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Home My WebLink About0043 CAP'N CARLETON'S RD 93 C� ��,� y.y > Town of Barnstable *Permit# � Expires 6 iths issue date °� Regulatory Services Fee X�� natvsTa� . mI " Thomas F.Geiler,Director y Mass. g. 63 ��`008 Building Division Tom Perry,CBO, Building Commissioner T0:�',\I,�Rf 0 . 6'A:RNISTABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508:862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION -. RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I.°�JiA%)-o / p�-n / /� /� / Property Address; i 1 lj�l 1!" /�r� lO(brl`L-1 ) Jr kc/ Residential f Value of Work ` d `tea• `— Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address --�U�'l��l Lgnc�`P . .R Imo",1. rl m Contractor's Name �L� Telephone Number _ 049 "q Home Improvement Contractor License#(if applicable) ?55 3 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor- ❑ I am the Homeowner [ I have Worker's Compensation Insurancey�QJ/� Insurance/Company Name t vl1 r ` Workman's Comp.Policy# 69 IW Z( wz Copy of Insurance Compliarice Certificate must 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 of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:build ingpermits/express Revised 123107 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ' Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl �fudldum Name (Business/Organization/individual): //�� (�,, G(•{• Address: V �0 f IIY1 T subL3, ( -P& City/State/Zip 4 A Q&S Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 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 working for me in any capacity. employees and have workers' 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 I I.❑ 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.LP Other window comp.insurance required.] re- rwTf *Any applicant that checks box k I 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. 1Contractors 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: w W . Policy#or Self-ins.Lic.#: [O�(o -Ap `�Z Expiration Date: 0(Q 12,2 /0 Job Site Address: OWN ( 'GGY I S 9d City/State/Zip: Oubf, M n V 2O 36, 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 ertify under t aii s and penalties of perjury that the information provided above is true and correct. Si ature: Q Date: DPhone#: 0 q?T- 7WO 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#: A r� Town of Barnstable o Regulatory Services ,AMSTABLE, HAss, g Thomas F. Geiler,Director -Al n ;�p'0 wilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A wilder as Owner of the subject property hereby authorize SG 77— I ;Q e o e.k to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Si a e of Owner isate -J 6 /'th r Z- Print Name .s Q:FORMS:OWNERPERMISSION VO/GJ/LVVo VO-Lt1 CAd JVO%LOJVVO tirtulAIN1 LilJuxuuNt,G L�tj VV1 �:wru'1 _ •N - f 1:s+.y_h�e!_1••.5._ ,t,i_- _r!+'..y�i._ .•1' •• i •..:,..g '�LJP�..�f �"ra�y.}T'i;9 .F o I:tj'yf^.!.v,,,_;;.:�,..,.,r; ..�'.`'�•".;-.y.:::,::'�!:w.k�_'_ DATE TE(MKMOY ) 8/25/2008 jC -ilf kRx l:: :r': '1 2'��••F4 nI—_J...�:_�:_ 1:1?f_"4.1. A. .11_I.UI-'_�'.P 1'..f•. L_]'=11 J_ PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02665 _COMPANIES AFFORDING COVERAGE °DNAANY SAFETY INSURANCE INSURED COMPANY SCOTT PEACOCK BUILDING 81 REMODELING g AIG AMERICAN HOME ASSURANCE CO. PO BOX 171 OSTERVILLE, MA 02655 co MPANr C COMPANY D r '`Iill:: - - —ti, -x 1-. .•nv.,r-.- ,..a. �v'.. - Ii�"•• - .r:l. II 'r ':vl. �u r. 114, .rr.�l+: u,71 rti ;p� :n"'.�::::•:n,�i�l,..r...::f -,... - -]C`. � �u;� r. ::7�. �_..7. �!%s'; -1,:L �s_Aa, .1. •'Jr.:.-_.�� .f v,._:.�• ..�",:.��;r., .h• .44,,:�.-5J:r�: �.r.•,7„1 ,.r'h.: cF,._ :, ...•,. ...�.:9ii.F:� �•C'_e`:==':" ._I._-1.'1_..,.._:kirF!,:•W_:.1...,:� _ ...n..�:sy,I,u;.r.A:,�,:�;,'�:a�:':;,bl...,l.n::.l...._.1y�.,....._.,1 h.,..�:Y:•,M...,.:c'_. _. •.... THIS 15 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 B Y 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. 1 _ ... co TYPE OF INSURANCE POLICY NUMBER I EFFECTIVE POLICY EXPIRATION' UMITS LTR DATE(MMIDDIM DATE(MMIDOIW) GENERAL LIABILITY GENERAL AOGREGATE S 2,000,000 A i X COMMERCIAL GENERAL LIABILITY I CPUOUO1152 07/05/08 07/05/09 'PRODUCTS-COMPIOP A00 S CLAIMS MADE "OCCUR PERSONAL B ADV INJURY --- OWNER'S&CONYRACTOR'S PROT EACH OCCURRENCE 16 1,000,000 .. _._�._. .. FIREDAMAGE (Attyonelhe) I S MED EXP (Arty one person) 16 AUTOMOBILE LIABILITY I ANY AUTO COMBINED SINGLE LIMIT is ALL OWNED AUTOS BODILY INJURY S SCHEOULEO AUTOS (Per person) 1 HIRED AUTOS I BODILY INJURY i S NON-OWNED AUTOS (Perecdom) _._._.E.._ .. _ --- I PROPERTY DAMAGE GARAGE LIABIUTV AUTO ONLY-EA ACCIDENT f ANY AUTO I OTHER THAN AUTO ONLY. EACH ACCIDENT S i 1 AGGREGATE S EXCESSUABILITY I EACH OCCURRENCE _ ! 6 UMBRELLA FORM ! AGGREGATE I S OTHER THAN UMBRELLA FORM 16 FB1 WORKERS COMPENSATION ANO I rYORr uwne_ ea EMPLOYERS'LIABILITY WC 696-7&62 06/22/08 O6/22J09 1 EL EACH ACCIDENT —. 6 - 1 QQIQQQ THE PROPMETIMXE0 INCL EL DISEASE-POLICY LIMIT S 500.000 I an11TNt!ASIEXECIlTIItE � _..._... OFFICERBAM: i EXCL' EL DISEASE EA EMPLOYEE I S 100,000 OTHER I DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS COVER PROPERTIES AT:MARCEL R.POYANT 269.274,282 BARNSTABLE RD.HYANNIS,MA 02601;1620-72 FALMOUTH RD.CENTERVILLE,MA 02 PLAZ TWENTY-EIGHT NOMINEE TRUST, 181-196 FALMOUTH RD.HYANNIS,MA 02601.CENTERVILLE SHOPPING CENTER I NOMINEE TRUST, 1676.1698 FALMOUTH RD.CENTERVILLE,MA 02632:20-30 OPECHEE RD.CENTERVILLE,MA 02632 �. ..7{� .}TOLD. -,1.� .-r,.1-lu'r r- F��:=�� 1._'l:�1..•4� .•:M1:^I:S_{.1 l•x.ill:+ p �y�_.,uti.i,. ,;., _ :'l�__G.!i:i;.::=?'-:_;:'`- -:�i�.........�....-'.�P.:r+'s.Y-�cl:�..l,-_,';le..�•Sta..__=�'t,_.�!I'rJ!!..9,,:Y'::::'S•:�.-.. .. 1 I i � 1,3:, _ _ r ,,tr.'_'._•a -�.,_ry,ly.f...:c._:-.. ..�:r.:.,5:=::�:. ,.,.�. _�S:a.,,:C....i::1..._:`..-:'IN�:._i...�!iiiS .....:..,�.-:�._.. .__.._._.�E-_-.._:.C__:�__..,•...._.:..:_r.: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATTN.: SALLY 1 DAYS WRITMN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, T TOWN OF BARNSTABLE ANY FAILURE D UPON TM NOTICE ECOMPAN , ITS�AGENTS 3E NO OBLIGATION A F H REPRESENTATTIM, FAX#: 508-790-6230 AUTHDPWpp REPRESENTATIV , , 5"noote .46" .C�&:Iht,:• :f. .1,� �1•�'�'7''!1:.1.��'7 'r'.11 �,^!1?�'S"i. MF ,1" p r1[��j�.?I.r.�'��ti;:qr"='��,, "' e .'frQ. '.: .. :11.,:':.n•.:,:•:.:._,_w�;r. .•: ..;:�.,_=.:«L;;,:,'•.YG,.,::�-:•I-�;•�._�!�i��'.r.,:.�:1 Iy.lji'.,�',;�;�`i".�-��! ''.��•'�;•�.(ll!rl:l� t;oR'1::!R[r7►�RD;�Of�p�,� 1� 7/,e �� ✓� l Board of Building Regulations and Standards " __- — License or registration valid for individul use only _ - HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:••. 151853 Board of Building Regulations and Standards Expiration: `7jq�2010 Trll 271501 One Ashburton Place Rm 1301 Private Corporation Boston,Ma.02108 SCOTT PEACOCK•BUI;LDING-&REMODELING INC p DAMES PEACOCK 1046 MAIN STREET — i ------ OSTERVILLE,MA 02655 Administrator Not valid without signature ::� License: CONSTRUCTION SUPERVISOR F Numberr CS 094500 ;.5 Birthdate:`07/22/1962 Expires: 07/22/2010 Tr.no: 94500 Restricted: 00 JAMES S PEACOCK PO: X 171 4 OSTEVILLE, MA 02632. Commissioner TOWN OF BARNSTABLE Permit No. _ 24129 Building Inspector Cash Sim Bond- Bond• X_ OCCUPANCY' PERMIT --- Issued to James A. Lvnch Address Lot #40, 43 Capt. Carleton 'Road. Cotuit Wiring Inspector ��` ///- �P /'L._. Inspection date Plumbing Inspector��j� l �(�? 7 Inspection date Gas Inspector U v 1 Inspection date p I� c i�<�� Pe �O;Engineering De artment �'/� './� ! /�f+,,! Ins ction date Board of Health / ,/jp J., 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. r Building/Inspector cat_-Y t'.►Q T-;�a,-rA, t to K 3 • 3Slo !.-P-M �Q �EP1�1 C T;�a.i 1G L 330 I=i O %. • 4q 5 G.P.D. L� USA• lOtaO 4GA.L.. L715PC Ai. PIT USE I OUP Get.,. 98\S 40 e(XWALL AZT. 103 I�jo SF ,c Z.S • 3�S G.P.V. � � ••� 8aT'iV�VI AtZEA• �.� 5t=. M 91,L jo S1~. It % V. Q' TdrA L p e6l6w s 426 TOT& 1=La w * 330 E�'� °'1 �• 'i �. _ � nl • DC-rfl.GOl.dT1011 �ZQTc : l��lt,! ?A�tI1J�OR L1rSS��B�� tfJ Zc 9 �- U J Q I� •Vt RICHARO' �', nI P r }. .t s ^•►�N qV Zs • $ t�8 .� ,�.; 1�w loc PQo N A� r_ yp Su�v Tic-sT P-1 od• Tor 1'wo coo.o '•; Lo.4�v st Pine logo tuv �:� soe serL Q'wb �K IW GAL. ,.. Z ->na>< qL.L Sc-Qnc t o -� t►M f Ta�lK . 1Gao qG•o. ��,,� tw 't. ' AL. QG•t 4G�ii- :• LsAaA Per SSW, E� $% AT SL'?TlG :i M eD. •1�a/st��Z 1�.X g /O' � SA��' WAV49 a N�ASut7b"'C.. 20 t D.IC.. OL I C-SVTtFiED PLLir PtZpF-tL_E- LoCAT1otJ Co-rL)r- /L Nc, ..No �i'ATE.e CG12T1t=�{ T1-IAr T14C-- -bwt;%-L-t` t-iF:�t_a1J GcAMPt_VS W tTl� T►-i` 51 DE oT 4-0 A1.It> ScT1L;AGtC �C-4c.J1�EJtitc�1TS OF T►+� . -rowtu Or- �$Az►SSTl�t3 :I �a� Cov�T'. ��w 3d.�23 t7A'TI's. 5-'1-b2 plo 6/S.AT[tZ. <- u'([_ tuG- t:CGIS ttl,�.0 1.1�NtJ ,uCVa P t_A W t 5 LJ OT CASCn 01•4 A." IWSfCvMC:1J i �ivl-�/l_Y • TNL': UF�i�-<<i evI4GWLD ANpt_t GA�JT t �.... nt-. � ��.r.t� 1:•. 17f�'1'l'L'/1/lt►•JL LD"�' (�11.✓j`•j �-`aY�E'.S•, '��„` \'0 ' a v . Ile- Ji Q i Z-Arr�tP 'a `� ^.dry CE(ZYI�IED PL-C> PL./sh1_ L o cA T 1 o to ( e7 U r-r- pLAtil Rt.>+i=��cE � CGRT14=�( TI-lAT' TI-�i✓. �OV��O�JSN�� t--l�Ec��_l GQrV�PI_�(S W ITN 'r1-1� SIL�E.I.I►-_1t= � �b A1:lD SLYt3ACtG G'C-QUIt2EN�c�TS t7t= T►-1 i -Tov./Q otr phi T f P�t..l� A�.IU l5 �p l: j �oV2T' PLA Q 3 � LvGAT�� WtTt-lt � voD Fi,.4tt.1 �.1�(t== t�-tG. .• : . tzc- t�t�eD 1 At..tt� SU�v``fot�� vN nE� os•rccz.v'+�t� o tixAss> I Tt-1 15 n L.A 1-1 t S �-!oT Bn.S E•t7 � L I l tt�l�'fT�eJ.ent OJT SUZV►_�( �; APPU ,..-rir- I .c,-d 't*C-i --- "Assessor's{map and lot Jnumber � `� �` d�t" �'A � _�cd`8r1 THE .................rk' Sewa a Permit number ... ..... SEPTIC SYSTEM INSTALLED /� Aw ' So®11lI PLI to B'$H9TADLE, i House number ....f} IQ ... /I q rana ..................................... WIT,._........ .a^I TITLE 5 �0o,'6}q• J Eld V lRAN,YIENTOI ��®E "EO MAIL a TOWN OF :BARNS'')t'fIL ' TIONS ` BUILDI-NG ' INSPECTOR APPLICATION FOR PERMIT_ TO :,� . ..... 4 ................ ... ....... ` TYPEOF CONSTRUCTION ... .... ........ .....................................................................:............................ .19.. r 1 , TO THE INSPECTOR OF BUILDINGS: t The undersigned hereby applies for a permit according to the following information: Location .............................................� .........�- );U�... ProposedUse .. ............ .......... .......... ..... ..........:................................................................................................................ ZoningDistrict ..vv.. .............................................................Fire District ....4=:..C................................................................. Name of Owner . . ..... .............. .iC,&A..iC,&A�..................... "Gf/� 6/L Name of Builde .....................Address G. ?aff�............................ �- . .......... .. . .�. J Nameof Architect ../.......... ................................................Address .................................................................................... Number of Rooms .... ..........................................................Foundation .. ................................................................... Exterior ..... ..... . ...... ....................Nc.. .......Roofing 01 Floors ....... .............................................................Interior ........................................................................ Heating..: .... .. ....... .....................................'.............................Plumbing .....� ........ ... . Fireplace .4`.... .........Approximate Cost ....f-j.. .....�I... Definitive Plan Approved by Planning Board -------------_---_----- Area //�O 19 ----. ................... Diagram of Lot and Building with Dimensions Fee ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTHQ/v,� . V'. S 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 . ... :........ ........................ LYNCH-,.._JAMES A. ` 0 24129 Permit for ,, One Story 1 ................. ............ f Single Family Dwelling .................................^.. ..ll................. La�ps Location: Lot #40 43,- . Carleton Rd. ................................................................ Cotuit ...................:........................................................... Owner ..... ........................ Type of Construction .Frame . y ........................................................................... Plot ............................ Lot ................................ Permit Granted ..,.. June 11., 82 .........................19 2� -2 Date of specti n7:..................................19 Date Completed .................. _ E 3LI 8��3 . I i I Assessors ma and lot;-number ............................... " ` p r .. .......... F THE T Sewage Permit number ..: .::.................. BASHST4DLE, i House number ....� �.......................... vo rABq o 0e e� WR 'TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..'.` .............................................. ..' .... .. ..... TYPE OF CONSTRUCTION ... ......... ...................................19..... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ......... ............................................ ................ `. .....:'....................................................... ........: ............ � a Proposed Use ` ° .` t ...........`... .i. ........................... .......................................................................................................................... e d,. Zoning District _ _� c Fire District ...::......................................................................... Name of Owner �'..:::. �. ....................Address ° r ......... ...... . .... ............... ......... .. ............. Name of Builder" . ......... s, .. ........................Address ........ ` v . Name of Architect �� - ....Address ,a Number of Rooms `" ............................................................Foundation ....:.....:::............. .... .............................................. Exlerior ....: ....�:... :....::. °.:............Roofing ......:.. ......... ......... ....... ..................................... Floors `. `........................................Interior ...:.:........................... Heating ...................... ...........................................................Plumbing .............. ................................................................... Fireplace ....`L� � .. p ...............................................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 p c; 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 ..... .. .. . ..................... ....................................... -LYNCH-,--:-J-4MES A. A=38-60 24129 One Story No ................. Permit for .................................... Single Family Dwelling ...........!................................................................... X Lot #40 43 Captain Carleton Rd. Location ................................................................ Cotuit ............................................................................... Owner ames� -v wne A-i�L-Mch James Y................................. Type of Construction ..................Frame........................ .................................................... ............................ Plot .............................. Lot ................................ Permit Granted ....J.MTPP...11c...............19 82 Date of Inspection ............... ....................19 Date Completed ......................................19