . . t o o s � I Town of Barnstable - �� � . .* _ .. .... - Building . Post This Card So That it�s Visible From the Street 'Approved,Plans Must be Retained on Job and>this Card,,Must 'p Kept a `� Posted UntilFin-al Inspection Has,Been Made. a ' ppym 1 eor�a�° Whece a Certificate of Occupancy'is Required;such Building.shall Not be Occ�-uypied-until a Final Inspection has been made Perm 1111 Permit NO. B-18-174 Applicant Name: DREAM HOME IMPROVEMENT LLC. Approvals Date Issued: 01/24/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/24/2018 Foundation: Location: 38 COVE ISLAND ROAD,CENTERVILLE Map/Lot: 187-060 Zoning District: RD-1 Sheathing: Owner on Record: BARTH, EDWARD J&JUDI P Contractor Name. DREAM HOME IMPROVEMENT Framing: 1 4 LLC. Address: 38 COVE ISLAND ROAD r S- 2 CENTERVILLE, MA 02632 Contractor license. 176777 �. a Chimney: Description: reroofing(stripping old shingles), reside Est Project Cost: $52,127.00 Permit Fee: $265.85 Insulation: Project Review Req: ' Fee Paid: $265.85 Final: s Date: 1/24/2018 - � ' Plumbing/Gas E 7.1 Rough Plumbing: Final Plumbing: Building Official Rough Gas: 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 which1 11 this permit has been granted. Final Gas: 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 Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: a� a •,;. ,° -.:_ - 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I� �L� II{1J��t8 F Town of.Barnstable *Permit#/ I / q Expires 6 months from issue date Regulatory Services Fee nARNSI'ABLE, gQ�MAs3. $ Richard V.Scali,Director oa i439' ♦0 • �rf0 MA'S A Building Div!sio® sw a Tom Perry,CBO,Building Commis•loner 200 Main Street,Hyannis.MA 02001 19 , wrww.town_bamstaF9_ ON Office: 508-862-4038 0�UAHIVS-�p Fax: 508-790-6230 EXPRESS PERMIT APPC..�CATION - RESIDENT[AI,r° LV cleat 114fid►vithout tied Y Precs Iutprint Map/parcel Nuanber� v Property Address J3 &Ve �$�A�� }°c�U, OEWTEPIJI LL-E , ( f Residential Value of Work S 52,127- Minimum fee of$35.00 for work tinder$6000.00 Owner's Name&Address _1TLPC1j1 3 tDWRP-1) PWR77/ Contractor's Name LFXF_y -� AFV Telephone Nuanber Dome Improvement Contractor License#(if applicable) � 6' 7'7 Email: Construction Supervisor's License#(if applicable) IC6 2016- ❑Workman's Compensation Insurance Check one: ❑ 1 am a sole proprietor I ant the Homeowner I have Worker's Cvlompensation Insurance Insurance Company Name PE 10 Workman's Comp. Policy # 40C& 6c067C>/56 q9 2C)//r A Copy of insurance Compliance Certificate must accompany each permit. Pemut Req esl.(clreck box) M Re-roof(hu rricane nailed)(stripping,old shingles) All construction debris will be taken to /#Rmw7- -rumsw ❑ roof(hurricane nailed)(not stripping. Going over existing layers of roof) M Re-side ❑ Replacement Windowsldoors/sliders. U-Value (maxinrtim.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. "\Vherc required: Issuance of this pennit does not exempt compliance with other town department re ulatiotis.i.e.Historic,Conservation.etc, *'*Note: Property O"vner rust si Property Owner Latter of Permission. A c y of the H me improvement Contractors License&Construction Supervisors License is req i d. SIGNATURE: C:;tL sersiDecallikt:lppl)mall cte : ' rosolfiWindowsUcinporan Cntente�l iEeSlGantertt.E tttEoi�l.l2t'TCa113HR�FIt'tt1;SS.duc Revised 04021 DATE(MM/DD/YYYY) ���® CERTIFICATE OF LIABILITY INSURANCE 3/1/2017 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 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 Ashley Paiva NAME: y Southeastern Insurance Agency, Inc. (PHONE 508)997-6061 Fax A/ Ext: A/C No:(508)990-2731 439 State Rd. AIL ADDRESS:apaiva@southeasternins.com P.O. BOX 79398 INSURERS AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERAArbella Mutual Ins Co 17000 INSURED INSURER B AEIC Dream Home Improvements LLC INSURER C: 22 Horse Pond Road INSURER D: INSURER E: West Yarmouth MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER:2017-18 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. 1�TR TYPE OF INSURANCE BR POLICY NUMBER MM/DD//YYYY MY EFF M/DD�YY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE I-XI OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ 9520053178 3/8/2017 3/8/2018 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaacci dent $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A B (Mandatory in NH) WCC50050156792017A 3/8/2017 3/8/2018 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 on140 f1 The Commonwealth of Massachusetts w Department of Industrial Accidents I 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 Please Print Legibly Name (Business/Organization/Individual):Alexey Lebedev/Dream Home Improvement LLC Address:60 Franklin ave City/State/Zip: Hyannis, MA, 02601 Phone #:774-208-3589 Are you an employer?Check the appropriate box: Type of project(required): 1.�I am a employer with 2- employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. E]Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself. [No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all 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❑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? p 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 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. Insurance Company Name:� ��� tyn �v Policy#or Self-ins.�LiQc.#: '��` �r,�p J�/5�7�J�/T fi Expiration Date: Job Site Address: .�O &e jg1aa� �`k 1 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. I do hereby certify un er the p ns ndpenalties ofperjury that the information provided above its true and correct. Signature: Date: Phone#:774-2 - 589 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#: Board of Building.Regulations and Standards. ' t r(t+I rtl a;lt€lll`'41,t IlA`rl ts3rr License: CS-108208 ri ALEXEY LEBEDEV 60 FRAIVKL[N AVE!\UE Hyannis IMA 02661 =r J.�w� � • Expiration Commissioner 11/27/2018 All Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Ma achusetts 02108 Home lmprovement'-Contractor Registration _.-.. s Type: LLC DREAM HOME IMPROVEMENTILE. i Registration: 176777 60 FRANKLIN AVE. Expiration: 09/2412015 HYANNIS, MA 02601 sCA t 0 2OM-05r 7 Update Address and return card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. if found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 176777 _ _ ,09t2412019 10 Park Plaza-Suite 5170 as.< Boston,MA 02116 DREAM HOME IMPROVEMENT LLC. ALEXEY LEBEDEVI 60 FRANKLIN AVE ''= HYANNIS,MA 02601 Undersecretary Not valid without signature Dream Home Improvement LLC. 60 Franklin Ave, Hyannis, MA, 02601 � .� Home Email: iohn.dreamhillc@mail.com ,Improvement LL�C. - 508-332-8119 John CaUi►�son Project Manager 774-208-3589 Alexey Le bed evOwner/Contractor www.dreamhomeimprovement.com - HIC#: 176777 CS #: CS-108208 Contract DATE: 1 17 18 PHONE: 508-498-0669 NAME: Judw & Edward Barth EMAIL: judybarth@comcast.net MAIL-ADDRESS: 38 Cove Island Rd. Centerville, Ma. JOB ADDRESS: 38 Cove Island Rd. Centerville, Ma. Dream-Home-imprflvemernt-hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. Re-roof entire house. - Remove and haul away old roofing materials. - Re-nail roof sheathing as needed. All labor,materials,disposal and permit fees are included in a price.All additional eKtra work wilibe charged 75$/h plus materials Supply and install - CERTAINTEED LANDMARK: Life time warranty class A fire rated,Algae resistant, Heavy weight(240 lb per sq.), Self-sealing, Multi—layered,Architectural style, Fiberglass based asphalt shingle with New England's Price $12,127.00 Supply and install -7x8 Aluminum Step Flashing: On a roof to wall sections if needed. Made from rust-resistant aluminum, sized for use with roofing shingles, ideal for waterproofing around chimneys, skylights, dormers and wall to roof sections, easy to bend, cut and shape for residential and commercial roofs. Supply and install - %" CDX Plywood. if after removing old roofing material, roof deck also known as plywood will have substantial water or mold damage and customer will decide to replace the roof deck on entire house we will install a new plywood for the price shown below with rafter baffles at no labor cost. Remove X and haul away plywood sheathing on entire house. install %" CDX plywood with common 8d rin -shanked hot-dipped galvanize 2 3 8" nails ever 6" in a field and ever 3" on edges. g pp g Y Y g Price - 1-nitials. Supply and install - (Soffit Venting) Hick's Ventilated Drip Edge White aluminum drip edge on all eaves. Protection against damage to the roofing materials and structure.The most efficient system is a balance of air intake and exhaust that creates a uniform flow of air through the attic.This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. i All labor,materials,disposal and permit fees are included in a pricey All additlonatextra work wlH*e vhwged 75$/h plus materials Supply and install-CertainTeed Winter Guard or Carlisle WIP: (Ice and Water Shield) (WIP -Water and Ice Protection). waEerp,wf u nderjoyment sysEi*em 3ff an eaves and voMeys, 1r around chu nrey and skylights, under step flashing and gable walls. Water and.I.ce-Pxotection (WIP)is-.a self- adhering roofing underlayment used on critical roof areas such as eves,valleys, skylights and chimneys to protect roofing structures interior spaces from water penetration caused by wind- driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. Supply, and instate-#15 Felt Paper. Underlayment On entire roof. A Tar paper is made by impregnating paper or f:lberglass mat with:tar, it is water toughest opponent, creating a secondary water barrier that reduces the incidence of leaks caused by storm damage, wind-driven rain, ice dams and worn roofing materials. It is a waterproof material that will protect your home against moisture intrusion. Supply and install -CertainTeed Swift Start With self-adhering asphalt starter course on all eves and rake edges. CertainTeed requires this product for Integrity Roof Systems.and upgraded wind warranties up to 130 mph. Supply and install -Aluminum and Neoprene Soil-Pipe Flashing Suppl and install-- Shingle Vent Il On all ridges of the house. Shingle Vent II ridge vent installs on the peak of the roof allowing exhaust ventilation all along the roofline-- end-to-end.This product proves that outstanding beauty and performance can be combined. Design features include an external baffle and internal weather filter for optimum airflow and weather prote -teas than an ilwh,in height,. All labor,materials,disposal and permit fees are included in a price.All additional extra work will be charged 75$/h plus materials this molded, high-impact copolymer shingle-over ridge vent permits capping of the ridge with shingles like the rest of the roof. Supplly,and.install—Smart venting at ridge. Shingle ridge meets the hip and ridge accessory requirements for the CertainTeed h:vtegrity Roof System which is comprised of underlayment,shingles, accessory products and ventilation all working together.The integrity Roof System is designed to provide optimum performance— no matter how hash the weathef conditions:are. Other Possible Extra: Any rotted or otherwise deteriorated plywood sheathing, lead flashing, aluminum flashing on roof to wall sections or other carpentry needing replacement will be done with customer discussion and charged for as an extra at the rate of$75.00 per hour, plus materials, plywood-55�pef sheet. Initials: 4,1L Shingle Color: "Granite Gray Dream Home Improvement LLC providing 10 year 130 mph wind-resistance installation warranty with six nails in common bond area. See actual manufactory warranty for specific details and limitations. Siding: Remove white cedar shingle siding from entire house except4or Rear of garage and under rear deck. Install certainteed cedar impression to area of house to be sided. Install new vapor barrier and Vicor waterproofing where needed. Install new flashing where dormers reach roof. Color will be Sterling Gray Total cost for siding: $40,000.00 https:/Jwwwr.certointeed.com resources/GeneralAsphaltShing/es WarrantyEnglish. gf All labor,materials,disposal and permit fees are included in a price.All additional extra work will be charged 75$/h plus materials Total cost of job $52,127.00 Deposit $34.750.00 Due upon completion $17,377.00 Make All Checks payable to "Alexe ieibedev" Compliance with Laws:Contractor agrees that it is properly licensed and insured under Massachusetts General taws Chapter 142A and that it will perform the seruices contracted for herein in compliance with applicable building codes, laws,statutes and ordinances. Parties' Understanding of This Agreement: by signing this agreement,the undersigned Parties acknowledge they have had.the opportunity to ask any qwstiom concernring its terms; have read, understand and agree that its terms are fair and reasonable, and agree to be otmd by the terms in their entirety. This agreement is effective as of the date it is executed by all the undersigned. 4 Contractor CuMmer Date signed —� - Y I All labor,.materials,disposal and permit fees are included in a price.Agatdditional.extra workwill:,bs.charged 75$/h plus materials .t . Town of Barnstable *Permitl0�� Regulatory Services ' e pnlfrsf7issu e KAM $ Thomas F.Geiler,Director p 059• �0 ' Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable.ma us Office: 508-862-4038 Fax:.508-790-6230 EX? SS PERAM APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Lnprint Map/parcel Number. Property Address �tl rp- T s b'd", �� CPyyht V)11 A ❑Residential Value of Work TT S Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 9 i 1 Contractor's Name �-�1.�' wv`�`�' ` Telephone Numberrpa) Home Improvement Contractor License#(if applicable) t-� 9 Construction Supervisor's License#(if applicable) s 3 4 k14,p ❑Workman's Compensation Insurance PP Check one: APR 2 ,� I am a sole proprietor 2013 I am the Homeowner � N ❑ I have Worker's Compensation Insurance ToWI N/ O InsuranceCo an C p y Name Workman's Comp.Policy# p 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 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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 Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors.License is required. SIGNATURE: c The Colo moms�earlth of iassachuse#ts Depwhnmt of 1n&a&irrt Accidenft Office of Invesfiga ions 660 I3'rrsh ng�n 3`treet Boston,M4 011.1 www.m&tmgvv1di4a irV�orkers' Campensafictu Insurance Affidavit Builders/Costa-actor-JE.Iecli-ici2ns/Plumbers Applicant Informatian Phase Print LeidbI- Nagle Music onffndividaaal): Ad-dress: lio City/State/Zip ; �- phone Are you an employer?Check dre pprapriate box Type of project(required): 1-❑ I am a employer with 4. ❑ I am a general czntractnr and I 6- ❑New. construction {fall aradl part timej.* have hired the sins-contractofs employees 2.K I am a sole pmprie2oi of partner- lasted on the attached sheet. y- ❑Remodeling ship.and have no employees T sub-contractors have g. ❑Demolition woddug for me in any capacity. employees and have ems' 9 ❑Building addition Rio wad rs' comp_insurance comp.insurarste. required 5. ❑ We are a carporafion audits 10-El Electrical repairs or additions 3.❑ I am a hotneovarxer doing all wo�c officers have exercised thew 1l_❑Plumbing repairs or addi#io�ns myself (No workers'comp t o€ on per l f I, 17 50 hoof repairs ieac�rranr a required.]r c.152,§1(4),andwe have no employees-[No workers' 113•❑other comp.insaranm required.) 'Any sppHcstti that checim box Al mnst also fill out the secuaebelow shoaring dues waalsen;'compensation policy-5-3 ion_ I Homeowners who submit this affidavit iadiratiag they—doing all-nk and d—h-outside contractas max#Submit a new affidavit indicating such tContradm thst check tbk boa mast attached an•a,4irin .d sheet showing the name of the V.d- s and slate whether ar not-'lose entities bave es pWyees. If the snb-rantiaes hne empleyees,they re utptM&their worker comp.policy number. I ain an emplray er that isproviding.workers colydpatsativn insurance for rrty empto} Eda1v is tdapv&Y and job site Insurance Company Flame: Policy 4 or.Self-ins-Limo-k F pica itafl Date: Job Site Address: G\\ 3-0 S So+60 CityfStawZip: - Attach a cop} of the workers'compensation policy declaration page(showing the policy munber and expiration date). Failure to secure coverage as inquired under Section.25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500-00 andfor one-year imprison as well as civil penalties in the form of a STOP WORK€RDER and a fine of up to$250-00 a day against the tiaoiatur. Be advised that a copy of this staatetnest may be€onmded to the Office of hrvest gadow of fire DIA for umarance ccnmrage verifrsation- I do hereby cejWff under the PaWspandpepaU&s ofperjwy that the Wormagen proWded above is true'atnrl correct Date: 1410ri�3 phone;u: official Use only. Da not actffe hi this arcs,to be cormpWad by city or Mum official - City or Town- peratitUcense# Issuing Authority(circle one): . 1..Board,of Health 2.Building Depa�ent 3.CAyfrown Clerk d.Electrical Inspector S.Phmbmg bispector 6.4ther.. _ MRNnns MASS. 9� i639• Town of Barnstable A ��� lfp MA'S a Regulatory Services Thomas F.Geiler,Director. Building Division Thomas Perry,CBO Building Commissioner 200 Main-Street,, Hyannis,MA 02601 www.town.barnstable.mi.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ' I,— as Owner of the subject-property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (6V-k —�Pf4eP. Ce4t�Ld.I�� (Address of Job) Signature Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form onjhe reverse side. n-turnrn�etrnn�ee��..a a: a :.c trvn�rce a A I °r,VE r � Town of Barnstable P.� Regulatory Services ' BARNSTABLE, ' Thomas F.Geiler,Director MASS. E16 9 �� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such'work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this se--tion(Section 109.1.1 -Licensing of construction Supervisors)-,provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . , y VI tsSachusetts - Dep,irtrttent of Public Sufeh , Board•of Building Re,•„ulatiuns and Stand:a-ds Construction Supervisor 'License One-and Two-Fa mily mil License: CS 57394 y Dwellings ROBERT G WALSH 1. 71 . . WALNUT ST MARSTONS MILLS, MA 02648 s f Expiration: 6/2/2013 (ummissiuncr + Tr#: 17039 077 , C�oa vn,o,u„eallL o�✓�aao zc�ie ael�a. t Office of Consumer Affairs&B siness Regulation License or registration valid for ind.ividul use only - HOME IMPROVEMENT CONTRACTOR , . before the expiration date. If found return to: —_ Registration: 141991 Type: Office of Consumer Affairs and Business Regulation_ — g Expiration 3/3/2014 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 { HAFJORSIDE REMODELING qq ROBERT WALSH.: 250 CAPTAIN -CROSBY D CENTERVILLE, MA 02632 ' Undersecretary Not valid VihAout signature ... .�.. tti� Assessor's map and lot number .................... ...................: E Sewage Permit number 12t.X.... ..,n .� Z BAR3STULE, i idouse number ........................................................................ 9 MA66. �p 1639. \009 i°TE'C MPY Ar• TOWN OF BARNSTABLE.., . BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... 4?!J C ......� !!"`dv!i N ...,tOle ....................................... TYPE OF CONSTRUCTION ..........GJUA.?.l..t.t`.................................................................................................... ►.l.i?tz I .... z 19.2L ..... ...................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following' information: Location .........�-'��.......C04?.+=......l.SC ..... ?`t�l�....t.....�-r--�..��T� .................... ProposedUse ..-��Cr..,1 !.. i.r.. -a...... C�.....-:............................................................................................................ Zoning District ........i +�.` .... ... .. ... ..... .........................Fire District .......C�.-.Q............................................................ Name of Owner ..... ...............Address .........?\!Jti .... '.......V, 0.0..6....................... Name of Builder .......................Address ........H K?c .09.1.?...�. .N1�.!�5�. ... • j , Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ......................................................Roofing .................................................................................... Floors '. '` - .Interior:............................. ...... ................................................................ ..... .... ..... Heating .............................................. ..................... ... :Plumbing, - y Fireplace ..................................................................................Approximate Cost ....... ......................................... Definitive Plan Approved by Planning Board _ � X ........ �� ' - � --- - 9 - -. Area�-� ........................... ,10 Diagram of Lot and Building with Dimensions s°' Fee .......... 1-� ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r R �, Vl E D��=i` •� ,� ss3 oni�•, G, aTnstab � "� <r 4. F - pq X . so •C.o u c L S . KD ; s � , �f tt.t d I hereby agree to conform to all the Rules and Regulations of the;,,T awn of arnstable regarding th above construction. ° % Name ............................. ...... ... .......................... O'NEIL, MICHAEL D. A=187-60 / 0/4v 17 No 2. 0,6 5.... Permit for ...INSTALL. . . ...S.SV. . Y IMM _'G POOL .. .... ....... .. .. .. .... Single Family Dwelling ............................................................................. . Location 38 Cove Island Road ....................................... ...... ... Centerville .................................................................... ... ...... Owner Michael D. O'Neil ; Type of Construction ' 1i came ................................................................................ Plot ........................... Lot ................................ Permit Granted .........ai, 4,...................19 81 Date of Inspection ...../............................19 Date Completed .....:................................19 K/ d PERMIT REFUSED ......................... ................................... 19 ............................................................................... ............................................................................... ............... lL . . .............................. Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number ............................................ SEPTIC SYSTEM UE 7Nf,o�♦ Sewage Permit number ..C�t.fC...�xar�...,ziv.G,c� ,, nt�. <�� INSTALLED IN C6M WITH TITLE, t EARNSTAIILE, �ouse number .....:............................... ........ ........:............. ENVIRONMENTAL coo 9 MA89 0� TOWN RECULATI war a, TOWN- 4F BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...(20 ��1,2.�a.......S ?1.�^^nn�!�6 t�UOL t. tr.................... TYPE OF CONSTRUCTION ..:.......Sri U. ).l..A.!*.:....:.......................................................................:.................... ►1 t�s� L.. Z qq ......................................7........19.d. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ ......COA!�......l.SCr?!`i..... 4...... . ..!.: ................. ProposedUse ... .1.1 ......�CF.C?.1.—..........................................................................................................:.. Zoning District ........lti t✓.....1..................................................Fire District .......� ............................................................ Name of Owner . . GL. ..... ��L..............Address ......��rSJtiE..... '......�.&0.V. ..................... Name of Builder CO ST. . ..................Address .........AN.. ........................... Nameof Architect ..................................................................Address .............................................. ........................ Numberof Rooms �—..................................................................Foundation .............................................................................. Exienor ................................................................. ..............Roofing .................................................................................... Floors ......................................................................................Interior ............................................................... ...................... "S ......... ... . . ....I. ..............................Plumbing .................................................................................. Fireplace .Approximate Cost Definitive Plan Approved by Planning Board --------,.��_ -------------19________. Area ......., ` v Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH D Pg0V. E A P ission �00 Bar taole C uservatio C0 14cuSs' 2d 0 a5'� ,�signed ;y 14% I gAc So I hereby agree to conform to all the Rules and Regulations ofAthewn7of arnstable r ard' g t e ove construction. Name ............ ............ .. ....... .... .............. O'VEIL, MICHAEL D. No . 3.06�.:. Permit for INSTALL S °7IT'VMINC, POOL- .... Accessory to ,Dwelling ` 9. ............................................................................... t. 38- Cove Island Road Location ...... ......... I. Centerville '. ...:1............icnael D... ..... .'...........y... .'�......... 17- Owner .. 0........Nei...................... s Type of Construction ....Frame... ................ 1. ....................... .. ................... ................. I •` " PI'ot ................... .. Lot ............................... Permit G"ranted ....' ay...4......... .....19 81 Date of Inspection .. Date Completed(.... . . ........ ..19 S'�+ , t ' t r PERMIT REFUSED i . . .. .......... 19 4 .. r....... •� ' .................................................... .................................................... b+ 0 .'V ............................................ ,y� - Z" fiy t3 tia ; t9 Approved ......................................... •... ............................... .. 19 f„ b f.: ..i -` ........................................ ...... E, 0~;� v ssess.4�r's map and lot number ..O V4/.1...........Oil-..M_ II I '` L c�/�i��'f �`�- �l) l ' /��� / 'SERrIC.sY "`' C/" •. �"�--� INSTALLEDSTEM MUST B S&agel'Permit number �� IN w a......._...... WITH MPL►A ARTICLE it NCE t SAN 7' STATE Qy�FTHEr �; 4 TOWN OF BARNST � °� AND TOWN �± i BAHH9TODLE i �" �� ! .. _ _,.....�.. ...err.;x-s<•,.... _ . . 9 c"p`aj �l; DIILDIHG INSPECTORpR 3r ��� OVAL OF y: SUBJECT PRO OVAL 1 BARN OONIMISSION APPLICATION'FQR PERMIT TO ..... 91Jsr vc, ......}1 S?l? .. ........................................................... TYPE OF CONSTRUCTION ....1�.��......T!C.Px11.................................. -........::................... ... - ` .........0 ......... ............19 7 TO THE INSPECTOR OF BUILDINGS: The, undersigned hereby applies for a permit facccorrding to the following information: information: Location ... ®'f....... ........... ?e ... k -[.? ....... ........4.�(2j1C.lC�..V.il.�.��t........................................ ProposedUse .....►S..R.S ..................:........::............................................................................................................... Zoning District .'ke's.o:> w.c g.......................................Fire District .............................................................................. SANI�EL 10 Name of Owner .. .�- .....�.). : .. .`T�'�l�`a"[.Address ......... .ypkl mi-S..................................................... Name of Builder .....Tk)!. :!S......R ,..ZMoJ.*.............Address- .... IT T ............................................ Nameof Architect ............................................:.....................Address .................................................................................... Number of Rooms ....................................Foundation :.....(P.W ..... Exiei•ior ........ .. ......... ...........................Roofin ............. Floors AR �...................................................Interior �RL.... Heating Y..;,..... ..1i .w...... ...................................Plumbing ......... .. ................................................ Fireplace .............I.................................................................Approximate Cost ��.�� ........................ ............ .......... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ..........19 ........ O' Diagram of Lot and Building with Dimensions Fee le � SUBJECT TO APPROVAL OF BOARD 'OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..C.4 r.�R.4416 R.l... .:.... ......!''`^.............. Samuel Jones Realty Trust ;i N 19091.....r one story.......... Permit-for .4single family. dwelling Cove Island Road Location ............................................................... ;�. ^• `�. Centerville/ Samuels Jones Realty Trust Owner .................................................................. T Type of ..........................................frame yp Construction L - T .........................................................' .................. #67 + . Plot ............................ Lot ................................ October 26 77 - rPermit Granted .............................. -19 Date of 71 i19 f Inspection f' tu .....: v _r Date Completed / o...............' 19 - 'II PERMIT REFUSED . .......................................................... ... 19 '► .. �� '-� = - ..................................... ...................................... y �+. , t.• � y ty ....................................................�... ............... ............................................•. .�..-.................. rn .................. .......................... l �..................... f ~w aMoil! _ - 4 Approved .................... .�.� - . ...... 19 UZ .> . .� ..................... ......................................... ..................... _ F s LrO Assessor's map and lot number ............ ..... </i7 ` v"� 7G.Sewage Permit number .......................................................... •1 ,t ' ypi THE r0� TOWN OF BARNSTABLE BAHHSTADLE, BUILDING INSPECTOR y MA88 00,o i639, \00 i APPLICATION FOR PERMIT TO ?;>t rr t� T 14,'-m)-,c- .... .. ....... ... ................................................................. TYPE OF CONSTRUCTION ........ ......�_...a W..::................................................................................. y ........ lc ..........:.`4............19.11 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......................... ..................::`.?.�':....ti....:�.�.?.�'��......�'.�:��........�..t���t '.....i.��l_LQ......................................... ProposedUse .....:'.. '......:.::'..!::{.. ............................................................................................................................................ Zoning District .............. .�a ►• ,c E........................................Fire District .............................................................................. _ r �'1 VEL.J OAS Q-At_-�`-e ' Name of Owner .. ...:........... . .. ... c ........ ....rL..........Address ...... . A.-�. .i�...................................................... i• Name of Builder ...:�;:1��1F�' � �� 1�,AC7►1� TAi�d ....................................Address ........,,...........................,.............................................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................—I.........................................Foundation ...... c �� ,rrp.)�.................................................. Exterior Lt i TF C ( i1 kA 1< r�,� 4a ............................. ........ ...............................................................Roofing ..............-:.......... ......... Floors �a:�:�� 4.�f`t11 Interior �lZ`,� f�LL ........................................................... ........................:........................................................... Heating A ti,! f I g � �� .i to ......... ........ .............................................Plumbin .................................................................................. _ J Fireplace Approximate Cost Definitive Plan Approved by Planning Board -------------------______ -.-.-.--••-/.. �61 19 - - Area ..................... �F -2 ................... Diagram of Lot and Building with Dimensions Fee -.. J• . . ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH i i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 'R, :..^ .............................................................. N Samuel Jones Realty Trust A=187-60 r 11691 one story No ................. Permit for .................................... single family dwelling ............................................................................... 3K Cove Island Road Location ................................................................ Centerville Samuel, Jones RealtyTrust Owner .................................................... frame Type of Construction .......................................... ............................................................................... Plot ............................ Lot ..............67.............. i 1 Permit Granted .....OCtober 26 1977 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ......... .. ..... ..... 19 .... ........ �. . ... ........ . .. .. �7.......... ....... 0...:...... ..............r. . ... Approved ................................................ 19 ............................................................................... ..................... ......................................................... F HEMASIL 9TABL i 1639. B AH9 TOWN OFFICES 397 MAIN STREET (617) 775-1120 Ex. its-izs. HYANNIS, MASS. 02601 STIPULATION AGREEMENT I, Michael O'Neil, do hereby agree to the following conditions set forth by the Town of Barnstable Conservation Co=ssion and intended to regulate work at lot 69, Cove Island Road, Centerville, Mass. to consist of cut, fill and residential construction in accordance with the following: 1) There shall be no site alterations within SO ft. of the edge of the wetland at the site allowed under this agreement. 2) That the finished maxim= elevation at the site be at least 15 ft. above the level of the wetland. 3) That the proposed filling occur between the high point of the lot and the road. 4) That the finished first floor elevation of the proposed residential structure be at or above the 100 yr. flood elevation. _ 5) That the Conservation Commission shall be notified not more than two weeks nor less than two days- prior to work commencing at the site. 6) That the Conservation Commission shall be supplied with copies of other permits obtained in connection with this project as follows: 1. Septic system permit 2. Building permit 3. Certified pl ot plan as Prep are d for the Barns table Building Inspector. 7) The Commission shall be notified when the project has been completed. This agreement should in no way be construed as a waving of the rights of the TOWN OF BARNSTABLE CONSERVATION COMMISSION under General Law Chapter. 131, Sec. 40 nor Article XXVIII of the Town of Barnstable by-laws. Should the conditions set forth herein be violated the Commission may exercise those rights and require complete compliance with the above cited statutes. Signature: Address: 4 ` 8- l9- 77 CL ti SRnvn 7. roujw ORrsR rs AU VL-ABtf A p 5.y3 /LD/nrG S'ET`�A'C ., QUrErh/7' GALL. h 1 .' .5 E� SEPTIC, 5y5.77 .CG7NS.T2.Uc /QN, SNA L -GonJFOi2n� oI A SS ? 5}t r FL O•Gl/ �`f 1t GALl7�1.Y E N41 ✓/ L7. � u ,aT�o�vs� 6,f TOP O-FE_. �4 E MANf/t7LE #.:G'O✓€F 7`Q � t'TEvDQ TO p%2VivT �iNG--5. ylfi T '%N % O //�li5f ED . G. :U Dom' - F/Z0r�1 /NF/GLT2A�/il/6 24'<Gor/ 5 p SO- 1 "711�4�704c- V. 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