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0773 SOUTH MAIN STREET
; � . � 77�3� CSo v � /�I�/f`^//. C1' y. - 6 • e v i H �' - '. ) '� L ,Y. '' p�. .. 1 I _ S p o 4 � � -. � x o e '6 R� 0 � �" +Y f Y �, t/, � HI ._ .m,.. __. _.._. ....t.. i —�. o*TM� qIJ1J1)/ - Application Numb r ` « �� VT,)f,�C-a®AZ�14 Q�Q Permit F . ......... ................Other Fee........................ �� �q Total Fee Paid TOWN OF BARNA E Permit Approval by......� on.:.... �............. BUILDING PERAH Mv 1 ��......................... ................................ Parcel, ............. . r APPLICATION Section 1 - Owner's information and Project Location Project Address ��� S t�Kl�-��-�.4-i Village VIle, Owners Name Owners Legal Address C State 4- zip o Owners Cell# 1� - ��7 - D?12 Ismail (��rk���f � t ��IL •Lo•� A� 'Section 2-Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet y ❑, .Commercial-.Stcucture,&av,.35,000 cubic feet ESingle/Two Family Dwelling Section 3 -Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) - ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ►Renovation ❑ Pool ❑ Insulation .43 E Other—Specify Section 4 -Work Description /V i iy�e d W t-I vo.- /MASJ-ct 13A-T+t ,�H✓� Gly-OS er- /ht.e+� � �c/4 4-C w�11� tN C I ost-r, Jj;v;s#eS /t3 Ne e z e D. T act nndstnd!2/9/201 8 Application Number.................................................... A Section 5—Detail r Cost of Proposed Construction �U D Square Footage of Project P � q � Ject Age of Structure I �Zo Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms(proposed) 110 MPH Wind Zonkompliance Method ❑.AMA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics rVning ❑ O11 Tank.-Storage �moke Detectors []Plumbing ❑ Gas []'Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑'Addlrelocate bedroom water supply Public., ❑ Private , Sewage Disposal ❑ Municipal Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes Er No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Ctt7 C-Zr1 Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks ( _ Front Yard Required Proposed t Rear Yard i , �Regt}P4,,..i -- Proposed L,11 7,>.w. -,:,Side Yard , Required Proposed :T 'c , c`• .t•. .. .° :�Y ti e~ti.'LE } Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated:2J92018 Application Number........................................... Section 9—.Construction Supervisor Name 1+0/ ?yt t-,TTICZ- Telephone Number 22q-. Address /"o N4h-,r4 41- City OS i E1 ✓jt,�tate M�= . Zip 026,g ` License Number L' - 2 License Type . C L Expiration Date )Z ZZ- Contractors Email ; q„� �� - ) • C..,,.,Cell# e I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re y 780 CMR and the_Town of Barnstable.Attach a copy of your license. Signature Date Section.10-Home Improvement Contractor Name Telephone Number • 11 Address/7?o City 6 T 64✓I State &4�_Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requiir by 780 CMR and the Town of Barnstable.Attach a copy of your FUC... Signature Date r Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature y Date i Print Name % -_ Telephone Numberst 4t.��Y� E-mail permit to: (�t�A-f� P I�o 1;E.;- -��2 .. } ,�•�"S ' T�..F..�.7—a.�mnn�o Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department: Conservation ..,] r ,y❑ L...+ i � 6 w: 1 a For commercial wA,please take your plans directly to the fire deparlmentyar ioprovai` , G _ Section 13—Owner's Authorization as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative"to.work authorized by this building permit application for: (Address of job) Signature oflOwner Print Name j 71 i r Last uDdatc&2/92018 ��� t �` , 'b�� � � � 4 �� f �r _` ((`` �e r ll��r ��-`fie � �`_ � _�� _.�. -_r The Commonwealth of Massachusetts Department of Industrial Accidents — Office of Investigations _ 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print "Legibly Name(Business/Organization/Individual): w^ L r,"jr__ Address: City/State/Zip: �' 026 Phone#: S off— 4ZF- zi;—z r Are ygu-an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(fiill 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 workingfor me in an capacity. employees and have workers' Y P t3'• t 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work' officers have exercised their 11.El 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 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 Nybether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Il WI Policy#or Self ins.Lic.#: Z Od t 141 yExpiration Date: Job Site Address: ��� N'1�-�r•I City/State/Zip:.6<j �/► L /v1A�- S� 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 un r the pains a eiral s bf pei jury that the information provided above is true and correct Signature: Date: y t t Phone#: �50_V-- LM—- 2�r Zk Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other _ Contact Person: Phone#: r���r l(nilliRnilrnrlr�/�n/C��CrraJfic�rrJe�/J, Office of Consumer Affairs&Business Regulation I License or registration valid for individul use only ~ P HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: :;178455 Type: Office of Consumer Affairs and Business Regulation f,Expiration::...4/16/20.18 LLC I 10 Park Plaza-Suite 5170 B osto n,MA 02116 COMPLETE HOME GROUP LLC. ., ADAM HOSTETTER';-: .;'e;: e;`. 770 ALMAIN ST �:.cam.=',•,,.1 OSTERVILLE,MA 02655 Undersecretary :..Not valid without signature Commonwealth of Massachusetts r Division of P Regul nal ations and icensure Reand Standards l Board of Building Reg ons Constru_.ctQ>i'Supervisor: Expires 1212212019 ' CS-094302 _ ADAM HOSTETTER 77061 MAIN ST rtc OSTERVILLE MA,02655 44 Commissioner t I -GRADE FL74,7 �70P WALL FL1Ar _ DWELL. / LAWN �70E WALL EL 11..T _ !O I I HH AVILY VEGETATED COASTAL COASTAL BANK gF i B GRADE SNOT 10.8' IER"DECK EL 175' $' MNW EL.1.4' �# —_-----JiLWL8LQ.0.0' Q yd' � PROFILE A-A D P\N S�REE� J N sowrd Sod 6 64 COBBLE \\\ LOCUS MAP APRON/ \ SCALE 1'=2000'3 1 �JF1•- \\ _ ASSESSORS MAP185 PARCEL 013 '�PND "• \ - LOCUS IS WITHIN FEMA FLOOD ZONE X.AE WOOD \ \ EL 14 AND VE EL 14 AS SHOWN ON 1 \ COMMUNITY PANEL/250010563J DATED GRAVEL \ 7/16/14 COT. PARIONGam \ (1 FLOOR) \ \\ NOTES: (f \ DDST. \ / 1 \ .1.REF: SE3-4963,VALID UNTIL OCTOBER BLDG,.,2A0 FLGat` ' \\ 2021 /1 \ 2 DATUM: NAVD'88 FO"O3.REF: PLANS BY TAYEH ENGINEERING AND HUTKER ARCHITECTS PATIO 1e M1 \ p49 SOUTH MAIN ST. E \ iL DEEPER R C NaMANN EIOST.OWFll. \ y ' LAWN (2 STORY) Y \ \ OwvmYAIN sIREET •a °M I OR IMIANIWTP N RT 1V Alf ; UPPER WYO�GA 1 I CS PATIO UNDER u A�RFA PATK1 �� O STONE _4� WALL O t V EL 1.4'ON WALL .� . PROP FENCE♦/- • UNDER SE3-49E3 1 p• )' OLD FENCE LINE+/-PER \z - - •`/ '` (TOP COASTAL BAtDt) MARSH I j. DOST.PIING y R SITE PLAN OF col `e0 773 SOUTH MAIN STREET CENTERVILLE off SOB-382-4541 �PREPARED FOR t 508-362 9880 ea" pexa1 ° . GEORGE HASEOTES Jews tape eadiaeeriad,iae. civil engineers JANUARY 7,2019 land surveyors - Scale.,1'=20' 9J9 MO/n SIMet(Rt. 6A) YARMOU7HPORT MA 02675 DATE DANIEL A.OJALA.P.E.,P.LS- 0 10 20 30 40 50 FEET -2L �-i � � Town of Barnstable *Permit#43— l 7 - 27 S` ILAores onths om issue date Regulatory Services swrtxseABl. ' Mws& fa rdV.Scali,Director 1639• ♦ ' ArED . Building Division AUG 14 2017Paul Roma,Building Commissioner TOWN �\� 2�9 ain-Street,Hyannis,MA 02601 a ('�www town_.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY IKs Q I . j 73 Not Valid without Red X-Press Irtiprint . Map/parcel Number T ' Z J Property Address �VLL( fob v� Residential Value of Work$mil.D ,000, 06 Minimum fee of$35.00 for work under$6000.06 •Owner's Name&Address � S�d 1 5 , (SEV V-6-E F OU PO U-4 X&1j i 7-73 Sow AAAV� ST ?RG-T- 0-Z) 6�;2- Contractor's Name &OAk-`pj GC � ` aoj t' LLG, Telephone Number <Q�C g2!2L Home Improvement Contractor License#(if applicable) S S Email: C Kost-6.try;r he 3S ,Co. Construction Supervisor's License#(if applicable) M 1-1 30 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name UMA1 (-4AUT (ASEAC r .LA' , Workman's Comp.Policy# goo t Copy of Insurance Compliance Certificate must accompany each permit. Permit Request .check box) r e-roof(hurricane nailed)(stripping old shingles). All construction debris will be taken to y��f Q,tlS/?9�j1� jp�rJSC(� ❑R oof(hurricane nailed)(not stripping. Going over .. existing layers of roof) W�-side / Rplacement Windows/doors/sliders.U-Value , �e6 (maximum.32)#of windows (? #of doors: "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFMES\FORMS\building permit fonnsUORESS.doc 01/25/17 03/31/2017 14:42 5089572781 MARK SYLVIA INS AGCY PAGE 01/01 ,4c R CERTIFICATE OF LIABILITY � ITY I NS U RA NC E DATE(rnx/oDlYTYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($). AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDDER. IMPORTANT: if Othe Certificate holder is an ADDITIONAL INSURED,the po(Icy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION t3 WAIVED,subject to the terms and conditior>s 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 a . PRODUCER Mark Sylvia Insurance Agency,LLC mCT e: Kris Ko re9ki 4 me:04 Main Street PNONE 508 9 PAXIR) 57-2125 �Rrc No b08 9) 57-Z781 eAIL Centerville. MA 02632 00 mark marks Iviainsurance.com _ INSURERS AFFORDING COVERAGE NAIC N INSURED INSURERA:FBnn Family Casualty IDSUranCe Complete Home Groap LLC INSURER B: 770 B1 Main Street INSURER C.,0aterville,MA 02655 INSURER D INSURER E: COVERAGES INsu F: CERTIFICATE NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDENAISION MED ABOVE THE POLICY PERIOD INDICATED, N07WBES SUED G ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT(I RESPECT TO WHICH THIS CERTIFICATE MAY DE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED 8Y 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. IN9R LTR 1 YPE OF INSURANCE A a POLICY NUMBER POLI TIFF POLICY ex A )( COMMERCIAL GENERAL LlA61Lrry 2001L8914 Nina LIMITS 12/4/2018 12/4/ 17 EACH OCCURRENCE $ 1 CI,41M$•MADE �OCCUR 0OD,000_ P I(IISEs(Ea ocnxren $ 100.000 VIED EXP(Any one Pargon) $ 5,000 y GEN'L AGGREGATE LIMIT API�J PLI-E'1S PER: PERSONAL&ADV INJURY s 1,000,000 X POLICY IEQ L LDC GENERAL AGGREGATE 3 2,000,000 OTHER: PRODUCTS-COMPIOPAGO S 2 000,000 A AUTOMDBILELIABILITY s200105913 2J1i12017 2/T1/218 E 'D LE sL $OWNED 1000,000 AUTOS ONLY j( SCHEDULED BODILY INJURY(Par pyreon) S HIRED AUTO$ x AUTOS ONLY X NON-OWNED BODILY INJURY(Per arc ldgM) $ _ AUTOS ONLY P OPERTY DAMAGE Per occident) m UMBRELLA LIAR OCCUR $ EXCE89 LIAe CLAIMS-MADE EACH OCCURRENCE $ DED RETENTION$ AGGREGATE $ A WORKER3COINPENSATION 2001WBDz5 s AND EMPLOYERS'LIABILITY 3/23/2017 3/23/2018 PER ANY PROPRIETORPARTNERI"ECUTIVE No A F E OFFICER/MEMBEREJ(CLUDE07 f .- , NIA E.L. CHACCIOENT (Mandatory In NH) $ 1,000,000_ IIYy E 89C N OF OPERATIONS below describe under SCRIPTIO N E.L.DISEASE-EA EMPLOYEE $ 1,000.000 D E.L.DISEASE-POLICY LIMIT S 1,0D05000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$(ACORD 101,Addltlonal Remerke SModula, General Contractor may bo anadied N mone epeao la ratrulned) Insurance coverage is limited to the terms,Conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived or extended the Coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION (506)790-6230 Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICrE3 BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL IRE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVr510N9. 200 Main Street Hyannis,MA 02601 AUTHORIZED REP"3ENTATII QCORD 25(2016103) The ACORD name and logo are registered marks of ACORDORD CORPORATION. All rights reserved_ f. � r d• y ` " =. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only - ' '2HOME IMPROVEMENT CONTRACTOR P i a ;r_�, before the expiration date. If found return to: Registration: ..178455 Type: Office of Consumer Affairs and Business Regulation Expiration:_ 4/16l2018 LLC 10 Park Plaza-Suite 5170 1 Y� p Boston MA 02116 COMPLETE HOME GROUP LLC:i. ADAM HOSTETTER`, 770 ALMAIN ST -- OSTERVILLE,MA 02655 Undersecretary Not valid without signature Massachusetts Department of Public Safety ® Board of Building Regulations and Standards License: CS-094302 Construction Supervisor ADAM HOSTETTER f' 770B1 MAIN ST OSTERVILLE MA u2 65 l Expiration: Commissioner 12/22/2017 r ' Town of Barnstable � � r Regulatory Services ` Richard V.Scali,Director Building Division. Pant Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder 1 hfLC �[A�—,--ortL 5 , as Owner of the subject property- hereby authorize t'-Ow f, e 11W6 Cho✓( LLG to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool 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. ell Signature of Owner signature of Applicant �Led�l�L�T� C�v�lE=�ADkA L s u.—#I Print Name Print Name If7 A Date , QFORMS:OWNERPERM SIONPOOIS Town of Barnstable Regulatory Services of Richard V.Scali,Director Building Division t Paul Roma,Building Commissioner seas~ 200 Main Street, Hyannis,MA 02601 Ec M www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone#. work phone# CURRENT MAILING ADDRESS: 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. DEFIN NON 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 hermit. (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 undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building P P Department minimum inspection procedures and requirements and that be/she will comply with said procedures and requirements. Signature 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. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 rn. 17w Commowivealdr o�F1 sr� rrr tr ; Department oflud-usaia-lAcciderdg Satz Washui»g 0n yet-eet , Boston,CIA 02111 umv.mom.gavldin W Waders' Campensafran Ins_mmuce Affidavit:Btdlders/Cunfracf mmMecftician.s(Plumbers $ppHcaind Infcwmafinn Please P tint Name(Busme an onfT�d�duaY ('Dt�(�G �fl IAIC:� Addresk Are g an r?Check a ro rWe bum ' }� �P' PP P Type afgraject(requircd). ' �' 4. I am a aeneral'conb:actor andI I_ I am a employer urtfi ° 6. ❑New cons action, . employees(fizlla�dfOfpart-bme # lmve hired the sir-conbmd= 2.E I am a sale proprietaff argartne- listed on.the attached sheet 7. [�Restsadelin ship and have no employees yhe mob-cofactors have. . 8..0 Demolition woridsg forma in any sty: euployees audhare wadmrs* •� 9, Building addition Comp,iaC INo ' 11Tfi co COMP_mevtrart required-] 5. ❑ We are a coapmatifln and tts ; 10- Electrical repass or add 3_❑ I am a homeovn.•er doing all work officers have•eserdsed their 11_0 Plumbiagrepaim or addihans seM�T o vkkem' �t of esempfiou per UGI, y insu c 'ptgpiEpd j t C.152,§1(41 and we have.no 1�0 Roafrepairs, euaployees.�o vratjcess' �_❑Othef - canes_Msara w required.ji 'day apgfia�tbat checksT�a�1 mad also i�.o�th�se�oaheTow�dag itieirwo�ce�comp�aupo�gi�ntmsucm. _ _ t �ffaL�eDRra.ECS W3]D SII�Et ilnS sf5daeu indicstiag•..-I YI2{3alII�Sg WOE and tb�L'ax outside cantnictmsams#5ohmit a aeW affid�t)Ld1C9bao SLILIL rCaattactpatb22Ct@r]rflxI bmcn=sttarh saadditimil5imdshotesngdienmneof the sub-�s sad sfdevrhedieroraatchaseeaitinbx�e employees.Ifthesalrcaa-txdaeshave emiployeas,thegmastgms�de#his trnrkexs'comp.palm aumbes I atrt art eutpl�r fltcrf;is prouidirtg tvorksts'catt�rtsrrtzart iRsrirarrea fur Rr}*emppla}ees $ela�v isYJtepaticy-aldd jaF�side IRfOrflrfit7,OtL . ' InsamcecompanyName: TOfiCY4,1,orselfimUe- �o� [ �0�5 nzafe: 3 r Job Site Addre �� �,Q �ST C '1 cttylStawTv:- JVW L22- � Atfach a copy ofthe workers'ca6apeusationpoHey dedlairaffim page(showing the goficy number and expiration date). Failure to secure coverage as requirednnder Section 25A of MGL c-1572 can lead to the imposition of criminal penahaes of a. fine up to$UOD OG mxVGr one-gear impasonment,as well as civil peaalties in the form of a STOP WORK 01DERand.a_RmI of up to$250_00 a day against the violator. Be adiised tl1.,at a copy of tins statem..ent.slay be far,arded to the Office of Enresfigations ofthe DIA far ins ace-coverage vedficatiot a I tfo hercaby cenyyultdffthgpaiwandpolabiesafFediLqduEttTis utf anrta6mi pray W abma is bar$acid correct Sitmature= t/�' Date- phone., SOS q D al use wily. Da not write in flih area, be errrnp&ad by diy or town n f ciaL CRY or Town: Fer—, itdnc ens e# Lssxing Anflwr€*,(cane one):. "L Board 0- M•ealth "B'Ifng Department I Cfj,d£owa Clerk 4.Electrical Inspettar cr.Plumbing Eupecter 6.Other Contact kerson: Phone#: , , 6 ' 4 Informatio)a an' d Tastracfiff 7y fang*** is Geb=-A Laws ebapter M rim all Mploy=to =npmsation fx their employees. Por to{ ,an�Z-grbye=is defined as`�:eYetYPessonin.$3e service of anoi3M=I=--MY M dram ofhae, 9 cz prcw ar implied,'oral or wriffffi_" Auo.employer is dsfined as man mclividnal,pamfn=b�,association,�P oration or of=legal ± y or an.3'two or mots ofthe fAregomg nz aJoint ,aadinclndngthe legal Fepres ves ofa deceased employer,or tTie receiver or t[MM of an b&FIdnal,PMt=sh'P-association or ofher legal entity,employing emPIDYees- However fhe owner of a dwelling househavingnot mom than tiseeapartments andwho resides orthe ocCCP3IIt ofthe- dweIImg house of another'who employs persons to do maitmaa ce,conskadion or repair WoIk on such dwelImg horse or on the grounds ar bmldmg ajpujc e thereto ffiOnotbecanse of snch employmcutbe dEemedt o be an employwa 7 MOL cbapt=152,§25C(6)also siafes flat-every state or Io cal licensing a gen.cg shall withhold ffie issuance or renewal of a tican r-or permit to opetafe a jmsutess or to construct bwldmgs in the commonwealth for any a-PPhcantwho has notprodnced acceptable evidence of compliance wn the inmrance.coverage required-" Additionally,MGZ chaPt 152,§25C(7)states-Neifher the cam gaweaM nor a'ny ofi_ts political subdivisions shall enter into any corrhaatfortheperfm�ce ofpuablioworicm�I acceptable evidence of compliM=VThh the�anca.. �. reg eEf s of this cbaptFC have Been presex�ed to file co arziiioxity:' AppHcanis ' b the boxes thA apply to fors mtnaiion and,If Please fill out the worker'°compeosation affidavit comPl�Y. Y chec�g nmessary,supply svb-contracEar(s)name(s), addresses)and phone numbers)along with they cerffl2cafe(s)of i nlce. Lanit�d L ? Y Companies orL�itedLiabMtyPat=ships�)'wAno =aployees otherthaatbe have members or pmIners,are not rbq�d fn caay workers'compensation fiance. If an LLC or LLP does employees,apolicyisregc�ti- Beadvisedthat this aflidaykmaybesnbm� n ial dftheDeparfineatOfrndasir Accidents for confsmation of ins�r.�moe coverage Also be sure to sign and date dare affidavit. The affidavit shourid be-retnmed to the city or town that the application for the pe onit or license is being rmpmsfek not the Department of b racftia1 A c,ddenfs_ Sbouldyonhave anyy gnesiims regatding tiie law or ifyon am reqafted to obtai a workers' compensation policy,Please call the Department at the mmnbm listed below. Self-msnred companies shouild enz$heir s elf-i osorance license number on the appropr iai-,line. City or Town Officials . r Please be sate that the affidavit is complete and pried legs ly. The Department has provided a space at the bottom. OI the:affildavrt for you m fll Ott the event tbo Office ofinvcstgations has to cOvtactyoaregardmg ffim agPhcant Please,besmetofMinthepermnt c=mIMnber which willbe used asareB=mco=mber In addition,an.appU•amt that must submit multiple p enniVEcense applications m any given year,need only s Wrist one affidavit indicating art policy informatiom(if necessary)and under-Tob S5,-bps"the applicant shorld wrte �aII loons in (pity or town):'A copy of•the•affidavitfl at has bea officially stamped or madced by the city or tovm may provided to the applicant as pmofthat a valid affidavit is on file for foe perm s or licenses Anew affidavitnn st be tolled.out each year.'¢there a home owner or citizen is obfaiII.ing a license or permit not itlated in any business or commercial Y6ntm-0 (ie.a dog license orpermit to btumleaves etc.)saidpersou is NOT r�tito��this affidavit the Offim ofIn�= �'"nswouldluketo.ltankyoujaadvance for your coopers ion and sbouildyouzhave aaYqu ors, please do nothesif t0 givens a CA The Deparimenf's address,telephone and fax number_ _ • . T��.�� ti�of��.�h . Departn ent of lit is A=Ueffit�, face offavedig io= �os�nslr�E�11� -Tf,-1.4 617-' 7-49W m t 4-G6 or 14M-MASA Fax#617 727 7749 Revised¢24-07 m gf�a t ble .� Building Town of Barns a Post_This Card So That atlas V�sibl.e From.ahe.Street=:A wxtvsrwuc pproved Plans,Must be Retained on Job and this Card Must b'e Kept ` Posted Until Final Inspection Has`:Been Made Y" T' } y x ' t. . T Permit Where a Certificate of Occupanc �s Re. pared such Buildm shall Not be Occu ied until,a Final Inspection has.,been made ". Permit No. B-118-637 Applicant Name: COMPLETE HOME GROUP LLC. Approvals Date Issued: 03/30/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/30/2018 Foundation: Residential Map/Lot: 185-013 Zoning District: CBDCRNB Sheathing: Location: 773 SOUTH MAIN STREET,CENTERVILLE .. Contractor Name:�DAM HOSTETTER Framing: 1 Owner on Record: HASEOTES,GEORGE P& POLYXENI T Contractor License:.CS-094302 2 Address: 773 SOUTH MAIN STREET I —' 'Est.m Protect Cost: $58,000.00 Chimney: CENTERVILLE, MA 02632 Permit Fee: $691.60 Description: ALTER INTERIOR PARTITIONS ON 2ND FLOORIMASTER BATH AND , s Insulation: Fee Paidr $691.60 CLOSET AREA TO CREATE WALK IN CLOSET. REFINISH FLOORS NEW BATH,LAYOUT, FINISHES AS NEEDED , ." 3 Date 3/30/2018 Final Project Review Req: Plumbing/Gas Building Official Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved applicatiori and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall tie in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street o`r road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ry Final Gas: t. °y The Certificate'of Occupancy will not be issued until all applicable signatures by the°Building and Fire Officials are provided on this permit.. Electrical Minimum of Five Call Inspections Required for All Construction Work: ` , 14 1.Foundation or Footing �3 ,m Service: 2.Sheathing Inspection " s l 3.All Fireplaces must be inspected at the throat level before firest flue linin is installed, Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Application Nimmba2......... # BJ►BA1Sri�si�. * .......Other Fee........................ NAMPermit Fee..............::................ �03 Ep IMp� �j c9 1 TotalFee Paid................................................................ ...... TOWN OF BA&STABLE Permit Approval by...` �.�`�..... on#.. ............... BUILDING PE iMIT Mv .... )..K......:...........Pur 1........013................. .... APPLICATION Section I'— Owner's Information and Project Location te— Project Address 3 ^�,►4 �T� Village — � '�+� Owners Name 4- Owners Legal Address NSA:14 4,i C State - Zip Owners Cell# E-mailG f�S a DT-E< e cs►Yh 4-s L- c Section 2—Use of Structare . t Use Group ❑ Commeicial Structure over 35,000 cubic feet _ ❑ , Commercal St cture under 35,000 cubic feet L7 Single Two Family Dwelling Section 3-Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory.Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild El Deck ' ' Apartment Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool .❑ Insulation Other—Specify Section 4 Work Description _ �- e' ,a•�S l 7 n r.A S 4 cc,. et S Ives fi S w 1'1k R;4T ft ig4— . Tact mx3atnd-2 2Q19 r - Application Number.................................................... Section 5—Detail Cost of Proposed Construction ` Z Square Footage of Project Age of Structure )Szo Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑.MA:Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ' ' w �moke Detectors [?'Plumbing ❑ Gas }❑ Fire Suppression El Heating System Masonry Chimne ❑ ' '❑'Ado/relocate bedroom y Water Supply i Public f ❑ Private ..r'^`r•�. � a ...1 . A` �. w _A �4; � •" '� .Z t .F'- ., �., ..fir. Sewage Disposal ❑ Municipal L7 On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes BNo Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes 11 No ❑ Section 8—Zoning Information Zoning District 4,4 f7 C4 Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed fRearY�rd" }�.' 11-,-Requid Side Yard ' Required` `Proposed 4 Has this property had relief from the Zoning Board in the past? ❑ Yes. ❑ No Last undated:2/92018 Application Number........................................... Section 9—.Construction Supervisor Name s f-w� ���-ram Telephone Number— ( f�c - Address City Ql agZiv►-EState 604= Zip '026<'C License Number C,- License Type CS L Expiration Date 1 Z- ZZ - 1 i Contractors Email �Yvh(, } �, -iA%>~,ii;� , c.4w-%. Cell# folfC - I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date i Section-10 —Home Improvement Contractor Name. Telephone Number • 177 f:(— Address 1776 vtiy n,-A City State yv4- Zip OZ 6SC, Registration Number )%—4 SS Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required y 780 CMR and the Town of Barnstable.Attach a copy of your H1C... Signature Date 1 i Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date i Print Name j�} �� � �r_;�r��_ Telephone Number E-mail permit to: cAeic Section 12 —Department Sign-Offs d a Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑. ., Conservation."£. _ ❑ — `Sa _ •a :` r`, ,, .'3, For commercial work;please take your plans directly t Ae fire depwtwnt for approvaL ' Section 13—Owner's Authorization L , as Owner of the subject property hereby authorize + to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner Print Name ;' -' t.• Lest undated:2/9/2018 The Commonwealth of Massachusetts, Department of Industrial Accidents UW Office of Investigations ' 600 Washington Street . Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print ""Legibly Name(Business/Organization/Individual): �pw^�t��i't. ��� �• y�_ (�(�� Address: Min City/State/Zip: �' ' D Phone#: S off'— 4 z Zfrz� Ari an employer?Check the appropriate box: Type of project(required): 1.Are m a employer with jL 4. ❑ I am a general contractor and I employees(fall 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 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all 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. 1520§1(4);and we have no employees.[No workers' 13.❑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 anew 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 subcontractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Z Db( by Eze C. Expiration Date: Job Site Address: t",+,r4 !L- City/State/Zip: ()<i ✓Il 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 un r the pains ar Hof perjury that the information provided above is true and correct Signature: Date: Phone Official use only..Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." -. An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of`another wfio�employs perso"ris`to do maintenance'c6n*uction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employmentbe deemed to be an employer." MGL chapter 152,§25C(6)also,states did"every state or local licensing agency shall withhold the issuance or renewal of a license d"r permit to operate a business or to cons iuct`buddings tine dommonwealth for any plicant who has not produced acceptable evidence of compliance with the insurance coverage required. ap " Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials ti Please be sure that the affidavit.is complete and printed leg�bV.�;Ihe;Department has-'provided a space at the bottom of the affidavit for you to fill out in the event the`Office of Inv estigations'has to contact you regarding the applicant Please be sure to<fill in the permit/license number which will be used'as.;a reference number:;In addition, an applicant that must submit multiple permit/license applications in any given year,need�only submit one affidavit,Mdicating current 'poHd}(inforn'tatioif f necessary.)and under"Job Site Address"the applicant should write`:all locations m (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address;telephone and fax number- The,Commcawealth of Massachusetts r Depmt m.ent of Tndustliai Xcdidents Office of Investigations 600 Washington Suet Rostan,MA 021 It Tel.##617-7274900 ext 406 or 1-877-MASSAM Fax##617-727-7749 Revised 4-24-07 www.mass,gov#dia T r/ , riiriirnirrnrrr�/�r�nla�rrc�rr�r//� i Office of Consumer Affairs&Business Regulation i License or registration valid for individul use only ~ HOME IMPROVEMENT CONTRACTOR before the expiration date_ If found return to:. J (� Office of Consumer Affairs and Business Regulation �— �1Registration: ::178455 Type: , C\ Pr(.. Expiration::...411 6/20.18 LLC I 10 Park Plaza-Suite 5170 Boston,MA 02116 COMPLETE HOME GROUP LLG:;.,; ADAM HOSTETTER`. .'=::;..:::" 770 ALMAIN ST OSTERVILLE,MA 02655 - Undersecretary Not valid without signature r • w Commonwealth of Massachusetts W I( Division cling nal and Standards Board of Building , rvisor r • . - Constt,4i0 ref i5p� «' #' r�EXpires' 12122/2019 CS-094302 01 lrs •. ' ADAM HOSTET !� TER r . ' 770Bi MAIN M 02655 OSTERVILLE MACY�IS4 Commissioner DIME Town-of Barnstable - Regulatory Services °' UK KAS& i Richard V.Scili,Director a Eo Mph�� a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mams, Office: 508-862-4038 _ .w Fax: .508-790-6230 , 4 e - - 'Property Owner Must' Complete and Sign This Section If Using A Builder I, e earj zo ,as Owner of the subject'property � . hereby authorize m"� Eli C- to act on my behalf, in all matters relative to work authorized by this.building.permit application for: . • (Address of Job) **Pool 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. i !Signature o .'Signa e7of Applicant x • Print Name Print Name - 3 , 7.1 Date a 4 1 • 4 ° a of Town of Barnstable *Permit# O,* Regulatory Services Expires 6 months from issue date Fee , ti1R1VR ABU f MASS s ,b� Thomas F. Geller,Director �k 40 Building Division Tom Perry, CBO,.Building Commissioner ' 200 Main Street,Hyannis,MA M601 f/Q�� c www.town.barnstable.ma:us Office: 508-862-4038h ZQ F'a8-79r�6230 EXPRESS PERNM APPLICATION - RESIDENTIAL ONLY AiS,_ Not Valid without Red X-Press Imprint Map/parcel Number /i_!S-,�-/ Property Address 723 S M C(! S �e ilk wll 14 QZ.6e 3 ❑ Residential Value of Work' /.��, �S� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 6eor je lla -ks . �17 lil% Contractor's Name % j—t C �.o n r� ���'U1. —�,.e Telephone Number �-5 �) d j= 7 be Home Improvement Contractor License#(if applicable) Sf 7 4?,7 Construction Supervisor's License#(if applicable) ]Workman's Compensation Insurance Chec ne: I am a sole proprietor ❑ I am the Homeowner EKThave Worker's Compensation Insurance J nsurance Company Name Vorkman's Comp. Policy# S^" G c1 .opy of Insurance Compliance Certificate must accompany each permit. ernlit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to /Vey, ❑ Re-roof(not stripping. Going over existing layers,of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders. U-Value (maximum.44)#of windows� S,L y�S��1-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 Contractors License& Construction Supervisors License is required. =NATURE: /PFILESIFORMSIbuilding permit formsJPRESS.doC ised 0701.10 � y y • - 7� .. ... = hllt:Sailed .� �~ � -S r ^� 4 s -� tiias.SachILSMS-Department of Pn � a � _-Board of Building Revelations ant!Standards r - -=1•v�:.7 .�LSLI�vJ''�v-fi�V1_+-3 -is ;L1Gen5e: CSt ' L 'ROBERTMR 11iF COST0. 28 xEONARQ ST . f TAI NTON; $ti '' . Expiration: 3f1112t)12 ' Tr#:LOIIIID'iS4lODCl':'... - - � ' _ Office of Consumer Affairs and usiness Regulation 10 Park Plaza..- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contactor Registration Registration: 164787 Type: Private Corporation Expiration: 11/12/2013 Tr# 217945 RMC CONSTRUCTION INC. E7 - ROBERT COSTA 28 LEONARD ST ti TAUNTON, MA 02780 Update Address and return card.Mark reason for change. Address Renewal ❑ Employment- F] Lost Card DPS-CA1 0 50M-04104-G1//0//1216 0frrceiff L'%AM"-er- a.rsA 96 Ad(*�g..�iona License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR. before the expiration date. If found return to: Registration: 164787 Type: Office of Consumer Affairs and Business Regulation Expiration: 1112J2013 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 R -�ONSTRUCT-IOI�i INC� :> ROBERT COSTA 28 LEONARD ST TAUNTON,MA 02780 Un�lersecreta -- rY Not valid without signature NOV-07-2011 10:35 From:JR TALLMAN 5088227654 To:5088249090 P.1 CERTIFICATE OF LIABILITY DAYS (MW=vyYY) INSURANCE 11/0712011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,T IS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT L BETWEEN COVERAGE HE RISSSUING INSURER( ); AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If U10 CertlflCate holdIW is an ADDITIONAL INSURED, the policy(les) must be ondarsed. It SUBROGATION IS WAIVED, sut4act to the terns and conditions of the policy,Corkin Policies may require an endorwi nrnt, A atat:ement on this cartlflcate(10 a not Confer rights to the CartiflOato holder In Ilea Of SUCh andaraementis), PRODVORR Phone: (50e)1194.40 51 Pax (Bee)e22-7654 coNTAr r J R Tallman&Co,Inc ' J R TALLMAN&CO,INC PHONE .. .—.. •-- _.... PO BOX 400112 COURT STREET IAIctM,�r.q (SO$)824 4061 F^�t; EMAIL ) (508)822.7664 : •'-. ...._: ... L_._•. TAUNTON MA 02780 AUDr291% rnr,pucER --.. —.. 18585 n ApeCy Lim.11HO241 _— INSURGRIS) AFFORDING COVEHAGE V NAIC k•• INEIlRRO .__. R M C CONSTRUCTION INC WM,W.RA . TRAVELERS INDEMNITY 25666 CIO ROBERT COSTA Iip:uKERE LIBERTY MUTUAL 26 LEONARD ST INra,, utc . TRAVELERS INDEMNITY 25558 TAUNTON MA 02780 INSURER D INSURER E - . IN�uKEKr COVERAGES CERTIFICATE NUMBER: 14141 REVISION NUMBER: THI$ IS 1'0 CERTIFY THAT THE POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE t'OR THE POLICY PF.,FtI00 INDICATED NOTWITHS'rANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 'rHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT'ro ALL THE TERMS, n INSR TYPE {lu• OF INSURANCE ALI SUBR LT INyI{f_N//p,1,_ POLICY NUMBER PULICY EFF M.InY&Y A GENERAL UAOILITY II -- IMMIRIM^FY)�imwoDrmj.._ LIMITS�.. _.••` 1M799 09114/11 09/14192 EACh10OCUKRE X COMMERGw,t;ENEMI LIApILfrY I I� uANuaE TO RflNTpO--" ••-� - PRgMlai;BlEonrnuMnrq) $f,IAIMf MAU[ I X�UCCUR 300,000 ) MY_U EXP(Any one Ixnunn) ....I-� 6,000 GENfwALAGGRG INJURY g i,000,Q0O - I NtR3ONQl-d ADV PROOUC'rR-COM GATE ._.. -..,�_.. s 2,000,000 CEN'L AGGRCGAI'E LIMIT APPLIF$PER' -•• POLICY I- PRO I�LOC —... PtOPAGCi Y _2,000,000 -..., C AUTOMQRH�f. UAMUIY ._._ .__... .: _ BA-0147P216.91-SEE Q8/14N! 08114112 COMdrNi-11 SIKLE LIMIT - _ ANY AIJTQ I I (Ellnodderk) _ _ 11000,000 ALL OWNED A{JI(ib BODILY INJURY(liar person) $ X SCHEOULCG AU I OS I BODILY INJURY(Fur mxident) e + X MIRED AUTOS PAOPCRTY UAMAGF X I. (Pwa{aartant),_• $ NON OWNED -.- - . 3 $ 1G -lOCCtrRRFNCE I�tCa>ta Late CLAWS-MADE —• ACCREGATF ^ RE•rsiv H)N - B WORKERS COMPlNlATION .�.. .� WC2.31537$ZBti-011 .._._. ..__ ". wl,rn•nru: I ._... . AND CMPLAYSRB' UAa11,ITY YIN O2I12/11 02I12I12 _.�.{ Y LIMITS,--�,�• $ _ ANY NRGPRIETOR1PARttU>tIEIIECUTrvE I I ... t.L EACw ACCID—ENTOFF=FJMaMAN EXCLUDEW NIA —' S . 110000,,00000 Mead■t NR) --- II Yati, ry under ESL DISt:ASE FA EMPLOYCE 0$ UL•OCRIPTIONOPOPERATK]NRlyfar C.L.DISEA$a°-POLICY LIMI0,000 O__C ,PTION Of OPERATIONg_t UOCiTIONS I VEHICLES(Attach ACORO 101,AUdiliunai Ren arkf Sthadura,If morl Image is rogw,ed) CERTIFICATE HOLO(R CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BARNSTABLE,MA THE EXPIRATION DAYS THEREOF, NOTICE WILL DE DELIVERED IN lACCORDANCE WITH THE POLICY PROVISIONS, ' ` !-nuTHOR¢LD RFrFQSL'NTATNf° ._•_ .__. ."-• .._•_ —. Attantlon: DENISE MCGRAIL&CHERYL JOHNSON � The AC4RD name and loge are registered Marks of AGORD UORPUMON. All ng is m i—erve L ' 1.1/01/2012 14:37. 5088249090 WYLINE ROOFING PAGE 02/02 Town. Of Barnstable. ._ _... Regulatory Services Thomas F.Ceder,Director BuBding D"ioo ; 'I'�auaaa Fetry,C� ' Building Commissioner 200 Main Strad, Hyannis,MA 02601 www tawn.barjts%b1e.tlma.ats Of�ica: sos-s6z•.ao�s rax: 508-790-62.30 Property Owner Must Complete and Si&m This Section, If.Using A, BuAder. ,a•s:Otxxer of the-subjcrtPxvPzaY hereby autbori�e_ � C s /u�✓f7d_� - � to act on my-bebal,#' it)all matters xclat c tv wort,,autho=-ed by this building pexwit applkativst for.: (Addtean of job) - 1\ t !/54 4 Signature of Owner Date Pji t Name If Property Owner is apptviag for Pelt,please complete the Homeowners Liesm Exemption'Form on the reverse 4We C:tU�e�y�der-o0iic�AypF�isU.o�ll�pr.tc+�ottlwipdawelTempov.Y hmnxt FjleslConWcQutiwicWPV87A AZ%-AP B doc R—ised 072110 The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www•mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians Applicant Information /Plumbers -Please Print Le 'bl Name (Business/Organization/Individual): ---------------- Address: 'i City/State/Zip: l L^ ' A , /1'JA Phone _ F2a #: �� 3 -7 '1 you employer?to er. C p y heck the appropriate box: employer with Z 4. �] I am a general contractorand I . Type of project(required):yees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction sole proprietor or partner- listed on the attached sheet 7, []Remodeling d have no employees These sub-contractors have g for me in any capacity, employees and have workers' Demolition rkers'comp. insurance comp.insurance.$ 9. ❑Building addition d.] 5. [] We are a corporation and its 10.[]Electrical repairs or additions 3•❑ I am a homeowner doing all work officers have exercised their m self comp. light 11.El Plumbing repairs or.additions y [No workers' co ri t of exemption per MGL insurance required.]t C. 152, §1(4),and we have no 12.0 Roof repairs employees. [No workers' 13.[] 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 number. I am an employer that is providing workers'compensation`insurance for my employees Below is the informa policy and job site tion. r Insurance Company Name: �r jz/ / Policy#or Self-ins..Lic. Expiration Date: /�Z-�/ Z Job Site Address: 77j S��n` - City/State/Zip: (DikY4 211& a)03Z 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 u er.the p its and enables of perjury that the information provided above is true and correct Si ature: Date: -Ae '7. l 1111 Phone#: Z yl 2:2-7—7 7 6 yr FE6. 0ther . only. Do not write in this area,to be completed by city or town official n• Permit/License# hority(circle one): Health 2.Building Department 3. City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector son: Phone#: Assessor's office(1 st Floor): j/ 3 'OJT E Assessor's map and lot number '(�' Q� Toy` Board of Health(3rd floor): Sewage Permit number r^f _ 2 BAH39TSDLL i Engineering Department(3rd floor): `h * �a rasa House-number �� G,(.c,� _.{p,_��-c�d�c c,.�t6}9. \®� Definitive Plan Approved by Planning Board 19 o yo,r d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only. TOWN OF v-BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ]) D IT 1 n A/ TYPE OF CONSTRUCTION (� nT f K 19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� So v� �l sd /N C T' / e o 7-,?, V► Proposed Use �,d re A (9 r Zoning District Fire District Name of Owner 100 Address 713 J o&rat e4 Name of Builder R�A �er7F 1)e!�,12,4 ) < viI� Address I CWI Pr�l�..,��i%r✓�y ou,R19.�/1/ Name of Architect e Gr ` Address 27- (,W (.0 , lS�Ip/L S7 19 Number of Rooms � - Foundation Exterior Roofing Floors C IA Interior Heating �—' Y Plumbing ! 4e M r Fireplace 4Approximate CostArea Diagram of Lot and Building with Dimensions / Fee_ r O i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abo a construction. r ..Name - Vv Construction Supervisor's License Q V -5. S� i I , RAPO, SEPPO No 33208 Permit For BUILD ADDITION TO GARAGE Single Family, Dw..ellin.g Location 773 South Main Street Centerville Owner Seppo Rapo Type of Construction Frame Plot Lot Permit Granted September 15, 19 89 Date of Inspection 19 Date Completed 19 Assessor's map and lot number ..... ............ �FTNETO Sewage Permit number Z BAWSTADLE, i House number r rb 0 9. MPY TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... .f l_„ , IL'il )` i C? t� F_1 c�!`��I`�tA Mu S e.E�� ,.. TYPE OF CONSTRUCTION ............ r .2 8�•r - ... ...................................... ......... ......... ......... .. �Mo�j FL .... ..................6.G..J.........19..: Lf TO THE INSPECTOR OF--BUILDINGS.: _ J The undersigned hereby applies for a permit according to the following information: �� ......5'...���� r .��y.....:s.c;......... ..I�l.l 2 :v�.c l Location*................................ . .............<�.,_.................. Proposed Use RCS.-/•i7 t`�. .......................... ...... - Cam- .......... .......-.1......................................Fire District ................................................. Zoning District Name of Owner................��. d�0.....�.....2 � ........Address r � "�.: r- *........Address .r0k&q� I—1 Name of Builder .......... Name of Architect ...'LJAN..... 1�.�.�.�2 1y..�.C.�.�...�SS�A�dress �+...1U�•r�L��� L..Sr ....C�.(?�!I�Rll7(,1�'....rn17 Number of Rooms .............Foundation ...P.P.Q•• Exterior ........ ................... ..Roofing ' ......................... '1 1 , ,^, UUVIDD Floors ...Interior ................................................................................... .:.................................................................................. Heating, .................F7.�j...t�......................... ._ ...Plumbingx...... Fireplace . ............ ............ .... ...................... . .....Approximate Cost ........ . t��l�r...® .............................. Definitive Plan Approved by Planning 'Board -------------------_-----------19_______. Area ........ Diagram of Lot and Building with Di``Mensions Fee .. / �. �` �!. I • ....... _. .... ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH 5 1 OCCUPANCY PERMITS REQUIRE[ FONT R NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town-of-Barnstable er garding the above construction. Name ....... ...� ,,.5�. ........................... d f _ Construction Supervisor's License .... VXN SEPPO.' & RAP0, A=185-13 No ... ... Permit for ....Build„.ddi.Uctn. Sin ..................... ................ ....... Location .....773 South...Ma ia..a t ne.e.t............ ..................... ........................ ......... Owner ....... ................................ Type of Construction .....Fx.ame.......................... ................................................................................ Plot ............................ Lot ................................ ti Permit Granted ..Marc.h...5..........................19 86 Date of Inspection ....................................19 .Date Completed. ......................................19 �17 Commonwealth of Massachusetts OF 1HE 1pyyy _ Town of Barnstable s�►xxsTwar.E. 9$p UL 9 m 200 Main Street(508)862-4038lE° ' e PERMIT REPORT BY ADDRESS AddreSS: 773 SOUTH MAIN STREET,CENTERVILLE .:... - ��. :: �. -E .:»�-��-::-h <<. .. .�-:.3�..,, . ;� ., ..:..� ^wry ..�.c � fiw�.M. •'cwna, :-��. ,' :�.:�< ,:::�.o. G a ( . I « PIN « r"Status PermitrFor Parcel:ID �A Ilicant Work Descri tion k°Wlns�n!ection Jns ected on ;Ins ection ; :Ins ,ectlidw n "w +_.€.,k. ^y+z4 I n �u .n"'.,P ..,... • tea,::. •.d,. .,,.' .. :;'y >. ''" .. y. # ~+ti:... .; ,. � Y s _- Status ,Comment. .,. kea ._s :..bu..:K9. ....w,,," '.�F'.�r..l - ->c y. ".. _ ..`5`a:?. a .'x » 'M .*.& ram'. � .'.. ,.ate c:.a,. .•..� X � B 17 „Closed Building 185 013-y COMPLETE HOME', re-roof and re-side and "ndows Sidin /Windows/Roof/Door III GROUP LLC. replace wi ' ,n' # II '- �a �u w u l l w or pM pF. B-18-636 Issued Building- 185-013 ADAM HOSTETTER APPLY FOR PERMIT Addition/Alteration- FOR PREVIOUSLY Residential FINISHED GARAGE SPACE AS GUEST SUITE WITH BATHROOM B-18 637 Issued,." `°Building ',`Alteration r x;185 013 COMPLETE HOME' ALTER INTERIOR " • m INTERIOR Work On - ROURLLC PARTITIONS ON 2ND c �a i,,, a +T• �' _ Residential ": FLOOR MASTER BATH � AND CLOS€T AREf� ��I• K . , .~' WALK IN y . TO CREATE ?b ,x 7- .r`: ;m..• :; k::-i � �, , m :.CLOSET. �� :.: -_ ... .� Iv wiI 'nijj 'Hd iLfl�r mid Irltli p 7+ei uq uulM U�E�.'4. L 1'�Iti IIILOI IIhW,i '1y a ly. in u - I,, • ET*; GLOS .'.REFINISHi , FLOORS,NEW BATH r �, �• LAYOUT;FINISHES AS r x,, - NEEDED B-2011-06229 Closed Siding/Windows/Roof/Door 185-013 COSTA,ROBERT RE-ROOF STRIPPING s OLD SHINGLES-NEW ENGLAND RECYC REPL WINDOWS 2 SKYLIGHTS ;`E-18 236 Issued+,' !' Electrical-Add/Alter, '«185-013 Julius Prigintas` Bathroom.Remodel ay Electric Rough 2/9/2018 -FAIL Site not ready for Inspection wall F - r already �. sheetrocked.Fan x _ - not vented,box r above fan .°t y d %7" " n00011'G^to bo k _ 3'. FIF wl . .,:,. removed ti. G-17-1437 Issued Gas 185-013 Bradley R Tomasetti 3 FIXTURES Gas Rough 10/20/2017 PASS (;aaRn�i,h 10/20/2017_ PASS G1 7 1437 Issued W i Gas ,, _ 185 013 Bradley R Tomasetti 3 FIXTl.1RFS _ g a G-17-1437 Issued Gas 185-013 Bradley R Tomasetti 3 FIXTURES Gas Rough 10/30/2017 PASS G=17 1437 •r Issued ._ ! - `~ Gas 185-013 ,,. ;Bradley R Tomasetti;•K, 3 FIXTURES Gas Rough 10/3012017 PASS Fire pit m. „gin,: ,�, .. 1 of 2 Commonwealth of Massachusetts GF SHE 1p� Town of Barnstable , MA SS. � 16 `� 200 Main Street(508)862-4038 AlEO MA't A PERMIT REPORT BY ADDRESS _ ,� , PIN Status , .Permtt Fork Parcel ID Apllicant Wdrk,,,Descrlptlon °r'Inspectlon`y Inspected on Inspection ` Inspection x �. . rg, gg - .. J•.�.;. .,t -_.. f >v' w. F�� .„ :. ,:. ^R" ..,�^' r `.,y.°i `, .w; ...✓»fit T p .r.c:s * :`-rat. .,.^.;.�& F ,'ti+s#A• °.:. �. 4 .,: .. ;, ,,, -_w.< , . . � : . >.,.• _.,.$ - r . .Status°°^ ` Commentl"`- ;'�� na� ^wd v � +„W� .....rr.•.:"�'2`"t, ,.;r:�r.w .�...>... �. � �. ,-... �`^ »� •_.+.�.�k�.,..wn r� x,• ,aas, a �...s..,: �.*..�... +,p�+:� - G-17-1437 Issued Gas 185-013 Bradley R Tomasetti 3 FIXTURES Gas Rough 10/20/2017 PASS Please clean trench before backfilling with clean fill.please send pictures of backfill. G 17 1437•:,! � Issued Y'k Gas 1,85-013" Bradle R Tomasetti 3 FIXTURES C;as Rneigh 10/20J2017 MOO I'Icasa }. x trehch before _ backfilling with p r -u y A iu clPanfIll illPase, $enci plcturPR,Qf .,1M ay� , �`wildi f'i x.' aRui ,fi rY tlli0ii ii1gi olio ;iu tackfill. P-18-413 Issued Plumbing 185-013 Bradley R Tomasetti lav,shower stall,toilet water piping Total Permits: 12 173250 1926 2of2 1� Assessors map and lot number ....�. ........ .. U�� ,�'� . /�-r✓ .. � /,a r y�J I � PyoF tH E Tory Sewage Permit nurffber SEPTIC SYSTEM MUST f T INSTALLED!N COMPLIA NAM&LE, . House number i ............... ......... 6 9 • WITH TITLE 5 ' ' stable {�x, rvation x a sw T CODE AN oYaY TO N: 'O F BAR 9 ATSONS signed � BUILDI`H`G . INSPECTOR � � 7= t�/brl .APPLICATION FAR PERMIT TO ....`3....I� .. .'`� .. . ..... . .......... ................... ...... as Wro4)FL TYPE OF Y CONSTRUCTION .......... .......................................................... ........ .. ........................... ..4..l.........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a 'Permit according to -the following information: Location ......................'� ......-5©.4�'..S�:�.....11!L►�.Gt ...... .:.... ' .L�1.t...Ci!t.V.(L:L:+s.�.. ................................. ProposedUse .... (�-.P °�. .�d`� c ........... ............ ........................................................................................... Zoning District ...... .?J .... .......... ......................Fire District ................. .................................................. Name of Owner .P..�?a t ......1:�1 �].o ....,.Address .7.Z.:2.....13. ./.Y.l• ts. ......�. . ..... .... Name, of Builder ......... �... . ...Address ................................ .....F19t...!!!OUa 1............ Name of Architect .... BIR1.1m. Ck.1.194Wdress Q....GV .1DaJ:..T7....CA"i .;l:Ke....1�A Number of Rooms .....IJ.................................... ....................Foundation ..PQ.l?.fl .0.....CfP _CtW.•y e......................... Exterior LUDDf.> - tfal.t5 9 Roofing` ......... 5 �r.1.......11-1M 4_4.......................... Floors .... ® ................................. ............:Interior .................................................................................... Heating ................ 1N............... Y .Pluml:)i _._. .. jpp rs' ,.................................................. Fireplace ..................ta...................... . .......... .Approximate. Cost .......... { Definitive Plan#Approved by Planning Board ----. Area rea_ -- Q.. = ........ -.^. .. ...! Diagram of Lot and Building with D ensions. Fee ,l` /.4..v. SUBJECT TO APPROVAL OF BOARD , IF HEALTH V y , OCCUPANCY IAEftffSt I1EQUMZ FOR NEW DWELLINGS stable ConserVgtlon Gommisslo I hereby agree to,�onfarm to all he Rues and Regulat ons'of the To o. ornsta - e reg ding the above construction.Gfi/l �da � signal pR �_ Name............. ............................. ' Construction Supervisor's License V... ......... r`` 0 ! , No 29005 Perr>at for Build Addition ._ y................................ Single Family Dwel'ling ...... .........1... ................. ` Location ..,•••77� South Main Street CAte'rvil a s r Owner Seppo =& Rao -. ....... r s ..... ..................................... t- &''Vr ,? Type of Construction ame.................................. � ,,� ` ................ ... ::'... ...................... Plot ................: Lot ........¢................... p - 4 March' 5, 86 ; ;Permit Granted .... . -.. . t ~ sDate of'Inspection ....... ...................1.9 01-7 } Date Completed b................ -19 s? Barnstable Assessing Search Results Page 1 of 3 1&\1T4ili. AMSS. ,�. .� lip Property Assessment Lookup Home: Departments:Assessors Division: Property Assessment Search Results New Search 773 SOUTH MAIN STREET Owner: 2006 Assessed Values: SCIBELLI, MARK L&CATHERINE Appraised Value Assessed Value A Map/Parcel/Parcel Extension Building Value: $400,700 $400,700 185 /013/ Extra Features: $8,500 $8,500 Outbuildings: $62,700 $62,700 Mailing Address Land Value: $ 1,305,300 $ 1,305,300 SCIBELLI, MARK L&CATHERINE A Totals $ 1,777,200 $ 1,777,200 100 HERING RUN CENTERVILLE, MA. 02632 2006 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $317.48 Fire District Rates Town Barnstable-Residential $1.90 $6.31 Barnstable-Commercial $2.51 Comml C.O.M.M. FD Tax(Residential) $ 1,883.83 C.O.M.M. -All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Person Town Tax(Residential) $ 10,582.50 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial $2.50 Other F W Barnstable-Residential $1.60 CommL W Barnstable-Commercial $2.46 Total: $12,783.81 Construction Details Property Sketch Legend Building Building value $400,700 Interior Floors Carpet Style Conventional Interior Walls Plastered Model Residential Heat Fuel Oil Grade Custom Plus Heat Type Hot Water Stories 2 Stories AC Type None Exterior Walls Wood Shingle Bedrooms 7 Bedrooms http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=par... 5/3/2006 i 1. (Barnstable Assessing Search Results Page 2 of 3 Roof Structure Gable/Hip Bathrooms 3 Full+2H Roof Cover Wood Shingle living area 2785 �t Replacement Cost $421834 Year Built Depreciation 5 Total Rooms 12 Rooms S Land - DP: Lot Size(Acres) 0.28 Appraised Value $1,305,300 Assessed Value $ 1,305,300 M Interactive Property Map: ap requires Plug in: I have visited the maps before lick Fort; f 7 * t- Show Me The Map April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: SCIBELLI, MARK L&CATHERINE A Oct 19 2004 12:OOAM C174750 $2,521,000 SENIE, KEVIN D&ANN M May 14 1999 12:OOAM C153134 $965,000 RAPO, SEPPO E&JUDITH S Apr 15 1984 12:OOAM C96267 $200,000 LEWIS, REEVE&KELLISON J B Jul 15 1982 12:OOAM C89120 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,900 $2,900 BFA Bsmt Fin-Aver 396 $5,600 $5,600 FGR7 Gar w/Lft Good 884 $25,200 $25,200 DKFL Dock Float 1 $37,500 $37,500 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=par... 5/3/2006 Barnstable Assessing Search Results Page 3 of 3 FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=par... 5/3/2006 Barnstable Assessing Search Results Page 1 of 2 Boa IHe Home: Departments: Assessors Division: Property Assessment Search Results - 773 SOUTH MAIN STREET Owner: SENIE, KEVIN D&ANN M Property Sketc h Legend Map/Parcel/Parcel Extension 185 /013/ Mailing Address 4" j SENIE, KEVIN D&ANN M 185 NORTH AVE WESTPORT, CT.06880 Bpi 4 2005 Assessed Values: Appraised Value Assessed Value Building Value: $419,200 $419,200 Extra Features: $8,300 $8,300 Outbuildings: $63,400 $63,400. Land Value: $ 1,299,200 $1,299,200 Interactive Property Map: ap re uires Plug in: altck For Totals:$ 1,790,100 $ 1,790,100 1 have visited the maps before . I' Show Me The Man April 2001 photos available Sales History: Owner: Sale'Date Book/Page: Sale Price: SENIE, KEVIN D&ANN M 5/14/1999 C153134 $965,000 RAPO, SEPPO E&JUDITH S 4/15/1984 C96267 $200,000 , LEWIS, REEVE& KELLISON J B -7/15/1982 . C89120 . $0 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $324.90 Town Fire District Rates Other $6.05 Barnstable-Residential $2.12 Land I Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $1,808 C.O.M.M:-All Classes $1.01 . Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 10,830.11 ` Hyannis-Residential $1.52 ` Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $ 12,963.01 Due to rounding differences these values may vary http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=1850... 2/10/2006 1,; Barnstable Assessing Search Results Page 2 of 2 • Land and Building Information Land Building Lot Size(Acres) 0.28 Year Built 1920 Appraised Value $1,299,200 Living Area 3474 Assessed Value $1,299,200 Replacement Cost$455,648 Depreciation 8 Building Value 419,200 Construction Details Style Conventional Interior Floors CarpetHardwood Model Residential Interior Walls Plastered Grade Custom Plus Heat Fuel Oil Stories 2 Stories Heat Type Hof Water Exterior Walls Wood ShingleClapboard AC Type ' None Roof Structure Gable/Hip Bedrooms 7 Bedrooms Roof Cover Wood Shingle Bathrooms 4 Bathrooms Total Rooms 12 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,800 $2,800 FGR7 Gar w/Lft Good 884 $25,900 $25,900 BFA Bsmt Fin-Aver 396 $5,500 $5,500 DKFL Dock Float 1 $37,500 $37,500 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse . UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd,Story(Unfinished) FHS Half Story(Finished) SFB, Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) i http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=1850... 2/10/2006 a' y , .• Assessor's office(1st Floor): SIZIP 10 SYSTEM MUST B.E Assessor's map and lot number I S !�` " PIMLLED IN COM Board of Health(3rd floor): VATHTITL o 9'�� Sewage Permit number ®1�dppAITU ffEngineering Department(3rd floor): jh- ��77iCVVa House number c,Zr� — e-- � � �- °,.�'e3-f h,.% Definitive Plan Approved by Planning Board 19 c MAY APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only N TOWN, OF BARNSTABLE BUILDING INSPECTOR , r APPLICATION FOR PERMIT TO �D D ITf o m - T ifk/S7/n/6- 6;4IFA6, TYPE OF CONSTRUCTION G()D b� �iPA lv e Jag J 1 19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 7-7 S'ov�1� 11*1N ST' ��n?eF Vf be- Proposed Use /Y��/� �► LF Zoning District Fire District �/ - Name of Owner O Address 773 Sc,v i l� /'f,4 lAz ./. Y;�CG Name of Builder hT h D A?/d d S 0/4( Address CVa-.i/.k%WAZ lU, D��/✓. Name of Architect /ilyl /^cal Address x2r 6/4 Number of Rooms Foundation Exterior C /¢ S ��� [ Roofing Floors M R Interior Heating Plumbing Fireplace ` A'Proximate Cost v� Area Diagram of Lot and Building with Dimensions / 7 ' Fee r 0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abo a constructio . Name Construction Supervisor's License 0 `. RAPO, SEPPO �. 4 No 33208 Permit For Build Addition To Garage Single Family Dwelling Location 773 South Main Street— Centerville Owner Seppo Rapo Type of Construction Frame r n Plot Lot �M := Permit Granted September�l5, 19 89 Date of Inspection - 19 Date Completed 19 4 �N 6,x tsar J. 'T yg`.esNy .m a •� ;.. .. i `*"'C° able� own of Barnstable Building ,�.i �. .'dill!�IF9"r�t* ic"r^ ,uniriu+•+yywu+h.-awr .. g.�. °Rnn^ . .: '",°°-4.r4p wvu..r.,.wc .a...w++•isw• ...., g ,. Post This Card So.That rt is Visible From the Street Approved:Plans Must be Retained on'Job and;this Card MuBARN st be Kept V Posted Until Final fnspeciion Has'Been INladef„ +� fi yam "�. Where a C rtificite of Occupancy Requir d such Building sFiall Not be Occs upied;until a'f�inal Inspection has`beeri maize °" �el illy Permit NO. B-18-636 Applicant Name: ADAM HOSTETTER Approvals Date Issued: 03/30/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/30/2018 Foundation: Location: 773 SOUTH MAIN STREET,CENTERVILLE Map/Lot: 185-013 Zoning District: CBDCRNB Sheathing: Owner on Record: HASEOTES,GEORGE P& POLYXENI T = ' Contractor Name. ADAM HOSTETTER Framing: 1 Address: 773 SOUTH MAIN STREET ?° Contractor License CS=094302 2 CENTERVILLE, MA 02632 Est Project Cost: $2,500.00 Chimney: Description: APPLY FOR PERMIT FOR PREVIOUSLY FINISHED GARAGE SPACE AS Permit Fee: $170.00 GUEST SUITE WITH BATHROOM <. Insulation: Fee Paid;';° $170.00 Project Review Req: a Final: F Date 3/30/2018 ;e Plumbing/Gas 4 h Rou g 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 afterrissuance. 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: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. x-: 1. �, �,,. i Final Gas: 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. B .�. r4 ��9kk� a '�'w a az Electrical .The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Offldals are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: s Service: 1.Foundation or Footings yam" u E=rta r 2.Sheathing Inspection "� �;' � ` Rough: 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 , V � a 4 .f t j ' y - 03 1 o O O 03 �. 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