HomeMy WebLinkAbout0031 CHERRY TREE ROAD �� �� ��
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Assessor's office (1st floor):
Assessor's map and lot number , V °FtNET0
.................................... d�Q� �o
Board of Health (3rd floor): 1 �y
Sewage` Permit number .............. ............................. ..
�-•"""" L B9Ba4T&DLE,
Engineering Department (3rd fl or): °oo "639.
Houset, number "�a 11A.4 a`
APPLICATIONS PROCESSED 8:30-9:30 A.M!and 1:00 2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING MOUTH
APPLICATION FOR PERMIT TO ........... .. L...........�'... �uss/�f z�, y�«I •....
TYPE OF CONSTRUCTION ...........:�J... �a-r......:.......:.... ...........................................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......... d' -V�.( .
Z3............................ ........ :....................... . ................................................................................
...... ..... ....
..Proposed Use .:.
.......... r...................................................................M ......................................................
ZoningDistrict ..........r/..../....../..................................................Fire District ..............................................................................
Name of Ownerf (.{. .......................Address ..:�`........ v��e Yl
}.......... ....`. .
Nameof Builder malu..... .... .......°....!.........................Address ....................................................................................
fv
Nameof Architect ..................................................................Address .........................................................
...........................
Number of Rooms ... ........................:........ Foundation .. .�%v ®-7
r
� j
p
Exterior ...... N ......................Roofng ...... .. - . ......................................... .;Floors ('v �u ........Interior ...!....
. ....................
r eating �!L. ..............................................Plumbing ....... .../..................................................................
..............................
Fireplace ........./...Y.:... ..............................................................Approximate Cost ..................................................
Definitive Plan Approved. by Planning Board ________________________________19________ . Area 5 r).........:..................
Diagram of Lot and Building with Dimensions Feed
SUBJECT TO APPROVAL OF BOARD OF HEALTH
3
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 .�.. . ..........................
*Construction Supervisor's License .. ...........
O'BRIEN, MARILYN J. A=18-23
29327 One Story
No ..................�gprmit for ....................................
single Fainily Dwelling
.....................................................
Location .......L.o.t...#.2.3. & 16, herry Tree-,Road
. . .. . . . ............... ................
Cotuit
................................................................................
Owner .... O'Brien
............................................
Type of Construction ........F.r.ame....
............. ......
................................................................................
Plot .......................... Lot ................................
Permit Granted .......M4_v.. ..................19 86
Date of Inspection ....................................19
Date Completed ................ ..................19
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ROM! N. 6MUNGAME �
INSURANCE AGENCY FIA
y oURGENT
POST OFFICE BOX 267 -i 4527 FALMOUTH ROAD z
COTUIT, MASSACHUSETTS 02635 pGt�N c e ���
TELEPHONE: 428-8507 Reply
Q . Reply Needed
Subject:
TO: Town of Barnstable Date: 5/12/86
Building Inspector Subject: Street Permit Bond
31 .na
K , rt
- �
Cotuit, Ma. 02635 *
MESSAGE
FM FOLo
Please be advised that Edwin and Marilyn O'Brien have this date
made application for a $1000 street permit bond at the above locat6on.
Yours Truly,
?L-4�2
--Iz,or4�
Robert Burlingame
DATE SIGNED
RETURN ORIGINAL TO SENDER AND KEEP COPY OHIO ENVELOPE CO..CINN.OHIO/5219ATO.IN U.SA CAL NO.420
0 Copyright MCMLXXVI by Ohio Emelope Company.Reproduction of this form by any means is strictly Prohibited by law.Violators will be severely prosecuted.
A Legend
ONE night; in ancient times, three horsemen were 3ridi�g across a
desert. As they crossed the dry bed W a river, out of the darkness
a voice called, "Halt!"
They obeyed. The voice then told them to dismount, pick up a handful,
of pebbles, put the pebbles in their pockets and remount. The voice then ;
said, "You have done as I commanded. Tomorrow at sun-up you will be
both glad .and sorry." Mystified, the horsemen rode on. When the sun
rose, they-reached into their pockets and found that a miracle had hap-
pened. The pebbles had been transformed into diamonds, rubies, and
other precious stones. They remembered the warning. They were both
glad and,sorry—glad they had taken some, and sorry they had not taken
more., ;A,, - •,; r c W?, J,
=A-A is-:, s tie :story of Insurance
'L Copyright MCMLXXVI by Ohio Envelope Compan .lion of this form by any means is strictly prohibited by law.Violators will be severely prosecuted. OHIO ENVELOPE CO..CINN.OHIO 45219
Assessor's office'(1st floor):+ rr f� THE o
Assessor's map-and lot number .........f. v ~ �. °F t
Board of Health Ord floor): I SEPTIC SYSTEIIA MUST �E.�`°�
' Sewage Permit number .........':. .. ......� .... INSTALLED C® PLIA6 69SH9TApLE,
IN NI
Engineering'Department (3rd floor WITH TITLE 5 C.o�9�0 2639•' �00cb
House number ....... 5 .AJVIR®i�AAEI�ITAL CODE �'� �e Npr a•
APPLIOATIONS PROCESSED 8:30-:9:30 A.M, and; 1;00 2 00 P.M:,only, T W �E�I, LATICN'S
_ TOWN- OF ' BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..f.. �1!t�II�!I �l ............� ... ..!f.............. ............
TYPE OF-CONSTRUCTION ..... ...:..:a,. �...........................:............................................................
.................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applie�for a permit according to the following information:
61
+ Location !\ ................................
C ...................................................................................
Proposed Use ....� \... .�(,rl.l(?,. ...............................
r
ZoningDistrict ..... f ......... .. ........Address..........................Fire District ........ ...................................................................
r.
�^_`.�......... �� '�• ..
Name of Owner,,,�.�it'�i.�.. �/. . ..... ............. .............. ............. ..... ..... ......................................
Name of Builder J ... . ...... ..... ... ...`... ..C/ ....Address ............................................
� 1
Nameof Architect ..............................:...................................Address ....................................................................................
Number of Rooms ... ..........................................................Foundation .... ..........................................
...........
Exterior ...... ...............................Roofing ...... ...... . .. .1�.........................................................
fc ...,. .Interior ...t`:� ..Floors ... .......�—Z................................................................ ..... .......................................................
Heating ...... ................n4c%..............................................Plumbing ...... ............................................................
...
Fireplace ........ ........e4...............................................................Approximate Cost .6 ...................... ...................
Definitive Plan Approved by Planning Board ________________________________19________ . Area ..M....... ....................
Diagram of Lot and Building with Dimensions +�
g 9 Fe .�!0......�.
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Le-
OCCUPANCYPERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. r
Name . �Wl� U... ��.1� ' '`'...................
Construction Supervisor's License .6.w.w ................
W--O`BRIEN, MARILYN J.
No ..29327..... Permit for One„Story.................
`2 ........Singla...F.am-.Iy... ing......................
Location .....LQLAI.23..&...Ifi.. ... �... hAKVy..Tree Road
ticotd''t................................................
{ Owner . Marilyn.,J....O.'Brien
"* Type of Construction .FX4me...............................
........................................`........................................
Plot ............................ Lot .................................
Permit Granted ....May.`.1.2?.....................19 86
Date of Inspection .. ��P..................19
Date Completed .:! �� 19.
r. ............ .. ........
1,
v Engineering Dept.(3rd floor)M p Parcel oa3 "�`lS Permit#— a?A far _
House# 1 Date Issued �! 9 p
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) � ��_ ee 9�
Conservation Office(4th floor)(8:30-9:30/1:00-2:00)
Planning Dept.(1st floor/School Admin. Bldg.) f!J PTIORAT4"
ST BE
_ LIA�ICE
Definitive Plan Approved by Planning Board 19
Q
0 NVIRODE AND .
C_DXLn 3 TOWN OF BARNSTABL9 "'
Lod'23)
Building Permit Application
Project Street Address 3 C i
Village L
Owner P p Address -
Telephone 5V — 64 ^`
Permit Request a 5 iz R l�e r ��/�1 V
-Re aC� p ;S. L�r l� W)! Vre t I
First Floor square feet Second Floor �� square feet
Construction Type CO pl� yq V,t� g
Qo
Estimated Project Cost $ s
Zoning District Flood Plain Water Protection
Lot Size 96X(Gb 1&s /4& Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes )9No On Old King's Highway ❑Yes �NO
Basement Type: ❑Full ❑Crawl Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing _ New
No. of Bedrooms: Existing _New _
Total Room Count(not including baths): Existing New First Floor Room Count
e Heat Type and Fuel: YGas ❑Oil Electric ❑Other _?R�mwj Gess TM4 2%ccx a
Central Air kes ❑No Fireplaces: Existing New Existing wood/coal stove Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes // XNo If//yes, site plan review#
Current Use � L rr►. rL Proposed Use
Builder Information n
Name p �,d Ctfs Telephone Number �/� ��f Y
Address 12 /V License#
et Home Improvement Contractor# 9p/ Q
Worker's Compensation# _W C
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTI N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE OLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. �Z "25 Z_Z3
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGEY''
OWNER
• ,.ice
DATE OF INSPECTION: "
FOUNDATION Az G &I
a ,
FRAME
INSULATION �� Q
FIREPLACE °
ELECTRICAL: ROUGH ! FINAL
. !
PLUMBING- cRO;UGH!" 'FINAL
J
GAS: RO�JGH a s, FINAL
FINAL BUILDINGS
CIA
DATE CLOSED OUT%-i
ASSOCIATION PLAN NO
The• Conttttonlreulth of Afassachuseas -
^�; lliwi :
Department of IuflustrialAcciflcnts
F 0/Iice011=9=1ga110nS
600 11'ashitt;ton Street
Worker,.;' Compensation Insurance Affidavit
i li:nt intorntatiori• Plcnse PRINT'�lesyily
name* C L
cat, co+&c'�
Phone�
1 am a homeowner performing all work myself. '
7 1 am a sole proprietor and have no one workings in any capacity
A. am an emplover providing workers' compensation for my employees working on this job.
grim tanv n:r i'YL�N
atirlress� � gN0[n
nhnnc tt• / /�o291
incur rncc cn f�12AN I�t? (� !� nnlicv!! &C
[i 1 am a sole proprietor. eeneral contractor. or homeowner(circle otre) and have hired the contractors listed below who have
the following workers compensation polices:
cnmn:rnv natne*
a d ri rCcc•
girt•• nhnnc fI•
incrirnnrc rn. nnlicv d
cnniri n9rn r'
1(1rlrCcc'
-ir.•- nhnnc p•
ncurnnee co _ policy It
Utach addititin21 sheet if neces_sar •.�•; -- . - �i c:..... :.. -•..Vr.i•_ .�`�+r..�� 7+�.:y� �-'�
:."".- --`.- -'.Z:.- -:tee_•• •..r.�.:.�..�.
aiiurc to Secure coverage as required under Section Z5A of NIGL 152 can lead to the imposition of criminal penalties ol•a tine up to SI.500.00 andiur
ne%cars' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. I understand that a
op} of thi.+tatcntent may be furnvirded to the Once of investigations of the DIA for coverage verification.
o hereby cerrift•untler it a panes artd penalties of pe4un•IZI I the i�rformarion provided above is true and correct. p�
r:ature Datc
' int name ,� &-� a K Phone / -Z�IS
weer
nfiicial use unit' do nut write in this area to be completed by city or town 0frICi2l
city or town: permit/license# r 1,11uiiding Department
check if immediate response is required ❑Licensing*s OM
� P q �5eleetmen's Office ►••
C311calth Department
contact person: phone N: —Others_
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all empiovens to provide workers' compensation for
emploti•ees. As quoted from the -jaw-. an etnphgree is defined as every person in the service of another under str
contract of hire, express or implied. oral or written.
An eynp/nrer is defined as an individual. partnership, association. corporation or other legal entire or ally two or
the foreuoina enLaged in a•joint enterprise,and including, the legal representatives of a deceased employer, or the
rccci%•cr or trustee of an individual , partnership. association or other le'ga
I entity, employing employees. Howeve
owner of a dwelling_ house having not more than three apartments and who resides therein, or the occupant of the
d% cllin�_ house of another who employs persons to do maintenance , construction or repair work on such dwellin.•
or out the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an empi
MGL chapter 152 section 25 also states that cvcry state or local licensing agency shall withhold the issuance o
rencival of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who ltas not produced acceptable evidence of compliance with the insurance coverage required.
Additionally. 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 requirements of this chap:
been presented to the contracting authority.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation a:
supplyingcounpan• names. address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tile
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 requ:
to obtain a workers' cotnpetisation policy. please call the Department at the number listed below.
Cite- or
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottor
tite affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. f
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be return
tite Department by mail or FAX unless otlteratrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have an} quest
please do not hesitate to aive us a ca11.
The Department's address. telephone and fax number-
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 NVashington Street
Boston,Ma. 02111
fax #: (617) 727-7749
Phone #: (617) 727-4900 cat. 406, 409 or.375
�tt+e r,
The Town of Barnstable
• Inane A= •
'ma �0�' Department of Health Safety and Environmental Services
EON,o�� Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax:* 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: Adlo, f a eLl Est.Cost
Address of Work: 31 C4eee �� Co e
Owner's Name LQtM
Date of Permit Application: — �r
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL G 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
...._S' �/� CGaN1/1/1/ �--°e'��/►7E'�vl
Date Contfactor Name 16gistration No.
OR
n,.e Owner's Nam
,BLE ASSESSOR.S
. MAP 01
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R018 023 .
L000031 CHERRY TREE ROAD CTY01 TDS 200 CT KEY 4934
. ----MAILING ADDRESS------- PCA1011 PCSOO YR00 PARENT 0
TAKALA . CLYDE J & MAP AREA03AB JV422947 MT00000
TAKALA , HECTORINE ' M SP1 SP2 SP3
89. TEMPLE ST UT1 UT2 . 18 SO FT 1938
GARDNER MA 01440 AY81987 EYB1987 ' OBS CONST
0000 LAND 35400 IMP 91200 OTHER
----LEGAL DESCRIPTION---- TRUE MKT 126600 . REA CLASSIFIED
#LAND 1 35 ,400 ASD LND 35400 ASD IMP 91200 ASD OTH:
#BLDG( S )-CARD-1 1 91 ,200 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#PL 31 CHERRY TREE RD TAX EXEMPT
#DL LOT 23 RESIDENT 'L 126600 126600 126600
#RR 0294 0080 OPEN SPACE
COMMERCIAL
INDUSTRIAL
EXEMPTIONS
SALE07/91 PRICE 165000 ORB7603/258 AFD I TE
LAST ACTIVITY08/31/92 PCRY
RCV F Window PCR/1 at BARNSTABLE ( 28 ) 1p
R018 023 . S A L E S H I S T 0 R YSAL ACTR KEY 00004934
NAME QUAL INST V/I BOOK PRICE YR MO
TAKALA , CLYDE J & TE I7603/258 16S0009107C
OBRIEN , SHAWN E A I6688/135 18904
OBRIEN , MARILYN J & A JT I5526/311 18701
OBRIEN , EDWIN J & MARILYN V3758/007 27508306
XMT?
RCV F Window PCR/1 at BARNSTABLE ( 28 ) 1p
r
R018 022 .
L000023 CHERRY TREE ROAD CTY01 TDS 200 CT KEY 4925
----MAILING ADDRESS------- PCA1301 PCS00 YR00 PARENT 0
TAKALA , CLYDE J & HECTORINE MAP AREA03AB JV MTG0000
89 TEMPLE ST SP1 SP2 SP3
UT1 UT2 . 18 ' SO FT
GARDNER MA 01440 AYB EYB OBS CONST
0000 LAND 7100 IMP OTHER -
----LEGAL DESCRIPTION---- TRUE MKT 7100 REA CLASSIFIED
#LAND 1 7 ,100 ASD LND 7100 ASD IMP ASD OTH
#DL LOT 28 & 29 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#PL 23 CHERRY TREE RD TAX EXEMPT
#RR 0294 0080 RESIDENT 'L 7100 7100 7100
OPEN SPACE
COMMERCIAL
INDUSTRIAL_
EXEMPTIONS
SALE07/94 PRICE 10000 ORB9285/298 AFD V TE
LAST ACTIVITY12/29/94 PCRY-
RCV F Window PCR/]. at BARNSTABLE ( 28 ) 1p
R018 022 . S A L E S H I S T 0 R YSAL ACTR KEY 00004925
NAME 9UAL INST V/I BOOK PRICE YR MO
TAKALA , CLYDE .7 & HECTORI TE V9285/298 100009407C
DAWSON , RODNEY A & LINDA 2561/345 0000
XMT?
RCV F Window PCR/1 at BARNSTABLE ( 28 ) 1P
NONE IMPROVEMENT CONTRACTOR
Re9ittretioe 10101/
Type • ,PRIVATE CORPORATION
ExPirstiee 06/2//"
CAPE COD NONE IMPROVEMENT SK
T.� ►.o��, rt A. Na Lau0hlim
losouah Rat
Nralais NA 02601
V 1LQ L/dl)LJ)d09LI/ py..(f[J:J/LI,'I(LJP.I/J
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE
Number: Ezoires; Birthdate:
Aw , CS 010350 07/23/1999 01p23/1941
Restricted TO: Be
,6
ROBERT`A gAClAUGHIIN
25 HARVARD ST
S YARMOUTH, MA 02664
GRANITE STATE INSURANCE COMPANY
13102 11109 3
SEND C�oRRBSPoNDEINY91-34-60
AMERKM1 WrEMATIONAL CO.
P.O.BOX 409
PARSIPPANY, NJ 070544W
HOME IMPROVEMENT SPECIALISTS OF CAPE COD I NC MINE: I-800443-2239
25 I YANOUGH ROAD Member CO"anies of
HYANN I S on AmericillOntemational Group
MA 02601-0000
• ExEarrlvE ot4lcEa:
I.oir
70 PINE MgIIIT. NEW VORK.N.Y. 10270
WORKERS COMPENSATIO=ANID)
POGEBS b GRAY INSURANCE AGENCY
EMPLOYERS LIABILITY POL34p OX 1603t
INFORMATION PAGEOUTROUTE 154lN8uR018 CORPORATIMA 02660
OTHER WORKPLACES NOT SABO �/IOUS POLICr NUMBER NEW
m�M= POLICY PERIOD 12:01 A.M.standard tlm9 at theInaurad'a
mailing address
3 A. Workers Com FROM 07/02/97 To 07/02/98
pensation Insurance: Part Ono of the Policy SWISS; to the Workers Compensation states listed hen: Law of the
MA
B. Employers Uabtlity Insurance: ►art Two of the Policy spplles to the work In each stab listed in rem 3 A.
The limits of our liability under Part Two are:
Bodily Injury by Accident S 100 000 each
Bodily Injury by Disease I S00 000
accident
Bodily Injury by Otsease 100 000 Policy Ilmk
C. Other States Insurance-. Part Three Of Me each employee
SEE ENDORSEMENT WC 20 03 06A policy applies to the states, if any, listed here:
Ittat a The premium for this policy will be
All Information determined by our Manuals of Rules. CIa=slfications, Rats and Rating Plans.
required below Is subject to verification and change by audit.
Classifications Eatlmstad Total Raja Par Htimatad Coda Ili or Ramunaratl tlpgQf lice .wftan11Yn1
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