HomeMy WebLinkAbout1157 OLD STAGE ROAD � I ��7orDld! � . � �� . � .
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.,. Town of B _ Builds g
To Barnstable
Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept
a+asa Posted Until Final Inspection Has Been Made '
is Where a Certificate ofOccupancy isRequired,such Building shalLNot betOccupied'until-a'Fina�Inspection has"been made.
Permit
Permit NO. B-19-4066 Applicant.Name: WINDOW WORLD OF BOSTON.LLC. Approvals
Date Issued: 12/04/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/04/2020 Foundation:
Location: 1157 OLD STAGE ROAD,CENTERVILLE Map/Lot: 173-087 Zoning District: SPLIT Sheathing:
Owner on Record: BLEAU,ALFRED A TR Contractor NameWINDOW WORLD OF BOSTON Framing: 1
EL
C.
2 ,
Address: 345 CAMP ST APT 702 z
-Contractor
WEST YARMOUTH, MA 02673 License: 166025
� t Chimney:
Description: window replacement(14) Est Project Cost: $8,741.00
Permit Fee: Insulation:
$44.58
Project Review Req:
Fee Paid: $44.58 Final:
Date:-` 12/4/2019
Plumbing/Gas
Rough Plumbing:
Final Plumbing:
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by this permit.is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and,the approved construction documents'-for which this permit has been.granted.
i w , Final Gas:
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 and shall be maintained open for public inspection for the entire duration of the.
Work until the completion of the same: Electrical
Service:
The Certificate f occupancy will not be issued until all applicable signatures b theBuildin.and Fire Officials are rovided on`this permit.
ca o O
P Y PP g Y, g P _
Minimum of Five Call Inspections Required for All Construction Work i 'I �^ Rough:
1.Foundation or Footing . � '
2.Sheathing Inspection Final:
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 Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final:
Work shall not proceed until the Inspector has approved the various stages of construction.
"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:
l�
All Permit Cards are the property of.the APPLICANT-ISSUED RECIPIENT
p n n mber -.I.. .... ..D.`�K�.
Application u 1
Dateissued.............9A ................................
STABLL
MASS.
0:59. -DEC G Building Inspectors Initials...............4..................
Map/Pa rcel.....47.1......0L7............................
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: /1.57 ✓/71P_
NUMBER STREET VILLAGE
Owner's Name: �;A/fi Phone Number �e�-3�7
Email Address: Cell Phone Number 14
Project cost$ k 7 y/ — Check one Residential_ Commercial
OWNER'S.AIITRORIZATI®let
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: 5eP -F\4a c[,4 Date:
TYPE OF WORK
0 Siding 1 Windows (no header change)# /y 0 Insulation/Weatherization
❑ Doors(no header change)# Commercial Doors require an inspector's review
0 Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to tJc.S�P
CONTRACTOR'S INFORMATION
Contractor's name �f
Home Improvement Contractors Registration(if applicable)# (attach copy)
Construction Supervisor's License# OZ 2—7 7 2— (attach copy)
Email of Contractor w Pe-� a (.c a�► Phone number
ALL PROPERTIES THAT HAVE STRUCTURES OOER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
L APPLICATION NUMBER............................................................
*For Tents Oniv�
Date Tent(s) will be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent
llf food is being served at your event please obtain a Health Department approval between the hours
of 8:00am A30 am or 3:30 pin-4:30pm. Commercial events may require Fire Department approval,
XW®®D/C®AL/PELLET STOVES n
Manufacturer# Model/I.D.
4
Fuel Type Testing Lab
Offsets from combustibles:front back left side right side
HOMEOWNER'S LICENSE EXEN2 8ION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 784 CAM the Massachusetts State Building Code. I understand
the construction inspection procedure's,specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
LIcCANT'S SIGNATURE
Signature Date
All perfm a .ons are subject to a building official's approval prior to issuance
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Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
C-Dt1Stru& sLlpel a+!5or
C S-072772 Expires: 04/07/2020
JEFF C STER
24 SHERWOOD AVE
DAr\I1i'ERS MA 01923
Commissioner
Office of Consumer Affalm&Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:LLC
Realsiratiort Ettairation.
168iJ?5 04/11/2020
WINDOW WORLD OPBOSTON,LLC.
JEFF C.STEELE C
15A CUMMINGS PARK
WOBURN,MA 01801 Underswet;M
A CCUZ CERTIFICATEINSURANCE DATE;MM/DDIYYYY)
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 have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION 1S 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 NAME: amy roberts
M.P.Roberts Insurance y AIC No Ext
Agency Inc. PHONE 978�83�073 A/C No): 978-683�147
g
1060 Osgood Street E-MAIADDRESS: amy�mprObertSlnSUranCe.COm
North Andover, MA 01845
INSURER(S)AFFORDING COVERAGE NAIC 4
INSURER A: WESTERN WORLD INS COMPANY
INSURED INSURERS: MERCHANTS INS COMPANY
L&P BOSTON OPERATING,INC INSURERc: ASSOCIATED EMPLOYERS
DBA WINDOW WORLD OF BOSTON INSURER0:
15A CUMMINGS PARK
WOBURN, MA01801 INSURERE:
INSURER F:
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.
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY) MM/DD/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAo RENTET-
CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $ 100,000
MED EXP(Any one person) $ 5,000
A NPP8525379 04/05/19 04/05/20 PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY❑JECT LOC PRODUCTS-COMP/OPAGG $ 1,000;000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
Ea accident
ANY AUTO BODILY INJURY(Per person) $
B OWNED X SCHEDULED MCA1002569 04/05/19 OV05120 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIRED X NON-OWNED PROPERTYDAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
X UMBRELLA L1A8 X OCCUR EACH OCCURRENCE $ 1,000,000
EXCESS LIAB CLAIMS-MADE AN065362 04/05/19 04/05/20 AGGREGATE $ 1,000,000
DIED I I RETENTION$ $
WORKERS COMPENSATION X1
STATUTE EOTH
R
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
C OFFICERIMEMBER EXCILL r N N/A WCC-500-5018609-2019A 04/05/19 04105/20
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
r
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REP ERTATIVE
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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4sessor's map and lot number ...L%.�a.". o SEPTIC SYSTEM � S�o pp��
. ....................... �c7T S.E �FTHEtO
INSTALLED IN COMPLIANCE �P� �o
Sewage Permit number .... 388.. .... .....^!. d
` pp��®�p� WITH TITLE 5
E Ir7ONB9 EN BJBHn4�TADLE. i
( ��aa C�yy qqy� Z
T�L CODE AND
House number ......... .. ............ ........... .................`.:.......:....... TOWN � b 9�0 t639. e�A
N REG ULATIO. NS OMAI
39.
L�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .. a ........� 1�. ..�.../�R.� .....................................
L
TYPE OF CONSTRUCTION ..........:....o . ......../.. .�................................................... .......................
i .................... .. ....19 .1`,��
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following informat'
Location ..... ..... .�� � ....../................. t°w� �............
. .................... .................. ......... ...... ...... .....
ProposedUse ........�.1� � .. ./..:. .............................................. ....... ... .......
Zoning District ....:�,?,....................................................Fire District .......... . ..........................................
Name of Owner ... r� .t /.L� .. ........Address .....�..c... ....... ��....� . �?/..Cell.../ .......
Nameof Builder ........ .......................................Address ................. ............................................
Nameof Architect.. ..................................................................Address ....................................................................................
Number of Roo s � ............Foundation
........ .............................../.,7**,,*Exterior ...... (.. . .....Roofing . . . ...... ..............................
... ...................
Floors .................Interior .... ...............................
V�4 . . ..... ....... �........... �S eT..I'1.. . .. ...
- -- . -- g �.:..:. -.... .. 1. �i ..........Plumbing ....... .... /. .........................................
Fireplace ............. .. ...(f ...�/!'"C^4 .172GI .. ..............Approximate Cost .... V .. .C../.............................
Definitive Plan Approved by Planning Board ___________________1(/_19 LF/ Area
Diagram of Lot and Building with Dimensions Fee
�- ...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�Zr1oOf(-S.
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab r garding the above
construction.
Name ....................... ......
Construction Supervisor's License ....v..� ` fq
.............. .....
GJEENBRIER CORP.
Permit for .... ...........
g.j!��J:��Ti
.....
Sin
............. ... Dwelling,, ,,,,,,,,
Location .....Lat...2.2........11-5.7..03,d...Stage 4d.
..................C..........enterville....................................................
Owner e r..Corp...............
.......... ........ ........
Type of Construction* ..FXAMQ...........................
. ................................................................................
Plot ............................. Lot ................................
Permit Granted .......May...16,...'............1985
Date of Inspection ... .................................19
Date Comp�let6ed ...
,OeAt-t-X—e-
„o TOWN OF BARNSTABLE Permit No. ____27891
}UMnA Building Inspector Cash
OCCUPANCY PERMIT Bond h _� 1
Issued to Greenbrier Corp. Address
'.r)t 11157 Old Stage Road, Centerville.
Wiring Inspector t`� � � Inspection date
Plumbing Inspector Inspection date ^�_�/c3� S
Gas Inspector - Inspection date I� r
Engineering Department Inspection date 7- Z-Z
Board of Health ,���sty V Inspection date�y-.
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTs STATE
BUILDING CODE.
....- R,_.. ........., 19 rr ,,
.........':............................�.....__.» .:.......:...'..” ......._
Building Inspector
�• TOWN OF BARNSTABLE
BUILDING DEPARTMENT,:
t �esaer : TOWN OFFICE BUILDING
i639• HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE
An Occupancy Permit has been issued for the ,building authorized by
27
c Building Permit #. _...... . .................„....................... ......:
issued to .....:�.lamP.�✓ /��'is� o r' Z Z /% � �j�s'� I �
Please. release the performance bond:
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LAND. " JOS NO. ,,�..,�......�,
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.CONFORMS TO" THE ZONING O .3
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