Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0229 GLENEAGLE DRIVE
.,� - � �� �� �a�l�- � �-. CY �` ?•'� �e '; Y '•? iTOWN OF 'BARNSTABLE '. permit No. ---20224 _ }+ - EhaUdingInspector SS_. Cash , i OCGURANCY _;PERMIT Bond No building nor structure ,shall be erected, and no•land, building.or structure shall be " used 'for, a new, different,`changed,'orrenlarged use+k-'i�itliout•,a Building Permit therefor first having.been obtained-•from the Building,Inspector. No,b'uilding'shall.be occupied until,a certificate of occupancy has been issued by'the Building Inspector." u Issued to Spiros Construction5`Co.. ; Address'' 35 'Carla ,Road, Hyai9ni»;,a MA lot 02 `229 Gleneagle Drive -'CenterVille Wiring Inspector -�/ Inspection date' ' or • :., ., .. Plumbing Inspe�t`,o r •��., � Inspection date Gas Inspector ' Inspection Hate i/Engineering Department . ILI, �spectlon THIS PERMIT WILL•NOTrBE VALID;Y AND--THE+•BUILDING SHALL NOT BE OCCUPIED- UNTIL ti SIGNED BY TILE BUILDING'INSPECTOR•tUPON SATISFACTORY.^ COMPLIANCE,,WITH 'TOWN ' 4. *,.. REQUIREMENTS?" F OBuildink 'Iiispeetor c^' 4 t 1 � 1 x� - At 23 Nk 27� --- 33 1 � CERTIFIED PLOT PLAN LOCATION SCALE . ��. .4 . . . DATE . !yam!d/,�F 7,8 ) tt p PLAN REFERENCE 577i�.. ..4�p. .00 2.4 . 4.. 11�, �i? 411 e.j. �`kpi<•..`'�J LIL �J'_,. Shb"Al 0A1 A 1-k 105.e 4�44=`.�` �,� �, ,T NNso�v • .gNn e�,ev� . . I CERTIFY THAT THE E57isrinrGnipg�7N� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . . . . . . . . . WHEN CONSTRUCTED. 3S Cf1�L A Po AD DATE . . f 78 PETITIONER: MIAAIAI S /''L,gSS. 45"a/ . REGISTERED ND SURVIVOR Nsessor's map and lot number ......�.:/..�.. L 7••• • ',�lO� ©/t' �C ✓� 0-7k SEPTIC SYSTEM MUST BE �,35- INSTALLED IN COMPLIANCE Sewage-Permit number .................. WITH A�TlCLE II STATE F?HE M TOWN OF ` `BAR ��; �., 1 T®�� C tp c3 �` 0 Z HAH$9TABLt"i %' `' 1 L I N_ '` � . 1NSPECT0R 6- D O NO _ F Z" APPLICATION'.FOR"-"PERMIT T,fl .. U/G ....`.r/�............. .. ....!'.. .vS......'.............................................. r TYPE OF CONSTRUCTION . v A aNO. ., /H/ ! ........................................................'................................ ......................J.../. ........197A �1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 0......�..`... ..... c?;L' 111 �p'LE...... !Q ...... T U�Z14-4s...................... ................................... ' ProposedUse ............................................................................................................. .............................................................. ZoningDistrict ....... ... ...................................................Fire District ....� .................................................................... Nameof Owner . .......... Address .................................. . ........... ................................. Nameof Builder ...........5�.�.e........................................Address .....:.............................................................................. Nameof Architect ......... .� .......................................Address .................................................................................... Number of Rooms ..................................................................Foundation 1,11ot,c Q0 ....A......................................................................... Exterior ...............: .. G�......................................................Roofing ........ .?�7 ..................................................... Floors p ........ Interior ....... .!?`�c. � C. .. .... Heatingd > ....../... ...�...................................................Plumbing ............�......................................................... CP 0 U Fireplace ...........oN...............................................................Approximate Cost ...3. ........................................................ Definitive Plan Approved by Planning Board ________________________________19_______ . AreaJ./.s.....R o Diagram of Lot and Building with Dimensions Fee y SUBJECT TO APPROVAL OF BOARD OF HEALTH �ON® I hereby;agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above .construction.. P............................... �I t/ Name ......... . .��.�.4�........ .ti`.:`:� Smirom Construction Co. � ^ , ��^ 0�� �^ � l � ` No —~—���— Permit for --,--'�����--- m single family dwelling ----^—^'---'—^--------^-----' ' 229 �lm�� l Drive. Location --.--..—.���a���---------.. ' - - � ~ —.—...----~.---.—.....—.------- ^ 1�� �p ' C�vnar ...........§P�FP�.���������.�----.:—.. Type ofConstruction _--.�.ram�--.----. ` —'---`—''—''--`^----^^—^—~—^'----'' ' P|c* ............................ Lot --.���------ ^ - ' ~ � - . + Permit Granted .......May...1.6........... —..-lA78 . - Dote of | -- . . . '—lV- - - ' ` --- ---,_-- PERMIT REFUSED < ' - ............................................ .^^—,—.. 19 , ............................................... ^ ' - : ~-------- , . / .��.---~----.. . -,«�� .&��. ...................................................... ' Approved . . . . . —._----------_�-.. 19 ' � ` , --------------~.—.--~--..�..~.... � . ----~--'------------~'^^^^—^^' ' ^ i Assessor's map and lot number ....... ...:;.,';..,....f� Sewage-Permit number ....................-3............,............,...,.... THET�� TOWN QF BARNSTABLE l HAHB9TAILE, i "6Cb NPY DUI�LI G INSPECTOR �0 fl APPLICATION FOR PERMIT TO .. � ' . f....#..o............................................................ TYPE OF CONSTRUCTION .�... ?! 2/1d ......................................................................................... ....................... �S�f. �l .19.7 . �;, ,. ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 'ti. �. (� t* r Proposed Use ............................................................................................................................................................................. Zoning District ....... ................Fire District /(9 Name of Owner SPIN�'..�?...U..�JA15i/;....' R 0.t................Address ; �....ClRLl .....(t :............................................' Nameof Builder `'!` .' ..........................................Address...................... .................................................................................... Nameof Architect .........:..!'."�.....!�............................................Address .................................................................................... Number of Rooms ................................................Foundation CIO If, 44- ................. ........... ................................................................. Exterior ...............'........:... ......................................................Roofing .........?...S;...........T'...............................6...................... Floors ill A;0eY f 5f c e •�� /t .......................................................................Interior .................................................................................... rieating ..��...�.................................................Plumbing .................................................................................. ....t 1' Fireplace ,; -............................................................Approximate Cost .................................. ...................................... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area `�.9K .� f..j4'.r:.j�.��...y.. Diagram of Lot and Building with Dimensions Fee .f.. ..-- SUBJECT TO APPROVAL OF BOARD OF HEALTH JN I hereby agree to conform to all the Rules and Regulations of thle Town of Barnstable regarding the above construction. Name ........: .............................................................. . I Spiros Construction Co. A=1927144 r 20225 .. Permit for 1 1/2 stor No .. , ......... ............... y ...... t single family dwelling ........... i - n Location ..........229.............Gle............eagle..........Dri.....ve.............. Centerville ............................................................................... r Owner ......Spiros. . ...Construction. . ...Co.....i . ........ . ............... . ........ .... r Type of Construction ..........frame L ....................................• ...................................... Plot ............................ t ...........�22.............. r 1 r ` 78 + Permit Granted ..... ..................................19 s p } Date of Inspection.... ...............................19 x C Date Completed .......... ...........................19 a k � PERMIT REFUS D C ...................................... ..................... 19 ......................................... ....... ..... ....................... .. ......... �. ` .. . .. ............... .........................(/**.................. ....................... t ............................................................................... i t Approved ................................................ 19 ............................................................................... ............................................................................... APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � 0Telephone Number A'ddre �✓�-e - License # Home Improvement Contractor# E ail -Cd/*/orker's Compensation # ALL CONSTRUCTION DEBRIS RESUL G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE rr i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Parcel Application # 6 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee CP ` Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis 'Project Street Address l a q 6 P4106 IQ oil, Village C(4�(qtlle, �'I A oaog Owner , " Dfi N Address Telephone_ 7�� 7� f U %112 Permit Request ���t� v� �� a (Vom DA 70d Square feet: 1 st floor: existing-—proposed 2nd floor: existing - proposed Total new Zoning District _ Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) w Age of Existing Structure Historic House: ❑Yes ❑ No On Old KinV� Highway. ❑ns ❑ No Basement Type: ❑ Full ' ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (s .ft) - Number of Baths: Full: existing new Half: existing :new Number of Bedrooms: �3 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 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 Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION 75 In (BUILDER OR HOMEOWNER) cName Telephone Number '20F �1. 7 7J • Address � Cv��eag License # Home Improvement Contractor# mail Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE - 07/10 1 FOR OFFICIAL USE ONLY •u 1, r_,t APPLICATION# t 22 DATE•ISSUED k MAP'/PARCEL NO. 4 ADDRESS VILLAGE o e €' OWNER DATE OF INSPECTION: FOUNDATION t FRAME 5 ul s INSULATION t D I FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , FINAL BUILDING oY .�%���/ ' } DATECLOSED OUT f AS.�SOCIATION PLAN NO. �—., The CotrmzonweaXth ofMassachusetts rA DeparbuentoflndusfrialAccidenfs Office of brvestigafions 600 Washington Street Boston,MA 02111, www.mass gov/dia , Workers' Compensation Insurance Affidavit:Builders/Contractors/Llecfricians/Plumbers Applicant Information Please Print Legibly• Name(Businessiorganizahon/Individuai): eqo _ Address: City/State/Zip: y Phone V C-IL Are you an employer? Check the appropriate box: Type of project(required): 1.El am a employer with 4- ❑I am a generalc'ontiactor 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 8. []Demolition working for me in any capacity, employees and have workers' 9 Building addition [No workers'comp.inan-ance comp.insurance. g �r�] 5. We are a corporation and its I0. Electrical repairs or additions 1— officers have exercised their 3. I am a homeowner doing all work 11. Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12 []Roof repairs insurance required-1 t G. 152, §1(4),and we have no employees- [No workers' 13,❑Other coin.insurance required_l *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 0 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 sab-contract ors and state whether or not those entities have employees. If the sub-contractors have employers,they must provide their workers'comp.policy man er. I am an employer that is providing workers'compensation insurance fo"r my employees, Below is the policy and job site . irzformntion, - - _ ' Insurance Company Name: Policy#or Self ins.Lin#: Expira#ionDate: 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$1,50.0.00 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 der the pains and penalties ofperjury that the information provided above is true and correct Si e: Date: / Phone#: Official use only. Do not write in this area, to be completed by city or town ooicial 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#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their ehhi toy 2:6s. Pumiant-to this statute,an employee is defined as"_..every person in.the service of another Tinder any contract of hire, express or implied,oral or written" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the in�ncc.. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), addresses)and phone number(s) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date:the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permitllicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in.any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant shouild write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT rrquired to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. , The GommonwcmI6 of Ma.ssaahust t Departrnant oflndus dal Amidents Office of Mvestigatimas ��Q�ashiz�ou Sit Boston= (l�l ll T01.#617-727-4900 ext 446 or 1-977-MASSAFF, Fax#617-727-7749 Revised 4-24-07 - www.mass_gov1dia Town of Barnstable Regulatory Services E rOky Richard V.Scali,Director Building Division 4 BARNSTA I-4 ` Tom Perry,Building Commissioner �$ ��� 200 Main Street, Hyannis,MA 02601 QED Maya www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION J • Please Print DATE: J � � 5 ` JOB LOCATION: Y� Y 0 ex �_ Q ` v1 \number p street O,. village ..HOMEOWNER':�•P.CMG'- �0.-�\�_ 1 ���•.�`� �G�� • 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 pro dunes and requirements d that he/she will comply with said procedures and requirements. Sign re cf 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,RuIes &ReguIations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFI_ES\FORMS\building permit forms\EXPRESS.doc Revised 061313 � E T Town of Barnstable Regulatory Services �BARNSTABLE,MASS. g« Richard V.Scali,Director 16.39.�a�� Building Division Tom Perry,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 to act on my behalf, in all matters relative to work authorized bythis building permit application for. (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 TO RM S:O W NERP ERM I S S IONP OO LS II a0�qo �u.nGa�fo4 /�yl�s �Al{y Q(ogOSZO� _ Mid 0)&A z t Qo ��t'P✓ lag �/�'��' 000 �McCAxTHY : C } ` RUCTION C O. " Sid tial and Commercial Builder TiON SPECIALIST: ' CCARTHYC 4 1' -WES: WWW. 'C October 21,2014 Town of Barnstable . Thomas Perry CBO Building Commissioner00 200 Main Stret Hyannis, MA 02601 Ua RE: Insulation Permits ~te Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201406293 at 229 GLENEAGLE DRIVE has been inspected by a certified Building Performance Institute(BPI) inspector.All work performed meets or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map pp' Parcel Application Health Division Date Issued 2 L /V C Conservation Division � Application Fee J 0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 9 G f c J.0 a sit Village lit Owner Address S,1--. Telephone A►-7 7 5- (0 S Permit Request '5 Ce Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation )��� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a/ Two Family -❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' ighway: l Y6�' L] 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 newer. Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Roorn Count a. Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ 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 Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# -Current-Use----- _ _ _ Proposed Use- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number PO Box 52 Address West-Den.ais, MA 02670 License # Cell (508) 280-6964 .-SL 58 -1-C4-69393 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Yt r rn. ,- 142 SIGNATURE DATE IL14 I y FOR OFFICIAL USE ONLY 4 � APPLICATION# DATE ISSUED ' MAP/PARCEL NO. k ' ADDRESS VILLAGE s OWNER t r r DATE OF INSPECTION: ;, Y v �FQUNDAT.ION•�-r���..� -fiFx:�:�.�, , ,�,.. FRAME 1 — - FIREPLACE ELECTRICAL:" ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING' Y DATE CLOSED OUT ASSOCIATION PLAN NO. �a}_ Gi 9 z OWNER AUTHORIZATION FORM` , ( wner's Name) owner of the property located at Z2 � /e�7epy (Property Addr s) (Prope4 Address) hereby authorize (Sub ontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. z2 Owner's Signature �qA Date m _ I r� i' Massachusetts -Department of Public Safety Board of Building Regulations and Standards Cun.+tructilln Superl isur License: CS-058633 MICHAEL J MCCAR PO BOX 52 ; W DENMS MA 0267 -'�.-, —tl-6fC► „ "t Expiration Commissioner 04/10/2016 Y�t7:141(,ZC%'C/GL:1 eL'G:J — Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 WEST DENNIS MA 02670 ' Update Address and return-card.Mark reason for change. / ❑ Address 0 Renewal I�]"Employment Lost Card SCA 1 Li 20M-05/11 -`/ f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 tUww.tnass.gov/dla Workers' Compensation Insurance Affidavit:Builders/Contractors/Eleetdcians/Plumbers `. Applicant Information Please Print Le ' I Mike c arthy Construction Name(Business/Organizagon/Individual):_ PO Box 52 Address: West Dennis, MA 02670 City/State/Zip: CSI[.p}M#p HIC-169393 Are u an employer?Check the appropriate box: Type of project(required): 1. I am a employer with d It t . 4, El I am a general contractor an �-- 6. ❑New construction employees(full and/or part-time).• have hired the sub-contractors 2.❑ I am a sole propridtor or partner- listed on the attached sheet:t ?• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, worieers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We arc a corporation and its 10.❑Electrical repairs or additions required] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp, e.152,11(4),'and we have no 12.(]R °f repairs Insurance required.]t employees.[No workers' 13.Q'Other comp.insurance requited.] *Any applicant that checks box 0 must also M oat the section below showing their workme compensation policy hdbrnration. t Homeowners who submit this affrdevit indicating they are doing all work and then biro outside contractors most submit a new sAdavit Indicating such !Contractors that check this box must attached an additional sheet showing the name of the sub-corUractm and their workers'comp,policy in6mmation, lam an employer that Is proWi ing workers r compensatlon Insurance for my employees Below Is t ie pollcy iwd job site Information, Insurance Company Name: P 1.77. K64 Policy#or Self-ins.Lic.M VWL ��-t 116�6" �°i`I� BxpirationDate: Job Site Address: �dl`� G Ic rn,e s, 1 City/Star als 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 oMGL c.152 can lead to the imposition f ofcriminai 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&a 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 certt u e a enalUes ofperJuiy that the Ir{/orniadon provided above is true and eorrecA Si e• Date: Phone P Offlekl use on y. Do not write In this area,to be completed by city or town of kla[ � City or Town; Peraiit/Llcense N. Issuing Authority(circle one): 1.Board of Health 2,Building Department 3,City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector j 6.Other Contact Person: Phone#t l AC40M o7wa2014 V CERTIFICATE OF LIABILITY INSURANCE DA0TE 7(MM/ ola 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 01962-001 Raj€/1CT Bryden&Sullivan Ins Agcy of Dennis Inc / .No UC .E:t: (508)398$060 ,No.: (508)394-2267 PO Box 1497 �S�Ess: So Dennis,MA 02660 EBl$LAEEOBD.ING COYEMOE _ NAIC I INSURER A: A.I.M.Mutual Insurance Company 26158 INSURED INSURER 9, ---_-_ Michael McCarthy Construction Inc JN3URER C• P 0 Box 52 S-UR West Dennis,MA 02670 IHSULEB_E 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 V61•IICH 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. ILYR TYPE OF INSURANCE 1 SR � POLICY NUMBER ANC AWSM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ Ea occurrencel CLAIMSWADE OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ -�OLICY I IIEC I �OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ i ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS HIRED AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ - (Per accident) S UMBRELLA LIAR F1 OCCUR EACH OCCURRENCE $ EXCESS UAS CLAIMS MADE AGGREGATE S yyoRKKDEEERRD3y R��E33TppENNTTIIONNN $ yy�gTp7� TH S AND EMPLOYERS�UABILITY X Tva LIMITS 019- A ANYIP§RM Q 7�(SFjlt�(ECLITI 1 NIA VWC-100-6017656-2014A 7/17/2014 7/17/2015 E.E.L.EACH ACCIDENT $ 500,000.00 (Mandatory In NH) Lu uu E.L.DISEASE-EA EMPLOYEE $ 500,000.00 DESCRIPTION OF 9PERATIONS below E.L.DISEASE-POLICY LIMIT s 500,060.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thlelsch Engineering 195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD. TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION_., r Map f Parcel ` 'Application # Health Division Date Issued 6 Conservation Division mApplication F Planning Dept. _ Permit Fee ' Date Definitive Plan Approved by Planning Board 3/q)09. Historic - OKH — Preservation/Hyannis 7—77Project StreetAd dr 229 G:LENEAGLE DRIVE Village--'� CENTE�RV I LLE Owl nI CHAEL� J. C I OLEK, SR. Address ' 4A8T8LHAHnN ARAB1 0 7 C-1-elep-'o`ne . (413) 538-8275 �PermityRequest`RENOVATION: Create a 5 ' -4"x6 ' -10" opening in first floor rr bedroom partition wall . See attached plan INTERIOR ONLY 1 , 482sf Square feet: 1 st floor: existing 988 proposed N/A 2nd floor: existing 9 4 proposed N A Total ne\AND—Cliange Zoning District RC Flood Plain NO Groundwater Overlay P-roject Valuation $6 5 0 . 0 0 Construction Type Wood Lot Size . 35 Ac e r Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family D Two Family ❑ Multi-Family (# units) Age of Existing Structure 30 years Historic House: ❑Yes M No On Old King's Highway: ❑Yes ❑ No Basement Type: 3 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) N/A Basement Unfinished Area (sq.ft) 9 8 8_ Number of Baths: Full: existing- 2 new NoChange Half: existing N/A new Number of Bedrooms: *4 existind3new *Reducing one bedrQ�o�m byccomb,rining with Opening. czi X Total Room Count (not including baths): existing 6 new*5 r e du eFirst FloorjRoom Cent 4`,existing -I Heat Type and Fuel: ❑ Gas n Oil ❑ Electric ❑ Other °d � r Central Air: ❑Yes M No Fireplaces: Existing New Existing wo d/coals over]Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 3 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes LI No If yes, site plan review# Current Use Residential Proposed Use Residential APPLICANT INFORMATION x�n (BUILDER OR HOMEOWNER) Name--e_I d 1 c Gk C (-a (e L Telephone Number -Address 3(3 p6le h License # N IA- �h F (t I-L' Vt �f� ®ro� Home Improvement Contractor# t'1�`I{� Worker's Compensation # 6 /if ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED f MAP/PARCEL NO. ADDRESS VILLAGE OWNER - DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL + PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING CD 3 31JO-7 DATE CLOSED,OUT G ASSOCIATION PLAN NO. ?� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly. flv3nle�ss/Organization/Individual): Add ddres? :;7-7, -1 Q(r" CCtylS=taZip te`/ iffy_ �. Phone.#: ( c� 7 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with . 4. ❑ 1 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. T. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑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 10.0 Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their 11.0 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#I 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. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: 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 insuran coverage veffication. I do hereby certify under7thenv'' I es a 'ury that fhe information provided above is true and correct Si afore Date: Phone#: r0fjlcial only. Do not write in this area,to be completed by city or town official 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#: �. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." ' Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the 'r members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in _(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or com`mercial venture (i.e. a dog license or m permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone_ and fax number: , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia z� Town of Barnstable try Regulatory Services t RAMS estF : Thomas F. Geiler,Director MASS. i659• Building Division PIfD � Tom Perry,Building Commissioner 200 MainSfreet, Hyannis,MA.02601. __.. Rrv.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE•EXEMPTION Please Print �-b:7k - f p JOCAT7 c.- -number 'street village 0MFIOWFF_W_'7 (W'0_LCLy_r, (C�d�e__L97 -_ -5,S 1V3q name home phone# work phone# C—LTRRF,NT MAILING.ADDRESS:—_ 3� ��A�,[�A] ryl 'I C) city/town state zip code The current exemption for"homeowners"was extended to include owner-oecu_pied 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. DEFINMON OF HOMEOWNER Persons)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 riot 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 ToWnL of Barnstable Building Department minirntun inspectio quirements and that he/she will comply with said procedures and require nts Signatu o omeowner--<---� ' 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 canstruction 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 arc unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the respansibilitics of a Supervisor. On the last page of this issue is a.fonn currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homcexcmpt oFs"ETo�,,� Town of Barnstable Regulatory Services g y 5 vrces sw c.E MA&L Thomas F.Geiler,Director ess. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 r - . Property Owner Must Complete and Sign This Section `If Using'ABuilder r t as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:F0RMS:0 WNER.PERMISSION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION SEPTIC SYS C E�U� �1US L_, Map •Parcel 1 INSTALLED IN COMPLIANCMmit# �&Ovq Z Health Division al-3�-9 '� `T Ti'TLE 5 Issued /9--13—9? IR®N6�ENI°TAL CODE ARC Conservation Division 'TOWN REGULATMS Fee av Tax Collect �i Treasurer ��.- //- ,� - Planning Dept. . Date Definitive Plan Approved by Wanninglioal Historic-OKH Preservation/Hyannis Project Street Address � � � "-LC Village T-C—�\l I�Lv _ Owner �G�C1cst�e k r Address Telephone Permit Request ( '� f- �D� 06-34/to Square feet: 1 st floor:existing "'—' proposed 2nd floor: existing `—� proposed otal new Estimated Project Cos Zoning District Flood Plain Groundwater Overlay Construction Type W 0(0 Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. r' Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Sttur Historic House: ❑Yes )INO On Old King's Highway: ❑Yes ❑No ruc 6 Basement Type: Full ❑Crawl ❑Walkout Other Basement Finished Area(sq.ft.) /' Basement Unfinished Area(sq.ft) A/1k Number of Baths: Full: existing 7/ 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 zor, ❑ Electric ❑Other Central Air: ❑Yes VINo Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes o 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 Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use /010/ BUILDER INFORMATION ° ' 37 Name C_504z r ` !� Telephone Nu ber Address , 6,4 V_ 6-S Rgo License# 01 r_4� A 2�(g2 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE c DATE _ ®� FOR OFFICIAL USE ONLY C Ks t _ 3 PERMIT,N0. •• C/ s , DATE ISSUED MAP/PARCEL NO. ADDRESS } VILLAGE OWNER DATE OF INSPECTIO FOUNDATION. FRAME-�. � •- .•• , • � • INSULATION ` FIREPLACE` ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT ` t ASSOCIATION PLAN NO. • _ ay 11-03-1999 219:34HM CENT 09T FIREDEPT 509?902385 P.02 if I Ile, CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT' DEPARTMENT OF FIRE-RESCUE & cMERGENCY SERVICES 1875 Route:$:iiCenterviiie, CIA 02632-3117 508.790-2380 a i=AX:508.790.2385 John M.Farrington,Chief Glen S.Wi�ccx,fire Prevention Officer Craig E.Whifefoy,Daputy cNef Martin O'L.Mac ely,Fire Prevention Officer November 3, 1999 TO: Building Department Town of Barnstable 367 Main Street Hyannis, MA. 02601 In accordance with MC;L 148, Section 28A, the Centerville-Osterviile- Marstons Milli Fire/Rescue Department brings your attention to the following potential violations of.780 CMR: Massachusetts State Building Code, asking your viewing and/or interpretation of same. Please advise this Department as to the results of your assessment in writing as soon as possible. NAME/BUSINESS: Nauset Inc. ADDRESS: 229 Gleneag,e Drive, Centerville OBSERVANCE: This Department received a call over last weekend from the above location advising that they were a group home, and were going to hold a fire drill. Looking into this location, I found that we have no information or knowledge of a group home. On November 2, 1999, 1 visited the location to get information. A gentleman that is employed by Nauset Inc. showed me the home. He informed me that 4 residents had moved in October 30, 1999, with a staff person present and awake 24 hours a day. They seem to be well protected with hard-wired fire detection system and fire extinguishers. When we entered a second floor bedroom, I was shown a stairway he had built to serve as a second means of egress through a small.attic space which lead down into the garage. The gentleman stated DMR had required them to build the stairway. There also seemed to have had substantial renovations to the home. 1 advised Tom Perry of my findings yesterday. Thank you, Glen S. Wilcox ,oirmitment to our Community„ T0TR'_ P.0'_' Nauset 0 Co 4e - Inc. �J Servnig Adults with disAbihties on Cape Cod since 1968' Jeffrey J.McCarthy Assoaate Executive Director � )�� 895 Mary Rd Dunn ' + . (508)778-9642.(Fax) Hyaiuus,MA 0. .. The Town of Barnstable sAxxsrnei.E, a��� Department of Health Safety and Environmental Services TE1 MA.S Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: I�L D C-� RE: Z 2 FAX NO: S� FROM.. DATE: PAGE(S): (EXCLUDING COVER SHEET) °FtHVE The Town of Barnstable • BAHNSTABLE, , 9� 16 MASS. `0�' Department of Health Safety and Environmental Services '�EnN+vr° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 , Ralph Crossen Fax: 508-790-6230 Building Commissioner November 5, 1999 Ms.Dawn Macone 229 Gleneagle Dr. Centerville,MA 02632 re: 229 Gleneagle Dr.,Centerville,Map 192/Parcel 144 Dear Ms.Macone: On November 3, 1999 I had been asked by the COMM Fire Department to investigate potential violations of CMR780 at 229 Gleneagle Dr. On November 4, 1999 I met with you at the site and noted the following violations: 1.)The construction of an illegal and unsafe stairway from the second floor to the garage. This work had been done without proper permitting,does not comply with code requirements,and has created a very unsafe and hazardous condition. You must cease the use of this as.an emergency egress and come into compliance with CMR780.You must apply for a building permit and supply this office with proper plans and any other required documents in order to resolve this unsafe condition. If we can be of any assistance please do not hesitate to contact this office. Thank ou in advance, Richard Stevens Local Inspector RS/AW - TRANSMISSION VERIFICATION REPORT TIME: 11/05/1999 17:11 NAME: FAX . TEL DATE,TIME 111.05 17: 10 ' FAX flO./NAME 97902385 DURATION 00:00:45 PAGE(S) 02 RESULT OK MODE STANDARD ECM L Town of Barnstable *Permit# Expires 6 montlis front issue date Regulatory Services Fee '( '9 a b Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address t- Residential Value of Work`�(S� 13 r3 Oz� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name S• CjJ` �t vtS C© ' 7�c_ Telephone Number C Li «. S 3 " 3(03 O Home Improvement Contractor License#(if applicable) O 1 --1 I Construction Supervisor's License#(if applicable) "OrIs Compensation Insurance PERMIT Check one: ❑ I am a sole proprietor JUN 19 2007 ❑ I am the Homeowner L�Xfave Worker's Compensation Insurance . TOWN OF BARNSTABL Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑�Re-roof(stripping old shingles) All construction debris will be taken to [`gRe-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.Histori`C,eomswation,etc. ""Note: Property Owner must sign Property Owner Letter of Perrr! "-' , 61 A copy f the Home Improvement Contractors License is required. ' «QG SIGNATURE: 77 E . Q:Forms:expmtrg Revise061306 { ' The Commonwealth of Massachusetts 5 Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 . www.mass.gov/dia Workers'-Compensation Insurance,Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individual): . L� f S t n Address: /,j- :�2 5aelx� S/ 114A-�5 41/ 10 City/State/Zip: c a` O Phone.#: Are.you an employer? Check the appropriate box: Type of project(required):. 1. I am a employer with (a 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 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• $. 9. �Building addition [No workers' comp.insurance comp. insurance.t' Electrical repairs or additions required.] 5. We are a corporation and its ❑ P '3.El officers have exercised their I am ahomeowner doing all work � 11.❑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, CI`jo to ees workers' . 13.0 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 far my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: 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:ender the pains-and penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town ofj'iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two_or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to*operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C()states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete"and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitUcense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Sile Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the. applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves-etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The,Commonwealth of Massachusetts Department of Inchstrial A.ccidonts Office of Investigations 604 Washington Street Boston,MA 0-2111 Tel. #617-727-4904 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.rnass.gQvldia --JUN' 7, 11001-11 : 22Af----MARTIN J "LAYTON INS No . .3^•,3 DP- iUvw►M .,ACOER CERTIFICAT t Ur LIAMILI i INSURANCE uttw/2007 PRODUCER (4I3)536-0804 FAX (413)534-7874 IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Martin J. Clayton Insurance Agency, Inc. 0 LDER. CONFERS NO RIGHTS UPON THE CERTIFICATE }{ LDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1649 Northampton Street A TER THE COVERAGE AF1`ORDED BY THE PO ICt1=S BELOW. P. 0. Box 989 INS IURERS AFFORDING COVERAGE NAIL# Holyoke, I'IA 01041-0989 INSURED S.E. Su enski Roofing Siding INsugzE�A: H.T. Bailey Insurance Agency 103 South Street INSU e: Safety Insurance Company 4014 Holyoke, MA 010�+0 INSU MRo: American Home Assurance Co. INSU R 0: IN RE VE OVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEeN ISSUED TO THE INSURED NAMED AS ANY REQUIREMENT,TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUM WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY TI+.E POUCIES DESCRIBED HEREIN i SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C�IAIM , UMSR O' TYPE OF INSURANCE POLICY NUMBER POLICY VE POLICY EXPI N LIMITS Im GENERAL wetu7Y NPP971670 06/0 /2007 06/04/2008 EACH OCCURRENCE $ 11000 DArMGE70RENTED i s0100 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE o OCCUR MEO EXP(May aria person) a 5,00 01 PERSONAL&ADV INJURY i imo'0001 A GENERALAGGREGATE > 2.000,0001 PROOUCTS•coWiOPAGG ! 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jEa LOC AUTOMOBILE LIABILITY 16 0-306 01/ /2007 01/01/2009 COMBINED SINGLE LIMIT °s (Ea acdderq 110001000 ANY AUTO ALL OWNED AUTOS BODILY INJURY i � (Per Ponce) X SCHEDULZDA)TOS B X HIRED AUTCS BODILY INJURY E (Per sodden!) X NON-0WNEDAUTOS PROPERTY DAMAGE s (Por amdem} AUTO ONLY-EA ACCIDENT i GARAGE LIABILITY ANY AUTO OTHER THAN EA ACC 3 AUTO ONLY: AGG S EACH OCCURRENCE _ EIfCESS/ltlMEIRELLA((pB1UTY _ AGGREGATE S OCCUR CLAUws MADE • � i DEDUCTIBLE RETENTION E WC STATU• OTH- WORKERSCO>1MPOMTIONAND WC8932443 12/ 1/2006 12/31/2001 EMPLOYER8'UAQILTTY E.L.EACH ACCIDENT E 100.00 r ANY PROPRIETOR/PARTNERMM.CUTIVE �L_pI§Eq$E.Fri QMPLOYE ! 100, OFFICERN"ER EXCLUDED? ` IT yes,desrslbe under E.L DISEASE-POUCY LIMIT S 500 00 SPECIAL PROVISIONS below OTHER i DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 13 EC"PROVMWNS - 6 C TIFICA ER T ON SHOULD ANY OF THE ABOVE OESCRISED OOLM�3 BE CANCELLED BEFORE THE y EXPIRATION DATE THEREOF.THE 1SMING INSURER WILL ENDEAVOR TO ML II 7 C DAYS WRITTEN NOTICE TO THE CERTWICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIL TTY OF ANY KIND UPON THE USURER,ITS AGENTS OR REPRE-SCATATIVE-3- Al RILED REPRESENTATIVE, ( Ha rold Clayton Jr. CHERYL ACORD 23(2001/08) ®ACORD CORPORATION 1988 e Ate -60� 0/ ildin e ulations q Board of Bu g R One Ash burton Place, Ism 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 06/2211945 Number: CS 022840 Expires:06/22/2008 Restricted To: 00 JOHN R RIGALIS 103 SOUTH STREET HOLYOKE, MA 01040 Tr.no: 23480 Keep top for receipt and Change of address notification. i DPS CA1 Z: 5OM-04105-PC8698 I ` l Board of Building Re ula ons and Standards - g g ' One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 101718 Type: Private Corporation Expiration: 6/29/2008 S.E. SULENSKI ROOFING & SIDING, CO John Rigalis _..__. 103 South St ------------------------- _ . ._.-- Holyoke, MA 01040 —.-------------- Update Address and return card.Mark reason for change. DPS-CA1 G 5OM-04105-PC8698 ❑ Address 0 Renewal [] Employment [-_] Lost Card Board of Building Regulations and Standards License or registration valid for individul use only y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 1.01718 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Expiration: 6/29/2008 Boston,Ma.02108 Type: Private Corporation S.E.SULENSKI ROOFING'&SIDING,CO John Rigalis 103 South StJe,, ,,,` — __...--_-_-_— Holyoke,MA 01040 Deputy Administrator Not valid without signature P y . S , Town of Barnstable KAM Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 1hi Nh p-L Li aL ek ,as Owner of the subject property hereby authorize S f= . Gum) Co = we• to act on my behalf, in all matters relative to work authorized by this building permit application for: R Ci,Qw ( aa1e- Dn. 0 avuTetruill3 Pna., (Address of Job) , 01 , Z6 tel V`1 �J/,�, Signature of Owner 16ate tp Lek Print Name Q:Forms:expmtrg yy Revise071405 f Results Page 1 of 1 Home Improvement, Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: r, AND r, OR Searr h Search Results Reg. No. Applicant lExpirationi S.E. SLTLENSKI 103 Rigalis 101718 ROOFING & South Holyoke MA 01 Q40 John ' President 6/29/2008 SIDING, CO St Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.usibbrs/hic.p1 7/6/2007 ' o `` �` ulU-6 �v1.5ey�v i - r""'i fa .FF X '�� < 41r•;F'rt s S — � v ,k.a«.:...•:.-...:..nww�a�'+�.,..c......s�>r.«,....i...w......:.��..+....... -.,.-.,, .. t...,rpa x r ', a n-.,. ,+....M...•i - # �. �t'ri' 9M.b•A�tfM�a nP'a%!1 'k�.ke°�y � 4k 3- 1 ,s�i-L.r`h f ♦rs::� � '"7) . ' •.A..<. ,� x � � _....... ... ...il .-.-... -...... ..,....=—..-s......wrn++;F,.-gC.srv..-�.....- t� 5V� ' — The Commonweafth o Massachuseas Department of Industrial Accidents =�-'••• . ' _ O1f/CrOf/OYCSt%p8l/OOS 600 Washington Street -_ Boston,Mass. 02111 Workers' Com ensation Insurance davit name: location: --- & vwA2 z hone# city ❑ I am a homeowner performing all work myself am a sole etor and have no one is anycapacity ,. �/M/p,,,� ��%�%//�////%%///// J//% 1 worldn on this job. 1 workers' ensanon for myemp oyees $ ' " {:<;:> ,:: I am as a oyerPiw><dmg comp....:,:•::..-•-:::::::.} ;:-;.;:::::. ... ..................... d Kk ss::::_.... :.............,,,........... .. -e..:::::::.......................: -t ... :;.;:.;.;:::.:;,;;:::;.:.;...... ... ..:: xw: ........ ;:.;.::.;::::::::.:::.: ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following •n<::,.n,..v:N.......: : :;«.::.: ,:::::::::::::::...:...:.:::._:::.:.::::.:..::.:.::::.:::.:::::.:::::::}:::::::::.:::::.::::.:::::::.:_::;>:: :><<: .�ant wan an .............::...rr.............. ...:.:♦:{:4•rn•.v...............•:•:........ v::.v::•.,:•::•:••x::n•. acre ...... ........ .......... .... ......... .... {........r.•. .;n.,k v:v.,v.v:.v w::v........:r:::;:.;i:::nw::n r:.,vx:4,:;?t�7S.......{}Y!�:}i?;^:^}:;•}}?v ........... ......... ....w...... ........n..... X....• .. .... ....:v..,}. .vn.nS4:rv::::::...........:::., ..-...........v....:: ........ :. ... .... .... .....r.. .r...YY• ..............................:..r•v::::.}`:4:4;;v.;v:•:::::::::.v::::::.v::.:�:: •. .... ... ..... ..... .-..... .-.......,•rm:•••w;:•}:.4:;54:?{;L:•:�::::::�� �....:•.�:::w::::v:v::::.v.v::::::•.•{:::::::x::r:??,•.:,{:.}::b::.,...,.,,.}:n4}}Si:ii$jii'iiii:{• titi......::•.::::... ... ... .. ............r ...................... ...................:v.:w:w:::.v:.v::::.v::::::r„},vx:: ::::•;v::, v.vv y:n�::.... , ......... .... ....... ... ....... .r n..n} .. .-. ...4 ♦ fin........................: ..... ......- x::::w:::v.:v.vn....... ........ ........ ..... ..,..r... nv...r....{.... ....,•. ......... ...... ... .-.. {••:.v:•::. v.••:::::r.•:.wnnn?..n•.. .w.�c::a:::a.�:a.;�;:.:;:::a:•>:-:;�: ............................:r......r. •n...:X.....;....-..........::::.v:... r.......... ..:•.�r::} ,•v. .:••...n'x..:.....h,.v:?:?•::::•:. ..:•..:.,->+:� ,•::::::.:•:::::': r ............... .......: ...x:4:•:.v.,•.}r.v...r,••:;;?{i•}ik$r:n:•.{•.:4:r:•::.vnrrrlfr>h•.r.�t.$....,.it..• �?.:......... �±�R-ii ................................ »t»: :...:........ c rem add .. ..........:..::.:;:.:::................. ...............:.:.:::-.. ...:.:...:..:.. ..,......... n...-.......,......... ............ Onek ..... ........::::v. ... .::vn•.w:.••nnw:n•:........r.xv...v.....?•:::.• ....,%::•.v. ..... vvn.. .::::•.......::•.v::::•...:...:.:..........r..:v:........ ...:x:::•w::w::rn•...........n.vvr;n{w.vh-..:.;;..+v�•}:..:.:::......... ;::x.<..<;.< ---;}::<:,.:.::::.;:,,.,.}:<,,:::::•:. - Fan=to secure coverage as required under Sects m 25A of MGL 152 can lead to the impositlom of erhniaal peaaitiea of a Sae np to 51,500.00 and/or one Years,itnprisoriineat as wen as dvn peaaltin in the form of a STOP WORK ORDER and a fine of S100.00 a day e=aiust me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coveri=e verincatica- I do hereby c under the and enakles perjury that the information provided above.is trapDate ai d Signature Print name a'P--i Phase# do not write in this area to be completed by city or townofiicial official use oniyy, *; + - perndNl eiue 0 . a �. (]Bdldin=Deparhtneo! city or town: * r �I.iansim;Board °; � ' ;� ��+ fig! y� ❑Sdeetmen's Office ❑check it immediate response is required m a QHealth Department — Q�e. phone#; r contact person: -- "wed 9195 PJA) �F1HE The Town of Barnstable 059. � Department of Health Safety and Environmental Services 'OIEpMp`lA Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. .Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations;renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: �Z Owner's Name: r Date of Application: I hereby certify that: Registration is not required for-the following reason(s): ❑Work excluded by law (Dob Under$1,000 •EBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: , OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner `22 �, 4 Date Contractor Name, Registration No. OR K Date Owner's Name :forms:Affidav q . t . a ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X-$55/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER R square feet X$??/sq. foot Total Estimated Project Cost 11 i g990915b 3 s I,' ✓die -Ua�rincareuteaLC� o���llc�a�aclr��eCtt j OEPARTMENT OF,PU3LIC SAFETY C CONSTRUC-UN SL'PERVTSOR LICENSE „ ° I Number:.... txaire�: Birtleaie: i CS 0k4SO9 01j23f2000 O1;2?f1939 Res tricteG To:' H I I - OEORfi°E S`c-BETTENCOURT C' ''x%�� +` 4e.F �r Off KGJSUH TEACH RO EASTHAM, MA t15.- — — — - /� ✓ire'[omnmarw�ea�.o�.:/�i�cu�c/umelta . HOME IMPROVEMENT CONTRACTOR Registration 113299 Type - INDIVIDUAL Expiration 06/02/01 GEORGE S BETTENCOURT &3� RGE S. BETTENCOURT ADMINISTRATOR 600 KINGSBURY BEACH RD EASTHAM MA 02642 f Ft. .;' °F WE The Town of Barnstable &UMSeABL6, MASS. 16 9. ,0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 5, 1999 Ms.Dawn Macone 229 Gleneagle Dr. Centerville,MA 02632 re: 229 Gleneagle Dr.,Centerville,Map 192/Parce1144 Dear Ms.Macone: On November 3, 1999 I had been asked by the COMM Fire Department to investigate potential violations of CMR780 at 229 Gleneagle Dr.On November 4, 1999 I met with you at the site and noted the following violations: 1.)The construction of an illegal and unsafe stairway from the second floor to the garage. This work had been done without proper permitting,does not comply with code requirements,and has created a very unsafe and hazardous condition. You must cease the use of this as an emergency egress and come into compliance with CMR780.You must apply for a building permit and supply this office with proper plans and any other required documents in order to resolve this unsafe condition. If we can be of any assistance please do not hesitate to contact this office. Thank you in advanc , Richard Stevens Local Inspector RS/AW IInn �T E A �y _ II 88T 28'•0• . $� Ol y3 '� Cm � 0y 8'-10 1/7 m 0 ' �F 00 e a Irr e �, 11'•8' 13'-110 ,o Cu ti A 0 Do JI W O� 0nm li 08 sF m > b sA p oe o > m O02 A Z Z D T 2 m C 2 N T m li 0 Dy (($ ZZ O N (J D D I�nAAr 09 O O M D� 9 Q0 X O ZJC2 �D�11 jJc m� v LA P O N2C N y Opp m � 4.•8. O DDL1 �� 00 �X l�Il�y NH � OZ 20 AyQ $S( X ON �m pR ggy� �o $o=Ni 01. i DD FAO ADN Z,' rD- m 2 N A� 0 m I .,a—�—_. .-�. :i.--'r+«+:.w- - _ +..-.•- .<-:�-.. - .�_ .� ,d. �...., _-_ ram:=t:. __ ."".I-CEILING MT.� FIT. .. -. .. ....�........ . CID 2 z o mm O o D P$ N p N 00 �i0 m t .bD i i O m m y. n z m �. 0 .. NO 00 C f� o A v �o $y Dy 0 W Dm Az m 0 p0 3n DM 02 O qFp� ti 4 N � o cn ° m� .Co a a yUSEITS ^ S 0 REV DATE DESCRIPTION RENOVATION PLAN&DETAILS 21 � < 8 2-0e-0p ISSUED ASSOCIATED BUILDERS, INC. � I D RENOVATIONS TO RESIDENCE AT 4INDUSTRIAL DRIVE,SOUTH HADLEY,MA 01075 T 229 GLEN EAGLE DRIVE,CENTERVILLE, MA. PHONE(413)536-0021 FAX(413)536-0908 EMAIL:abuilders@abuilders.com '