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HomeMy WebLinkAbout0296 STRAWBERRY HILL ROAD �a4 s��=,�ra � � f1KEr Town. of Barnstable *Permit Expires 6 months froin issue dale anmsres[> ' Regulatory Services fee mass.� 1639, Thomas F. Geiler, Director 1��Alfoy� Building Division Tom Perry, CBO, Building Commissioner ®bC /12710� 200 Main Street, Hyannis, MA 0260.1 www.town.barnstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 7 Not Valid without Red X-Press Imprint Map/parcel Number N� 2Z Property Address �kq1&ry l d V.L__c 0. esidential Value of Work � Minimum fee of$25.00 for work under$6000.00 a Owner's Name&Address CU� w z lNa Contractor's Name C6kL V�L �Uv l Telephone Number I 1 � Home Improvement Contractor License #(if applicable) ` J v V_Dopec PF MIT Construction Supervisor's License#(if applicable) f1 It 2 n NMI ❑Workman's Compensation Insurance QWN QF BARNSTABLE Chec ne: .Dam a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Com an Name C 0C� P Y Workman's Comp. Policy# o do® V Copy of Insurance Compliance Certificate Lst be on filer Permit Request heck box) Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roofl ` ❑ Re-side Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner m gn Property Ow etter of Permission. Home Improv ent Co r e& Construct Supervisors License is required. SIGNATURE: Q:\W PFILES\FORMS\Express\EXPRESSPERM IT.DOC Revise06O4O9 4/ 1 ---s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s�•'y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Le�ibl Name(Business/Organization/Ind'vidual): C� l�l r\ Address: City/State/Zip: Phone.#: Are_- n employer? Check the appropriate box: Type of project(required): 1: a Imp loyerwith 4. ❑ I am a general contractor and I G. ❑New construction employees(full and/or pin.el.* have hired the stab-contractors 2. I am a sole proprietor or par trier listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity, employees and have workers' Y P n'� $ 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. 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 anew affidavit indicating such. tContractors 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 or my employees. Below is the policy and job site information. / ` q Insurance Company Name: 'h Policy#or Self-ins. Lic. #: 0 ooq(qu Expiration Date- C7 Job Site Address: C� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure fo secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 ins tion. I do hereby certify,2under�epsand penaltie ury that the information pra.vided a ve 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#: e� 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 who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a,license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." 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«uth 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-contractor(s)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 Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations 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. lr addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the.applicant should write"all locations in__(city or town),".A copy of the affidavit that has been officially stamped or marked by the city or town maybe 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 fo any business or commercial venture (i.e. a dog license or permit to btirn leaves etc.)said person is NOT required to complete this affidavit. ;'he Office of Investigations wo»id like 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 Commonwealth of Massachusetts Department of Industrial'Accidents Office of Ynvestigatians 600 Washington Street Boston, MA 02111 Tel. #617-7227-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www;mass.gov/dia PROPOSAL pox 1042 CCf 18 36 t 6 ,, ''Page No. of Pages DESCRIPTION OF JOB - ARCHITECT DAT OF PLANS j" �= PROPOSAL SUBMITTED TO: JOB M A R &N 9AiA V✓V 5��`I . ADDRESS 1 b �JE �Yil, .1t PG, '{"f L 1�.1�♦ 3` CITY STATE ZIP CE K7 E—k V I !-LE MBE 02. 3Z _1Q !!''���(( /a�,/^ //� / •^ PHONE DATE WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: ( - l rq V t I•�_ j v V We hereby propose to furnish material and labor, complete in accordance with above specifications, for the 00 sum of dollars (S with payment to be made as follows: All material is guaranteed to be as specified.All work is to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from specifications Authorized involving extra costs will:be executed upon written orders, and will become an.extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents or ,delays beyond our Control. Owner to carry fire, tornado and other necessary Note: This proposal may be withdrawn by us.if not accepted insurance.Our workers are fully covered by Worker's Compensation Insurance. within days. N. Acceptance of Proposal - The above prices, specifications and condi- tions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature ------— --- -,Date of Acceptance: i ' t' ' Signature __ J 1 Alkiss!"! iss z11t1s tts- DeIrt hunt of Public Sit 7! ultns "I&Standalyds Board of Buildin�� Rc' Construction Supervisorpecialty license . . License: CS SL 99382 Restricted to: RF,WS HECTOR SANCHEZ 286 STRAWBERRY HILL ROAD CENTERVILLE, MA 02632 Expiration: 911412011 T r#: 99382 Board of Building Regulations and Standards = HOME IMPROVEMENT CONTRACTOR D Registration,, 145356 _ 1t t Ex piratib7 1 12/2011 Tr# 283768 ? e 0. alY TYpe OBA i 4r EMMANUEL CONSTRUCTIONS II HECTOR SANCHEZ` �f i' e86 STRAWBERRY H�LLRD l'i CtNTERVILLE,MA"02632 Administrator + License or registration on date. If found return to: before the ezpirat Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 ----- —o witho Lure r Assessor's map and lot number 7,2.2 ......... .... ..... TM E ypF TOE Sewage Permit number. .................. ....................................... EARN STALLE., House number ........................................................................ MUM 00 039, a MAI TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........1��............C,ever 7...................................................... TYPEOF CONSTRUCTION ..................................................................................................... ........................... ....... . ............2......................I 9J�, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....2-9.A....... ............ ............................................ ... .. ... ............ ProposedUse ....... .................................................................................................................................................... ......... ... ZoningDistrict ........................................................................Fire District ............................................................................... A, e- 00 Name of Owner . ...........C,..................0.,3................................Address ................................ jl ..................................... S7 Re( Name of Builder AleR.��..... ...... ........Address ........................ . .................. ................... Nameof Architect ...................................................................Address ................................................................ .................... Numberof Rooms ...................................................................Foundation ............................................................................... Exterior .......... .................... ....................................................Roofing .................................................................................... Floors ......................................................................................Interior ..................................................................................... Heating ..................................................................................Plumbing .................................................. Fireplace ..................................................................................Approximate Cost ... .................................................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area .......................................... Diagram of Lot and Building with Dimensions Fee .................... .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH bt z- /c/ A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... .... ..... ............../................. . . ............... .............. -------------------------- . . R0SENE]I, DR. \/ICT0Il No Permit for �.D ANAQn'.....TY}.. i ..F.AMi1I^Y...nnmErI, i Location .3.9S....St ]�..B�II.. oad � i ..�----{��P±����j`ll��_.__________ ^ 1 �Jvvnar —..D�:.. ..]��p.e a er----. Type of Construction FXaMe---------.. \ - . ----.----------------~----- ! ~ . Plot �� /----_---- ----------.. ' | Permit Gnonh*6 ....Jq�n3�}/...Ox---,lg 81 Date of Inspection ------------lA . � ��~� , Dote Completed --.~.=���./�-----l9 PERMIT REFUSED ----.-----------.�----. l� �.. ' ` ^ � ^ . -------~.—.----,-----------. . . ' . -------.--.----..-----------. �— ~^'---^—'-~' '—^'--'—~'—~,^—'_'r—'—'' ' ' . ----.----.—....-.....,.--,.—~~...... . . . '—' ........................................ lA ' . . ' ------:'--------.—.—~..—...--` . . . / i .......... `------.----------~...—, . ' . � . Assessor's map and lot number / ' gyp%TH E T� 1 Sewage Permit number ........................................................ Z 339HBSTADLE, i House number Sop ,"6& 0� ................................................... �0 �F0 MAY Or TOWN OF BARNSTABLE BUILDING INSPECTOR r . APPLICATION FOR PERMIT TO ..KC-A)ry"` A' `'C 1,)t o" e" 7... .......................................... ...................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... '�Gt 1 3 c...... 1........ .:.................. . 19. ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Z V-, y> YV c,v ,� *r e/ .. 'f �'f`� ( Nz 1c , �,'✓/C ................................................. ......... � '...........�.......................................................... ............................ ... f Proposed Use .' t� . �t ` .... . ............................................................................................................................................................................ ZoningDistrict ........................................................................Fire District ............................................................................... Name of Owner t�}:.... '..' ' .....! "�'. ."`.. .`"...............Address ..1'?�...? :i�.:`:.:.rlvc�. ....:'.J' ...... {..r c?.. ^...... Name of Builder `,"c' a L�1�e� eta I_ 1 ? 1�.'��lt � ........ � .r'/... �`� ..............................Address Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing ............. ...................................................................... Floors ......................................................................................Interior ............. ...................................................................... Heating ..................................................................................Plumbing ............................................ .................................... Fireplace ................................................:.................................Approximate Cost %f _� f�'.?0 r ?�:... . ....... . ......................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH (� / ci� f �/ b,..� ('• t !^ may f.�i / / ' - t � l t - •'� t � / j � !�/ �!,;, ��-- - � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .................................'� ' s rl........... ........:................ ROSENER, DR. VICTOR - 22 No Permit for ...REPAIR FIRE DA'![AGE ................. ............ ingle„Family... well.ing......... Location ..2.96....$txawb.eKrY...Hill...ROad .................Ge1lterville................................. Owner Dr. Victor Rosener .................................................................. Type of Construction Frame ............................ ................................................................................ Plot ......................... .. Lot ................................ Permit Granted ..January 8, 19 81 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ........................................ .................... 19 f ...................................... ....................................... .................../.......................................... . !: ................................... Approved ............... 19 ............................................................................... �TM�T 019986 TOWN OF BARNSTABLE Permit No. ----------—------------ _____ Building Inspector cash OCCUPANCY PERMIT Bond ----______________________ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." 17 Hadrada Lane Centerville, MA Issued to D*M.L• Truot Address lot #1 304 Strawberry Hill Road, Centerville f - Wiring Inspector Inspection date 4?1421jl �� Plumbing Inspector J�4 � Inspection date Gras Inspector , Inspection date Engineering Department f �� ,� Inspection date/ THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Building Inspector ! -;�.Pr•� .� tom!-r - L{�E. tG� �a�_ ��� - - s"�y�'�.'°`�*'� � `` F I c-••j l91_ �.t�1 L.`( 4-f_,.''3+.A./ � '�-? �`a�. �..` C �� �t� t'� ��rL.�'� t I c s..• i ti Fps IJ•$ IC y k0�A— D �Z3,76 To? VQU d, wv.41-7,0 Saes: •Ic. DIST.. IW- GA,t tc; to LeACA r i u M v�I'o Q, � fa IJ- �J + s . M4, tib wa r� ' Gt7*V.Ti t=`• T;4A7 T14Imo. R.,)4)WDA,-Ilum 5►A&.uI..3 r--C i4 t.l 'C t3t�t b>f,Jt� Gt T��h`�/� �'r'f,�"':�..►�{���trt_�:i�-t"t"r c3� `r'N�; �..�,�+�'�1" � 6 iZGf w"CU ,ds.i-tCi �tl�'VYct�=; T14VE, VC-AW t-S "C>T WASE-z:n Ca" A 1 v MA��a, ,iAr.ur�ri- XS� 7— Z�:? AsseWor's map and lot number .......�. ... . .. ... . ... . ��tl`� s��;. w1y INSTA LED H, �'O�b�r�l_If i� i �o-: 4 4 / z _ 7 a � WITH r: 11 STATE SgvageN-Permit number ........................................................... .. :ANfTA' y CODE AND TOWN _ REGULA"f of:THEro TOWN OF ,BARl S'�ABLE 1 BAHB;STAIIL&; i Gt �• ,5 E `• 11,11LDIN:G ° INSPECTOR. ti APPLICATION FOR PERMIT TO ., :! / .. ...... ..°!: ................................................................................... ; Tik OF CONSTRUCTION .... ��, . .. . . ....................... ....:....................................... 441 ......................... 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fo-r- a permit according to the following information: Location .` .6. ..... ........�. �+s�c! "`�' .... . ` .— ..... �� .......................... ProposedUse ..... : ... ............ ........................................................................................ ZoningDistrict .... ........................................................Fire District ........ r..................................................... Name of Owner ... . ... �, .~............Address ...... � .. .. .. .. .... e. ..�:...... ........... Name of Builder eti ......................��...........................................Address ........................................................................:........... Nameof Architect ..................................................................Address ...................................................................................: Numberof Rooms ..............-7.................................................Foundation . ..........:..... ............................................ Exterior ........... :..�.i.�...�...�\.f. .........................Roofing ...... . .. ..........:.........................,.............. Floors Interior Heating .....................................................Plumbing ...... .4�.................................................................. Fireplace ..................................Approximate Coat ......r '"... ............................. ............................................ Definitive Plan Approved by Planning Board --------------------------------19 7-_16 Area .....�.. . - ................ Diagram of Lot and Building with Dimensions / Da, ..... .......................... . SUBJECT TO APPROVAL OF BOARD OF HEALTH o • Return to: �f Paul Leonard 1 C a I _ _Box .Ayanntg, MA r ' Z 02601 Bank Check $800.00 Cash 12.00 Total 812.00 'A40 7" - - - - - C 3 9b C�, F,e✓rcc I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. p,vt Nameiij ................................................................. ...�M D.M.L. Trust 4 l %Nc�j�. ...............19986 Permit for ....................................o ne story single family dwelling .............................................. ................................ Location ...........3.04 ttaw.b I erry...Hill. ...Roa.d. .. ........ . ........ ...... . ...... . Centerville ............................................................................... D.M.L. Trust Owner .................................................................. Type of Construction frame .......................................... . ................................................................................ Plot ............................ Lot ....... .................... February 27 Permit Granted .........................................19 78 Date of Inspection .. . ...... .......................19 Date Completed ...I. ..............ig V /� PERMIT REFUSED ................................................................ 19 ................................................................................ ............................................................................... ............................................................................... rs ............................................................................... Approved ................................................ 19 .. ............................................................................... ................... ................................................... ....... It_ `'. - ) t F s: • Assessor's map and lot number .............. Sewage Permit number ................:.......................................... %THErO�♦ TOWN OF BARNSTABLE P 1 Z BAIMSTADLE, M639. am ,e�� =' BUILDING INSPECTOR aY a' _ APPLICATIONFOR PERMIT TO i 1>/........................................................................................................... TYPE OF CONSTRUCTION .......�. r:.'''' �'" `` -� - �` ..........'.. 19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .30 Location ......................................................................................."'.................................................................................... ProposedUse .......`.....................'................`..............*............. .......................................................................I......................... ZoningDistrict .........................r...................................Fire District .............................................................................. Nameof Owner ..Ifs!i... .... ......................................' ...Address ......�.`}........................................................................... t Nameof Builder ....................................................................Address ..................................................................................... "s iti Nameof Architect ..................................................................Address .................................................................................... Number of Rooms �'�.............................................Foundation ..J `^`..`.. �"' Exterior ......................I1........ ......! . ....................................Roofing .... ..:'`J ... ..... .................................................... /. S ! f Floors Interior ....' .. ...............:..........:......................................................... .......... ....................................................................... .:A ` Heating '' ..............:..............................................Plumbing ............ ........:..........................................,................ t y ......Approximate Cost Fireplace .....:..:........ ................................................. ................................ Definitive Plan Approved by Planning Board ________________________________19__-_L'% Area ...................... ".............,.. Diagram of Lot and Building with Dimensions Fee .. ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH Return to: Paul Laonard _ Box 1232, I.1yat1iiis, 02601 Bank Check $800.00 Cash 12.00 Total 812..00 r lot I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r � Name ...... � .�...... ..... .. ..`...:..................................I D.M.L. Trust A=247-222 a , 19986 one story No ................. Permit for .................................... t single family dwelling Location2q(:".: Strawberry Hill Road ' Centerville ............................................................................... D.M.L. Trust Owner .................................................................. Type of Construction ., frame ..... Plot ............................ Lot `..................... Fe�ruary 27 78 Permit Granted ........ ...............................19 Date of Inspection ....................................19 t Date Completed .. :..................................19 i PERMIT REFUSED � t .... ............ 19 P } ....... ................ . ............................... .� ...... . .... r........................ Approved ................................................ 19 ...............................................................................