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HomeMy WebLinkAbout0320 MAIN STREET (CENT.) �3 �� ��,,� ��:. � 1, e 1 t- r �-, �,,� R ^ v r w w ti-. �. .' p. �. ... _, - � C .. _ .� . - � .�. �., ,. � .. _ ;, -. .. . . .. �: - .. � _ e � _ .. .. - � .: ., _ '', .: ��. �.. . e., .. -.. . _ � ts. .. .. ,_ - �. � � .. ..- � - ,y ,. �. � �- �„' � _ �� .. - �:_. �, � p a �� e1�7r� � \ r a t: _ r �.., n,. F;,. ... , v. .. :... i... :C ,.. ..- ... a �. � t �. w ,, z �. , y �u. 9 � y _ - - � '�' ,<� ., is t. � A ,: . _ '. .. �.; - ,. .. a „. `;: ,` 3 F w... _ �� ... �: � y .. _.. ..... �. ..` � , .- ': .. ., } if .. ,_ ,.. .: ,. _. ' g:: a - _ ti .. ., a — .. .� .� ��5� o ,; �; . - _ _ �� �e �, e .:� e. a f�-'� w -,. .. .. - - � f.� 1 .. I _ ,. � _ �- - � .. � - c B __ �. ti .. _ ,. ..s _. ., �� � �� - ... .. ., _ � . e.. .r ,- ., L_ - _ c � Town of Barnstable ]Building snxvsrnstE Post This Card So That it is;Visible'From the Street-Approved Plans Must be Retained on Job and`this,Card Must be Kept , MASS. -$� Posted Until Final Inspection Has Been Made: � �� 26 .m ar�a�" Where a Certificate of Occup ncy,s,Required,such 136ildingshall Not be Occupied until a Finallnspection has been made. Permit No. B-20-1296 Applicant Name: James Peacock Approvals Date Issued: 06/02/2020 Current Use: Structure Permit Type: Building"-Siding/Windows/Roof/Doors Expiration Date: 12/02/2020 Foundation: Location: 320 MAIN STREET(CENT.),CENTERVILLE Map/Lot208-047 Zoning District: RC Sheathing: Owner on Record: ROBBINS,WILLIAM B& MARY E&MAINEY, Contractor Name: JAMES S PEACOCK framing: 1 Address: 320 MAIN ST ' Contractor License: CS-094500 2 CENTERVILLE, MA 02632 '-� Est. Project Cost: $6,500.00 Chimney: Description: Replace (3)windows, no header change. ' =.Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid S 35.00 r. .Dater 6/2/2020 Final: Plumbing/Gas f • Rough Plumbing: -- Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: y All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road aid shall be maintained open for,public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,p rmit. Minimum of Five Call Inspections Required for All Construction Work:'N -� Service: - 1.Foundation or Footing F v. - Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage.final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ; �.� Town of Barnstable Building • - S - N a enxxsreea� Post This Card So That�t isVisiblel£rom theStreet Approved Plans Must be Retained on Job and this Card Must be`Kept v Posted Until.Final InspectionHasBeenMacle < z 3� Q Permit Where a Certificafe:of Occupancy�sRequired,such Bwldmg shall Not be Occupied until a Final Inspects n has been made Permit NO. B-17-3281 Applicant Name: JAMES S PEACOCK Approvals Date Issued: 09/29/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 03/29/2018 Foundation: Location: 320 MAIN STREET(CENT:),CENTERVILLE Map/Lot: 208-047 Zoning District: RC Sheathing: Owner on Record: ROBBINS,WILLIAM B&MARY E&MAINEY, Contractor Name;' ,DAMES S PEACOCK Framing: 1 " p, Contractor`License CS;094500 Address: 320 MAIN ST 3 2 CENTERVILLE,MA 02632 4 Est Project Cost: $SO,000.QO Chimney: Description: refit kitchen, refit 1st floor bath,new windo s`Tno area change,new Permit Fee: $305.00 doors,new floors in kitchen and bath insulation: Fee Paid=f $305.00 Project Review Req: 4 Date 9/29/2017 Final: K .r '-jam. 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 six months afte°r issuance. All work authorized by this permit shall conform to the approved application and the�approved construction documentsfot,which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall,be in with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing . Mx Rough: 2.Sheathing Inspection . 3.All Fireplaces must be inspected at the throat level before firest flue Lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection final: 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 BUILDING PERMIT APPLICATION M`�'j Parcel Application C f A Map PP� Health Division Date Issued 1/2 9 /7 NO& Conservation Division Application Fee Planning Dept. Permit Fee R'5 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis 3� ' Project Street Address 3 0 o M-Q► Village ce"o-�r V) I t e— Owner w l �C ti At M � Mar _R0b b J'nS Address 30� 10 Ma l S� Telephone 5 U R —�? (n� �� Cen 4e y-y Ile, 114A-62,40 3fig N - Permit Request c 1ST �1'l.�,r- 'eta- a�ri� c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _ V Qo D00a Construction Type W 04 BUILDING Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Uk*'- Multi-Family (# units) SEP 22 2017 Age of Existing Structure Historic House: ❑Yes ❑ No OnQdrd',King',8 ighway LO Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas O 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 Telephone Number Address P AU�L I `7 j License#_L S ` OCl q- 0_s4f r 1-1 e, Home Improvement Contractor# 5 � Email Ltp c)c tp Ve-r 1-wr)Xe Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Qrmvut' 1 SIGNATURE A DATE 1 0 /1� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. oFTHE r, Town of Barnstable Regulatory Services * lARNSTABM Mass Richard V.Scali,Director v� 1639. �0 ArFp3YA 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 I, 1 ► U�J�? , as Owner of the subject property hereby authorize ek to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Jo "*P.00l.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: 1 y ` Signature of Owner Si afore of Applicant A M 'S� e-04, code Pant Name Print Name IDa Q:FORMS:O WNEUERMISSIONPOOLS Print this page's_ • Owner Information-Map/Block/Lot: 208/047/-Use Code: 1040 Owner Map/Block/Lot GIS MAPS ROBBINS,WILLIAM B &MARY E 208 /047/ Owner Name as &MAINEY,RI Property Address of 1/1/16 320 MAIN ST 320 MAIN STREET (CENT.) CENTERVILLE, MA. 02632 Co-Owner Name Village: Centerville Town Sewer At Address: No GIS Zoning Value: RC • Assessed Values 2017-Map/Block/Lot: 208/047/-Use Code: 1040 2017 Appraised Value 2017 Assessed Value Past Comparisons Building Value: $ 187,500 $ 187,500 Year Assessed Value $ 26,200 $ 26,200 2016 - $ 383,600 Extra Features: 2015- $ 434,300 $ 2,500 $2,500 2014 - $ 434,500 Outbuildings: 2013 - $ 443,000 2012 - $ 417,400 $ 166,200 $ 166,200 2011 - $ 448,500 Land Value: 2010 - $ 443,100 2009- $ 546,100 2017 Totals $382,400 $382,400 2008- $ 532,900 2007 - $ 532,900 Residential Exemption Received= $90,532 • Tax Information 2017-Map/Block/Lot: 208/047/-Use Code: 1040 Taxes C.O.M.M. FD Tax (Residential) $466.53 Community Preservation Act Tax $ 83.53 , Town Tax(Residential) $2,784.42 Fiscal Year 2017 TAX RATES HERE $3,334.48 • Sales History-Map/Block/Lot: 208/047/-Use Code: 1040 History: , Owner: Sale Date Book/Page: Sale Price: ROBBINS,WILLIAM B &MARY E&MAINEY,RI 1984-07-15 4172/124 $75000 ST, GERMAINE OSCAR W& OLIVE L 1965-12-27 1322/272 $0 • Photos 208/047/-Use Code: 1040 [ i Sketches-Ma Block/Lot: 2 / 4 • 1 4 p 08 0 7/ Use Code. 0 0 `g BAS 1 5 GAR 2 5 29 6 10. 21 16 1.0. 1071. 25 7 WDK 1717 8. ;3 21 RAS 3- 6 22 S. 'FUS 6, �� & FAT 2� 15 14 2PEP1 22' 14 As Built Cards:Click card#to view: Card#I • Constructions Details-Map/Block/Lot: 208/047/-Use Code: 1040 Building Details Land Building value $ 187,500 Bedrooms 4 Bedrooms USE CODE 1040 Replacement Cost $312,474 Bathrooms 3 Full-0 Half Lot Size (Acres) 0.32 Model Residential Total Rooms 10 Rooms Appraised $-166,200 Value Style Conventional Heat Fuel Gas Assessed Value $ 166,200 Grade Average Plus Heat Type Hot Water Year Built 1850 AC Type None Effective 40 Interior CarpetPine/Soft y depreciation Floors Wood Stories Interior Walls Plastered Living Area sq/ft 3,195 Exterior Clapboard Walls Gross Area sq/ft 5,017 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp • Outbuildings& Extra Features-Map/Block/Lot: 208/047/-Use Code: 1040 Code Description Units/SQ ft Appraised Value Assessed Value FEP Enclosed porch- 168 $ 7,000 $ 7,000 roofceiling FOP Open Porch-roof 148 $ 4,200 $ 4,200 ceiling GAR Attached Garage 625 $ 11,700 $ 11,700 FPL2 Fireplace 1.5 stories 1 $ 3,300 $ 3,300 WDCK Wood Decking 357 $ 2,500 $ 2,500 w/railings • Sketch Legend Property Sketch Legend 6214 Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story(Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Microsoft VBScdpt runtime error'800a01a8' Object required:" /Assessing/print17.asp, line 153 Commomvear&of&& sc ri eft - - BastOY4 MA02-�� fs� e Please ar4sP f e.�/O ��f T SC'_u}j <f-- A I u` ir ' AM TIOu ai employer Cher-theappropriatebma L az�a Type of prolecr(rL.7 P4_ P _ ❑I am a fal efluimcto r and employees(1fan andfm Pat.-fine)-•* bavehiredthe sub-coal 6- ❑we-w wog �•❑ Iamasalegrodetarargartu - Es-mdai$ieattarhrd-s 7_ UpRemodo-iqg- sbip and base ga exnolCFYees These sub�-conftactam h2,, . 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G �- ���[ Ted �.E$eP�s'scall��a• s.F�� p Contact lgE-mm MOW _ 6 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-094500 Construction Supervisor JAMES S PEACOCK PO BOX 171 OSTERVILLE MA 02655; Expiration: commissioner 07/22/2018 cv cvxrriirrrrn.rrtncril/�n/�UG'laaJ�re�crJe ,_- Office of Consumer Affairs&Business Regulation License or registration valid for individual use only h=^ � ` HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ',`1°51853 Type Office of Consumer Affairs and Business Regulation ^` - ` Expiration:-:=.7R�201:8 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 SCOTT PEACOCK BUILDING.&`REMODELING INC.. JAMES PEACOCK 1046 MAIN STREET SUITE; = OSTERVILLE,MA 02655 Undersecretary Not valid without signature A466Z8 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) `� 1 07/10/2017 THIS CERTIFICATE 1S 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Germani Insurance Agency (A N : (508)428-9194 FaAic No): (508)428-3068 908 Main Street E-MAIL ADDRESS: certs@germaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# Osterville MA 02655 INSURER A: SAFETY INS CO 39454 INSURED INSURER B: Granite State-AIU Holdings 000000 Scott Peacock Building&Remodeling,Inc. INSURER C: P.O.Box 171 INSURERD: INSURER E: Osterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE NR ADDL S BR POLICY EFF POLICY EXP - POLICY NUMBER MM/DDNYYY MM/DDN LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE . s 1,000,000 DAMAGE TO RENTED CLAIMS MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ A BMA0022118 07/05/2017 07/05/2018 PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PE a LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accdent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY e AUTOS ONLY AUTOS (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acdden[ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ r $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE WC005-81-5464 06/22/2017 O6/22/2018 E.L EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Scott Peacock Building&Remodeling Inc ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 171 Osterville,MA 02655 AUTHORIZED REPRESENTATIVE Fax: Email: 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ----------------------------------------------------------------------------, I ------------------------------------------------------------------------- I I Ll I I I I I I L 1 1 I 1 1 I I I I I I I 11 1 I j I 1 I I I I I I I I I I I 1 , , I I, I 1 I i I I I I 1 1 I I I I I ♦ I I I I 1 1 I I I m I I CNpf 1 1 I D�S OQ I 1 ;' l W,9,4. L 1 1 m 1 1 I i I I 1 I I 1 I I I 1 I I I I 1 I 3$ I 1 I O 1 C Sp I 1 I N I 1 C 1 o- 1 I ~ I I I I 1 I I Z I. I R N g I 1 boo O I I I � I 1 I I 1 I Q S I I I' �gHI I "' I z i I b3MV71a-E b3MVy0-E I I i i SNSi617129 140SC% ' b3NM0O D19tlW i I I I I I I 1 I 1 1 I 1 i 1 I I I 1 I I --------------_------------------- --------------------------------- ------------------------------------------------------------------------ __________________________� -1 - I I W J V K° BUILDING DEFT, SEP 2 2 2017 TOWN OF BARNSTABLE Horgon Millwork m co iv 30 Ch Ave,HMnis MA 02601 ROBBINS INITIAL LAYOUT m 9 c� g Ph:(508)ne-6941-Fax:(508)nae110 fD � a d Aar d Vic- -�---q~ \ CP of ✓ ��/' .. Cam? OEPT SEP 2017 �! TOWN OF BARNS'A5LE i Town of Barnstable *Permit# dc5g Expires 6`n nt/is from issue dale Regulatory Services Fee' Thomas F.Geller,Director. Building Division Q�PtoJz7�a�,�L Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstab le.rrta.us Office: 508-862AO38 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - E SIDENTLAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number. v I Woerty Address ffw*esidential Value of Work Minimum fee of$25.00'for work under$6000.00 Owner's Name&Address 1 I ��� Contractor's Name �_-�'�t Y� Telephone Number Home Improvement Contractor License#(if a le) I Construction Supervisor's License#(if applicable) Ci91-30 ❑Workman's Compensationlnsurance Cheer one:E�fl am a sole proprietor ❑ Iam the Hom :owner X-PRESS PERMIT . ❑ I have Worker's Compensation.Insurance OCT 2 0 2008 Insurance Company Name Workman's Comp.Policy# IO N9 F BARNSTABLE Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ZRe-roof(stripping old shingles) All construction debris will be taken to � ti ❑ Re-roof(not stripping, Going-over existing layers of ro of) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum,44) i*where required: Issuance of this permit does not exempt compliance with other town department regulation;i^e-1<iisipyic�e�inscry'-bn,etc. ***Note: Prope r must s' erty Owner Letter of Permission. co y of ome pro ent Contractors License is required. CC , SIGNATURE: . Q:Fomrs:expmtrg 1 r Revise061306 The Commonwealth of Massachusetts Department of IndustrialAecidents Office aflnvesiigations UV 600 Washington Street Boston,MA 02111 wwm m ass.gov/dia Workers"Compensation Insurance Affidavit: Builders/Contractors/Elecfricians/Plumbers Applicant Information Please Print Le 'bI Name(Business/Organization/Individual):. Q- Qs U,C,�► •Address: 1)-D City/State/Zip: I�IS rnA v( I Phone.#: 1 ?0 - Are you an employer?` eck the appropriate box; Type of project(required):, 1.❑ I/am a employer with 4: ❑ 1 am a general contractor and I mployees (full and/or part-time).* have hired the slab-contractors 6 ❑New construction . 2. Tam a'sole proprietor or partner listed on the'attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 Demob addition [No workers'comp.insurance comp.insurance,$' ❑ g required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their • 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. [No workers' ..13.❑ Other comp. insurance required.] , *Any applicant that cbecks box#1 must also fM out the section below showing Meirworkers'cornpcnsation 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. tContractm 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 lave employees,they must provide their worIcrs'comp,policy number. lam an employer that is providing workers'compensation insurance for my employees Below islhe policy and joh 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 ofMGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 bLk for insurance coverage verification I do hereh cent and t e pa and penalties of perjur};that the information provided above' true and correct. Sienaturre: (0 U Date: du Phone #: Q Official use only. Do not write in this area,Yb be completed by city or town vffcial City or Town: Permit/License# Issuing Authority(circle one); . , X.Board of Health 2.Building Department I City/Town Clerk 4:Electrical Inspector S.PlumbingLnspector 6. Other Contact Person: Phone#: THETp Town of Barnstable Y ..� Regulatory Services i EARNSfANX, • r MAC $ Thomas F. Geller,Director g7Al�D n1+1DPI b�� Building Division Tom Perry, Building Commissioner 200 Main Street Hyannis,Na 02601 www-town.b arnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 Propexty Owner Must Complete and Sign This Section If Using A Bui.ld'er as Owner of the subject property berebyauthorizeS to act on my behalf, , in all matters relative to work authorized bythis building permit application for: 00M li!�I- (IQ*TT-(I e, ( l. (Address of Job) I� 0� Signature of Owner ate • �i �I Gi IM �O�ol InS Print Name WORMS:O W NERPERMIS S 10N it ' � fie:-�o-�rirnore..oeal�/z o��/�,Ccaaacluartta . Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registratton ,:_1-24310 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Expiration 61.112009 Tr# 130873 Boston,Ma.02108 Type Individual James Curley _ James Curley 287 Fuller Rd. a�Q o..� Centerville,MA 02632 Administrator Not valid without ' ure V Massachusetts- Department of Public Safety Board of Buildinly Regulations and Standards Construction Supervisor Specialty License License: CS SL 99138 Restricted to:,. RF,WS JAMES CURLEY 1 287 FULLER ROAD j CENTERVILLE, MA 62632 j i Expiration: 1/28/2012 r� Commissioner Tr#: 99138 Felix Childs . a P,O. Box 1147 Gualala, CA 95445 To the Town of Barnstable Building Commissioner, The old homestead, at 320 Main Street, Centerville, Ma. was home of the Wilton Childs family dating back to the late 1800's. The house was configured in such a way as to have a self sustaining, separate apartment located on the second floor, at the rear of the building. Semi private entrance, heating, cooking, water and pantry were all inclusive in the large living/sleeping accommodation. The apartment was rented to sales (travelers) people and general tenants as far back as the 1920's and served as a source of income to the Child's family during the depressions years, as well as the war years, and later. I personally purchased the property in 1953 from my family. The property was owned by my family for almost one hundred years. I hope this letter will help to solve the issue of the legality of the Robbins apartment. . 0 1 01 Respectfully, Felix S. C 'Ids p s 7 o(c C no CALIFORNIA JURAT WITH AFFIANT STATEMENT State of California County of me'l!''DO Cry'1" ss. See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) 1 .... .._ ...._ - - _ - -....._._._ 2 3 6 _ Signature of Document Signer No.1 Signature of Document Signer No.2(if any) Subscribed and sworn to (wed) before me on this day of , Z°9"] by Date Month Year (1) Ux S_ Ckc(o(,o Name of Signer ❑ Personally known to me Proved to me on the basis of satisfactory evidence ppvlo S•GOR691 B6 to be the person who appeared before me 0 (? Commglot .0110mlo _ NotoN oclno Counw .m n�i ir-0 s P 1,2010 Name of Signer com n e asls of sa Is actory evidence —to be t4ge or Signatur�N.Iary Public Place iNotary Seal Above OPTIONAL Though the information below is not required by law, it may prove _ valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Top of thumb here TO of thumb here Further Description of Any CC''Attached j�Document (� Title or Type of Document: till 1 _ II7--_j),o"7 �w�vnt Sir Document Date: 4�� ,P's a- Number of Pages: Signer(s)Other Than Named Above: Pit A ©2004 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationalNotary.org Item#5910 Reorder:Call Toll-Free 1-800-876-6827 r 4�DETHETp�, Town of Barnstable. Regulatory Services } M BAMSTABLE, # g Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 July 23, 2007 Mr. William Roberts 320 Main Street Centerville MA 02532 RE: Illegal Apartment: 320 Main Street Centerville, MA 02632 Map: 208 Parcel: 047 Dear Property Owner This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-13 You must contact this office by August 15 , 2007 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, �--> -Linda Edson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 Assessor's office(1 st Floor): �� a ��®� �,��� �•, Assessor's map and lot number—,?— Board of Health(3rd floor): (� / L; p�""•f7 ., Sbwage Permit number Q" (O ✓�� �s�I Engineering Department(3rd floor): House number �® Definitive Plan Approved by Planning Board 19 Yar d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE ' BUILDING INSPECTOR APPLICATION FOR PERMIT TO Add to dwelling Relocate kitchen TYPE OF CONSTRUCTION Frame September 1 19 89, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 328 Main Street, Centerville Proposed Use Dwelling Zoning District RC Fire District C-O-MM Name of Owner William Robbins Address 320 Main St. , Centerville, MA 02632 Name of Builder Earl Brown, Jr. Address 9 Pondview Drive, Centerville, MA � Name of Architect Tom Archibald Address Osterville, MA Number of Rooms Add 3 Foundation Poured concrete Exterior Wood Roofing Asphalt Floors Carpet Interior Drywall Heating Hot water/gas Plumbing Add bath Fireplace none added Approximate Cost 71,000 Area .S' �3 s� Diagram of Lot and Building with Dimensions Fee "-- - �cn OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name J Construction Supervisor's License t/ ✓'�� ROBBINS, WILLIAM c� x No 33184 permit For ADDITTON Location -32-0-Main Street- Centerville Owner William Robbi nc; Type of Construction Frame a ' ' ~ Plot Lot - Permit'Granted SPptAmjaer 5, 19 89 Date of inspection 19 Date Completed zL44zx00 19 e f17° La wit '},,.. I 7ii��' I I � ;TY ✓ ram+ -„ �' l•:��'�, �� � kt���k / � it '< } I �1 z djD I111ti I ILL] - ' ) 77 I- \ h �k��1 �tom'��yy,�I+� c I c� 1� � � � �•_. � a 0 Sis LN (I. Yn�•�' W Ea ' Jgg,, -�- d'3 G: J '1� Q.�7 ✓! p�U � CIO Tq f� 1. tQ 1 a �lJj IJ CO) z 41 ® CC al.:. ui ca i O Co tom' , `IQ,CA •� 'If`3.7 JAI a-� � / � -I � � t� �s f i I >� . Assessor's office(ist.Floor): ��Q a Assessor's map and lot number /J 7`/ o�fN E Board of Health 3rd floor): ,Sewage Permit number Q y`-rc (O # !�✓ A l�Jl� ( e �� r Z BARNSTADLL Engineering Department(3rd floor): U NAS& House number °° 1A39' Definitive Plan Approved by Planning Board 19 ,Fo raY a• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M..only _ TOWN OF BARNSTABLE BUILDING INSPECTOR- APPLICATION FOR PERMIT TO Add to dwelling Relocate kitchen --� TYPE OF CONSTRUCTION Frame September 1 19 89 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 329 Main Street, Centerville Proposed Use Dwelling Zoning District RC Fire District 8-0—MM Name of Owner William Robbins Address 320 Main St. , Centerville, MA 02632 -Name of Builder Earl Brown, Jr. Address- 9 Pondview Drive, Centerville, MA Name of Architect Tom Archibald Address Osterville, MA Number of Rooms Add .3 Foundation Poured concrete Exterior Wood Roofing Asphalt Floors Carpet Interior Drywall Heating Hot water/gas Plumbing Add bath Fireplace none added Approximate Cost 71,000 Area , � Diagram of Lot and Building with Dimensions Fee . J. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name !/ `-�'� / l_ Construction Supervisor's License L/ ROBBINS, WILLIAM • A=208-047 No 33184 Permit For ADDITION Location 320 Main Street Centerville Owner William Robbins Type of Construction Frame i . Plot Lot E ' Permit Granted September 1 , 19 89 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1/1/- �a� �- l