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HomeMy WebLinkAbout0150 GLENEAGLE DRIVE :�,. ._ u a _: �. i Kul L�p � ��' Town of Barnstable *Permit# o 17 �- 1 Expires 6 months from issue date • 2014 Regulatory Services Fee �-c-- BAMsz ` Richard V.Scali, Director 7 A . RNSTABLE Building Division Tom Perry,CBO;Building Commissioner : 200 Main Street,Hyannis,MA 02601 www.town.bainstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ' I Not Valid without Red X-Press Imprint Map/parcel Number' ;2esidential, ddress. r �C� 0 Value of Work$ 4 096 ® Minimum fee of$35.00 for work under$6000.00 Owner's Name,&Address Contractor's Name ATelephone Number Au— '4? Home Improvement.Contractor Lice/e#(if applicable Email: d(� - 3 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ' [/I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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 to ❑Re- (hurricane nailed)(not stripping. Going over existing layers of roof) ❑ e-side Replacement Windows/doors/sliders.U-Value, 35 i aximum.35)#of windows-9-- #of doors: _ ❑ 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 ..-- ... .._. . . ......_._ _.. . _._ requ ed. SIGNATURE: Q:\WHFILES\EORMS\building permit f s\E SS.doc Revised 061313 s l - The,Comm'onwealtti.ofl►lassachusetts . ` Do artment of Industrial Acc>dents w affce of Investigations 600-Washington Street Boston;MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ApOlicant Information ,Pte se Print Legibly 01 Name(Business/Organization/IndMdual): Address: r 00 City/State/Zip: a,.roKne #: C Are an emplo r?Check the appropriate bog: Type of project(required): 1: I am a employer with 4. ❑ Lam a general contractor and I h hid the sub-contractors 6: ❑New construction employees(full and/or.part-time).*. avere _ 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 forme in any capacity° employees and have workers' [No workers' comp:insurance comp. insurance:; 9: Building addition required.] S. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions self. o workers' comp- right of exemption per MGL myself p° 12:❑Roof repairs insurance required.]t C. 152, §1(4),and we have no employees. [No workers.' 13.❑.Other comp:insurance required.] *Any applicant that checks box 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. xContractors 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 insuran for my employees. Below isthe policy and job site information. Insurance Company Name: -A Policy#or Self--ins.Lic.#. Expiration Date: Job Site Address: O City/State/Zip: Attach a copy of the workers' compensation cy declaration page(showing the policy nnm er and expiration date).' Failure to secure coverage as required under 5ection 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 u er th d es of perjury that the information provided above ' true Ynd correct Si ature. Date: Phone#: Official use only. Do not.write in this area,to be completed by city or town official k , - City or To w n _^... _..._ .. . --PermitlLicense# - Issuing Authority(circle one): 1.Board of Health. 2..Building Department 3.City/Town Clerk 4.Electrical Inspector :5.Plumbing Inspector 6.Other. : Contact Person: _ Phone#: len ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMI°D/YYYI)--- 07/30/2014 , a' 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 NAME: Dowling&O'Neil ac°Nri Ext:508 775-1620 FAX Insurance Agency E-MAIL A/c,No: 5087781218 ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:National Grange Mutual Insuranc INSURED INSURER B C.J.Riley Builder, Inc. INSURER c P.O. Box 382 INSURER D.. Osterville, MA 02655 . INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE-ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE NSR ADDL WVD POLICY NUMBER UB MM/DDY EFF MM/DDY EXP LIMITS A. GENERAL LIABILITY MP059664 5/02/2014 05/02/2015 EACH OCCURRENCE $1 000 000 X-COMMERCIAL GENERAL LIABILITY PREMISES ROBE ante $500 000 CLAIMS-MADE F x1 OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,0001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 ) 7. POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 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 RETENTION$ $ A WORKERS COMPENSATION WC059664 5/O5/2014 O5/O5/2O1 X WC STATU- OTH- AND EMPLOYERS'LIABILITY YLN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 000 OFFICERIMEMBER EXCLUDED? ] N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE s500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$500,000 DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed_ to have altered,waived,or extended the coverage provided by the policy,provisions. CERTIFICATE HOLDER. CANCELLATION TOWn of Barnstable y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED .IN 20.0 Main Street ACCORDANCE WITH THE -POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE . ....; 88-2010 ACORD CORPORATIOr` ©19 N.All rights reserved.' .. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S134967/MI34966 : y LS1 F - .z � �>.�� �-f'i,.i:-' � - r.- v '''E. .2" mac -* - �\ ,i5Aliz .,,•• 1 i 1�, x - -� i s-: -'c � '� '.¢ri. -t..�.y �c c4a v � '�.„ - '%,4 �, 4:' a ,.y '�3 Hy,. 4-v�v :: t � s.:c,-O..o. - X a> ,w 6. 1. ..t..-.-T..--:� I. ` �A�ssachusetts De a ent of Petbiic Safety I. 1. " . ' c am- x1 Board of_Buiicling Regulations and S d—tv S �` �"- �t C� �i Gael t y p ' F Y -'may �a a ac c Co struchon5u ernsor Ofiiee ofC`dusume �iffa�rs&$nsifiess Regulaflon �_ L�c :nse •ES-06&147 _ � " OME:,IMPROVEMENT CONTRA:rTOR' 11� c'�, egtsti-ation 125799 -TYP? CRAIG J$ILEY c'r ; xpiration 1130/2016 Pmate`Corporatic ' �a a �- POBOX 3>3Z' C J RILEY 6 iLDER INC v. IK ' '/. 1 CRAIG RILEY _ Y i1 ,i F,�\ Expiration J o.�s+-� 10 B WIA. . AVE � ��o; 1 Commis loner - — ' `(� 2�5 t, �F ha : a OSTERVILLE MA 0265514 Undersecretary ti ,_ '�`�r ry t MK-%n' -_-. a I ' . a -� d . R , .. _ ...- t - h 4 j -_. - - .. .. - - - ..... .:. 7 M 3 Ti t, ` a+?z 'Y '. T jI . '� - . •. . : - Y ti 6* ' - " -.. ? a - " �+_, .- 'r - . . _.. :.- _ F i , - i P s. ! T t - - .. i ": 3 f. u : a s yTW 'X,; z 'ram d _. y j .. 1£ 'et. P 3, d - ?r 1 .. 1 , s _4 a , , F f ' 4 -� - y: :i ,; r J. } i. i j i . — o . -. y: Ft a { V - vx* ^Z`"34�._- .,`=.eft-: 4 C. I e Zqk 3 .jj4 .. y .p s,y,_,.., ' f t—. �' o f. ` t '4.a j$'.y'L 1t rrfr.'p" .i R "f:. : }1 f ! 'f"e s .3 ~ }" nth.yJ"'': d � ^P i Z Y ::. � ; t �� — - p Y f t _c 4 Z .r�l Y 4 R`. f r X' 1. J4 r y. i w r `� � f b C Kq ,( aA tf L. �. d i oFE rti Town of Bar`astable Regulatory Services s.�xxsus[.g, S yQ hues $ Thomas F. Geiler,Director D 163D. �m prEoa Buiiding Division Tom perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstabl e.ma.us' Office: 508-862-403 8 Fax: 508-790-6230 it Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work orized bythis building permit application for. (Address o ob) Signature of Owner. Date Print Name If Property Owner is applying for permit please complete- the Homeowners License Exemption Fonm on the reverse -side. n•ano1.9Q-nLVIJA1?A;;v uz-zin" ,d 4, RM ME�k AM I � I ''� I �� I II � III i '� I ' � � ' il ' I, I i � i � i ' q • 4--- - 1, v h c� I � � � � � � I � t. 1 Assessor's office(1st.Floor): Assessor's map and lot number / �t .0.7 oF TW E y Board of Health(3rd floor): .y Sewage Permit number BAHd9TADLL Engineering Department(3rd floor): U Z i House number Igo A 1L'iY► °° rb 9• \®�' Definitive Plan Approved by Planning Board 19 ��MAY 4, 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 l t h �( A n r0o ivn A N,C 1 1 Ck rd Or (-k Z X TYPE•aOF CONSTRUCTION '{ f Ae—,A M 19 ?"A r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location a o r-, q o pc.,t le r i�)Q (.4; -F�-4 Proposed Use r . Zoning District `- Fire District t - Name of Owner Address � j �� 1-LA PQCr 10 Name of Builder (A,f ( � --k 1,in Ch P Address CC' �'.5"; 020 Name of Architect Address Number of %Rooms tlsi Foundation ( � ` �C"� r t / _j - 11 yi t:� t,,;C c4.t '� Sh shirr k „ ;()0a r ,(..t ,� Lj Exterior ' �_ ' t� Roofing I Floors Interior. Heating . � 'tC E Plumbing Fireplace Approximate Cost Area F j Diagram of Lot and Building with Dimensions Fee • E' ' Jt� , 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', lA v U "Construction Supervisor's License 5r 00 r`4 P NICAS, STANLEY ''*-A=191-153 No 3 3 0 3 6 Permit For ADD TO DWELLING W Single Family Dwelling Location 150 Gleneagle Drive Centerville Owner Stanley NIcas Type of Construction Wood Frame Plot Lot Permit Granted July 5 1989 Date of Inspection 19 Date Completed 19 '+ G IF _r 0 fssesso;'s office(1st Floor): Assessor's map and lot number 3 CJ� moo*TW E Toy . Board of Health(3rd floor): S��Ci SYST Sewage Permit number ��^' � #t-�— _ / GZG!� .����� ' LLE®IN Engineering Department(3rd floor): �T 5raea House number * J�0 IGn'1 EN ag^^9 t6}9' ®� Definitive Plan Approved by Planning Board 19 _ R= "� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only �`CI � �$ TOWN OF . BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO t A `S A 11 nonVn x ( UPS TYPE OF CONSTRUCTION w oo(C Giram Q. � ��Aly 19 O� TO THE INSPECTOR OF BUILDINGS: The undersigned hereb/y� applies for a permit{according to th(e�following information: M Location Proposed Use �X Gl 1-1 y*NVA a Zoning District Fire District Name of Owner STano-I�� �A 1 co 5 Address Lem Q Q br C (f4 U a Il� Name of Builder tkkv I A N`u-Fn c e A Address 39 lw)0 K- 1?d h.y® IIJ Name of Architect Address Number of Rooms iV Foundation -s ► i + 1 Exterior Z UV C&Ij Uj9 .ItQ_ LkAa"A14gelRoofing Floors 1/Z+ C.�� ��fS -(lA,t5h botmaoA Interior ��Z t s�l C QT✓CI�� pl d'1 e �P l�� . Heating 40`r(Q �4oi Lk) Plumbing Plumbing Fireplace Approximate Cost ,00 Area OW Diagram of Lot and Building with Dimensions Feed - JCS-�-•� - - J � 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 05 00 't'' NICAS, STANLEY " No 33036 Permit For ADD TO DWELLING ` Single Family Dwelling Location 150 Gleneagle Drive Centerville Stanley Nicas Owner Wood Frame Type of Construction Plot Lot Permit Granted July 9 19 g 9 st Date of Inspection 19 ` Date;Completed 7 <Y 19 la e R Irk it _.; die i i , i� t' , 71.7 Assessor's map fond lot number e � �.. (� � Q�oF THE toy S-wag Permit number 1........................ ...,. r BaaaAO LE,&House number ...............L . . ............. {............................ 039. \0� �Fa NPY A,. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO . ! � .. .. ' ! ��'^. ! .. ��� * i �-�i. ?r',�'� *��r�r ...................... TYPE OF CONSTRUCTION ......... . r. ................................................................................ .........19...7.`�`' TO THE INSPECTOR OF BUILDINGS: The undersigned/hereby applies for a permit according to the following information: Location .........!F^`�. ' '`.. -�- c !s{ r /*�°�'.... ,.��!� .?ad r, !� ....... ........................... ProposedUse ........ ...... eg .:. ...........................................I......................... ZoningDistrict ..............� ., .................................................Fire District .................................................................... Name of Owner Address Name of Builder ddress Name of Architect .•� s�-, f�T,,,r ;._- :........Address Number of Rooms ............„<.........................................Foundation rarer-,. - - Exierior �,r a. .a , c�r .• `„ "��-� ? t,:K cofing ....., ��/f?* "%,,� �/ ............................ Floors ........................Interior .� _ ,; 'e /c� Heating ...... n. •^ . !' e�� ?"'•.l�c,° c .............Plumbing .......................................... Fireplace ...' .� .F �!!'� "`:.... �' R-�r•!r..:....................Approximate Cost ...: '��..: ? ... ......................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .................................... Diagram of Lot and Building with Dimensions Fee 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 .... l,. . . .! -.. ........... :v Tidewater Realty Trt;,st A=191-153 No ..... Permit for .....one story .........a i.1?g1E..family...dwelling...................... Location ......... ,50„Gleneagle Drive ......................... .............................. Owner .......:�'idewater Realty Trust Type of Construction ..........rame ................................ Plot .........................../Lot ...C#42 ....................... Permit Granted ................A)gust :16 19 79 Date of Inspection ....................................19 Date Completed ....... ..............................19 PERMIT REFUSED ................... ................................. 19 �r ........... ,� �?i .............. ......................... . .... ...................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... �.f_�+S 3 .,.( :,.•K'•{ A ey b -F w. is u,s •"je._"eC v yes h yJ. -1 }:. S! :�. 4 �I R d.R 1'f S. i`3 2 % t;.RFF h �i w& ,r f. �-v`.t t:Y fY # a'4-�" ti --yr !c", ! 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H T7 � t iq.�• n t �t 7 r' ; , •R,' • �� H Ey('�, y -I S a�, ,� t F, �a ` > vY 1� e Xr 5 VF - - 5 . k _ ' _ CERTIFIED ` PLOT PLAN , z z '�{ rF j I1 • 3�,t It s 1w� VA . I ,CERTIFY 's THAT THE ,�*7z , ' ���16 i� R. ;�/ O�HEARN; /lV' , RLS; R� "' SHOWN 4ON ,FT�HIS� PLAN HAS BEEN a 1348 RQUTE "134 �r' EAST DEN'NIS 'llilAS5r t If=� � (LOCATED;;ON; THE : CROtJND AS INDICAATED ` f "s � u"� �Np "t:�ON �'LA►t S t THr S�7'l� c k !J �ti S r TC—..,s-.a "'Y''�1 1 n fit 1_T 7� ii 4�i�e!�.�-��`.vr� ;' o.� e� � D A I s C A L e '=>jF s. � . � , n ,�, r "`' s ' J OB, �N 0 79 �(s;_q- CLIENT 0``ATE GIST D LAND ` SORUEY,bR DR.' BYi ��� "� SHE-ET_=L, OF ' r�Y �`•; .r:z`s-,. ';r^:^ f:'T: 9:'- r i t,°'T 3 a " 7 .s rtx xy' :�' lKssessor's map and lot number ... .... !••.,•,rS3a J ��! �G�� �._ �Q y�i Toffy THE Sewdoe :Permit number V�. . ........................ + o MUS to WM House nUmbeC k. Vim Mu 6y° MARL $ MRONMEMAL CODE 1e39.a`0� TOWN OF BARNSrPAvflMVLAnoNs BUILDING INSPECTOR APPLICATION FOR PERMIT. TO ., .............. TYPE OF CONSTRUCTION ......... .. &................. .y..t.r-.o.........19...7..) -TO THE t SPECTOR OF BUt ni, GS; The undersigned hereby applies for o r .r+ur`according to t e ong in ma i '�ea�r. -- .. .... 1...1E$lea C. ............................... Location ..................l .. a t proposed Use ....... m ..................................................................... ...........................Fire District . Zoning District ..............�...0...................... ..�'.................................................................... ` Name of Owner ..f1.11 .fir` ,rE'r. /.`. ./.. .Address .�1Y! ! !`f �`r.• `4 � •lr� � Name of Builder .//.�? ✓ •• •.V.e •-�rAddress ..sue ksl��..rGGI�. .. /.cJr �`?..• �� Name of Architect �'. r`l"/�.� dr¢/1' .�J........Address ��.� !dl�„N •X'� ..G % . Numberof Rooms ....................... ...................................Foundation .... ......................... ...G�,�`l� a s.. .C�!3 ��f� toofing ...., 5/� mil. dh'�✓ 9.................... Exterior .... ••••• •••• ••••••• Floors � -A ` ........................ ........ . Interior Nl. Heating � .,�,,�... 7..... .�. ...Plumbing .......................................................... Fireplace ......... . ...25re-0. ....................Approximate Cost ....c ..:ma?..m.................................. ..... Definitive Plan Approved by Planning Board --------------------------------19_____--. Area ...... Diagram of Lot and Building with Dimensions Fee ............ Jr�y................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ���' t �b �a�a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....0/00. .�a.� :..kt5z/: ........... Tidewater Realty Trust 1 21564 Permit for one story " � 4 . i' single family dwelling.............. i., ..................................................... Location 150 Gleneagle.,Drive t r ..................................................... Owner Tidewater Realty...Tr APt.... Type of Construction s ......••••••. Plot ........................... Lot ...... Permit Granted August 16 19 79 > Date of Inspection ....................................19 f Date Completed ��.. .. ... 19 PERMIT REFUSED . .................................... 19 ...................... .................. ,1 �, t .� . ......................... '................... f / ,�.. . ........................ ........2 .. ..L•6.�:. .............:i. a ' I .... 19 h i gppr ... .. .............................. ..`. j . .............................................................................. G ....................... .. .. ................................ r