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HomeMy WebLinkAbout0049 OXNER ROAD 0 ' i} �� .. �� a �i �� Y 9 V � � � '�. u e ,. .. � � � I o s .. .. - v. - _ it Y ❑ - � - � '.y Town of Barnstable Ve'rmt'T# �D��C•a �� p Expires 6 s&omjuw dote Regulatory Services. Fee anxxsrnst e r , v " 6 Richard V.Scali,Interim Director Building Division r Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 'P www.town.bamstable.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_R5i4 /� Property Address e ! �(it `� w sidential Value of Work$ / 6�' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address .13ri G E o► Gb b [G; - �� met: Contractor's Name �or'�G�C,� C�;e °y Telephone Number -?Z,Z C3 S �Z " Home Improvement Contractor License#(if applicable) '1 73) q 2 Email: Construction Supervisor's License#'(if applicable) 10 S 9 5 ❑Workman's Compensation Insurance ChILAN e one: r � I am a sole proprietor *� ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance "M r AY - Y 2014, . Insurance Company Name Workman's Comp.Policy# TOWN®FSARN 87AELE Copy of Insurance Compliance Certificate must accompany each permit. ; Permit Reque check box) ` Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to /Gino f A "aC ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) J ❑ Re-side ❑ Replacement Windows/doors/sliders.0-Value {maximum.35) of windows ------------ #.of doors: ❑ Smoke/Carbon oxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. s *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Co ractors License&"Construction Supervisors License is required.- SIGNATURE: RE TAKEVIN_D\Buildi MI ng hanges�EXPRESS PERT\E SS.doc Revised 061313 . _ . V . . I . . , , . . . sew Zli��Coirrrrrri= t�lflif irssacius� s »\ � . . , I)errrrtrn�tQvflrurgrs� icAr�A�pcc�rrlrrJs " �w+us°'f. . :, 4 �Qu V �LJ gtl Vifr3 .::3 .Y. 60t7 'irslrrngtorr Str+ee< w ,. Brrslon,� ! t12111 Y ' :'. fvtvti'rrras ;gr»blur �i rice ...I.. pensation Insurance Affidatizt B dersl o rtnrsl ert��r[a�rslP�umbers; Alplit ant Information Y Pease Print I W I. �: .. 1tTle(B�asnes/Osativludvtc3tial} :: ��s � j: er'e,i. &n 4G�t e�Rl� I. l�� Wlll ;, ._ :. f : : : . 'G- /State9 p —& al x Phone . . 7 Z 2".. .. - ralri you an empliay' 7 Check the apprttpnate bo : T of ro act r tuts 4 I am a contract.. and I; ,3 Pe P J., I.❑ I am a employer vc*ith ,general _ G_ ❑New construction; etupToyees€full and!or putt-dime}* 1Fave lamed the:sub ctmtr�cta�: ...: I. ... ❑ I a sole propnetis or partner :'lasted'on the aftacheci sheet ? ❑Remodeling These;sub-contrac#ors:have s....-- d hac=e no employees": S ❑DemAteoxe a .. _ worlEeng far me en any capactty eeuploy es anti feave wbikers� {No. vcsrkers'comp_instuance .comp'- nsurance.I �i ❑B uldmg addehon' d : 5 ❑ �Ve are a eoeporahon and its.F 1U.❑.ElectncalF s 8r addttiisns ' �. 1.3.❑ I atra a homearner.dotng all uPak offerers hay a exercesed their l 1.❑Pltunbing repairs or addetians if o dvorkers' xight of exen s ion per:4 s 'se [N ; c : i2 + oofrep rs insurance regrured]. .. :; , e 15 11 1{4},and we have no '1 10 ees o ararke' 3 El .©then Y , _. . ' comp.:nstuattce requ>red j • ,agphcant that Cl1et�L5l:awst also:fill t7W the sectiwt below.showtng thearwa¢3cers:c©mpensathoa poy imfar�tion t . m. FYoitteoumess who sabmtt thu aff d at ineF� g*Y sse claim;sll Cak agd then bjM ojjtd contraetats mnsx salruvt a i new affad�ctt�ndicst ii g such.. . , tractors Ast check tliis ba 4 Est attached an addifional sheet shoni¢g the asm4 of the setts-c4atcsct6 aad state"ie ar aat tlwse eati6ei bive .:' .: la ees. If the stcontractors tie em l ee t must :.- �P„Y ... .P.'3 s, p m3rde'theu:wotkers'.corn . ch uumhex . -_P P._ �Y....... . I r.I r.I.i.1�1:.....r.7.�, t:ernpinysr€hat rs pravidi g workers'�arrrporrsatrirrr insurance far:aryy enrpdn3 ass.-Belort�is thepat cyr gird jab site' iiOYriratiaJL P inn��r. ` nw :'F sr Insurance an l $me 'E 4 P a u ... a :: " y .. .. f !e . To-licy 9 or Self srts_`Ltc # " Expie�etion I}ate _ ., Job;Site Adsir s <' tate�Z p .�.. Cety . . Attach a t►py of t}►e tirorkers'compensation policy declarateou page(slo�trg the}w1Jcy eeumber ant .ezpxraton date] .. 1.Fa me to secure co erage as required under Sectlast 25.A of NfGL c 152,can lead.to the iposttiod bf criminil penalties of;a up to 15Q O atidj&Dire-year�u onment:m well:as ritjl-' -t ties in the'farnr of a.STOP;RrORR CIRDER aad a.fine of up to$2 {f t a da a _.: L. ,.. y gatast the�zolator Be adc�sed that a copy of#leis st#texnet�t may lao fc n��arrled to tl a OM.c.of Inv6figations of t'hi~DIA fiir insurance coverage t=ocificstion I drr:)rsreby'.csrtrfy;r�ndfr tFte s arrrl ui ?Heat t7ie treat mdtirtrr pratq'6d rbas, is tn,re Quid corn cL se tire. Date. ' /. / a.Phone —^< ,�':2 .c 522 :. 4� . . .:.!:::-:.:�.,:�::.I;..��:.::,::rr r i::I:I:.:.rL.:r:,.,::'::.;.rI.i:.:I:p.'::Ir.r..L:::�::.r:.�:.::.:��..'.�Ir J,:I I.,..*--,-.:I,-..::....I I:�L:I1:.'.�.:I.Lr-:��..:1 1:I:.,��-:...::Ir­I..:r..�I.:II::-�::.:.­.:..L:..::�!,'I:r r:!:rr'..,�­!�.r-.­::.�....:..�...b:..:L.:..;:.-....­.:'r t,..b:I.'...::.....:,I::r;..,:.:,..,::',I�'*..,:.::.::.b—,":b.:',�'Ir�:::—�,::�,I'- . .: :: .. Qictal ariiy '►o not aertts to#I:rs trig,`trr be cairrptstsd by+'r_I or taett{ra okra! :: , . :: ... . t > t: Cety or Tore ,. PermrtUcense#. . ' . Issneng Anthont),(Circle`ane): ,,` 1:Board of He filth ?.Bw'Idiieg;Department 3.CitylI omm Clerk 4:Electrical Lrspt for 5:iPlumbing Inspector .. b:Other: . : _... Contact Person; ,Phane#. . . .. __ _... DATE ACORD CERTIFICATE OF LIABILITY INSURANCE 01/14/D2014) TM O1/14/2014 PRODUCER. 508-775-5154 FAX 508-790-0557 THIS CERTIFICATE IS ISSUED AS A.MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 641 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED All Cape Exterior Remodeling LLC INSURER A: Arbel l a Mutual Ins Co 17000 INSURER B: AEIC Insurance 67 SEA STREET APT A4 INSURER& Hyannis, MA 02601 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DDIYYYY DATE MM/DD/YYYY GENERAL LIABILITY 8500041933 01/14/2014 01/14/2015 EACH OCCURRENCE. $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY - 'PREMISES Ea occurrence) $ 100,000 CLAIMS MADE T OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ 2,000,000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL'OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCC5007896012013 01/14/2014 01/14/2015 X - AND EMPLOYERS'LIABILITY TORY A LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEa E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE--EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below OWNER INCLUDED E.L.DISEASE-POLICY LIMIT $ 1,000,000 S OTHER DESCRIPTION OF OPERATIONS 1.LOCATIONS/VEHICLES/EXCLUSIONS'ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. display purposes only AUTHORIZED REPRESENTATIVE Joanne Bretton ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RE. Y & C0RE,1",- Y "CONSTRUCTION POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood, Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 80.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 45 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please Make Checks Payable to: PATRICK CLIFFORD COREY & COREY Warranties the Shingles and Labor for 10 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a CATEGORY III HURRICANE-130 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. The Price" uoted is`Good hl Ma 8�-2014`; COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: q11L014 ACCEPTED BY: SUBMITTED BY: BRIAN EACOBACCI CHARLES COREY, CONSULTANT HOMEOWNER COREY & COREY CONSTRUCTION 71 1�+1aZ fl 4�f r1t Board of-Su Ming RegulaUD*t and Statt�'� ` . ;: arn�struetiei�°Supeniwrr S�e`taB�' � . l' License: C58i.=t05931__ V" f►�Cif Ar " v. • Gomr�tsssto�� f36f1��2�$ rTIzeo»cma�uuealCfr 'C?/`�asure�%c Office of ConsumerAffairs&Busibe3segnia6ou tOME IMPROVEMENT CONTRACTO*. #t i... A egistration: f; ,;152 .' Type 4 xpiratipn . 9/f172014 . DBA IK C30REY AND COREY,(;_Q$TRi�CT1ON 1 ` PATRICK CLIFFORD g �_ 1Z�BALDWIN RD _ DENNIS,MA 02638: Undersecretary :1 License or registratiop valid for individul use only . ( before the expiration date.-If found return to: Office of Consumer Affairs-and Business Regulation I i - 10 Park Plaza-Suite 5110 ) r Boston,MA 02116 Not valid withti' signature,' 3 j Assessor's map and lot number �.f.. 7i /IQ�E `79 N � Sewage Permit number SE01 ' CE jITAUED IN COMPLI �Q�OF?NET��o TOWN OF -B D i EAEHSTAELE, • + ® MM& } Few 9039 0 BUILDING.--'` INSPECTOR ` ' m p D t '0 i APPLICA [ON FOR PERMIT TO .....i !''a'�L;?.... al..... ..................... } _ 'TYPE OF'CONSTRUCTION GtJa�c�, ' .5, 1 ...... ... ..... .•. ��. ...•......•...•.•.••.•••.••..•••.•••• i............. � ,....//......... 191. TO THE INSPECTOR OF BUILDINGS: 9. The undersigned hereby applies for a perm,ittflccording to the following.;information: ' Lcscafion .,.. M. .: .... ..... ... .�..................................s 5 .............. ............ ' Propos�d',Use_` .. ..� .... ..................................................................... .......�.z,. .....i. ............ Zoning District . ................... ...........................................Fire District ..... .9 '.........................` ............ Name of Owner C ... ..... ............................Address Name of Builder .......... Address ...........................i_'%............. . ................. ,.......... Name of Architect ... :: ............ .............Address ' Numberof Rooms,..................................................................Foundation ..................... .............. y Exterior ..... I `.L'....... "� .............�1 ........................__ Rot�f°►�g GG __ .__ ........... f Floors .. .... ... ......................:..........Interior .......... t .... �.,.. .. .......... -- i 1�t...Ly,.�GV ......Plumbing ....... .. ./............... ............................ Heating---.....t�.....'.. .. ...... .. Fireplace .............Y...................................................................Approximate Cost .....�'a/.alai �. ------ - 19- - -. Area 6'e' iv ylslan I p'p, oved`by iKanning Board ......... ... ,.._.r—i' w,,.w. ngrw�th. Dimensio C" r. t Diagrpm o -tot-and 8uilc#� ns Fee ................. ........ , SUBJECT. TO APPROVAL OF BOARD` OF FFE7kLTH �`,.. . . 7 �z'iGr I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .% . - C. F. STANLEY One Story - ! �3l9I ' No Permit ---.--' ---..—.—_.---.. � ' - +-� ' �� �u Si ' ' *---����.�!�.'�������... ��!�---'.. ~ Lot #38 49 /�xoer . Location _--_.---.---.---.-�����--' ' ^ Centerville ' .............................................................................. � � C. F. StaoIe�'r ` _ Owner ----.�--_.-_.-=..----.�---- - . 'Type of [on Frame `Construction .-.—..—.---------.. ! . .~~ . . . . ----._.~-....,._—.---~--- � �:—.- . �. . . . / .no, —.-.'�------ Lot —'—..�.—,-----. ~' . . `.~ . u Permit Granted .--'��un��..J���°—.--lg 81 8 Date of Inspection .--_'........................ . � --- Co . - � ~ ~ ^ � . PERMIT REFUSED � / lg ' � ~ . .�,.�.� ` '- . . ' ..—~—�� -��.......... �� ....~_..^....~—..--,` �9-'~' - - .—.—.. � ...� ._—.._.-.^..—...—.--_, ~~ ` ~ � ` . . `\ !`pp^",=^........... ______.-_.__.. ._ l� `----.----------.—...-----...,— ` � ` ............... ' / - ` C_^���� ' ' | TOWN OF BARNSTABLE __-______!_ Permit No. t saufTLU : Building Inspector ... Cash --------- lift b OCCUPANCY PERMIT ---- dJ Bond *'No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. ......... 19......-»- _._._._..»._ Building Inspector .S oxN,�c� : 7� 06 THO 1 . y, �o�sTEa�° • su / dJ THOMAS E.KELLEY CO- ENGINEEAS-SURVEYORS ` .� 346 LONG POND DRIVE SOUTH YARMOLrM MASS. 026" P IrLa-r 38 Ile "K t 5 e; (, • - ._.f._.�. _.. ---_ a.. 1 CERTIFIED. PLOT . PLAN LOCATION C, .?'!TR,.✓.� .:!`JR•. ... . 7, SCALE . /..::`34�,. DATE .�U/Y ! �95:1 PLAN CERTIFY THAT THE. :lC�.v!v�tgT./..4..iY.. . �yA �L-S /� . V• ` SHOWN ON THIS FLAN IS LOCATED ON THE GROUND AS SHOWN HEREON O�G3� DATE •/6 , � . PETITIONER: REGISTERED LANO SURVE R