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Home My WebLink About1884 FALMOUTH ROAD/RTE 28 /g�� tea,L.r�lovTyi �� Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 10/8/19 y Brian Florence CBO Town of Barnstable ca Building Division ,o 200 Main St. " Hyannis,MA 02601 -v . RE: Insulation Permit 19-3072 Dear Mr. Florence: This affidavit is to certify that all work completed for 1884 Falmouth Road,Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. rf rm d meets or exceeds Federal and State All work performed Requirements.- o e Sincerely, William McCluskey Town of BarnstableBuilding 7 Post This Card So:That-it is Visible•=From the Street ;:Approved Plans Must be:Retained on Job and this Card Must be Kept Posted Until Final Inspection,Has Been Made. PeY'ri11t ci jgj Where a Certificate;of;Occupancyi s Required such:Building shall Nottbbe Occupied untill.a Final Inspection-has been made Permit NO. B-19-3072 Applicant Name: William McCluskey Approvals Date Issued: 09/17/2019 Current Use: Structure Permit Type: 'Building-Insulation-Residential Expiration Date: 03/17/2020 Foundation: Location: 1884 FALMOUTH ROAD/RTE 28,CENTERVILLE Map/Lot: 189-030 Zoning District: RC Sheathing: Owner on Record: FORMAN, DOLORES Contractor Name William PMcCluskley - Framing: 1 Address: 1884 FALMOUTH ROAD Contractor License: 102776 2 CENTERVILLE, MA 02632 Est Project Cost: $3,400.00 Chimney: Description: Add R-38 fiberglass, R-37 cellulose,and R-10 rigid insulation to the Permit Fee: $85.00 attic.Air seal the attic plane with expanding foam: General Insulation: weatherization. Fee Paid::` $85.00 Date: 9/17/2019 Final: Project Review Req: • _ � � �� . Plumbing/Gas Rough Plumbing: e�Building Official Final Plumbing: 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 thi's permit has been granted. Rough 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 Final Gas: work until the completion of the same. ! . Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 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" (as set forth in MGL c.142A). � Fire Department Building plans are to be available on site i Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 0� .� Town of BarnstableBuilding e �SM Post This"Card So That rt�s.Uisible From#he Street Approved Plans Must be Retained on!ob andthis Card Must be Kept MHAM"� Posted Untih,Final InspectionHas�BeenMade F Permit. 1639. a� Where a Certificate of Occ pan�cy Requ;! edsuch Bu�ldmg shall Not be Occupied untii�a Finai Inspection has been made Permit No. B-17-3454 Applicant,Name: OCEANSIDE, INC. Approvals Date issued: 10/10/2017 Current Use: Structure PermitType: Building-Addition/Alteration-Residential Expiration Date: 04/10/2018 Foundation: Location: .1884 FALMOUTH ROAD/RTE 28,CENTERVILLE Map/Lot: 189-030 . Zoning District: RC Sheathing: Owner on Record: FORMAN,DOLORES ti Contractor,Name .°OCEANSIDE, INC; framing: 1 Address: 1884 FALMOUTH ROAD Contractor License 100121 2 CENTERVILLE MA 02632 . . E � E "i Pr. 8 000.00 E st oiect Cost $ Chimney. Perrn�it�FeeDescription: repair damage to garage from vehicle hit $90.80 Insulation: Fee Paid; 90.80 Project Review Req: $�- final: o " Quo .P !? 1 2017 Date....... 0 0 Plumbing/Gas `r Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six monthsaft er issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the-approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be incompliance with the local zonmg,by lawsand codes. final Gas: This permit shall be displayed in a location clearly visible from accessstr'eet or road and shall be maintained open for pukilic mspectwn for the entire duration of the work until the completion of the same. y .rr ;,.; Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building arid Fire Officials are provided;.on,this permit. Service: Minimum of Five Call Inspections Required for All Construction Work ' r Rough: 1.Foundation or footing 2.Sheathing Inspection final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior toframe Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where 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. Final: "Persons contracting with unregistered contractors do-not have access to the guaranty fund" (as set 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 01 Ma U I Parcel � � A lication p PP �l �• ��S 1 Health'Division Date Issued P ®D A c�k Conservation Division CV4Application`Fee 9 Planning Dept. Permiffee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village 0—ai2ke—VI, Owner_ )Q re FG KYY-)a_P�I Address le, Telephone ,�D8 _7775 Old 9(,2 Permit Request Square feet: 1 st floor: existinJ3 roposed 2nd floor: existing proposed Total new Zoning District Q Flood Plain Groundwater Overlay Project ValuationO Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family W," Two Family ❑ Multi-Family (# units) 1. Age of Existing Structure Historic House: ❑ Ki Yes O�Pd�U��f'Ol� ng's Highway: ❑Yes C<o Basement Type: mull ❑ Crawl ❑Walkout ❑ Other nc.T n�017 Basement Finished Area(sq.ft.) 051, Basement Unfini 8d.P #l09Aa E)Q3 TOWNFF Number of Baths: Full: existing_ new _10 Half: existing new Number of Bedrooms: existingoiew Total Room Count (not including baths): existing _7 new First Floor Room Count Heat Type and Fuel: &6as ❑ Oil ❑ Electric ❑ Other -F4tJ Central Air: ❑Yes lh<o Fireplaces: Existing New Existing wood/coal stove: Yes 1 No Detached garage: ❑ existing/0 new size Pool: ❑ existing ❑ n�wr Size _ Barn: ❑ existingLF ne Al w size_ Attached garage: t�istin g ❑ new si41Vy0ed: existin ❑ n size ther: 9 g g � Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes *o If yes, site plan review# Current Use Proposed Use J - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name c ��P �y� � Telephone Numberg L Address I �, c ��. � � License # 1 dke 1XJW1 Y 1 YX Cj3�� Home Improvement Contractor# jtn()� Email 'aa / G , Worker's Compensation # 1fINC'lOD(odl9R l�' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # r DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT ` ASSOCIATION PLAN NO. CD CD o 0 G Z c cA c CD r C o BUILDING DEPT. OCT 0'6 0117 TOWN OF BARNSTABLE r �j � I r 1 �r e 4 j lit f y .E♦ r i t , a - k � t t t 4`� } s } A Y � t P. xr. Y '� " C ifs•#� � ,,1 �'i° y t F a I � }� • .+ I I'll II 4 �i'� ��•+��` .. • �e�o��rznnrire�i�,l1 o��iaurc%cr:selXri -- ice of Consumer Affairs&Business Regulation License or registration valid for individual use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: .� Office of Consumer Affairs and Business Regulation egistration 1UU21 Type: 10 Park Plaza-Suite 5170 Expiration 6 9%24g' 7� Supplement Card Boston,MA 02116 OCEANSIDE,INC. s r r }� A ry � ' 11 STEVE TESSIER � -$ f r 217 Thornton Dr10� y ;a% �:i_._� •�;k -— Hyannis,MA 02601 Undersecretary Not valid without signature r s s Massachusetts Department of Public Safety Board of Building Regulations.and Standards License: CS-055571 j Construction Supervisor. STEVEN M TESSIER 18 DEE BEE CIR; t ' MIDDLEBORO MA Oft 6 i .. Expiration: —� Commissioner N ^ ^0911712018` The Commonwealth of Massachusetts Deparment of Indusitial Accidents Dice of Investiguhons ' rl Coiigress�Street;Sutte.�UO , Boston,MA 42II4 2017 ►vw fw mass govala Workers'Cornpensahon:tlnsuranceAflidavt.Builders/Contracto>Gs/Electgeians/PI_umbers .Applicant Informidon Please Print Let ibly Name(Business/Organization/Individual): DC 2 0- Address: aq, °7 T/lDr✓1.Z'U ,r! L- e-> - City/State/Zip: l s: `7 0�_D Phone 7V^ 1_3/lD Are you an employer. Check the appropriate box: Type of project(required): 1.L� I am a employer with „� ? 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.= 9• Building addition required,] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other I comp.insurance required.] *Any applicant that checks box#l 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 contractor;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 subcontractors 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. n Insurance Company Name: Policy#or Self-ins.Lic.#: V WC,l6D&0/9 -O o A6/7 Expiration Date: /� 4/� a�D/ 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 un er M Ins and penalties of perjury that the information provided above is true and correct Si" aturc: Date: Phone#: Official use only. Do not write In this area,to be completed by city or town gfJReial. 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#: r ACaR CERTIFICATE OF LIABILITY INSURANCE DATEPHADDI""" 12l3=16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Alm 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 INBURERrSh AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE NOLOER. IMPORTANT. If the aertlneste holder Is an ADDITIONAL INSURED,the pollty(les)must be endorsed, SUBROGATION IS WAIVED,subject to the bras and conditions of the policy,certain pokl es my require an endorserne t. A statement on this certleosts does not oonbr rW tf to the eertl8csts holder In peer of such andoraem s. PaoDueER --- Dovft&O'Net insurance Agencysa&7T5�1824 _ FAx 5M778.1216 973 lyannough Road - - PO Box 1990 - - AFFORGINGCOVERRSE _ _ Hyannla. MA 02601 IMBUI JRA:ArbeAa Insurance Company _ - r»suRE a: Ltbnily Surplus Insurance Corp. Oceanside,Inc. MUMC: 217 Thornton Drive BIeURERD: Hyannis,MA 02601 INeURERE: COVERAGES CERTIFICATE NLRNBER 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 i 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 E SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE mjcv NuMsen tsors GENERAL IUABILJn --- EACH OcctsRREN _ 1,000,000 X COMMERCIAL GENERAL LIABILm I PREM,ItISE' Ea - —100.000 CWMs•11ADE QX OCCUR LI£D VW" .one s 5,000 A 8500066712 01/01/2017 0110112018! Pr xsow►L&AM uuua�• ; '_ 1.000.000 GENERALAGGIEGATE f 2,000000 GEN'L AGGREGATE L@Nr APPLIES PER; PRODUCTS-COS AGO f 2,000 000 POLICY PRO' LOC a. AUTOMOBILE LIASILm _ M 1.000.000 ANY AUTO BWLY W"y ft pen=) f fxALLOMED SCHEDULEDAUTOS AUTOSA t020061666 01ro1/2017IaREDatrros S X uMeRta Lw L" X OCCUR EACH OCCURRENCE f 5.000,000J', A ErccEaeLAA9 �piS M�pE 4600066716 0110112017.,01/01=18 -_ _ AGGREGATE � f . S,OODm; . t DED X RETENTIONS 10000 I f WO10CERS COMPENSATION s - AND BU t0"W LIAGIUM YIN. AkYEM�W El EACHACDEM f OM REXOUD NIA - (MWAMmy b NN) E.L.DISEASE•EA EMPLOYEE f a. .aaaies uneer - - — PTON OF OPERATIOrIe below EL DISEASE-POLICY LaAIT f —-_ B POLLUTION LIABILITY a1' '�TIESOI02011116 02= 016 812; 02J201T DNCRNMM OF CPERATMS r LOCATIONS I VEIBp (/libha ACCRD 101:AdOftiond R.n�Aw 8gM01N;"a eio�s li natk Insurance coverage is lindted to the terns,conditions,exclusions,other knitstfons and endorsements. Nothing oontairmd in the certlticate of insuranoe shell be deemed to have altered,waived,or extended the coverage provided by the pok7 provisions. I ' CERTIFICATE HOLDER - -_ CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBER POLICES BE CANCELI ED BEFORE THE EMRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROIIISIOtrS. AUTNORM REPRE5111MVE ACORD 25(2010105) 01NS-2010 ACORD CORPORATION. All rights reserved: The ACORD name and logo we registered marks of ACORD Co d' CERTIFICATE 4F LIABILITY INSURANCE 11213042016 THIS CERTIFICATE IS ISSUED As A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATNELY 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 aardfleate holder Is an ADDiTIONAL'INSURED,the pOliay(Iss)-must Iw ondmsvd. U SUBROSATION IS WAIVED,subJsd to the terms and conditions of the polley,ceriatn policies may require an endorsement. A statemsnt on this cw flcaie does not confer rl"to the cardlicate holder In Neu of such endon s. Prdx)U l Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PN01E , 608`775-1620 TAX lauliva s.00m — 9731YANNOUGH RD. iIFFORall000vERACE Uwe HYANNIS MA 02601 ecountA; AN MUTUAL INS CO 33756 INSUMM - . eawRERs: OCEANSIDE INC INSURERC: _.- INSURERD: 217 THORNTON DRIVE INS{IRfiR fi: _ _ HYANNIS MA 02601 INNUMMF, COVERAGES CERTIFICATE NUMBER: 114908 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. TYPE OF INSURANCE wwff wismxuw a AM= Lon CIALOEI�IAC LUISIJTY . , EACH OCCURRENCE _ _ WA PERSM44L a ADV IIJIJRY f ` MCL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE i Y micy❑JET ❑LOC PRODUCTS-CGNIP00PAGG S AUMMOMLELIAGU Y _ ANY AUTO ; SOMY INJURY ft pwsw) f AUTOS AUTOS A�"uroEs°U� WA aODLY INJURY(POracdeaMl t NIREDAVTos AUTOS� D s< _. _. INNeRELIALIAR occua EAacoocuRREracE s ocssse LIAS CLAIMISAIADE; NIA AGGREGATfi : _. DED RETENTION S vroRIGERaceelP>:NEATNNt MD6NPLOYE UMILITY X A ANYPROPWETORIPARTHERIMOU IVE Y-N r j El.EACHACGDHNT � 1,000.000 A OFFICEPMERAEREXCLUDEDt wA NIA wA VWC100601t18022017A 01/01rz017 01/01/2018 Ir•�ty a te+► EJ.. MASE.EA RnP 2! , s 1,0W.000 ri�pp,aa�eo unaer Ei.u -PoucY.uM s 1.00D 000 DESCRIPTION OF OPERATIONS e6fow I WA 90MIRTN>rl OP OPERATION!I LOCATIONS I VEIICt18 IACORD 4Of.Add I ftM@ is lef:.dW@ mqi a d:.d Eaton r:puMdl -- Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given M pay claims for benefits to employees in states other than Massachusetts 0 the insured hires,or has hired those employees outside of Massachusstts. This oertificete of insurance shows the pokey M form on the date that this cwffllmft was Issued(unless the expiration date on the above pokey precedes Be Issue date of this cartiltcate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Veriftedon Search tool at www.mass govRwdkwrkem-oompensador*wostigaUow. CERTIFICATE HOLDER _.:CANCELLATION" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AVr10 REPREeENMTA/E MA 01752 �el M. ,CPCU,Vice President—Residual Market—WCRIBMA _ 01958.2014 ACORD CORPORATION. All rights reasrved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD �IHE Town of Barnstable Regulatory Services ` MASS. ' ` Richard V. Scali,Director. Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �t�/Z � i •��C to act on my behalf, in all matters relative to work authorized by this building permit application for: )144440 1 40 rz'rJ�, ' Ili<�3 7 v (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner - Signature of Applicant Print Name Print Name • Date Q:FORMS:OWNERPERMISSIONPOOLS ~ Town of Barnstable _ Regulatory Services pFIKE tqy, Richard V.Scali,Director ~o Building Division RAnivszasM Paul Roma,Building Commissioner Mass. $ 039. 200 Main Street, Hyannis,MA 02601 �En www.town.barnstable.ma.us Office: 508-862-4038 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 section(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 2.1.5) 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 THE RIGHT CHOICE - w ') k ` Since 2971 'r�Yr Office Use,Only � i 1� �L V VAcea ceansiuo,,nevJO$NUMBER I. - q� h t r w e s AL a: 1. e r Is abri tora,a o n 217 Thornton Drive,Hyannis,Mass.02601 508-771-3110 800-464-3M8(MA.Only),774470-2211 Fax ASSIGNMENT AND AUTHORIZATION TO PAY The undersigned, herein called claimant, has authorized and ordered from Oceanside, Inc. , the materials and/or services requested. Undersigned hereby assigns to Oceanside, Inc. any unpaid proceeds due or to become due, under the claimant ' s policy with the insurance company to pay direct to Oceanside, Inc. or to include its name on a check or draft, for all requested work. In the event that Oceanside' s claim herein is not covered by, or paid by, an insurance company, claimant agrees to pay Oceanside, Inc. within sixty (60) days after work has been completed. Claimant understands that Oceanside, Inc. is working for them and not the insurance company or the adjuster. Payments remaining due and payable after the claimant has received payment from the insurance company shall bear interest at one' and one- half (1-1/2%) percent per month. In the event that there is a breach by the claimant of any of the conditions of this agreement, Oceanside, Inc. shall be entitled to recover, as additional damages, attorneys ' fees, costs and any other collection expenses reasonable and attributable to said breach. If payment is not received within 60 days, collection action will commence without further notice to the claimant . LOSS/DAMAGE ADDRESS MAILING ADDRESS (BILLING) CITY STATE ZIP INSURANCE ADJUSTER' S NAME/CO. LOCAL INSURANCE AGENCY NAME PRI T NAME � INS. CAR IER/POLICY UNDERWRITER DATE: d (�� CLAI T' S SIGNATURM PHONE:_ "5-6- �� ` �� Jy EMAIL: f Cape Save Inc. . 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 1/5/16 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. , Hyannis,MA 02601 rn RE: Insulation Permit 201508313 Dear Mr. Perry This affidavit is to certify that all work completed for 1884 Falmouth Road,Centerville has been inspected by a third party Certified Building Performance Institute (BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION' Map + U Parcel 030 Application# S 3 Health Division Date Issued: Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village CQA4sr lke Owner 1)p r8.5 Fgcm an Address 6 C..rn Telephone 508 . is Permit Request AJd V 3 �;l�c ass n� t2 - k zel��,�os� = o +k � n 14il- seal +te, &+h aIJWC lal'r`� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 0 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ 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 woodl6oal stove., ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ ❑ ex existing ❑ new size _ Barn: isting E>f'new size_ Attached garage: ❑ existing '❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ _ Commercial ❑Yes XIN'o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION I (BUILDER OR HOMEOWNER) Name ' 111AP, kie sk^.Ilt)c• Telephone Number Sd$ 313 03 9 8 Address 7-) t+_tAA r'n9'an &-e License# -L-C S \(af Wn 6!&A 6 of MA QA 6 6"I Home Improvement Contractor# Email Worker's Compensation # wfn cn ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1 arM 00,4 SIGNATURE DATE 3 S FOR OFFICIAL USE ONLY ` APPLICATION # t DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r f DATE OF INSPECTION: F, FOUNDATION ` FRAME I INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r q� L''w' „. p The Commonwealth'of Massachusetts ► {'y, 1' .Deportment of InduI I strial A ' i t ", kr�, _ _._ , ,1 ec dents- �C 1 Congress Street Suite 100{r i' Boston;MA 02H44017-: ► wnw mass gov/daa NN-4rkers'Compensation Insuraince Affidavit:-Builders/ContractorsLElecthi ians/Plum-hers. iY _ TO BE FILED WITH THE.PERMITTING AUTHORITY. Applicant Information i Please Print-Legibly •° Name(Business/Organization/Individual) Ca Pe:Save Inc . Address:7-D Huntington Avenue South Yarmouth, M 508-398-0398 ' City/State/Zip: A 02664 { 'phone#. ` •• ' Are you an employer?Check the appropriate boa: _ Type of project(required) 1.Q✓ I am a em toyer with,20 - employees - p, _ New construction -»- 2.❑I am a sole proprietor or partnership and.have no employees working for me in +� , x A « $: �Remodelmg,2' ''x-{ any capacity.[Noworkers'comp.insurance required.] +" 's3". 'r. I A-+ .+.�`.. ^�� ., g. ❑' ..Demolition,,r „�• ,P-;. i ` 3.n I am a homeowner doing all work myself:.[No workers'comp.msurance required.]t- ` __ r. 10 0 Building addition _. #� ' 4:❑1 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" I I.[]Electrical repairs Or additions 1 - proprietors with no employees. 12.0 Plumbinvepairs or additions 5.❑I am a general contractor and I have hiredthe sub-contractors'listed on the attached sheet. _ These sub contractors have employees and have workers'comp..insurance.� 13:❑Roof repairs , Insulation 14.�✓ 6. Other. = - ❑We are a corporation its officers have exercised their right of exemption per MGL c:, F . 152,§1(4),and we have no employees.[No workers'comp.insurance required:] •` { + *Any applicant that checks.box#1 must also fill out the section below showing their workers'compensation policy information_ - t t Homeowners who submit this affidavit indicating theyare doing all.work and then hire outside contractors must submit anew affidavit indicating-such. � I ;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 t employees. If the sub-contractors have employees,they must provide their workers'comp:policynumber. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policyand job_site ,... -information. .. _ ... _. _.. . t t Insurance Company Name Wesco Insurance Company 1 7_ _ Policy#or Self-ins.Lc.# WWC3136274 " "'"" "' 7_a.;, Expiration Date: 04/09/2016 Job Site Address:• 1884 Falmouth-Road .t it City/State/Zrpj:. Centerville =` , .-Attach a copy of the workers'compensation policy,declaration page(showing the policy 17umber and:expiration.date). _ Failure to secure coverage as required under MGL c. 152;§25A is a criminal violation punishable by a fine up to$1,5.00:00 t and/or one-year imprisonment,:as well.as civil penalties in the form of a.STOP WORK ORDER and a fine of up to$250.00.a day,against the violator;A.copy Of:this statement may be forwarded to the Office Of.Investigations Of the 01A,for insurance.- •« '-�w`, coverage verification. I do herebycerti under th ains and' enalties o er'u that the information provided above is true and correct Ty p P .fP J rY f P t Ci .... ..ab+ .w. h r!. t'... �-+: i.� 1.• - Signature: Date: 12/3/15 Phone#:508-398-0398 c "Official use only.`Do not-write in this area;to be completed by`city or'town official` e w. City or Torun, �*�a � � ��_ �+ � ,'�-' � PermitlLicense# � issuingAuthority(circle one).-, 1.Board of health.;2;Building Dep.artment 3 City/Town Clerk 4.Electrical inspector 5 Plumbing Inspectors y 6.Other rr. . ".•i . 4 e' __. . Contact Person Phone:#s ....• ht�� .��. .t e'�..?..7.t i;i':;.3 ��. ..i�',,.� ••,1,;'rJ .t:. .:r .'ti' ":7. 'i ;-str-'d-�- :�:��'>rs - 1D A6c ve CERTIFICATE OF LIABILITY INSURANCE DATE(MM DlYYYY) 10/14/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER NAME:ONTACT Colleen Crowley Risk Strategies Company PFICIN E (781)986-4400 FAX (781)963-4420 15 Pacella Park Drive E-MAIL :ccrowley@risk-strategies.com ADDRESS Suite 240 INSURER($)AFFORDING COVERAGE NAICi Randolph MA 02368 INSURERA:Selective Ins. of America INSURED INSURERB Allmerica Financial Alliance Ins Co 10212 Cape Save, Inc- INSURERC.4Tesco Insurance Company 7 D Huntington Ave INSURER D: • INSURER E: ` South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL15101402127 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE OF INSURANCE S POLICY NUMBER MPMI�EFF MPMMI ICY EXP LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENT� A CLAIMS-MADE Fx—TOCCUR PREMISES Ea occurrence $ 100,000 S1994480 10/16/2015 10/16/2016 MED EXP(Any oneperson) $ 10,000 r PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 POLICY F ACT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILELIABILnY Ea COMBINEMSINGLE_ LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AWBA46796600 11/6/2015 11/6/2016 BODILY INJURY(Per accident) $ AUTOS NON-OMED P OPERTY DAMAGE $ X. HIRED AUTOS X AUTOS Per accident X UMBRELLA L(AB X OCCUR EACH OCCURRENCE $ 11000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I RETENTION Hil S1994480 10/16/2015 10/16/2016 $ WORKERS COMPENSATION Offioers Included Pot X PER OT - AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIE)ECUTIVE N!A Coverage E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? ., N❑ C (Mandatory In NH) (;, ,?,r eSC3136274 4/9/2015 4/9/2,616` •E.LDISEASE-EA EMPLOYE $ 500 000 If yes,describe under DESCRIPTION OF OPERATIONS below s E.L.DISEASE-POLICY LIMIT $ 500 00C DESCMP110N OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar Electric are all included as Additional Insureds with respects to the General Liability coverage of Named Insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 460 West Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Michael Christian/CLC �� t O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Town;®f AXvAahle. rY s *zsrAat Richard-V.ScaIy DirecoT. ass.. g Buildu�g:DiviSUn ..: Tompker"ry,] .-*Mug Co Mlt"s eonek . 200Mam Shot;Iiyannis,A4A 02601. WWWAbNn bairnsf ble ma.ns Ofn= 508462-4038 Fax 508 90-623.0 'roperty Ow�.ner IV�us:t Cox�p�ete end S .gn' uts Section. IJsxn �A�B deer, ��. I, At ;: bj er of.-b -Suect p z.-P eny ' heir�bp autT�ioiize la P f, �C1 �� rtoact on mpbelalf in all matters2truve to ►ork authoried by dais budmg permit application fora Addressro� off► r �'ool:fences and,alarrns,are tie.respon� cy of the: ppl carat Poa]s' are rs.nottosbe fi 1ed o theall":before fence�,s installed and all f mal i�z?spect�o-us are:periar ned.and accepted. 'Signatare-of:Owner S ce App.- ; of;> licant • Pzurt Name Pant Nan Date Q;Foxms:o�v�riau��sstanu ZA Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cdntractor Registration Registration: 171380 Type: •Corporation �.. t Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM McCLUSKEY r ; � - 7-D HUNTINGTON AVENUE : ° SOUTH YARMOUTH,.MA 02664 Update Address and return card.Mark reason for change. Address E] Renewal 0 Employment Lost Card SCA 1 €• 20M-05/1 i �llre �fr-rirotunu�.al,G�oj��(.rit6ur�ru�/4 ' Office of Consumer Affairs&Business Regulation License or registration valid for individul use only Iva UVExpiration:�AMAEW IOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 411380 Type: Office of Consumer Affairs and Business Regulation /20a6. Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. I, --wy ' � WILLIAM McCLUSKEY� �� 7-D HUNTINGTON AV,.E,NUEr" SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature l Massachusetts -Department of Public Safety Board of Building Regulations and Standards c�ro+cTiiCuirTi Juuei�uor oi�CCinic_�� Asa-,ate�.�� - , License: CSSL 1. 02776 V r.1.s. q WILLIAM J MC 37 NAUSET ROAD West Yarmouth 117A Expiratign. Commissioner 06/281201T a- �`� Assessor's Office Ost floor MaD Lot Permit#-_ ��— -z Conservation Office 4th floor -s' Tn� Date Issued Board of Health Ord floor 1 �4°� Engineering Dept. Ord floor House# ��'�� q ems. ..�, ® 19 MARIL ��.`, (Applications processed_8:30-9:30 a.m. & 1:00-2:00 .m. YA TOWN OF BARNSTABLE. Building Permit Application A Proiect Street dress �^ 0 T'fV 02 Village e' gE-y c)l! Fire District �.v (hvner e L ®t2ti-S 90.9 n/ Address Telephone_ Permit Request: �Ur�D/N Q Zoning District h 0 451V TIA Z- Flood Plain Water Protection Lot Size // 4T`Ex Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use /}2 DaH �i 6s Construction Type - aL MADr- Eaistine Information Dwelling Type: Single Family 1/- Two family Multi-family Age of structure B !tI" Basement bN- Historic House Finished Old King's Highway /Yd Unfinished Number of Baths34`lf No. of Bedrooms Total Room Count(not including bathes) 1 First Floor Heat Type and Fuel y 4 E T MA Central Air Fireplaces l Garage: Detached Other Detached Structures: Pool Attached Barn n None Sheds Other Builder Information Name c) �7 u L �f-7f�21�f p�`l, l�rY�P�I'�� Telephone number I:5 j6 t} QrJ Address too M'a D��'/� License# Home Improvement Contractor# Worker's Compensation # i NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 OWProiect Cost �/� �— Fee ✓``�� ,)C SIGNATURE DATE s`,- R, BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T /�1a 5/r!/9sr f e O O FOR OFFICE USE ONLY - -B4;-7-11 5/10/95 189.030 ADDRESS 1884 Falmouth Road, VILLAGE Centerville i Saul & Dolores Forman ' OWNER DATE OF INSPECTI •N: t FOUNDATION FItAIvIE s _ Y INSULATION ! ' � � s ; fir• ,FIREPLACE _ ELECTRICAL: . ROUGH FINAL PLUMBING: f_ ROUGH FINAL GAS t'° l ROUGH FINAL _ FINAL BUILDING:, ' '';' ' 7 DATE CLOSED OUT: ASSOCIATE PLAN NO. t Assessor's offioe (1st floor): i , 3ql FTNETG s�GF' .- ,3��.....Assessors map and lot number• .......... ... f Board of Health (3rd floor): WQ o d � Sewage .Permit` number ...........�5.7. ..:PO. ..Yln......... Z 33ABD9TdDLE, i Engineering Department (3rd floor): �, ~- 'oo MAB e0� House number.................................... '•E�Mar{►� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR s W APPLICATION FOR PERMIT TO ............... /............................................................................... TYPEOF CONSTRUCTION ................... .LAY.I......?V................................................................................... 3 �...... 19... ` TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit according to the following information: Location M.!% yix.!!S ....... In'1 Oil Ct'1, ProposedUse .......FQL.W1.l..1. .....!rOO.VIVA........................................:..................................................................................... ^ � Zoning District ........................................................Fire District ........ Name of Owner ir'.:.S4�t 1....i".�?r✓►'1. ......................Address ::I.. ,.`�...f'�Mo�.� .. �l►1�et-v� G... A. Name of Builder ' C 1 C ►� ... .��'�...Cet��` .��fe.......'�:Ttt^....... .....0...�...u,�v.�...................Address Nameof Architect ...........1.` Q.V.x..........................................Address .................................................................................... Number of Rooms ......... .............Foundation ......cp.n.!C.rx,i . ............................................ �p ` f I , Exterior .....W. P. C.A......5.�AXX.I..�ts....................................Roofing ....,.4.S.�har.4T.......3.! .l!!1g.1.e............................. Floors ...............Q.iit............................................................Interior ....................................... .. Heating ............... .. .. ...::.Plumbing ........ !l�nT ........ _ Fireplace ......4;.` :r..............................................................Approximate Cost � O v Definitive Plan Approved by Planning Board ____________________19 =___. Area /S6 S Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH - y I N o,c S A e- • , �aX 13 ac%��-t C? '1 i G arQ Adc(��•� �, 3� OJCv^�1 +1R O 9 r 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 •. .... �r ' �� 7 Construction Supervisor's License ............................ ....... II FORMAN, SAUL A=189-030 - Tv�3 No ` 7�. Permit for .....Add. To............... Location ....1884 Falmouth Road ..................... Centerville ............................................................................... Owner ...Saul. F.or. n . .....m..a..................................... Type of Construction .....Frame....................... f Plot ............................ Lot ................................ Permit Granted „March 30 , 19 88 Date of Inspection ....................................19 Date Completed ...........................`.........19 'C.:.''S�ti. v ,_3a �..rti_.�R�+�.i:S `tT�'{�'i.-4'yN{.',�: .1ah.,''w..s^e.:..c"�.'� `%!# ..i.yfrY'iii�r'y?�y,..v+x,.�73a35r�:'7:47r R+FaBvtYsw•N :aq�nee'M." v^.*va¢ ,atr:ystut'y. wv ._ .... .. . Assessor's office (1st floor): THEro Assessor's map and lot number ....... ..............................:..... P..��'♦ Board of Health. (3rd floor): n l Sewage Permit number ' `r D �?� -�� ". DAL � C � �"�_ Engineering Department (3rd-floor): co 2639• a� House number . .........................� `.... .�lv.X `,.......... O YAY d\ Definitive Plan Approved by Planning Board ________________________________19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE :9 BUILDING -INSPECTOR APPLICATION FOR PERMIT TO ...............L............... ..... nJ....oU` .................. TYPE OF CONSTRUCTION ..................................................................................................................................... - o•"--` ..........................19-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: i Location ..�. .�? j a/�7 t7GG /"......./?O/..............5..c.yJ.,�G�- vA C�.. .. Q.:............................... .............. r .................. .....f... Proposed. Use ...� Xl . . . 5... � . . ...i..O� ... .. ..........` rz ......�.a...a.j...�.....�...�....d.....�....l.......................... ........ ... Zoning District h / ....................Fire District e�7�crvi(fC _ �S.eyJti rr � � Name of Owner ...S .....rv'`. .... .........................Address .......,a. C...................................... t.►r a�� 7 4 r/ 04 (Jo Name of Builder .................................a- ....................Address ............ / ( ��l ,eVul Nameof Architect ...............N qn.c......................................Address .............................................................................t...... s Number of Rooms ........�..........................................................Foundation .................................................. "+ ........................... Exterior ......4...P..a.di!....... .................................Roofin t4 �� T e Floors ...... PP.d...............................................................Interior ...... t,'.... rfeating .... . Jew=-- ..r�..............`.'..Plumbing ........ ............ - Fireplace ....... 1!J.`!1 e ............................................................Approximate Cost .......�!...5 ../!� .I U (�� y , r'Area s.........:� ... ..; (I Diagram of Lot and Building with Dimensions Fe ! �CtC yt Ex�l f _ -54C Nt 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 .....0 0.G v.,.....y... FORMAN, SAUL A=189-030 Build Addition No ................. Permit for .................................... Single Family Dwelling ......................................................................... Location 1884 Falmouth Road .................................................. Centerville ............................................................................... Owner Saul Forman ................................................. Type of Construction Frame .......................................... ............................................................................... Plot ........................... Lot ................................ Permit Granted ....October 12. ....... , 19 88 , ................ .. Date of Inspection ....................................19 If Date Completed ......................................19 ,j Assessor's offioe (1st floor): Assessor's map and lot number .......... ..9....`a,� D......ggp= SYSTEM MUST 13E yOFTNET�� Board of Health (3rd floor): M197ALL D M1 COMPLIANCE Sewage Permit number ........,�.-� �. �......... WITH TITLE 5 Z BAg.EyTODLt, . Engineering Department (3rd floor): 01�B ENViR`aO'�' WIENTAL CODE AND moo i639, e0� w MAMI House number ........................::............... � �1.�..................... p�W��/Np� REGULATIONS a� TV Yvi� O MPy APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............../ l'!'I.C?.. '1�1................................................................................. •D Y i TYPE OF CONSTRUCTION .................... C.5.1.dC°r{l .?V................................................................................... ��..., ... -------------19-...eT.-. TO,' THE INSPECTOR OF BUILDINGS: " The undersigned hereby applies for a permit according to the following information: . �,Location ............ ....... ............... ......... wo � ce�:.�•.. 1c .... ............. , ... . .. 1 R, � ff ProposedUse ......F.M �..1.y.....!r®O.I..n............................................:................................................................................. Zoning District .......... � 0 t4.:..C.,..-..................................................Fire Distract Name of Owner .� Y.:.Sa w1....1`.S?`r✓� 1. ......................Address ..)..��`�... M��+P� c .....� h PNutitL.... 10L Name of Builder ?at.........Ck0,A-i�0!!!.0...................Address '7- � Y�o�... ..��`` ...GhJ! ! ?.Ac..r..i....lGt. Nameof Architect ...........1`Q.N.C.........................................Address .................................................................................... Number of Rooms .......... .......................................................Foundation ......!!.P.!1.C.r.>Y. .e ............................................. Exterior .....-W--.A.Q.C�- ......5�.�.1.�f.9{..�G�....................................Roofing ...... .Mk`, �eA...... 1'LJ.V1.g. .> ............................. Floors ................O.►I.C.... J.....................................................Interior .................................................................................... r... _..:.............._.Plumbing .:..r.:!1.C7%:C............................................................. Fireplace ......N.11P`N."C..............................................p ................Approximate Cost .�.J�.f..0.. ............................................ Definitive Plan Approved by Planning Board ________________________________19________ . Area SSG Dmgram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH N oDt s e e IaX 13 aclote�r o h ro oitd G cLrct 12! $/ DJG^41Qrtq O u t',— -Pro hd. o!o ova is x 13 3� cloy �o'tSC do M l'1 �r0hJ oc 60-m�rcA 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. 6 Name ................................... Construction Supervisor's License Sl 6 .. ..y...... FORMAN, SAUL No-.J.!.75.5. Permit for ...Add To ...................... Sincf y le Family Dwelling ......... Location ...1..8.8.4....Falmouth. . ....R o.a.d.*............ .. . A .... .. .... .... .. .. . Centerville ............................................................................... Owner ....S.....au...1.....Forman r.m.an........................................ • Type of Construction ............................ V-1 .................................... *** Plot ........... ................. Lot ................................ Permit,-Granted ......March.,3 0............19 88 D6te of Inspection ....................................19 5. bp e Completed ............................... cc j i 77-d'-- f f I I I h PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 189 030- - Account No: 110249 Parent: Location: ROUTE 28 Neighborhood: 41AC Fire Dist: CO Devel Lot: Lot Size: .43 Acres Current Own: FORMAN, SAUL S & DOLORES State Class: 101 1884 FALMOUTH RD No. Bldgs: 1 Area: 2352 Year Added: CENTERVILLE MA 2632 Deed Date: 010186 Reference: 4908/243 January 1st: FORMAN, SAUL S & DOLORES Deed MMDD: 0186 Deed Ref: 4908/243 Comments: Values: Land: 23300 Buildings: 106900 Extra Features: Road System:-1884 ' Index: 1388 (ROUTE 28 ) Frntg: 226 Index: 113 (BELDAM LANE ) Frntg: 83 Control Info: Last Auto Upd: 091292 Status: C Last TACS Update: 011989 Land Reviewed By: Date: 0000 Bldgs Reviewed By: ML Date: 0289 Tax Title: Account: Taken: Account Status: Hold Status: Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [189] [031] [001] [ ] [ ] i R189 030. A P P R A I S A I, DjA .T A KEY 110249 FORMAN, SAUL S & DOLORES LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC 19,400 114,200 1 A-COST 133,600 B-MKT 104,200 BY 00/ BY ML 2/89 C-INCOME PCA=1011 PCS=00 SIZE= 2352 JUST-VAL 133,600 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 41AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 41AC CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 10] 10 : LAND-TYPE 194001 LAND-MEAN +0$ 133600] 84809 IMPROVED-MEAN +35% 20.% ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC FUNCTION-[ ] STRUCTURE-CARD NO-[000] DATA-[ ] XMT[?] R189 030. P E R M I T [PMT]' ACTION[R] CARD[000] KEY 110249 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR. %CMP NEW/DEMO COMMENT [B31755] [03] [88] [AD] 50001 [JM] [01] [89] [ 100] [NEW ] [CE ADD'N ] [B32347] [10] [88] [AD] 45001 [JM] [O1] [89] [ 100] [NEW ] [CE ADD'N ] ?l [ ] [R189 030. ] LOC] 1884 ROUTE 28 CTY] 10 ,TDSJ 300,Y . 'CO KEY] 110249 ----MAILING ADDRESS------- PCA] 1011 ' PCS]00 'YR]00 PARENT] 0 FORMAN, SAUL S & DOLORES MAP] IAREA14IAC JV]378228 MTG]0000 1884 FALMOUTH RD SP11 SP2J SP3J UT1] UT2] .43 SQ FT] 2352 - CENTERVILLE MA 02632 AYB] 1966 a EYB] 1980 - OBS] , ' ' CONST] 0000 LAND 19400 " IMP 114200 OTHER' ----LEGAL DESCRIPTION---- TRUE MKT 133600 REA CLASSIFIED #LAND 1 19,400 ASD LND 19400 ASD IMP 114200 ASD OTH #BLDG(S) -CARD-1 1 114,200 DESCRIPTION TAX YR - CURRENT EXEMPT TAXABLE #PL ROUTE 28 TAX EXEMPT #RR 1388 0226 0113 0083 RESIDENT'L 130200 '` 133600 13.3600 #SR BELDAN LANE OPEN SPACE COMMERCIAL INDUSTRIAL s EXEMPTIONS SALE]01/86 PRICE] 107000 ORB14908/243 AFD] I LAST ACTIVITY]01/19/89 PCRJY k r l Assessor's office (1st floor): G� , THE Assessor's map. and lot number / �`3.�:.....:. } �Q..°F T°` 'Board of Health,(3rd floor): Sewage Permit number .0. � s1 C9Ul� Cam, F Z 139Hd9TGDLE, 'Engineering Department (3rd floor): 3 � r�6 Tv `., moo 2e o.' 0� House number ..... ........ .: oYPY 1,. Definitive Plan^Approved by Planning Boar�c __.__ __ - APPLICATIONS PROCESSED, 8:30-9:30 A.M. and 1:00-2:00 P'.M only; , ll Le TOWN OF RARNS TAB LE` BULLDI-NG IHS.PECTG APPLICATION FOR -PERMIT TO TYPE OF CONSTRUCTION .......... TO THE INSPECTOR OF BUILDINGS: , The undersigned -hereby applies for a permit according to the following information: „Location ..I. T.l......... .G,l/2?.l?G.L......�?ol-.. ........5... v1 t��".!�(.�'1. ../:1....../�i .:...................... L ' / G/ 6a o o rr! Proposed Use .. x�? n .....e..1C.G�.r.0..�...S.. ......�� ??�.. ....... Zoning District ............... ... o ...:..Fire District .. L'!'7Q�GrvrC ............................... c �e • Name of. Owner .... a.K.� F'o�.. .0.�.:.......................Add_ress .'..... .Q.X.Y.1: ..:................................... .. . ....` Name of Builder . . .... �. .. 6- 70.....................Address � :? �} �-'VI o� / evu a J•••.. .. . .................. . .r..(..�!1. ...... f Name of Architect .....:........N.0.V).G........r............::...:.::........Address Number of Rooms .:..:..: .......................................................Foundation Exterior ......CeJf�.......3.�\.1h.7.1.cs ........................ .Roofing ...... .5 .! .�4�.� ......:1.'l.A.!'1r..j..CS................. Floors ......(,J..V..O..d................................................................Interior ......d.C. ...k-o. .4'.......................:.............:.....:_.... Heating �.4?1: .... Plumbing ................. :... . ................................ 1 Fireplace ........t11h.� ..............'.......:.... ;..............Approximate Cost .......!T,r.............. .: a V ��••CAL Area ... ............ Diagram of Lot and Building with Dimensions Fee ............... r... .... .... 13ot-c� .0 17Ose 13cr.c� o� N-ou.Se I _ i • y Ile w LI LC _ put�h0.�� • - , bCCUPANCY PERMITS REQUIRED FOR NEW.DWELLINGS I'hereby agree to conform to all,the. Rules and Regulations of the Town of Barnstable re ing the above , construction. ' Name ...................................... .......................... Construction Supervisor's License, .. ....L.. ' FORMAN, SAUL 32347 BUILD ADDITION, ' ti N. ................. ..Permit for .................................... .Y ,3 YSingl'e. Family...Dwelling.. ' Locatron 1884 Falmouth Road y - :_ r _ :Centerville ..{ �• j .1, •i ,� + �. L .... .�. ............... ........................ ................ i -�4.. 'Ly,r•ry' 1' " • . r'T' ,..:Saul -Forman Owner ...... _ ..................................... f {�� Frame 110 �' .• ,.�: � r4 .,; �. Type of::: onstruction ............. .................... , y" Plot :1 r ..:. Lot".'...:..... ............ October 12 88 Permit-,&anted ........ .... !:......19 } Date of Inspection r... ... .... ....19 Date Completed ... . ... ...19 :! tit. °�''•. � • � — F �* �. !' "p �^-. .,_. - .j s L: ' - � z -�� fir. � ,. � .. .. - L1t • r� y�{� �j +-`'z�� rr '`I �+.• - •.. - _. _. i ivy r �r at *f,