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Home My WebLink About0785 OLD STAGE ROAD �� (�� ,sty '� ti .� -. :. .. Y i � .. i t TME Town of Barnstabl ' ' Q e Per i Regulato Services Expires6moethsfry . �+auvsraar� Fee 94� 1639 �b`$ Thomas F. Geiler,Director Building Division . Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA'02601 www.town.barnstable.maus•` Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTTAL pm,Yax: 508 790-6230 Not VaRa without Red X--Press int Map/parcel Number�9 '�' Property.Address [residential Value of Work Oc'(D Minimum fee of$35.00 for work under$6000.00 Owner's'Name&Address . Contractor's Name s�C _ Telephone Number 574 Home Improvement Contractor License#(if applicable)` 7 Construction Supervisor's License#(if applicable) Q - p IT ❑Workman's Compensation Insurance �dl� Check one: S E P.19 2012 ❑ I am a sole proprietor I am the Homeowner have Worker's CompensationIasurance. TOWN OF BARNSTABL Insurance company Name E Worimuan's Comp. Policy# ( _ —Z )"g— Copy of Insurance Compliance Certificate must accompany each permit ' Permit Requej4check box) Re-,roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping..Going over existing]dyers of roof) EJ Re-side ❑ Replacement Wmdows/doors/sliders.U-Value #of doors (maximum.35)#of windows Smoke/Carbon Monoxide detectors,4 floor plans marked with red S and inspections required. .Separate.Electrical&Fire Permits required, *Where required: Issuance Of this permit does not exempt compliance with other town department regulations,i.e.Historic,Consorva ion,etc. / " pro ". . perty Owner must sign Property Owner Letter of-Permission. A copy of the Home Improvement Contractors License' Constru required. ction Supervisors License is SIGNATURE: Q'IWPMESTORMSNbuilding permit fomulEXPRESS.dae - - ^_ The Commonwealth of Massachusetts Department of Industrial Accidents �— Office of Investigations 600 Washington Street Boston, MA 02111 d` ` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please riot Legibly Name (Business/Organization/Individual): Address: 7 City/State/Zip: C Phone #: S'D$- a�f g 5'9/ Are you an employer?Ch k the appropriate box: Type of project(required): 1.0 I am a employer with Z 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 g. ❑ Demolition working for me in any capacity. employees and have workers' ❑ [No workers' comp. insurance comp. insurance.* 9. Building addition required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs + insurance required.] t c. 152, §](4),and we have no employees. [No 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy dumber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: CJ ZZ�t� Policy#or Self-ins. Lic.#: �j z "14563 P'9 3 z(— Expiration Date: Job Site Address:_7 V,i OU 5'fa% rJ Berm f,qtile City/State/Zip: 1+ 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 under the pains and penalties of perjury that the information provided above is true and correct. ,� Ia- Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. !Z City or Town: Permit/License# ,kr Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other '' ! f' Contact Person: Phone#: j VDAC '} WORKERS COMPENSATION r� AND zURtcH EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6ZZUB-4083PB3-4-11 ) RENEWAL OF (6ZZUB-4083P83-4-10) INSURER: AMERICAN ZURICH INSURANCE COMPANY NCCI CO CODE: 80012 1. PRODUCER: INSURED: MARGARET J GRASSI INS MULLIN, MARK M DBA i188 MAIN ST MULLIN ROOFING & SIDING WEST WAREHAM MA 02576 7 CONNEMARA WAY W. YARMOUTH MA 02673 Insured is AN INDIVIDUAL - Other work places and identification numbers are shown In the schedu1ensured's mailing address. � 2. The volicy period is from 12-08-11 to 12-08-12 12�01 A.M. at the 3. A. WORKERS COMPENSATION INSURANCE: Part One Of the policy applies tothe Workers Compensation Law of the state(S) listed here: MA i B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 1000000 Each Accident Bodily Injury by Disease:, $ 1000000 Policy Limit Bodily Injury by Disease: $ 1000000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information Is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 12-06-11 DB ST ASSIGN: MA OFFICE: ZURICH-ORLAN 809 PRODUCER: MARGARET J GRASSI INS 7282M 1764 �iean�rzarzcve�CZ a,9Aaaoac/c�eC(� License or registration valid for indiviaul usr UWJ before the expiration date. If found return to: Office of Consumer Affairs&Business Regulation g CTOR Office of Consumer Affairs and Business Re ulation ME IMPROVEMENT CONTRA Type 10 Park Plaza-Suite 5170 egistration: 1672,.81 pBA �y xpiration:`28/30/2094 Boston,MA 02116 MULLIN ROOFING AND SIDING_ E MARK MULLIN it+r l 7 CONNEMARA WAY '' } Not valid without signature W.YARMOUTH,MA 02673 " Undersecretary a to iV} ttib.ichusctts- Dcp tt�t.tnent of Public:5 tt�t�' Bbxrd.bf`Buil(linh Rc!lfulations .u�(► 5f:int}a d°ti w Construction Supervisor License, License: CS 104076 * #; t.y2i S,• - Restricted to .,00 5€ N _ -L -M U L p _M MA RK K .r r 4 °AV,E: 10 FERRY.__. .• `02538. -` 1 AM'.: MA REH. E wA ,; RI .. iy. Expiration. 917/2013 Tr# 104076." x control of the Contractor. All employees of the Contractor performing Work under this Contract shall be and remain the Contractor's employees. a., The Contractor shall supervise and direct the Work, using its best skills. Job Safety. Contractor shall be responsible for initiating,.maintaining and supervising all safety precautions in connection with the Work. Permits, Fees and Notices. The Contractor shall secure and pay for,all permits and governmental fees, licenses and inspections necessary for the proper execution and completion of the Work. Such permits and licenses shall be the property of the Customer and shall be delivered to the Customer upon request. The Contractor shall give all notices and comply with all applicable codes, laws, ordinances, rules, regulations and orders of any public authority in connection with the performance of the Work and the Contractor's obligations- hereunder. Insurance. Contractor acknowledges and agrees that Customer or Owner shall not be obligated to carry any insurance in connection with the Work for the benefit of the Contractor. Contractor's Insurance. Contractor shall at all times.maintain and keep in full force and effect, at its expense, any and all insurance coverage which is prudent, necessary or desirable for the protection of the interests of Contractor: Contractor shall furnish to Customer certificates of insurance for the following types of insurance. a. Commercial General Liability Insurance; b. Workers' Compensation.Insurance to cover full liability under the Workers' Compensation Laws: s Customer as Primary Additional Insured. Each of the liability insurance policies described above, except workers' compensation insurance, shall be endorsed to name Customer as Primary Additional Insured: IN WITNESS WHEREOF;the parties hereto have executed this Contract as of the day and year first above written. Customer Contractor CompanyB By Print Chris Robinson. Mark Mullin Mullin Roofing & Siding, Inc. 7 Connemara Way, W. Yarmouth MA 02673 508 221 8591 Address: 785 Old Stage rd. Barnstable; Date:9-14-12 Date:-.9-14-12 Phone number 508-648-7376 License No.HIC#167281 CSL#104076 Email address Email address mullinroofing@gmaii.com Town of �asrYnsta# ila , ! ` °f�HEr°w Regulatory��Ser�yi es j '�e Thomas F. GeiMr,Director • Building Division BARNSTABLE, y MASS.i6 Toni Perry, Building Commissioner-' ' 39' �� ptFoklMA'ta 200 Main Street, Hyanns,'MA02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: — Permit#: HOME OCCUPATION REGISTRATION Date: �a3 PWj2_IL 2.011 Name: Cw2AG—T0r0Rf 2_ Phone #C9t) (01 B 'r T'zq_ a Address: -4"6S C)LD 5TA�Ci_ 90 Village: Name of Business:_al_5�_E�t_ Type of l3usirless: i h INTENT: It is the iiiteut of this section to allow the residents of'tlie To 'n of Iiarnsrible to operate a home occ•upatiou ctrithin single family dwellings, subject to the provisions of Section 4-1A of the Zoning orditlatice, provided that the activity shall not be discernible fi•om outside the dwelling: there sliall'be no increase in iu>ise or'odor;uo Visual.&LI-ation to the premises wlllCll ould suggest aliythi-ig other than a residential use; no increase in_(raflic above.tiornial residential volumes; and no increase in air or baoundwater pollution. After registr'�itiou raritli the Building Inspector,.a.customary home occ•upati6n sliall be p'erralitted as of right,subject to the following conditions: The activity is carried on by(lie Permaiten(resident of a single 1'ailiily residential dwelling unit, located within that dwelling unit.. Sucli use occupies no more than 400 squiu•e feet of space: There are no external adte.ratioias to the dwelling which are not custoiilary in residentiaf:buildings, iind;tlaere is no outside evidence of such use. +. No traffic grill be generated til'excess.of normal residential vohulies. Tile use does not,invoh,e the production of offensive noise, aribrati<in,smoke, dust or other p�irticular rnattec, odors,electrical disturbance, heat,glare, humidity or other objectionable effects, There is ilo storage or;use of tOXlc.oi'hazarclpus ul*�ateri,ds, or flammable or explosive materials; in excess of normal liousehold.qummtities. • Any need For,parking genemted by such use shall be tact on the same lot c•orltaining the Custonialy Home Occupation,wid.not within the required Front yard. • Thereis no exterior storage oi•display of•nmteiials or equipment., " + "There are no c•oniiiiercial vehicles related to the Customary Home Occupation, other than one van Or one pick up truck not to exceed one toil capacity, and one miller not to exceed 20 feet in lentn�ll artd not to- exceed 41ii-es,parked on the same lot containing the Customary Home Occiil ation. • No sigat shall be displayed indicating the Custorliary Honre Occupation. • If the Custoni,uy Home Occupation is listed or adver(ise-d as a business,the:s(reet address dial.l nti( be included, • No person shall be.employed indle_Custoniuy Home Occ•ulrinoll who is pot a penilalrcn( resident of,[he dwelling unit. I, (he undersigned; have ad and agree liif(1 the ove re�tricnons for illy borne z ccup�ltiorl I am registering. Applicarll Date:10) 6M2 L 2-0 1 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU ,MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, V. Fl., 367 Main. St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. ' _. DATE 13 2 U1 1 ar Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME C�ws� r 1�-5-�2C-�jMMUNiC�Al `fit `�2- �M f�—E��l t�7�1�t.7 <r _BUSINESS YOUR HOME ADDRESS: 435 TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS C_3 C 1+�,utv1` 1c�evS - I TYPE OF BUSINESS IS THIS A HOME OCCUPATION? V YES NO Have you been given approval from the building,division? YES NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER s�CI. When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of. Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town: 1. BUILDING COMM.ISSTON R'S OFFICE This.individt al haS be. infer d o/ny) it requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Signature __.. C 1PLY MAY RESULT IN FINES. COMMENT _ �J U =` 2. BOARD OF EALTH This individual ha �einforme!�Vftherm't s that pertain to this type of business. Authorized Sign ure** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has e n inf r d f t li ensing requirements that pertain to this type of business. PMMENTS: Authorized Signature** - Message Page 1 of 1 Barrows, Debi From: Perry, Tom Sent: Wednesday, April 07, 2010 9:25 AM To: Barrows, Debi Cc: Geiler, Tom Subject: FW: Property Violation Info. Please see what's in the file for this.Thanks -----Original Message----- From: Town Main Mailbox Sent: Wednesday, April 07, 2010 9:23 AM To: Geiler, Tom; Perry, Tom Subject: FW: Property Violation Info. Into the web. Dan From: Chris Cantu [maiIto:chris.cantu@fieldassets.com] Sent: Tuesday, April 06, 2010 5:28 PM To: Town Main Mailbox Subject: Property Violation Info. Code Enforcement, 04/06/2010 My name is Chris Cantu, Code Compliance Coordinator with Field Asset Services. We are a property preservation company responsible for maintaining the property located at 785 OLD STAGE ROAD CENTERVILLE, MA 02632. If in your jurisdiction, we are requesting copies of any open code violations, and if possible any liens or fine information on the property listed above. If needed, we will work on bringing this property in compliance as soon as possible. Please fax or email the information (positive violations/negative violations) to me via email address and numbers provided below. Any other details or information that may aid in the process of obtaining compliance such as code officer's name, contact,information, and City/County the violation is out of, is appreciated. Thank you for any help that you can provide. Have a nice day, Chris Cantu Code Compliance Coordinator Email: chris.cantu(a.fieldassets.com 800.468.1743 x (7186) 512.609.7186 Direct 512.609.7186 Fax 0 ASSET 1731RVICES 4/7/2010 Assessor's map and lot number .. ..(..�.....�.�o..T............... ak . k ;7 s'ys 73 S Sewage Permit number .......................................... ®.d..... q 1 QF7FIEr0� ✓ 5( '� I'� �?� TOWN OF BARN STAB PTIC SYSTEM MUST BE. . 8ASB9TOBL ! TALLED IN COMPLIANCE -> S, yea NAG&9• `e0 TH ARTICLE I I STATE AUILDIRRIG I N S P E C T 0 pigoypva. ANITA4�Y CODE AND TO REGULATIONS. APPLICATION FOR PERMIT-TO ......... ............................................................................................. TYPE OF CONSTRUCTION ................ . ..... ........ .. .. . ................................. .....4."". ............................. ............... .. .....19. TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit accordia to the following rmation: Location ........ ..... ...... ...�..... . f! -� .... ..... !f�'...... .. ..............................................'.......... ProposedUse .... ........................................................................................................................ ZoningDistrict .................................... .. ................................Fire District ..........................................�.................................... Nameof Owner .....................................Address ........ ..............................w �/........................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ................. .................................................................. Numberof Roo' .........................................Foundation .... ..............L ................................... Exlerior .. ..... ...................`. ...................................................Roofing ... ........ ....................................................... Floors .......... ........................ ................................... ...... ............ .....il� ................................... �o Heating /....... ............�...f�.......................................Plumbing ...... ....... .......................................... i Fireplace ....I.. ...r........ . . ... .. ..............:r................................Approximate Cost .........74/-1 ..........I........P....... Definitive Plan Approved by Plann Board ________________________________19________. Area ................. . Diagram of Lot and Building with Dimensions Fee ..... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH " a NV a Oc ' I V I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ' g the above construction. Name ':. ...:. .............. � ' SmallwAl= E. - 16415 one story No —'....-...... Parnnh for ..................................... single \ ..................... .-----. � Location ...............................................................Centerville ` _.—.—.----.. ....... A]bmn_fC~ �3_oyuIl Owner ------ ___ ______~_ __ ^ Type of Construction ...............frame........................... -----~--------------------' | � Plot --------_. Lot ................................"^^ � � . ' Permit �ronua6 ^�lJr I9 lg �� `� _—' _ -------------.. ' ( . ' ' \ Dote of Inspection lV Date ' �� Completed \ � � PERMIT REFUSED � � .--.--,--^------------- lV � ' ^ � '----'---------------------- } ` . ',---..--.—.-----------------. . ~.—.—.--------.—,---...—.----- � . ` ^ | � ---~---------..—.-----.~---.,— Approved ................................................. lQ � � ^ / -------.-------------.-----. . / ` ----------------------'^^^^^^ -- ' '