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HomeMy WebLinkAbout0122 SKUNKNET ROAD 1v � � � 4 4 nY I�� , :' v � y , a ,. .. .3 ., x .�, ,.�„ sa ` ��ro r ...a'� J -�v Fj 'a'` '}X ,�� ;��_ ,y. ,.k ';rv, � " -.'tth *i '.�*� t 6 .r; .. ,, .. � ._ .,. ,... ., __ ,. �� e� a Y," 1� �� �� e6 ,i:; } � �Kj s� } t � e e . e a e P - G � P �€ K ' w n . � ;, ., ,S �. .�. - .. - � ,. . 9 - o - v .. ,. -L _C. � _ o � - c � .o .. P � .. - - �. li A e � � � e .. .. � i .. ,. O � � .. i _ .. � ,� .. ,.. � _ .. .. ., a ..._ t Town of Barnstable *Permit# m Expires 6 mouths from issue date sF,o ReNd ulatory Services Fee • aan.�vs�raa b V.Scali,Director /J J� Building Division �jTom Perry,CBO,Building Commissioner e200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-8624038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION -- RESIDENTIAL ONLY I Not Valid without Red X-Press Imprint Map/parcel Number o (� Property Address k4jYl JCALI� R-� ` p Residential Value of Wo $�p oo Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address . as � GL-_ Contractor's Name "�� - _ Vic) / i`�+ yL e Telephone Number 150 Home Improvement Contractor)✓i ense#(if applicable) e >[ Email: I fA P } c,L. • s-u 1 0 C Cc-,6t{� 'Construction Supervisor's License#(if applicable) C—,`� Workman Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Romeo er I have Worker's C mpensation Insurance Insurance Company Name t,-ts t,,-( CX_ Workman s Comp.Policy# 14 Q cac((a Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old'shingles) All construction debris will be taken to '� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side \ Replacement Windows/doors/sliders.U-Value 3 ' (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must'sign Property Owner Letter of Permission. A copy of tPe Home Improve ent C tractors License&Construction Supervisors License is required. SIGNATURE: C:kUsers\Decollik1AppData\Lom]Wticrosoft indows\Temporary Internet Files\Content.0utlookUP10I DHR1EXPRESS.doc Revised 040215 -- 77ae Conanto71 wealth of Massachusetts Departmelit of Iiadrrshial Accidents Office of htigations 600 Washinglon Street Boston,VA 02111 fMnk.araass.go+/dia Workers' Compensation Insurance Affidavit:Builders/ContractorslE tliciansl�bers Ap,plicant Information Please Print Le 'b Name(B„siuesorgsrlizationF l}: Address: 1�? I)CO Gityl5tatelZip: �• PhID a#: Are an employer?Check the appropriate bog: Type of project(required): 1.ET"I am a employer mrith -3 4- ❑ I am a feral contractor and I 6- ❑New motion employees(foil arn&or part-(time}_* havehuedthe sub-contractors listed one the attached sheet: ❑Remodeling2.❑ I a sole proprietor or partner- These sob-contractor:;have 8- ❑Demolition ship and hac�e no employees working for me in any capacity- �flo and have workers' []Building addition [No workem,comp-insurance comp.insurance.I 10 Electrical repairs or additions . required] 5. ❑ We are a corporation and its 3_❑ I am a laarneowner doing all wank officers have exercised their 11-0 Plumbing.repairs or additions myself[No workers'comp- right:of exemption per IufGL 12- Roofrepam insurance required.]r c. 152,§1(4),and'Ale fl . ` re have no ]Q�_ ` . employees-J1Vo workers' comp.insurance rewired-J' *Any upticant that checks bm#1 runic also fill out the ssction below showing duear workers'compensation policy infarmadom 1 H meov ngrs wlw submit obis of nigm a im&-nng they am daimg all wa&c m d then bare amide contractors mag submit a new affidavit imdicatiug such =Contractors that cbeth this box must attached am additional sheet showing the umne of the sab-cant—tars-d state whether ar aot those endfles have employ. if the s catettnctars Lave employees,they mum psovrde theta_"ken,comp.policy number. I am an employer that isgro+adat;g norBeers'congiensatiotr insurance for KV ew�ptoJW-T- etaar is ttiepotacp Qrtdyob site ireforaratiort. G o�! Insurance Cornpanyi�ame: �S6 Policy#or Self ins-Lic.#:�` �� �Z�d �� �L xpiratian Irate: O Job Site.Address: Sk t1't 1 L U-+ City,"StatelZsp: ` < Attach a top; of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MCL c- 152 can lead to the imposition of criminal penalties of a fie up to$1,500.00 andlor one-year isnpnsoUMMIt,as well as c s�ii penalties in the form of a STOP�61(IRK®RDER and a fine of up to$250.00 a day against the-violator. Be advised that a copy of this statement pray be forwarded to the Office of Investigations of the bLi m insurance co v lion. I do/tetchy cerfi theparrs aad pe es o er<j'cary tltatthe ax faawaatioat�proartedabm+ Its 6aas and corrart Si tore- Date: Lt Phone# �V°� 46 -0 ru-suingAnthority facial arse only. Do not mete in.this area,to be completed by city or town of ciao ty or Town: PerrmtR.icerrse ti (circle one): 1.Board of Health 2.Budding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 Client#: 16665 2MEAGHERCO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(I 6/221201IYYYY) 2017 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 be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NCONTA AME; Dowling 8r O'Neil Dowling&O'Neil Insurance Agency aON o E ;508 775-1620 973 lyannough Rd,PO Box 1990 E-MAIL Arc No: 5087781218 ADDRESS: coi@doins.com Hyannis,MA 02601 INSURERS)AFFORDING COVERAGE NAIC# 508 7754620 INSURER A:NGM Insurance Company 14788 INSURED INSURER B;Associated Employers Insurance Company ' 11104 Meagher Construction Inc. INSURER C: Timothy Meagher INSURER D: 776 Main Street Osterville,MA 02655 INSURER E: 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 CONTRACTOR 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. 1NSR ADDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVDPOLICY NUMBER MWDD MM/DD LIMITS A GENERAL LIABILITY MPT1250G 10/16/2016 10/16/2017 EACH OCCURRENCE $1 OOO 000 gMq�,E T {� � � .. X COMMERCIAL GENERAL LIABILITY pREMISEg Ea orxurrence $SOQrOOO _ CLAIMS-MADE �OCCUR MED EXP(Any one person) $1 O 000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 . GEN'L AGGREGATE LIMIT APPLIES PER:. PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS < Per accdent $ $ UMBRELLALIA13 OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ B WORKERS COMPENSATION WCC50050054422017A 6/23/2017 06123/201 WC X STATU- OTH- AND EMPLOYERS'LIABILITY —_ ANY PROPRIETOR/PARTNERIEXECUTiVE Y I N E.L.EACH ACCIDENT $100 000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) 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 Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street' Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S192660/M192659 CBD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-102260 r Construction Supervisor Construction Supervisor fi�£ �: Restricted to: n. Unrestricted-:Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of MICHAEL S MEAGHER JR 4 enclosed space. 97 EMERALD LANES MARSTONS MILLS MA'S i2648 7° t' r V P',�JZCK l- Expiration: Commissioner 11/06/2018 Failure to Possess a current edition of the Massachusetts State Building Code is cause for revocation of this license.+ DPS Licensing information visit: WWW,MASS.GOV/DPS ,,pper� pr nzina�au�ea.�lt��C�/J%�aa.tac�aiveCGy Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR �• i _ TYPE:Individual Registration Expiration s 162938 04/26/2019 Registration valid for individual use only "' � ' before the expiration date. If found return to:` MEAGHER CONSTRUCTION Rom: �,;`. Office of Consumer Affairs and Business Regulation 10 Park Pla -Suite 5170 Boston, 02116 MICHAEL MEAGHER�JR a 12 776 MAIN STREET OSTERVILLE,MA 02655" Undersecretary t valid without signature r e f - Town of Bar astable , Regulatory Services Richard V.Scali,Director r Building Division Thomas Perry,CBU Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bamstable.ma.us Fax: 508-790-6230 per; 508-862-403$ + Property Owner Must Complete and Sign This Section Com p A If Using Builder as Owner of the subject property :" ' "behalf, I, to act on my authorize �' hereby permit apPUCOOon for: , b this building p arrve to work in all matters rel authors Y (Address of Job) - Date Signaxure Ovwner print N ame lete the H.omeowaers License E xemption Form on the Pro e�y owner is aPP�g for permit,please comp If P reverse side. - Tam a�YlntemetFiles\Conimst.�ook\2PIOID73R\EXI'1tESS.dac C..\V.,0 ecoffiklA.pPDaMNLOC��ict�ft\W3ndowsl P� I 6, Town of Barnstable APT " ' , ''�MJ, 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-17-1691 Date Recieved: 5/31/2017 Job Location: 122 SKUNKNET ROAD,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: WINDOW WORLD OF BOSTON, LLC. State Lic. No; 166026 Address: 24 CUMMINGS PARK, SUITE 15-A, Applicant Phone: (401) 714-6399 WOBURN, MA 01801 (Home)Owner's Name: ROGERS,ROBERT C&LUCINDA M Phone: (508)771-0255 (Home)Owner's Address: 122 SKUNKNET RD, CENTERVILLE,MA 02632 ) C Work Description: INSTALL(16)REPLACEMENT WINDOWS NO STRUCTURAL 70 ® C" w M • r^^y t'r1 Total Value Of Work To Be Performed: $9,218.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: JEFF STEELE . 5/31/2017 (401)714-6399 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $9,218.00' Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $47.01 5/31/2017 $47.01 XXXX-XXXX-XXXX- Credit Card 7716 Total Permit,Fee Paid: $47.01 .Wad P�p0HE?1 Town of Barnstable *Permit# // p* Expires 6 months from issue date Regulatory Services FeeMAS �� iq. ,��' Thomas F.Geiler,Director ArED Building Division Tom Perry, Building Commissioner X-PRESSI WERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 AUG 2 6 2003 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIALTMF BARNSTABLE G' Not Valid without Red X-Press Imprint Map/parcel Number Property Address 1aLk ,t4U MJW_T jn� C.Te, Z Residential Value of Work IsBOD Owner's Name&Address die�T C, - 4as 4:_:�V%j VJkU s Contractor's Name %j K i G Telephone Number ' Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: . �❑ am a sole proprietor am the Homeowner 1 ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# a # Permit Request(check box) ' [✓/Re-roof(stripping old shingles) All construction debris will be taken to '"', co ❑Re-roof(not stripping. Going over existing layers of roof) Re-side" ❑ Replacement Windows. U-Value (maximum.44) *Where revile&jssuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note:" Prope Owner must sign Property Owner Letter of Permission. Home provement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 Town of Barnstable f tHE 1' Regulatory Services } Thomas F.Geiler,Director • BAMSPABIZ MASS. r� 0 9. .��' Building Division ArED MP'IA Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I C73 JOB LOCATION: 1�� U ►� �+> UtLV I L number ii street village . "HOMEOWNER!,. �f�CTfS �C� 1=6�5� 0-140 name home phone# work phone# CURRENT MAILING ADDRESS:_1'�*I SV4_)UyC u-e�;" Co A115; 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. DEFINITION 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 uemn (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 Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requ' ments. 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use.in your community. Q:forms:homeexempt Town of Barnstable Approved Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: 4� Name: ��' t`� �C;n Phone#: Address:_ Village: r12� Name of Business: ��-T � / � < Type of Business: A c Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. The use does not involve the production of offensive noise,vibration,smoke, dust or other particular matter,odors, electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • ' No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applican. Date: Id- Lrnm Any r Town of Barnstable ti Regulatory Services r � BARNASS. TABM MASS' p Thomas F.Geiler,Director .P 0 �AIE039. 6.� Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 SHED REGISTRATION 120 square feet or less il,)'a S nu Ajkvcz fi e.? Location of shed(address) Village so%--1`1 N- oy5 Property owner's name Telephone number SKV;L lOS Size of Shed Map/Parcel# "l 1-30 b 1 Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN i Q-forms-shedreg o u a Q rr o W z d o =p o o j W O V•, O pZ O >>c w G = LL Z O = CD i� oe v a a a a¢ z t- �.+ win v a r, CDcc pzz '3 �+ •o, ¢ a a d oac a i = o c d N ,,¢�,, d z c ® 4 `o Cno � I \'\ i II ,� ICV�k 1 x X g•� S> C LA te oQ N W = d EP Em N 2L 30 of Z c c Ev >3 E s - OC u u CV o= Qom _ o � 7---- _o N - - S z _ _ W if g LE W Ez� c E� m c Z a Q E—¢ - Z � O Q C! N 3