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HomeMy WebLinkAbout0019 ELLIOTT ROAD (2) i i i I� �t Town of Barnstable *Permit( ► "0 p� Expires 6 mo m' Err egulatory Ser Vices Fee ` �' Richard V.Scali,Director OCT 3 o 2017 Building Division TOWN O� BARNS 1 At _trry,CBO,Building Commissioner 20'�! 0 Main Street,Hyannis,MA 02601 ' www.town.barnstable.ma.us Office: 508-862-4038 Fax.508-790-6230 EXPRESS PERMIT APPLICATION -- RESIDENTIAL ON-]', r P P p�t(� v6 G Not Valid without RedX.Press Imprint Ma / aroel Number Oo 3 Property Address Residential Value of ork$ C3C7 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Q,a y. Contractor's Name Gz I �C.i Ia �t Telephone Number \50, Home Improvement Contractor Li erase#(if applicabl 93 Email: a Construction Supervisor's License#(if applicable). C."S, Workman's Compensation Insurance Check one: ❑ I am a sole proprietor. ❑ I am the Hom er I have Worker's C mpensation Insurance i Insurance Company Name ) Workman's Comp.Policy <3�O ' Copy of Insurance Compliance Certificate must accompany each permit. Permit R q t(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ' ❑Re-roof(hurricane nailed)(not stripping. Going over existing'layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 door 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 depar went regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of a Home Improve ent C tractors License&Construction Supervisors License is required. SIGNATURE: CaUsers)Decollik1AppData\Loca]Wicroso indowslTemporary Internet FilesTontent.0utlookUPI0I DMEXPRESS.doc Revised 040215 1 T III Town of Barnstable Regulatory Services . Richard V.Scail,Director Building Division Thomas Perry,CBO Building Commissloner 200 Main Street, Hyannis,MA 02.601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder - as Owner of the subject property hereby authorize . QCIL �l�f �. to'act on my behalf, " in all matters relative to work authorized by this building permit application for: c' Rio (Address of Job) Signatu a of OW Date 7 PZWRime UProperty Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side C:IUaerslDecollikkAppDutaU,oea11M1uosoRlWindowsl?empoiary lntemat FiitslContentAudookl2piOiDHR1FXPRESS,doa Rev6d 040215 4 The Comynonnvalth of rrssrrchrtsetts -� 1?w;Ix"nent of h drrstrial Accidents Office of lrrvestigalrtion, 600 wasithiglan,S'tr t r Boston,AM 02111 Workers' Compensation InsuranceAffidavit:Builders/Contractors Ylectnccians/Plumbern 'cant Inforffiation_ Please Print Le "b Appl Name akismeg iztioatin Q� Tza4 L c Address: CQ '7 City/5taw/21p: y Phone# 3 ��" Are yo an employer?Check the appropriate box: Type 0f project(required): 1.; I a a employer Uitin � 4• ❑ Y�a ge�etsl cemz�actor and i b �Ideuv r=sauction employees(hill a�`or pact-tip * have tiered the sub-contractors . listed on the attacked sheet: 7. ❑Remodeling .❑ Y am a sole proprietor or partner- These sob-contractors banve ship and have no employees 8. ❑Demolition and Have working for rite itn capacity. - employees geoilm:rs' 9. ❑Building addition comp_insurance-1 [No worbas'comp_insurance 10.[]Electtical repairs.or additions - 5. � �e are a corporation and its mod.] oilicers have exercised theta . l 1.❑Plumbing repairs or additions. 3.❑ Y am a homeowner doing all work of exemption MGYr myself[No worlm'comp. ❑ . insurance reeptiii+ed] rep 2,§1 d have ago 13 �o� _ t employees.[N'o worker$" .— comp.insurance required.] ;Any appfir=that Checks bast#1 MRU also fill out t&e secd=below showing de3F warms'cutupEnstion palscy infatmstiw.. Homeowners wbo submit d&is affidsvit indicating they are domg all warts dad ttwn bare eu M&cantmc=mad submit a UM aff dscit imdicItin,g mWIL ;Comm dat dmck tus bm must atmdm l an addMaasl slut drown the name of the SdKa m=t=red stets wbethea as not fhmse ead fiw bm employees. If the sub-wammium bsve employees,dff must Ptvaide tl<w wa*ew camp,paltry comber. — r ' eves. ,Below is&e c Ob Site jam an employer that ispriwidirtg workers coegesatiaww inmrance for of aazp�t� P!� informadorc Insurance Company Name: tD.. yyPolicygorSelf-ins.I.ic #: ®0 0 Expiratio `Lo a JobSiteAddress: C Cityratatel 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 MG1.c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 andlor one-year impsisonme k as well as civil penalties in the form of a STOP B6Tt3RK ORDER azatl a finis of up to S250.00 a slay against the violator_ Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insatance coverage verification. I do hereby cerfift alnal epaMs aand pennre s of l'that[the informafiean provided abaate is trews and corrmt S' trace: p a ' L , c`3& L Qpeiaal nso owwdp. Do not unite in this area,tad be caamplartard by city Of town af'Bc'aat City or Town: PerrmitMiceense Lgsning Authority(circle one): 1.Board of Health 2.Building Department 3.CityfFown Clerk, Q.Electrilcal Inespec�tor 5.Plumbing��r d.Other Phone Contact Person: #- _ 6 Client#: 16665 2MEAGHERCO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYI�10/19/2017 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(les)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 CON TACT NAME: Dowing&O'Neil Dowling&O'Neil Insurance Agency PHQNE 508 775-1620 ac No: 5087781218 AIc No Ext 973 lyannough Road EMAIL coi doins.com P.O.BOX 1990 ADDRESS: 02601 INSURER(S)AFFORDING COVERAGE NAIC q Hyannis, INSURER A:Penn•Amadcs insurance Company 32859 INSURED 11104 INSURER B:Associated Employers Insurance Company Meagher Construction Inc. Timothy Meagher INSURER C: 776 Main Street INSURER D: INSURER E: Osterville,MA 02655 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 CONTRACTOR 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 INSR WVD POLICY NUMBER MWDD WOD LIMITS A GENERAL LIABILITY PAV0146331 1011612017 10/16/201 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY PREM SES Ej2ENTED I aoccums $50000 CLAIMS-MADE FX OCCUR MED EXP Any one person) $5 000 X BliPD Ded:500 PERSONAL,&ADV INJURY .$'I 000,1100 GENERALAGGREGAT€ $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PE O- LOC i $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accidents__ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050054422017A 6/23/2017 06/231201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY r ANY PROPRIETORIPARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $100 000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100 000 Hyea describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable ATT:Building SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Inspector ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S199934/M199933 CBD Massachusetts Department of Public Safety Board of Building Regulations and Standards as ` Construction Supervisor Restricted to: �. License: CS-102260 Unrestricted_Buildings of any use group which contain �. Construction Supervisor less than 35,000 cubic feet(991 cubic meters)of enclosed space. f• MICHAEL S ME ER JR,. 97 EMERALD LANE.a J02648 MARSTONS MILLS MA y n ' , Expiration; Failure to possess a current edition of the Massachusetts Commissioner 11/05/2018 State Building Code is cause for revocation of this license. DIPS Licensing information visit: WWW.MASS-GOV/DPS �lJe�iyrr�nca�araetcl��a��c�ac�uaeGld ' ... . i -- Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only - TYPE:Individual before the expiration date. If found return to: Registration Exoiration Office of Consumer Affairs and Business Regulation � 1[62938 04/26/2019 10 Park PI -Suite 5170 n 3 err, Boston, 02116 MEAGHER CON�RUOCCTIM TION�INC'. MICHAEL MEAGHER JR. 776 MAIN STREET Kry1 U OSTERVILLE,MA 02655 - t valid Without signature Undersecretary Print Page Page 1 of 4 ' r Print this page • Owner Information'-Map/Block/Lot:248 /0041003 -Use Code: 1-090 Owner Map/Block/Lot G1�,MAPS DACEY,BRIAN T TR 248 /004/003 Owner Name as of PO ROX 95: Property Address 1/1/16 1["� "9TELLIQTT ROAD CENTERVILLE, MA. 02632 Co-Owner Name BAYSIDE COTTAGES Village: Centerville TRUST Town Sewer At Address: No GIS Zoning Value: RB • Assessed Values 2017- Map/Block/Lot: 248/004/003 - Use Code: 1090 2017 Appraised Value 2017 Assessed Value Past Comparisons Building Value: $ 109,200 $ 109,200 Year Assessed Value $ 13,400 $ 13,400' 2016 - $ 285,700 Extra Features: 2015 - $ 334,500 $ 0 1 $ 0 2014 - $ 334,500 Outbuildings: 2013 - $ 342,500 2012 - $ 323,5W $ 158,600 $ 158,600 2011 $ 304,600 Land Value: 2010 - $ 306,300 2009 - $ 333,500 $ 281,200 2008 - $ 343,000 2017 Totals $ 281,200 2007 - $ 342,500 • Tax Information 2017 -Map/Block/Lot: 248 /004/003 - Use Code: 1090 r . Taxes .C.O.M.M. FD Tax (Residential) $ 343.06 Community Preservation Act $ g0 48 Tax Town Tax(Residential) $ ' 2,1682.65 `.F-iscal Year 2017 TAX RATES HERE w 3,106.19 httpJ/www.townofb.amstabl.e..us/Assessing/prifitl.7.asp?ap.=0&.searchparcel=248.0.040.03 R 1-0/30/20.1.7 Print Page Page 2 of 4 • Sales History -Ma /Block/Lot: 248/004/003 -Use Code: 1090 P History: Owner: Sale Date Book/Page: Sale Price: DACEY, BRIAN T TR 2015-08-31 29109/32 $276000 MADDALENA, ROBIN& K JAMES 2009-10-08 24084/159 $1 MADDALENA, ROBIN 2004-01-13 18119/291 $1 MADDALENA, ROBIN ET AL TR 1999-10-27 12626/218 $1 MADDALENA, ROBIN ET AL TR 1999-08-27 12505/247- $1 MADDALENA, THELMA & WEISMANN, P 1991-01-15 7411/117 $1 MADDALENA, THELMA F 1979-04-04 2894/283 $0 • Photos 248/004/003 -Use Code: 1090 _ • Sketches -Map/Block/Lot: 248/004[003-Use Code: 1090 This property contains multiple sketches. Please use the navigation below the sketch to browse sketches. qr Additional Sketches 112 j " Click Here for print version that displays all sketches at once http://www.townofbamstable.us./Assessing/Printl 7.asp?ap=0&searchparcel=248004003 10/30/2017 Print Page Page 3 of 4 As Built Cards:Click card#to view: Card #1 • Constructions Details -Map/Block/Lot: 248/004/003 -Use Code: 1090 Building Details Land Building value $ 109,200 Bedrooms 2 Bedrooms USE CODE .1090 Replacement Cost $85,348 Bathrooms 1 Pull-0 Half Lot Size 0.21 (Acres) Model Residential Total Rooms 4 Rooms Appraised $ 158,600 Value Style Ranch Heat Fuel Oil ^ Assessed Value 58,600 Grade Average Heat Type Hot Water Year Built 1949 AC Type None Effective 36 Interior Hardwood depreciation Floors Stories 1 Story Interior Walls Drywall Living Area sq/ft 768 Exterior Walls :Wood Shingle Gross Area sq/ft 984 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp • Outbuildings & Extra Features - Map/Block/Lot: 248/004/003 - Use Code: 1090 Code' Description Units/SQ ft Appraised Value Assessed Value Basement- BMT Unfinished 216 $ 6,700 . $ 6,700 BMT ' Basement- :Unfinished 216 $ 6,700 $6,700 • Sketch Legend Property Sketch Legend 62N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area SOL Solarium (Finished) $MT Basement Area F1JS Second Story Living Area SPE Pool Enclosure (Unfinished) (Finished) BRN Barn GAR Garage TQS Three Quarters Story (Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) http://www.townofbarr stab.le-us/Assessing/print17.asp?.ap=0&searchparcel=248-0.040.0-3 10/3-0/20.17 Print Page Page 4 of 4 G� CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in PRT Portico WDK Wood Deck Porch PTO Patio Microsoft VBScript runtime error'800a01 a8' Object required: " /Assessing/print17.asp, line 153 f i n e ` 11 - • Ili http://www.townofbamstable.us/Assessing/printl7.asp?ap=0&searchparcel=24800'4003, 10/30/2017