HomeMy WebLinkAbout0018 PILGRIM LANE Lrt,n P.
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Town of Barnstable Building
s � t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
BARN�^ LK
Posted Until,Final Inspection Ha"s Been Made. Permit
tb;9 1 11 Y
,t Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-2329 Applicant Name: Mark Mordini Approvals
Date Issued: 07/18/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/18/2020 Foundation:
Location: 18 PILGRIM LANE, HYANNIS Map/Lot 310-107 Zoning District: RB Sheathing:
Owner on Record: KELLOGG, PATRICK L Contractor Name:' ,.MARK E MORDINI Framing: 1
Address: 622A MAIN STREET Contra ctor,Licens.-e: CS=O57645
2
OSTERVILLE, MA 02655 Est. Project Cost: $ 28,928.00 Chimney:
Description: strip roof shingles and re-roof per GAF specs(13 square), install Permit Fee: $ 147.53
attic insulation, install 13 replacement windows-same size and Insulation:
Fee Paid: $ 147.53
location as existing-no structural changes Final:
Date: 7/18/2019
Project Review Req: j -
t Plumbing/Gas
i Rough 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'after issuance.
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.
' Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open foripublic inspection for the entire duration of the
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Service:
Minimum of Five Call Inspections Required for All Construction Work:i �f
1.Foundation or Footing Rough:
2.Sheathing Inspection g
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
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 fund11 M(as set forth in GL c.142A).
Fire Department
Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT O t�<-
Final:
S�{
Town of Barnstable Building
n
easivsrae iPtistThis.Card So That it is'Visible From the Street 'Approved Plans `Job Must be Retained on and this Card Must,be Kept
rrnsaPosted Untl.Final Inspection HasiBeen Made. ^ ��
t63p. . c
° Where a.Certificate of Occupancy;°is Required,such Building shall-Not be Occupied until aFinal Inspection has;been made
Permit No. B-19-502 Applicant Name: todd leduc Approvals
Date Issued: 02/19/2019 Current Use: Structure
Permit Type: Building-Insulation- Residential Expiration Date: 08/19/2019 Foundation:
Location: 18 PILGRIM LANE, HYANNIS _ Map/Lot: 310-107 - Zoning District: RB Sheathing:
Owner on Record: KELLOGG, PATRICK L 'Contractor Name`: ,TODD LEDUC Framing: 1
Address: 622A MAIN STREET ; Contractor License: CSSL-106019 2
OSTERVILLE, MA 02655 Est Project Cost: $4,643.00 Chimney:
Description: Insulation;See contract ( g 'Permit Fee: $85.00
= Insulation:
Project Review Req:. f Fee Paid: $85.00
Date. 2/19/2019 Final:
Plumbing/Gas
Rough Plumbing:
n Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents;forwhich 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: 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.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officia%ls are provided on this.-permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing "Ff
Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
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).
Fire Department
Building plans are to be available on site
Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
"r Town of Barnstable *Permit it
JAN 200/ Expires 6 months fro ue date
TOWN OF Regulatory Services Fee
�A���TASLE Thomas F.Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
f ! Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address I b A11prim
Residential Value of Work oc)_ Minimum fee of$25.00 for"work under$6000.00
Owner's Name&Address 01
Contractor's Nanie ( IL-J Telephone Number '1 qq Z,
Home`Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)_ h o—
❑Workman's Compensation Insurance
Chec one:
am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# /
Copy of Insurance Compliance Certificate m st be on file.
Permit Request(check box)
re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy 0 MHome Improvement Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
David Sawyer Construction
318 Meiggs Backus Road
Sandwich, MA 02563
(508)-539-1992
Proposal,Submi ed To: Work Place: Date
?Alpl ' T'/"'
Strip, Remove, and Haul Away all of roo and or4idewal"hingles.
SUPPLY&INSTALL: COLOR:
ka fir;c t, 'tz 17ctj all kav
/bAo . a4d �'Q P)Vw6od a n-c&d.
--:j:7u Wz� �a rr�- on cbF6 axd
U,-R d-1A t aPK&Vj
CLEAN&REMOVE ALL DEBRIS FROM WORK PLACE AFTER JOB IS
COMPLETED. ALL DEBRIS TO LANDFILL.
TOTAL INVESTMENT FOR MATERIAL&LABOR$ `
All material is guaranteed to.be as specified,and the above work to be perform d in ac-corfan ce'Zih the
specifications submitted for the above work and com feted in a substantial workrjanUe manner.
Payments to be made as follows ,Q-_-
Any alteration or deviation from the/work involving a costs will be re—xec-u—tedonly upon
written order,and-will become an extra charge over and above the estimate. All agreements contingent
upon strikes,accidents or delays beyond our control.Please remove and/or secure any fragile household
items. Not responsible for broken or damage household items. 10YEAR LABOR WARRANTY/PLUS
MANUFACTURES SHINGLE WARRANTY. This p pos�my �wdMthd�mwtn by us if notaccepted within 30 days. Respectfully subme ��A --�ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified.Payments will be made as
outlined above.
Date"4 Sig naturLj
I
Department of b idustrial Accidents
Office.of Investigations-
' a 600 Washington Street
y` Boston,MA 02111•
',M ,.• www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers
kpplicant Information -Please Print Legibly
IsTame (Business/organizationan&vidual):
A,ddress:
�' _ 0 - 3 p
City/State/Zip: �.(� Phone#•
►re you an employer? Check the-appropriate box:. Type of project(required):
❑ I am a employer with 4. ❑ I am a general contractor and I
�mployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
AI am a sole proprietor or partner- listed on the attached sheet t i• ❑.lR�deling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity, workers' comp. insurance: g, ❑ Building addition
[No workers' comp. insurance 5. ❑ We area corporation and its
required.] officers have exercised their 10.❑ Electrical repairs or.additious.
❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp., c. 152, §1(4),and we have no. 12-ED Roof r
insurance required.] t employees. [No workers'- �an"
comp.insurance required.] 13.❑ Other
ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information `a '
[omeowners who submit this affidavit indicating they an doing all work and then hire outside contractors must submit a new affidavit indicating such
>ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy info:mation. .
!m an employer that is providing workers compensation insurance for my employees. Below is the policy and job site
Formation.
,urance.Company Name:
licy#or Self-ins.Lic..#: Expiration Date:
b Site Address: It i-1 City/State/Zip: i
tack a copy of the workery compensation policy declaration page(showing the policy nu nib and Ezpiration date).
ilure to.secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a
.e up to$.1,500,.00 and/or one-year imprisonment; as well as civil penalties in 13ie form of a STOP WORK ORDER and a fine
up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of
restigations of the DIA for insurance coverage verification.
'o hereby ce i under th pains and penalties of perjury that the information provided above is a and correct
atiae:. I AJ
one#:.
Official use only. Do not write in this area,to be completed by city,or town gfficiar:
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#:
' ins
Information and. Instruct ins
iassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their enVloyees.
ursuant to this statute;an employee is defined as"...every person in the service of another under any contract of hire,
xpress or implied,oral or written."
,n employer is defined av"an individual,.partnerspp,:association,corporation or other legal entity, or any two or more
f the foregoing-engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the
eceiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howev..er.-*e
wner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the
welling house of another who employs persons to do maintenance, construction or repair woik•on such dwelling house
IT on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
v1GL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
•enewal 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."
Sdditionally,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
-equirements 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 certificates) 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. Shouid 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 fife out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permitlhcense number which will be used as a reference member. In 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 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 bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would 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 .
Depasfiment of Industrial.Accidents
. ' > ..Office 9f Investigations
- 600•Washington Street4 .
Boston,MA 02111.
" Tel.#617-727-4900 ext 406 or-1-877-MASSAFE
Fax#617-727-7749 .
evised 5-26-05 www,mass.gov/dia
� Y
Board of Building Regul ons and Standards
One Ashburton Place -,Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 134313
Type: DBA
Expiration: 10/24/2007
AVID SAWYER CONSTRUCTION .
A81
ID SAWYER
MEIGGS BACKUS RD.
SANDWICH, MA 02563
Update Address and return card.Mark reason for change.
(� Address RenewalFjEmployment Lost Card ,
,OM-04/05-PC8698
i'
J/ze�oorrmzonrvaall�a�'✓I�aa��uee/a
Board of Building Regulations and Standards License or registration valid for individul use only
before the expiration date. If found return to:
IMPROVEMENT CONTRACTOR P d Standards r,
HOME IMPR Regulations an
vo
Board of Building eg
Registration: 134313 One Ashburton Place Rm 1301
Expiration: 10/24/2007 Boston,Ma.02108
Type: DBA
DAVID SAWYER CONSTRUCTION
DAVID SAWYER
318 MEIGGS BACKUS RD. -SANDWICH,MA 02563 Administrator Not valid without signature
k-
F.:
As ssor's offioe Ust floor):
CF M TO
Assessor's map and lot number . ... �D-.. .... .. T E.
,iBoard ol Health (3rd floor): &4k MUST CONNECT To TOWN SEWER
Sewage � �j� ���'� -" r
Sewage Permit number .................................¢... ../..--� .... , i Hasa9?/IDLE, !
Engineering Department (3rd floor): ol— 'oo NABIL
Housenumber ....................................�. ............................ �o Yak a'
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......................�E.!y!0.17 ............................................................................
..
fti .O...l=ll.�l,�. if.......P. (9 t r C c.�,.rr
TYPE OF CONSTRUCTION ....................... ...................................................................
................� p ........-1 .....19. ?.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �� 1�/�ilo..�.1.!!�.........JN ............./fY)4n/n!/,�................................................................................
c
ProposedUse ..................� �•'�.(.�!. ..............................................................................................................................
�.. ...........................................Fire District ...............7� /V.✓/S
Zoning District .................. 19
..
Name of Owner .... .1-A/-q.-I S.v1^v!..........Address ...... .. i w�.............................................. N....2Fr... y............. ................................
Name of Builder 4�12/A.q.2�.T........ ...Address .....,1 ....... .7..AN.......
� Q?�,57/r�N �✓1.Y Sa1�vr�
Nameof Architect —~ —^..................................................................Address ....................................................................................
Number of Rooms ........AP9......1.7-0........ AeFfoundation .......FVo7'/?y4,5............(j�.vC�
................P/.✓�-..........0l & w.�.:............... ..........oa.S.�J.!?!?.�.T.6F.........................................
Exterior ... ............ .Roofing n
Floors ................ 'Lrid,O.IJ............... ..............Interior ......................................................
Heating ..................................Plumbing ..................
o�
Fireplace ........................../tiOJvE.....................................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
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .......!/t .... ..... .. .. .......
Construction Supervisor's License �ly �
i t AV I N1- W 1 L L 1 AM
31142
N .............. Permit for ... Remodel
.................................
Y Dwelling
........ ..... ...............................
18 Pilgrim Lane
Location ............. ....... ......................................
. ......................!�Y�anpi-s.............................I.........
Owner ....W.il.i.iam Savini
.. .... .. . .................................................
Type of Construction ...................Frame.......................
.................^r...........................................................
Plot ............................ Lot ................................
q�p�e.m. e.r..
....1j.19 87
Permit Gr wed ......... !
Date c�f Inspection ....................................19
Datez Completed .... .................................19
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Assessor's offioe. (1st floor): /
Assessor's map and lot number .... P�oF THE toy`
Board of gIealth (3rd floor): , I�
Sewage Permit number ..........
Engineering Department (3rd floor): IL
"639• er'
Housenumber ........................................................................ �Fa VA-1 a�
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF .BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..................... = ............................................................................
TYPE OF CONSTRUCTION GvbO� f=/Z,?i y,�;;....._.
..................................................
r
SE... ...... • --------19. �.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 8 ftY�NR//
r�!•.�.►... ........................................................-..................................................................................
Proposed Use ��
................�.w......... ti. .............................
1C� �Nis
ZoningDistrict ................9..................................................Fire District ...........�.f ........................................................
Name of Owner ...... iip-1............SA.VIA'/............Address ......h.!� �d✓�,.Al.............�1�................................
....... ...... ........
Name of Builder (J !�.C.!�, -S.T......../�YC.,....Address ...../.57....... ......:c� �S7/o�/ 4.-,4 ( _sAV
...................... .:.
Name of Architect ...................—. ......................................Address
e
Number of Rooms ........ .9.9.I,3..... F.I: ........ ............13K.UCK
E x l e r i o r ................14/.. ..........?.!z.......... q....................Roofing .......... h/1?�,7" -
Floors P.......".......1/..I?NKA4�...............Interior c F.T....(.00K ....... .{............................................
Y.
Heating ............................T-...A/.....14....................................Plumbing ............... ...............................................
o�
Fireplace ...........................I/o/vF.....................................Approximate Cost .....................�f000�...: :.
Definitive Plan Approved by Planning Board ________________________________19-------- , Area .....071........ .....................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable.regarding the above
construction.
Name ...... .. /. ..................................
.....
v
Construction Supervisor's License .......d..s'`�`��
SAVINI, WILLIAM A=310-10
t.
No ...3114 2 Permit for ...Remode
'` Sin le Famil Dwellin
r
Location ..:..1 8„Pil,g.........................................
...................Hyannis.........................................
Owner William Savini
v
Type of Construction ...Frame.........................
..........................................................:....................
Plot ............................ Lot ................................
t
Permit Granted ...... .1...............1c87
Date of Inspection ....................................19
Date Completed ......................................19
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