HomeMy WebLinkAbout0071 SEABROOK ROAD J
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Town of Barnstable Building
a Post This Card So That it is Visible From the Street.-Approved Plans Must be:Retained on Job and'this Card Must be Kept.
.Axv�reece. • Permit
"� Posted Until Final Inspection Has'Been Made . . �
sera , _ rm
pa y mired;such Building shall Not be Occupied until aTinal Inspection has been made., a jlll
� Where a Certificate of Occu anc is Requ � ,
Permit No. B-19-4198 Applicant Name: BELCAPE CONSTRUCTION LLC Approvals
Date Issued: 12/19/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/19/2020 Foundation:
Location: 71 SEABROOK ROAD,HYANNIS Map/Lot: 307-015 Zoning District: RB Sheathing:
Owner on Record: BERGIN, PATRICK&WENDY Contctor'Name.` ANATOLI SIVITSKI Framing: 1
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4
Address: 175 BYAM ROAD Contractor°License: CSSL-106040 2
NEW BOSTON, NH 03070 i i Est. Project Cost: $9,100.00 Chimney:
Description: siding and replace 6 windows S&J exco dennis Permit Fee: $46.41
�. Insulation:
Fee Paid:! $46.41
Project Review Req: Final:
Date: 12/19/2019
�— Plumbing/Gas
a Rough Plumbing:
44
"Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authonzed`by this permit is commenced within'six months after`issuance.
All work authorized by this permit shall conform to the approved a pplication'abd,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.
This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. y
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: "
1.Foundation or Footing Rough:
2.Sheathing Inspection . -T-
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
S
Application number t L1�.
'�► pING ®EPT' Fee..... ...............Y�.....Y(. ..................
Building Inspectors Initials......... ...........................
r
STABLE Date Issued............1111.*11n.............................
TOWN OF BARN �S
Map/Parcel......... .. .....�0.1 ......................
TOWN OF BARNSTABLE -
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: 71 Seabrook In Hyannis
NUMBER STREET VILLAGE
Owner's Name: Pat Bergin Phone Number 603-930-8773
Email Address: pbrgn73@gmail.com Cell Phone Number
Project cost$ 9,100.00 Check one Residential X Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
Siding Windows(no header change)# 6 Q Insulation/Weatherization
0 Doors(no header change)# Commercial Doors require an inspector's review
0 Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to S&J Exco Dennis
CONTRACTOR'S INFORMATION
Contractor's name BelCape Construction, INC
Home Improvement Contractors Registration(if applicable)# 182457 (attach copy)
Construction Supervisor's License# 106040 (attach copy)
Email of Contractor belcapeconstruction@gmaii.com Phone number 508-685-9720
ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY/S IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER............................................................
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one:this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's 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 rocedures specific inspections and documentation required by 780
CMR and the Tow rn
Signature Date--7 7 7-
APPLICANT'S SIGNATURE
Signature Date 12/19/2019
All permit applications are subject to a building official's approval prior to issuance.
4
Any alteration:.or deviation from above specifications involving extra costs will be;executed
only,upon written orders and will become an:cxtra charge over and above the estimate.All agree
contingent upon strikes,accidents or delays beyond our control.Owner to carry I"ire,aornailo and other
Y
necessary insurance upon above work: Workmen's Compensation.and Public Liability Insurance on
above.work to be taken out by BELCAPE CONSTRUCTION,LLC. No lien or security;interest`will
be placed on the residence as a consequence of. the contract..:Owners who secure their own.
construction-related permits or.deal with unzeg-IS tered:.contractors will be excluded from access to the
guaranty.fund:
This Contract not valid unless°signed by Company Representative
Acceptance of_Estimate
The above prices, specifications and.conditions are satisfactory and are hereby accepted. BELCAPE
CONSTRUCTION,LLC.is authorized to do the work'.as specified.
Contract'total: $ 91DO
if accEptdble, anitia1 here: PS
Payment will be made as such
1st Deposit 1/3 $_3:U 13 Do.
Start day payment 1/3: $ . O 1/,6 0:
...
Upon completion. 173: $
Date //�2.2 l f
: � Signatures:.
Nate N61 work shall begin prior to the-signing 4.the contract:and tr smittal to the owner of.
a copy of such contract You, the buyer may cancel this transaction:at any time prior to midnight of
the third business day after the day of this transaction.`
/ 1 f Accepted'By Y�f Date: 11122/!4 T PAGE IS_ PART OF AND_ IN
CONFORMANCE WITH OPOSAL: 71 Seabrook In Hyannis
4
• Office of Consumer Affairs and Business Regulation
One Ashburton Place- Suite 1301.
Boston; Mass'raChusetts 02108
Home.1mprovem"G tractor Registration
Type: LL IC
Registration: 182457
BELCAPE CONSTRUCTION LLG w ration: 02/05/2020
42 WOODBURYAVE.
HYANNIA,MA U2601
Update Address and Return Card.
SCA i 0 20WOW17
.1/� t�onUri�vert�ull�o�'.�Zi7ac�LLi
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for Individual;use only
M.T RE•LLC before the expiration date. B found return to:
Req�strior�i Expiration Office of Consumer Affairs and Business Regulation.
� 02/05/2020 10 Park Plaza'-Suite'5170
BELCAPE CONS f¢TIfO =- Boston,MA-02116
ARLOU DZIANIS ..` I
42 WOODBURYAVE'-;*,;{*,.�-�� '
HYANNIA,MA-02601 undersecretary ot.valid. ithout signature.
A,
`Commonwealth of massachusetts
-r 'Division of Professional Licensure
�r Board of Building:�2egulations and Standards
,, Constructio, 4 r Specialty
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C:SSL.-106040. W a. fires: 5i� 4 0 0.
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{ T 27 MILL:Pt)NMR®x
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WEST YARMOI��HA' ti2673 " .
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tornrnissi6ner t
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The Commonwealth of Massachusetts
Department of Industrial Accidents
• `� Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): BelCape Construction
Address: 42 Woodbury ave
City/State/Zip: Hyannis, MA 02601 Phone#: 508-685-9720
Are you an employer?Check the appropriate box: Type of project(required):
1. ✓ I am a employer with 3 4. I am a general contractor and I
employees(full 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 �'• 9. Building addition
[No workers' comp.insurance comp.insurance.: 10. Electrical repairs or additions
required.] 5. We are a corporation and its eP
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 Roofing
employees.[No workers' 13. Other 9
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 policy and job site
information.
Insurance Company Name: AmGuard
Policy#or Self-ins.Lic.#: R2WC085768 Expiration Date: 02/12/2020
Job Site Address: 71 Seabrook rd City/State/Zip: Hyannis, MA 02601
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 under the pains and penalties of perjury that the information provided above is true and correct.
Sianature: Date: 12/18/2019
Phone#: 508-685-9720
Official use only. Do not write in this area,to be completed by city or town of xiaL
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#:
4 .
- . . ..
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'`Ace CERTIFICATE OF LIABILITY INSURANCE °�o2n""pis
.
THIS CERTIFICATE IS ISSUED AS A MATTER OE INFORMATION:ONLY AND CONFERS NO RIGHTS UPON'-THE CERTIFICATE HOLDEk%7'I lS
CERTIFICATE DOFF NOT AFFIRMATIVELY"OR,NEGATIVELY ARAEND, EXTEND OR ALTM THE COVERAGE.AFFORDEO BY THE:POLICIES"
BELOW. .THIS CERTIFICATE OF"INSURANCE ODES NO7 CONSTITUTE A'.CONTRACT BETWEEN THE ISSIJiNG tNSC1RER(Sj; AUTHORIZED
REPRESENTATIVE OR PRODUCiBt,AND THE CERTIFICATE HOLDER -.
11
iMPORTANT: M the certificate holder WI an ADDITIONAL INSURED-the Pa.r.. tes)must have ADDFitONAL INSURED provisions orate endorsed'
If:SUBROGATION IS WAIVED,subject to'tlie terms and conditions'of the policy,certain poNcies may,requhe.an'endorsement, merit on
this certiflcabe does notcorifer rights to:tl*cerdficate bolder in lieu'of such endorseme s). .'
PrtonucER = Victoria StrarepOva '
ALD InsuranceAgency Inc
PH S17 787-.877 Fpx 617-787-7876 ,
.....
•60A Brighton Avenue. . T
Allston;MA 02134 a°'Aa"
. AFfORDiPiGCOVERAGE ;' Nacr :f
aasurasip:.ATIANTIC CASUALTY INSC',O d2846
INsuR® Belcape Construction Inc misve. AMGUARD INSIIRANCE•COMPANY 42390
42 Woodbury.Ave m>sur�Rc.
Hyannis,MA 02801. . .: " '.
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'tgsuri e' :.
, lNSU F: ` _
COVERAGES " CERTIFICATE NUMBER: REVISION.NUMBER..
THIS IS TO CERTIFY THAT THE POLICIES OF NSURANCE LISTED BELOW HAVE BEEN DIED TO THE INSURED.LL,1:�I,r.,:�.r-:1:...'',-L�.:-,r%,.L1,':-�..�'��,%rrrIL IrL��.��..'...-:.-.�,L:I:-.,
NAMt�;ABOVE FQR THE M, .PERIOD
INDICATtb. NOTWITHSTANDING ANY,REQUIREMENT,'TERM"OR CONDiI ION OF•ANY CONTRACT.OR`OTHlai.000UMENt WIT((RESPECT TO WHICH THiS
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