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HomeMy WebLinkAbout0157 GLENEAGLE DRIVE t x r i Town of Barnstable Building sAx*isewea� 7Post;This Gard So That rt:tsaVisible From the Street Approved P1ans;Must be Retained on Job and,th�s Card Must be Kept idea �,�` Posted Until Final Inspection Has Been tVlade � � � ,� �, �� � � ,�' ��_ ° Where a Certificateof,Occu ane >is Re wired suchBuildm halhNot tieOecu Permit , �ed:until-aFinah;lns ect�on has ti'een'inade � ._.;.•. ,�,.,n..•.w�..�..W..- p_�t..�:y�.3..�..h ,w.�.. ,: .�•...�• _........»�� :�,.,a...z�.;�,�,s ..,wy: >b �.. � �,.:�.�.. �:. ..� ,, z�,d .. .:.F Permit No. B-18-3183 Applicant Name: YEU,YOUN OK Approvals Date Issued: 09/26/2018 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 03/26/2019 Foundation: Location: 157 GLENEAGLE DRIVE,CENTERVILLE Map/Lot 191-146 Zoning District: RC Sheathing: Owner on Record: YEU,.YOUN OK Contractor Name: Framing: 1 Address: 157 GLENEAGLE DRIVE Contractor License 2 CENTERVILLE, MA 02632. Est Project Cost: $0.00 Chimney: Permit Fee: $35.00 Description: 12x16 shed £ Insulation: Fee Paid: $35.00 Project.Review Req: Date 9/26/2018 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within six•montKs after 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 in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public,inspection for the entire duration of the work until the completion of the same. Electrical . Y. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection ... .. . 3.All Fireplaces must be inspected at the throat level before firestflue 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 contractin with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). g Fire Department Building plans are to be available on site Final: ISSUED RECIPIENT All Permit Cards are the property of the APPLICANT- 2-(*)IS 13UILDING DEP�. Town of Barnstable SEP 26 201B °FINE Building Department Services F BARNSTABLE °.� Brian Florence,CBO TOWN O BARNSTABM Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# `/ "� FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village Jmr4lrC4 � o� Property owner's name Telephone number I2�� i�► I�2 F12 L4 6_ Size of Shed Map/Parcel# E-Mail hlu 1 chm ' Sihhature Dat Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old Ving's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forrns-shedreg REV:08/6/17 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIOk, Map t Parcel "a `Application #." . ' Health Division lot ® �� �Date Issued l ery`Cons ti on Division ' ,. Applcation Fee , �- Planning'Dept. _. ..Permit Fee 153 Date Definitive.Plan Approved by Planning Board �ol�fag s Historic - OKH Preservation / Hyannis Project Street Address � 1�C' '� D , Village Owner __ C6LCYL OL � Address o 15 Y� (& 0-k Telephone_ : t Permit Request X Square feet: 1 st floor: existing proposed 2nd floor: existing VDU proposed O Total new q 0 Zoning District, Flood Plain Groundwater Overlay Project Valuation 0, ODE), .j Construction Type wdUd Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suwp"porting d e°umeation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure • Historic House: ❑Yes No On Old King's Hi hway: T"Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other 19 o Basement Finished Area (sq.ft.)' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 7 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 X No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ? existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals AAuthorization ❑ Appeal # Recorded ❑ -Commercial . ❑-Yes- C�'No If yes,_site,plan.review _#. Current Use JkA I t(L I h-WUL. Proposed Use -�z n �W Ju'm t APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 'p r � c Nameyn �C� . (1�� `� Telephone Number `J�✓(�AZ _7to Address 2 0 f ) i I License#0 A t goo o Wnu f l-e . ME Home Improvement Contractor# Worker's Compensation # W 6 ALL CONSTRUCTION DEBRIS R SULTING FROM THIS TROJECT WILL BE TAKEN TO SIGNATURE !<� DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED : MAP/PARCEL NO. ti ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 5600 i - t FRAME Il� y // t INSULATIO i 5101 111�1oq o v 1 , t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r - The Commonwealth oflMlassachusetts ;r Department of Industrial Accidents ;�, Office of Investigations 600 Washington Street % Boston,MA 02111 , www.mass.gov/dia j Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers L Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: [O4(0 M,aol l.Z k 3 e-iy City/State/Zip: VV f If 06 Phone #: Jay` y?_9- Wo�� Are you an employer? Check the appropriate box: Type of project(required): Co I am a employer with �j 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.El am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' i 9. [No workers' comp. insurance comp. insurance. $ 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 I L❑ 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 comp. insurance required.] *Any applicant that checks box#1 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. tContractors 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. A Insurance Company Name: Policy#or Self-ins. Lic. #: � �(� / �,�'LI U�� Expiration.Date: ZZ o Job Site Address: 6 City/State/Zip: &04wi h, M VO 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 tine 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 c ti_fy under the in and penalties of perjury that the information provided above,is true and correct. Signature: Date: 24 / Phone#: -7b66 Official use only. Do not write in this area, to be completed by city or town official CityTown:or 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#• t m �. ... .... . .....M.,, ACOR�TMCERTIFICATEQF"`LIABIL' I;TY I,NSU�RANGE N3 3 DATE(MM/DD/YY) �4 7/14/2009 qua o::c.aM,.x.-,m�.�.,.c ,,:x:.:...............-�in.,e.........°.- ::N.�.. ff x..t ..... :;.a.F......-.,.k .+.w. .:&. .. ."�5» Www' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A SAFETY INSURANCE INSURED COMPANY SCOTT PEACOCK BUILDING&REMODELING B AIG AMERICAN HOME ASSURANCE CO. PO BOX 171 COMPANY OSTERVILLE, MA 02655 C COMPANY D COVERAGES r 4„ 4 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 B Y 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY 1GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CP00001152 07/05/09 07/05/10 PRODUCTS-COMP/OP AGG $ CLAIMS MADE DOCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO ' COMBINED SINGLE LIMIT $ ALL OWNED AUTOS - BODILY INJURY - $ SCHEDULED AUTOS (Per person) HIRED AUTOS ' BODILY INJURY $ NON-OWNED AUTOS (Per accident) '-4 PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ ] UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU-- OTH- B WORKER'S COMPENSATION AND W C 007-45 4805 06/22/09 06/22/10 TCRY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 THE PROPRIE70fU INCL - - EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTI VE OFFICERS ARE: 8 EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE H01DER 3 ,W,.. ...; ; ELLA.TION , "` u .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHOP*EP R EP'�Ei EN TATIVS"�A e pas License: CONSTRUCTION SUPERVISOR' Number: CS 094500 Expires: 07/22/2010 Tr. no: 94500 Restricted: 00 JAMES S PEACOCK PO; X 171 OSTEVILLE, MA 02632. Commissioner %lte 'tr'arr�rrerYiuveall� a�'✓C�aJocrc,�euoel!d • Board of 13uildiag Regulations and Standards 7=I License or re gistration valid for iudividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Re :stration:9 151853 Board of Building Regulations and Standards Expiration, i.7/7/2010 Tr# 271501 One Ashburton Place Rm 1301 .Type• Private Corporation Boston,Ma.02108 SCOTT PEACOCK.BUILDING&REMODELING INC ; JAMES PEACOCK i M 1046 MAIN STREET SUITE 7K OSTERVILLE, MA 02655 - Administrato,- Not valid without signature r r Town of Barnstable + BARNSrABL6, � MASS. Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO j 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 I ,as Owner of the subject property ize to act on my behalf, hereby author y in all matters relative to work authorized by this building permit application for: Ile (Address of Job) Q i S ature of caner Date r yintoNane Q:Forms:buildingpermits/express Revised 123107 j 1 19,1 �',', $_ y4 ?t X ..X—X�X .RX ` k r� 191059 0 #84 X � X 64.08 191146 #157 y • at I^ _ -- — -- --- — ------------------------------- iX _ !X — ---- 191145 a N ttt / #147 � i� NOTE:PARCEL LINES MAY NOT BE ACCURATE. The 0ISCLAIMER:This map is for planning purposes only. It . <�, parcel lines on this map are only graphic representations of may not be adequate for legal boundary determination or , Assessofs tax parcels. They are not true property regulatory interpretation. This map does not represent an �Z ,.,\ 0 5 10 - 20.Feet Doundartes and do not represent accurate relationships to on-the-ground survey. physical objects on the map such as building locations. I IlICh 8QU8lS 20 f@@f YOUN;OKYEU 157E.LEN EAGLE IDRIVE;,CENTERVILLE MA Botello Lumber Company 2009.2 Allowable Stress Design MSI: 0.75 NOTE: LOAD TABLE 2 PLIES:°'11 750,X1r14,000i LP':LVL2950Fb-2:0E DESIGN CRITERIA : VSI: 0.55 1.THIS COMPONENT IS DESIGNED TO SUPPORT ONLY DESIGN CONSISTS OF 2 — PLIES FASTENED RSI: 0.78 THE VERTICAL LOADS SHOWN VERIFICATION OF NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1). OTHER LOAD CASES TOGETHER (REFER. TO NOTES). LOADING,DEFLECTION LIMITATIONS,FRAMING FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. - LIVE LOAD - 50 PSF METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD = 25 PSF LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDF TOTAL LOAD = 75 PSF THE RESPONSIBILITY OF THE PROJECT ENGINEER FT—TN—SX FT—IN—SX OR ARCHITECT. UNIFORM ROOF LIVE SIDE 500 PLY 00—DO-00 16-00-00 1.15 - - .ROOF LEFT SPAN CARR. :: 15.00 FT 2.PROVIDE RESTRAINTAT SUPPORTS TO ENSURE UNIFORM ROOF DEAD SIDE- 250 PLF 00-00—OD 16-00-00 0.90 ROOF RIGHT SPAN CARR. 5.00 FT LATERAL STABILITY. UNIFORM BEAM WEIGHT 14 PLF 00-00—DO 16-00-00 0.90 - 3.DO NOT CUT,NOTCH OR DRILL LP LVL DEFLECTION CRITERIA 4.SHIM ALL BEARINGS FOR FULL CONTACT. WARNING NOTES: - LIVE LOAD DEFL: L / 240 5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL - TOTAL LOAD DEFL: L / 180 TO SIZE. THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. 6.THIS LP LVL IS TO BE USED AS A ROOF BEAM ONLY. USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP I-JOISTS IS CODE COMPLIANCES MAKE PROVISION FOR ADEQUATE DRAINAGE. STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW REPORT # 7.COMPRESSION EDGE BRACING REQUIRED AT -FBY A DESIGN PROFESSIONAL ICC—ES ESR-1254 - EACH END OF COMPONENT. - - L.A. City RR-25167 MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL I= 1214f ATTACH THETWO PLIES.WITH.3:ROWS DF.;16d BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, CCMC 11518—R STAGGER ROWS:- ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS - NA.ILS CAN BE:DRIVEN FROM ONE FACE OR HALF BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. FROM EACH fACE NA1L$;MAY BE COMMON.OR. 'BOX.:NAILS WITH�A MINIMUM SHANK:DIAMETER; ANCHOR LP LVL ROOF BEAM SECURELY TO BEARINGS OR HANGERS_. OF;0�131_ ,16d.$INKERS(3+1/4')MAYBE .USED BUT HALF}MUST BE DRIVEN FROM. EACH FACE.. - - spp d F E r , ,sop 12 250 14.000 SUPPORT LS P RT REACTIONS S : MAXIMUM B E A R I N G N U M B E R - 1 2 1.750 DOWN 6112 6112 3.500 - UPLIFT --- --- CROSS SECTION - - MIN AFa>zTuG'SIZES;:(SN SX) - MAXIMUM DEFLECTIONS CALCULATED ALLOWABLE - LIVE LOAD 0.43" 0.79" - DEAD LOAD 0.34 16— 0— 0 TOTAL LOAD 0.66 1.051, ""THIS DRAWING IS NOT TO SCALE« - -- Handling&Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP I-Joist Specifications Software Provided By: 09121f09 IBC . Temporary and permanent bracing for holding component The use of this component shall be specified by the designer of the 'Supports and connections for LP LVL,LP LSL,CTR and LPI to be specific applications. LP Engineered Wood Products plumb and for resisting lateral forces shall be designed and complete structure.Obtain all the necessary code compliance approval and'Common nails driven parallel to glue lines shall be spaced a minimum of 4"for 10d 414 Union Street,Suite 2000 installed by others.No loads are to be applied to the instructions from the designers of the complete structure before using this and 3"for ad. Nashville,TN 37219 component until after all the tram]ng and fastening are component.If the design criteria listed above does not meet local building 'Do not cut,notch,drill or after LP LVL,LP LSL and CTR,LP IJoist.except as shown completed.At no time shall loads greater than design loads code requirements,do not use this design.When this drawing is signed In published material from LP any use of LP LVL,LSL and CTR,LP IJoists contrary Local 909.463.646D be applied to the component, and sealed,the structural design is approved as shown In this drawing to the limits set forth hereon,negates any express warranty of the product and LP Fax 865.753.4359 based on data provided by the customer.LP LVL,LP LSL and CTR,LP disclaims all implied warranties including the implied warranties of merchantability National Wets 800.515.7570 Design Criteria I joists are made Wthout camber and will deflect under load.Wood In direct and fitness for a particular use. The design and material specified are in substantial contact with concrete must be protected as required by code.Continuous - conformity with the latest revisions of NDS and AITC.' lateral support is assumed(wall,floor beam,etc.).LP does not provide DWG # Dead load deflection includes adjustment factor for creep. on-site Inspection.This drawing must have an Architect's or Engineer's seal[ACOPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALUNG CONTRACTOR { Total load deflection is Instantaneous, afixed to be considered an Engineering document. tP Is a registered trademark of Louisiana-Pecinc corporation. SHEET # File:CAProgram Files\LP\Wood-E Design\2009.2\WOODE.SPX i Qn 1 off/o oFt► , Town of Barnstable *Permit# ti � Expires 6 months fror issue dole Regulatory Services Fee - * aaxtvs'rnsr.E. MASS.3 • Thomas F.Geiler,Director -PRESS PERMIT Building Division Tom Perry,CBO, Building Commissioner V C T — 7 2009 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF BARNSTABLE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �q jq� r�g qlevleg4le� Dr-Property Address - Residential Value of Work D 6o©o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address LLr` 0 c °leu Dr AM Contractor's Name Soot Pca 00 O� Telephone Number �(/ ��l Wo 0 Home Improvement Contractor License#(if applicable) 13 aaoConstruction Supervisor's License#(if applicable) ( `y PWorkman's Compensation Insurance Check one: ❑ l am a sole proprietor ' ❑ I am the Homeowner 1 have Worker's Compensation Insurance Insurance Company Name 4,7 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) r JJ ] Re roof(stripping old shingles)_AI l construction debris will be taken to I ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: C:\Users\decollik\A'p ata\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\MY7NB4IL\EXPRESS.doe Revised 100668 Town of Barnstable 'x MRNSTABL$. `"" Regulatory Services, Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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 propertyV here y authorize C®- Ref to act on my behalf, in all matters relative to work authorized by this building permit application for: (A ress of Job) SilKature of Own r Date P ' t Name Q:Forms:build ingperm its/express Revised:123107 ' i . &-arftiC� l via f License: CONSTRUCTION SUPERVISOR " Number: CS 094500 M Expires: 07/22/2010 Tr.no: 94500 Restricted: 00 JAMES S PEACOCK PO: )X 171 OSTEVILLE, MA 02632. Commissioner / h f I l i a1 'Te Co-~Atoruoeal • o�✓Dlnduzclzuael�6 Board of Building Regulations and Standards License or Fegistration valid for individul Ilse only I f=f�1 6 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: }I Registration:.. 151853 Board of Building Regulations and Standards _ Expiration:,.7%7/2010 Tr# 271501 One Ashburton Place Rm 1301. Boston,Ma.02108 Type:.Private Corporation - SCOTT PEACOCK BUILDING&REMODELING INC E JAMES PEACOCK t 1046 MAIN STREET SUITE 7. l`b OSTERVILLE, MA 02655 Administrator Not valid without signature • r q The Commonwealth of Massachusetts Department of Industrial Accidents',: _ Office of Investigationi 600 Washington Street Boston,MA 02111 k www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): U (� Address: (,o 3 lie �q I ° City/State/Zip: l �f �{ �2(Q Phone # J����ZS- 911 Ob wo Are you an employer? Check the appropriate box: Type of project(required): 1.114 I am a employer with �j�: 4. ❑ I am�a general contractor and I employees(full and/or part-time). , have hired the sub-contractors 6. ❑New construction 2.0 lam 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' 9.'❑ Building addition [No workers' comp. insurance comp. insurance.:: required.] 5. ❑ We are a corporation and its 10.❑Electrical'repairs or additions q ] officers have exercised their 11. Plumbing repairs or additions 3.❑ I am a homeowner doing all work ❑ g P myself. o workers' co right of exemption per MGL Y [1`l p 12.0Roof repairs insurance required.].fi c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 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: Policy#or Self-ins.Lic.#: � �O /"q� (.f ®J Expiration Date: Job Site Address: . l �nu( l P I City/State/Zip: �6"�JL ;YMA 0 Sa r� 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 hereb certi under pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: 00 Phone#: Official use.only Do not write-in this`area,to be completed by city or town official { rk, City or Town: Permit/License# Issuing Authority(circle one): r L,Board of Health ,2. B.uilding Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - _..Contact Person: - Phone#: a ACORDTM CERTIfI§CQTE�C)F�L'IABILITY INSURANCE 3" DA14/2009Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A SAFETY INSURANCE INSURED COMPANY SCOTT PEACOCK BUILDING&REMODELING B AIG AMERICAN HOME ASSURANCE CO. PO BOX 171 COMPANY — OSTERVILLE, MA 02655 C COMPANY D x .,,.w,..M „�,.,....:. ,.,w.aJ.......x ,.i„oke ,,,,. _, kR- .. .... „.',,,,. ,... ...,,.�.. 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 B Y 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MWDD/YY) DATE(MWDD/YY) LIMITS GENERALLIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CP00001152 07/05/09 07/05/10 PRODUCTS-COMP/OP AGG $ CLAIMS MADE DOCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE• $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU- OTH- B WORKER'S COMPENSATION AND WC 007-45-4805 06/22/09 06/22/10 1TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 THE PROP INCL - EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER ;t .., „ter.... ._.... CANCELLATION d ,:. a�:w ..,.,.. ..._ .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE•LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHOJOEP REP�R,,E''SEENTATIV _. . .. CORPQRATION 1988 „o•"” TOWN OF BARNSTABLE permit No. 2193 Building Inspector swauc Cash -------Y— OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land,-building or structure shall be used for a new, different, changed, or.enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Frank Hanifl Address 36 Cent:r St,a Yarmouth. MA lot 015 157 Gl.eneaale Drive. Centeryi11L � f Wiring Inspector ��- ' %l ��- o•i.� _ Inspection date �/ '� f Plumbing Inspector _.�i.s ' ' y Inspection date G —eep Gras Inspector v �� �� / Inspection date trEngineering Department+� f i'�%lfil/i?�G �' ; ` Inspection date a/ THIS PERMIT WILL NOT'BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. /Ld /U 19 SDI � _ _......... , Building�Inspector Assor's map and.lot number J sse R/....... ...f...... r. ....... %0 Sewage Permit number(D-n..34....... WTALM W TABLE. T a House number .................................15-7............ ............... ENVIRONMENT 0 C OWN REGJU TOWN OF BARNSTABLE BUILDING ' I.R.SPECTOR 4 APPLICATION FOR PERMIT TO ........... ................ .................. ...... .................................................. TYPE OF CONSTRUCTION ................... .............................................................................................. ............... ..cuv..........7 19.7.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . ....... Location ..... .....15 .? . .. ............ . ...... . ..... ..... . ....... ...... .... ProposedUse ............. ................................................................................................... ......................... ZoningDistrict ....................................... ................................Fire District ...................................................................... Name of Owner ....t14 f,l�. A....... Address ... .. ...... ...... ier . elp Nameof Builder ....................................................................Address .................................................................................... Name of Architect...41... ......40077-d ..............Address Number of Rooms ................ ..............................................Foundation ....lam ....... ................ ExteriorWr.f Roofing .........6 ... ... . . .... . ............................................ Floors4�. ... ............ ...............................Interior .................................................................................... Heating ...... ...... ........... . ................................................. Fireplace ................ ................................................Approximate Cost ...... .............................. /2. sQd Definitive Plan.Approved by Planning Board -------------------------------19------- Area ...... 2 ................................ 34� ca . Diagram of Lot and Building with Dimensions Fee .......I...T.. ..................... ..... ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH 4:) [IV I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ...........................Name ... HANIFL, FRANK Sin le Tamil 'S' No .... Permit for ... .. ....1welung......................................................... Location .....Load 4...15.....15.7-.Gleneagle.-Dr.. . ....................Centenvd.1le................................... Owner .....Fraxik.-Hanif.1................................... Type of Construction .......Frarm......................... ............................................................................... Plot ............................ Lot ................................ 'Permit Granted ....... atluary ...........19 80 Dbte of Inspection ............ ...................19 Date Completed ..................... ... OUff ./0....:.......19 . PERMIT REFUSED ............................ .......... . .... ...... . 19 .............. .............. .... ......... ... ...... ...... ........... ...... 07 ...... Ni .......................................................... s A140 ........................................ 19 0 e ...................................................... ................................................ r p fi Assessor's map and lot number ✓ y A...... .- C ............ ..... ✓ ypi THE TO�y Sewage Permit number G........ .-. .K /. 1= S� BAHESTADLE. i House number ...................................... ............................. 9 MARL Op 263q. �E am a• ' TOWN ,rOF BARNSTABLE BURRING INSPECTOR r.a. G APPLICATIONrrFOR PERMIT J6 ................. ........................ ........... '`���:.....,.......................................:.......... f TYPEOF CONSTRUCTION .................L.4. .P2.6f.............................................................................................. :............. 19. j TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... t.. .......1.�� .......... ,.. I,....._...:.......:...... ...... .t............ .... ...... ......... -.........:,.. ..c..............::................ ProposedUse ............ ............................................................................................................................ a Zoning District .........Fire District Name of Owner ....{.! .t! 4AAv A,t�..... . J ''S...............Address ... '! ?..........`:..........;....t:.........r...... f 1 ;;?'; !r ' .t Name of Builder ` ........Address Name of Architect .: .. ....... �.f {,.�: ....................Address :! ✓ t> !?f...�.- .t. tr .... ............ /J-G p/t �. • U - _ Number of Rooms ..:.............� ..............................................Foundation /'.."frt,.c;t A..........�� '!2t.�'.<�,.�::................... Exterior ,t,f ..... ..... ..................G+.4�4-5-.KRoofing .... �?�?: ��c!?-C.., I"..................................Interior ...............Floors 1...:-:t............/..f.:....................:..... .. .............................................. Heating ....F:. ......1 ..... �i( ...r� Pt,........: r r .....;Plumbing ...... .. ...... 4{... '?t�........................................... ry Fireplace ........... . �,..)..r! ........" .......................Approximate Cost ...�.'"/ ..{:l!. ...................................... t. Definitive Plan Approved by Planning Board ________________________________19________. Area ! "' �`.. .5 ............................ ............ Diagram of Lot and Building with Dimensions Fee .......`- :... �._ ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 Y 1 !P I hereby agree a to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above 9 9 9 9 construction. t � Name . ................ ............ ......... ............................. �� 77 r A=191=146 t No ...2.1-933... Permit for Singl.e....F ' ly...... ..........DWe �..i.ng............... ................ .................. Location Lnt..�k.1; .15.7...G enea le...Urive.... ...............Centervi.l le............ ........................... Owner ....FErank...Hanifl. Type of Construction ......Rrame........................ Plot ............................ Lot ................................ Jar 17 Permit Granted .......,:anu .....................1980 Date of Inspection .............. ....................19 Date Completed .............. 19.. ..................... J� PERMIT REFUSED ...................................... .................. 19 .................................... .. :.n[ .......................... �. .1.' ......................... ............... ........ . ... ........................... ............................................................................... Approved ................................................ 19 ............................................................................... .................... .......................................................... . � 1 7- /0 c_ T ?12G POS EZI ���✓L Nl l/7'1/'l.� '� /n/cS/��G I c i/�. 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