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HomeMy WebLinkAbout0041 HAWTHORNE AVENUE i i • � � Town of Barnstable Building Post This Card So That it isU�sibleFrom_the 5treetA roved Plans Must;be'Retamed onfJob andthis'CardMust be.Ke t ; . Ar U gPoste ntil PermitF al In ect on Has Been Made f PP .- p as> e � eon+ Where a Certificate of Occupancy;is Required;such Bu�ldmg shall Not beOccupied until a Final Inspection has been made Permit NO: B-18-953 Applicant Name: PAUL J. CAZEAULT&SONS, INC. Approvals Date Issued: 04/02/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/02/2018 Foundation: Location: 41 HAWTHORNE AVENUE, HYANNIS Map/Lot 286-002 Zoning District: RF-1 Sheathing: Owner on Record: MCPHERSON SUSAN S TR F act " Contractor Name `PAUL J. CAZEAULT&SONS, INC. Framing: '1 Address: 41 HAWTHORNE AVENUE : "' Con`tractorLicense 103714 2 31 HYANNIS PORT, MA 02647 EstProJect Cost: $22,100.00 Chimney: Description: RE-ROOF STRIPPING OLD SHINGLES=YARMOUTH � >> �Permit�Fee: $112.71 A , Insulation: Project Review Req: w Fee Paid $ 112.71 Date �n� 4/2/2018 Final: � x 41 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: r This permit shall be deemed abandoned and invalid unless the work aiithoraeVby this permit is commenced within six months after`:issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents.for which this permit has been granted. All construction,alterations and changes of use of any building and structures'shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publ tr inspection for the entire duration of the work until the completion of the same. $ Electrical Ex ., Z The Certificate of Occupancy will not be issued until all applicable signatures by the Buillding�and�Fire Officials are;pro ded on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:;- 1.Foundation or Footing h.w x• Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wirin g&Plumbing Inspections to be completed prior to Frame Inspection p Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT y In� v of Town of Barnstable �`V`*Permit# �S 3 Building Department >~ee 6 mouths from issue date „,MS,OM Brian Florence,CB ((�� /fa 1t'AM 9. A� Building Commission �plmscs Ep Mp:1 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us APR 0 2 2018 Office: 508-862-4038 r®'A'� �� �I,D n'C�fl D�C8-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY C Map/parcel Number `�O�_ Not Valid without Red X-Press Imprint L� / Property Address T �AW �D ��/ Xu e ❑Residential Value of Work$ /U D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �y�d� /M Cy P S�� y/ /'✓/�w XW e R A�-15 ��(i�/J-Cif7 �G/ � -5�cS iS4 / 7 Contractor's NameTelephone Numbe' �l/`7�0�'� �� 7 Home Improvement Contractor License#(if applicable) 40 3 Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name L, M /y 5, C -P Workman's Comp.Policy# UY C.5"3 1-3 8 6K<�, '7 O a Z 7 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) F,/p Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to��� y'+ ", ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (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. _;exSIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\9NNOKXYW\RESIDENTIIANLYEXPRESS_doc 09/26/17 ( gzr= nswiaer���l� and- Bvsirj6ss Re�t,latzon 10 Park Plaza - - urtc i 5170 Boston, Mass aclaus etts 02116 Horne Inzpr ovenlent Contractor Registration Registration: 103714 Type: Supplement Card PAUL J. CAZEAULT & SONS, INC. Expiration: 7/9/2018 RUSSELI_ CAZEAULT 1031 MAIN ST OSTERVILLE, IVIA 02658 Update Address and return caz•d.Marl;,reason for cha,ge. scA r Ce 201"1-0st1! ❑ Address ❑ Rencival ❑ Einploynient. Ej Lost Card /t itice of ConsumerAff2irs&Business Regulation i icense or registry Pion valid r"or individual use Drily ti =« JgMMOME WPROVERJENT CONTRACTOR before the expiration date, If found return to: 1037i Type: Office of Consumer Affairs and Business Regulation ;i•_� _t Re istration. q Expirati6n: :7[gi2bj8, Supplement Card 10 Park Plaza-Suite 5170 PAUL J,CAZEAULT&SONS,INC, Boston,R1A 02116 RUSSELL CAZEAULT j 1031 MAIN ST _ - OSTERVILLE,MA 02658 J� ��✓ tiL� 7Jn'dersecretarp / Not valid withoutcsi�nature PJlassachuserts ,Department o Pr!ialic Saiery 3 Sward oT Building Regulations and Sta;idards I Cunstrurti�>u Superri.eor =�- __""` 1 License: CS-108157 RTI`SSRLL Czax:_:_ � i r _ ; 2071 IYIAIN STR � EET _== Brewster MA 0201 = ;I lyi • ✓ wyi�f Fxplrat!cn Co;nm,ss,o;;er 1112312016 ' f • II i. .a AC—DO — 1. OFF" r a'i �) r r�.T� DATE(MMIDD/YYYY) 1 — 08/10/2017 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 CONTACT NAME: Linda Sullivan DOWLING & O'NEIL INSURANCE AGENCY AHONN Ett: (508)775-1620 FAX No: aD)DRESS: Isuilivan@doins.com 973 IYANNOUGH RD INSURER(S)AFFORDING COVERAGE NAIC,, HYANNIS MA 02601 INSURER A: LM INS CORP 33600 INSURED INSURER B: PAUL J CAZEAULT& SONS INC INSURER C: INSURER D: 1031 MAIN ST INSURER E: OSTERVILLE MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: 181752 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDLISUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE NSD I WVD I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ __ MED EXP(Any one person) $ NIA PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE JECPOLICY PRO LOC RPRODUCTS-COMP/OPAGG $ OTHER: I I 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A - AGGREGATE Is DED RETENTION$ $ \\//WORKERS COMPENSATION X PERSTATUTE EORH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? I N/Al N/A NIA WC531S386670027 08/10/2017 08/10/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 . N/A _T DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Paul Cazeault ACCORDANCE WITH THE POLICY PROVISIONS. 1031 Main Street AUTHORIZED REPRESENTATIVE Osterville MA 02655 Daniel M.CroGv ey,CPCU,Vice President—Residual Market—WCRIBNIA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD f.:h,ls?,'ILu �:► I .a I.9r�'i�I.�' J ;,�, i i,�;; lln�1 �f' LI r> s t 1. - -J 1✓._s.L ;�b�G. G�'`+t'i :U�✓ u"� �_,a.�',;,(.u.G�l:i I 600 1 j"ra7shhT,17gtori Street �ost�li TWA ��I�ilf Workers' Compensation insurance Affidavit- Build ers/Contr aetorrs/Eleet>rierans/Plumbers Applicant information Please Pr Piet Le-Ably 1Valne (BL1SIrieSSIO1'balllZatlo27/Indlvldllll): ,3� Address: s City/State/Zip: ; % '_ .. , r - . = Phone Are you an enrployer`Z Cheep tlie,appr<opriate Lox: Il y-pe QFa project(Ti e��taru'edya; 1.�]`I am a employer with '''� 4. ❑ I am a general contractor and I I F employees (Rill and/orhave hired the sub-contractors 6. New constriction part-time).�` ❑ 2.❑ I am a sole proprietor or listed on the attached sheet. 7. ❑ Remodeling partner- shipand have no employees These sub-contractors have � 8. ❑ Demolition working for me in any capacity. ' employees and have workers 9. ❑ Buildin-addition [No workers' comp. insurance conap. insurance.{- I 5. We are a corporation and its 10.❑ Electrical repairs or additions required.] ❑ T 3.❑ I am a homeowner doing all work officers have exercised their -1 LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 Roof repairs insurance required.] .I c. 152, 51(4), and we have no employees. [No workers' 13.❑.CSther jig- - j_120 ;,JZ_ comp. insurance required.] :"Any applicant that checks box 41 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. kContractors 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 can employer that is providing workers'compensation insurance foil my employees. below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: '�/ �'.rj ? j j cj 6 jJ U Z, -7 Expiration Date: L_, 1' 2 Job Site Address: w 14 W ik -02�-/e— AZT City/State/Zip: S� o " 7 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 imprisoninent, as well as civil penalties in the form of a STOP WORD 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 under the pains and penalties of-perjury that the information provided above is true and correct. Signature: y !' �) �L ` �'` r �% Date' Phone#: Official use only. Do not rprite in this area, to be completed by city or torvil 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#: i Property Owner Must Complete & Sign This Form If Using a Roofer 1 Builder. i as Owner Agent/ I (Annt) _ s of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job f Signature of Owner Mailing Address of Owner Telephone # 6 8 7 2 5- l 3 6S Date Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 , office@cazeault.com