HomeMy WebLinkAbout0102 LAKESIDE DRIVE EAST «
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Town of Barnstable Building
i POSL`ThtS Card So That rt�sUis�ble From the Street ..,Appro,�ed t?Ians.aMustbe Retameii on-Jo:b and this.Card Mustbe,Kept x ,,
Posted Unti1rFinal Inspection Has Been Made i h� Fs
Wher,,e a,Certificate of Occu ,ancyas Requcred,such,Bu�ldmg shal Not be Occupied unt�t a Finat Inspection fi�as been�made y: Permit
Permit No. B-19-2210 Applicant Name: Craig Bishop Approvals
Date Issued: 07/10/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 01/10/2020 Foundation:
Location: 102 LAKESIDE DRIVE EAST,CENTERVILLE Map/Lot: 252 106 Zoning District: RD-1 Sheathing:
Owner on Record: MILSTEIN,JOSEPH B&SUSAN E Contractor Marne ,Craig P Bishop Framing: 1
,
Address: 62 GRANVILLE LANE s 3Contracto L=icensfre GCS 10977741
2
NORTH ANDOVER,.MA 01845 Est]Prolect Cost: $2,889.00 Chimney:
Description: Attic damming,attic flat insulate,attic hatch maul te,ventilate, r Permit Fee: $85.00
Insulation:
duct sealing,air sealing,weatherstripping,insulate common walls,
FePNPaid $85.00
insulate basement sills,insulate bulkhead door
Final:
�� Date 7/10/2019
Project Review Req: x
z Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized'by this permit is commenced within x months aft' issuance.
All work authorized by this permit shall conform to the approved application=and the approved construction documents forZwhich this permit has been granted. Rough Gas:
Fs E "
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by I wsand codes.
This permit shall be displayed in a location clearly visible from access Meet orr."oad and shall be maintained open for publinspectron for the entire duration of the Final Gas:
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building 66&Fire Officials are provided on this',permit.
Minimum of Five Call Inspections Required for All Construction Work:} ;�5 Service:
1.Foundation or Footing '
2.SheathingInspection �- r 3 Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Town of Barnstable ;et-e-
BAMSTAKF, rmit
Regulatory Services ss.maRichard V.Scali,Director
i634
Building Division
Paul Roma,Building Commissioner '
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Officer 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number E _f
Property Address 7ez�y/w 4 f��-c. j r4Oze (i�
Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address Joe—
Contractor's Name. A7A VdC41 Telephone Number i��� �4?0 "/?J .
Home Improvement Contractor License#(if applicable) 7-2 Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor OCT 19 2017
❑❑ I am the Homeowner TOWN
I have Worker's Compensation Insurance /� TOWN OF 8ARNS ABLE
Insurance Company Name `1,�-� (1 D C
Workman's Comp.Policy# _ J �/ �6 e 7 !�
Copy of Insurance Compliance Certificate mu accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑ -roof(hurricane nailed)(not stripping. Going over existing layers of roof)
tJ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owne ust sign Property Owner Letter of Permission.
A copy of th me Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE:
C:\Users\decoll*k AppLata\Loccrosoft\Windows\INetCach' ontent.Outlook\LN69LF2\EXPRESS(2).doc
01/25/17
4
* a�uvsrna�,
Town of Barnstable
Regulatory Services
Richard V.Scali,Director
Building Division
Paul Roma
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, ,as Owner of the subject property
hereby authorize t�c L L S c �S 1M f4--I'KX^go act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
21 2° 1
Si ature of Owner Date 7
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\decollikWppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\L7U69LF2\E.NPRESS(2).doc
01/25/17
f
Town of Barnstable
Regulatory Services
" of Richard V.Scali,Director
Building Division
BAMsTABM Paul Roma,Building Commissioner
�� 200 Main Street, Hyannis,MA 02601
o ► www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: // n �G
JOB LOCATION:• 1� l� 2 `- � erg �� �/Z V L
n ber street village
"HOlv1EOWNEx°°: ` �"� !LS Tom' ? 7 - 73 �- 6 � 7
name home phhoone# work phone#
c
CURRENT MAILING ADDRESS: U � � lve#T
sZ� fc�f M 6zq L
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 ndersigned hom caner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
pro ors and r uire e s an at he/she will comply with said procedures and requirements.
Si tore of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors); provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) 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
this issue is a form currently used by several towns..You may care to amend and adopt such a form/certification for use in
your community.
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01/25/17
i
Tlie Corrrrnotjrvelth o 'Massaclra�setfs
•\ f
Departmew of lnditstrial Ac tints.
��- Office of Inuest gca"hs
_: t500 Washitagtoa�Scree#:
Boston,AMA 102.11T.
1V46h4:ana.SS:gOVI(la�-
Workers' Compensation insurance Affdavit Builders/Contractors/��ectrici�nsl�?'luim6ers
App
licant Informaton. lease.Print.Le `blv
Name(Bus newOrgan ntionflncividoal)
i
11 ,
Address: 7P�►"11�G�.
City/State/Zip: �rs S Phone
Are you an employer?:Check the appropriate box:. T of ro ect r l
1.L�VI am a employer with .[] la a general contractor and 1
employees(fn11 and/or part-tiffie)-
s have hired the sub contgactois 6 Q hiew.00ntcuction
2.❑ I am a sole proprietor or partner '. listed on,the attached sheet.' 1_ Q Remodeltng:
shipand:have no 1 s 'These:subcontractors have
P o3'� S Demolition
tvorktng for me.in anycapactty employee acid have workers'
o workers'co c tnstisance 1:: 9_ ❑Building addition
jNo. mp insurance omp_
required 5 '4Je.are a coigioration and its 10 Electrical repairs or additions .
3. I am a homeowner do' all work officers have exercised thew 11 Piumbin r. aria or additions.
.❑ ❑.. 19eP ' .
myself.INo workers' P right of exemption per MGL 12:❑Roof repairs
insurance required: "s c. 152,§I(#),ffidw e have no
e 1 a.warkers 13.Q.ether
!? y� (N ..
camp:msurance.required.]
Any ii)Oicant this checks box#1 most also fill out the section below'showing their workers'compensation policf infoamatton
Homeowners*bD submit:this afidam indicating they ne dam-,aft work and then hire ootside coa>znctors must submit a aes.aff davit indicating sack.
sCoattactDes that check this box must attached an additional sheet showing the name of the sub-cw=rlors and.stme whether or not those entities have
employees. Uthe sub-contractors have employ-ees,:they must provide their isorkeis:wrap.poUcp.number:
I am an employyer that:is pronwilg_woriiers'.comvensattan insrerance for my engz,toye4 Below is thePoMO?and cob site
irrformation.
Insurance Company Name. tv :
Policy;i or Self-ins lac. Vy � .�. 60 C?�-29 1 7 Expiration Date:
Job Site Address..f�2. Sl rifle:: G tytState/25p.
Attach,a copy of the workers'compensation policy declaration P._age.(showimg the policy number and expiration date).
Failure to secure:coverage:as required under Section 2.5A of MGL.c. 152.can lead to the.imptssition o€criminal penalties o€a
fine up to S1,500.00 and/or one-year imps sonmen as well as cia*il penalties in the forni of a STOP WORK ORDER and a fine..
of up to S250.00L a day against the:violator. Be advised that a copy of this statement may.be'frsivvarded tore Office of
Investigations of the DIA far` ce. coverae verification,
1 do lrereby certefy a er the .ins rind penalties of perjrtry that the information_prm ided above is tote and correct:
Si tune: Date:
Phone#:
006i61 rose onIa Da not write in this area,to be completed by crt,}or tort n oczaL
City or'I'Om:: PerrnitlLicense
Lssning An tborrty:.(circle.oae)c
1.8oard of Health Z.;Building/?apartment 3.City/Town Clerlt .Electrical Inspector 5.Plumbing Inspector
6:Other
Contact Person: Phone#
6
_.__
C' ,F T?S�C![.1341Y12�lMGL G7
,OfSce of�Consume�Affs�rs'&Busy ess„Begulatto�► u, ':
SOME IMPIt(7VElNEWT CQNTRACTOR I
t7eg►strattior► �'1.724'6 � `��� ;a
,F`ic-p►rat►nn k 7 .1$ DBd/,1
BEL l S HOA�lE1 I
�p4 C1NDEf RI T `'i
MARSTJNS MlLL5,MA 06atB pnersecre Syr'
d:
p.
r
Commonwealth of Massachusetts.
piv►sron ot'Protessonal Llcensure'..
goatd of Building Regulations and Standards
Constrctn s �P?rvlsor
rka� f3G Iles;,06l0112U21
CS 11:1305:
� f
g .
ANCIREYAO" _01 �^
204 clNOEREL•l.Q TE iCE
NipRSTONS MfLLS Mpa64S "'
,
Commissioner
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED,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).
CONTACT
PRODUCER BRYDEN& SULLIVAN INS NAME:
88 FALMOUTH RD PHONE IFAX
HYANNIS, MA 02601 .MAIL AIc No):
ADDRESS:
INSURE S AFFORDING COVERAGE NAIC N
INSURERA: LM Insurance Corporation 33600
INSURED INSURERS:
BEL ISLANDS HOME IMPROVEMENT LLC
204 CINDERELLA TERRACE INSURERC:
MARSTONS MILLS MA 02648 INSURER
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: 37252619 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMO/LDID EFF MMI IDCDY� LIMITS
LTR
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGEN D
CLAIMS-MADE OCCUR PREMISES Ea occurrence $
MED EXP(Any one person) $
PERSONAL SADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY❑PRC- LOC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per acoldenQ $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB HCLAIMS-MADE AGGREGATE S
DED RETENTION$ $
A WORKERS COMPENSATION WC5-31S-615667-017 2/11/2017 2/11/2,018 PER E ERH
AND EMPLOYERS'LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE YIN N f A E.L.EACH ACCIDENT $ 500000
OFFICER/MEMBEREXCLUDED? ❑N
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required)
WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA.
This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TOWN OF YARMOUTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1 146 MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS.
SOUTH YARMOUTH MA 02664
AUTHORIZED REPRESENTATIVE
LM Insurance Corporation
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
'17252619 ( 1-615667 117-18 WC 1 n0270258 118115/2017 8:38:56 PM (PDT) I Page 1 of 1
I
TNETp��w TOWN OF BARNSTABLE
i BARNSTABLE, i
"6 9 D q BUILDING INSPECTOR
� pY a''
APPLICATION FOR PERMIT TO ?FUG 7 C4
�7..... . .......................................
TYPE OF CONSTRUCTION ��� �......
.........,eftfl.........1.2.R........19.2Z
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
&-41-
Location ................... .......re�/�� oS/..� .....X,�..........J. �� i��x........................................
ProposedUse ....................1r�.. .........................................................................................................................
Zoning District ................. ........................................Fire District ....... � T. d�ll�l ..�
Name of Owner rG's9�T .... .Address ........1..�'`'f!...e...�.l.- '��....
.........ry,. .... .
Name of Builder ......... ? .....V.4re........ � ...Address .......... .-7 .......yGj s4?5!�!/.f...............
Name of Architect ....., X7--R, .,..... .........Address ........ll.44e�7......
Numberof Rooms ........................46.......................................Foundation ............... ..............................................
Exierfor ............................. f .e�/ Roofing . .........................................
Floors ........................... �.............................................Interior .............. L./:........................................
Heating . .........................................Plumbing ................�.2.f... .? �/ -r..............................
45i,
Fireplace ............................. ...CJc�.....................................Approximate Cost ................zj--i?z.........................
..
Difinitive Plan Approved by Planning Board ------------ ----------19__
Diagram of Lot and Building with Dimensions ��G S-®
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1100 lei '1 0,0 m F�--
$' W <C� L6 as
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e J 171'
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....
OO.°
Mar Realty Corp.
No 15048 . Permit for one story 'f
single family dwelling
...............................................................................
Iakeside. Drive
Location .........:...........:..........................................
Centerville
...................................................:...........................
Owner Mar Realty Corp.
..................................................................
Type of Construction frame
................................................................................
Plot ............................ Lot ... /......�.
Permit Granted ......MaY..... .... ..........:.....19 72 p
Date of Inspection, .. . ......�.0 .19
Date Completed .. .. ... ...... ..................19
60
PERMIT REFUSED (�
.......................................................... 19
...............................................................................
.................................................. ._ , . .. .r ✓".
...............................................................................
...............................................................................
Approved ............................................... 19
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