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Home My WebLink About0098 CLAMSHELL COVE ROAD B d� Cy �.. � . . , ,, 2 ., i`1N Town of Barnstable Permit# Expires 6 months from issue dgte Regulatory Services FeeHARMADIA MAM 039. Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner �►W 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Vand without Red X-Press Imprint Map/parcel Number (7 06 1057 Property Address �r^Q c, c� D'Cesidential Value of Work cJ 14C)o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address mS- . 0 1-7-4 L=T*) Contractor's Name `t'G,.S T I Ck'7 le-al;t _ Telephone Number .ZK -L 1'7 Home Improvement Contractor License#(if applicable) (A Construction Supervisor's License#(if applicable) CS "orn's Compensation Insurance Check one: ❑ I am a sole proprietor REERMUT WID 0 am the Homeowner 2 Q 11 have Worker's Compensation Insurance i Insurance Company Name (,_ g2x,.-.-t { `i -7 -i:` Workman's Comp.Policy# fjfj CI 7-7O Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) QllR roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ` ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows = '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. SIGNATURE: C:\Users\decollik\AppData\Local\Mcrosoft\Wmdows Temporary Internet Files\ContentOutlook\DDV87AAZ\EXPRESS.doc Revised 072110 r'1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AL4 02111 *vwa:ntass.go 1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plnmbers Applicant Information r 4 Please Print Letiibly Name(Busineworgu6zation/In&idoal): I& ccr Z c 1.W Address: iD 3 t ft"N cry Fty- -ei— City/StateJZip:��' .(v t I t'o- PIA 92 6SS Phone#: Z -I( "1 Are you an employer?Check the appropriate box: Type of project(required): 1.fj�--I am a employer with 17 4. ❑ I am a general contractor and I employees(full and/or purt-time.). s 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 8. ❑Demolition working for me in any capacity- employees and have workers' 9. �Building addition [No workers'comp.insurance comp-insurance.. mod-] 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 LE]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.❑Other comp.insurance required.] *Any applitant that checks bos#1 tmtst also fall out the section below showing their umkew compensation policy information t Homeowners who submit this at5davit indicating they are doing all wont and then hue outside contractors must submit a new affidavit indicating such. Contractors that check this boa must attached an additiaaul sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they unist provide their workers'comp.policy number_ 1 am an employer that is prmiditig n.wrkers'eonyxiisadon irtsttrance for my employees. Below is the policy and job site information Insurance Company Name: �C_ SA-e Policy#or Self-ins.Lie.#: /�-�J! 47-7Os Expiration Date- Job Site Addtess:� ( �(�a Cey-e- /'/�Yy City/State/Zip- ,J iD Attach a copy of the workers'compensation policy declaration page(showing the policy number anA 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 cixil 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 certib,to nder th e ondeerthe pains and penalties of perjury that the information prodded above is true and correct Si ture.: Date: 17,f G (o Phone#: 'f f 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#: swag-l1 09 Xam From- T-502 P.001/037 F-180 09/091201I 'PON THE C. lRTiFICATE..O.F.-INSURANCE :... .j< - . IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAEND EXTEND OR ALTER THE COVERAGE AFFORDED RTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AM THE POLICIES BELOW.A ITHOERIZED REPRESENTATIVE COR PRODUE DOES OI'llCEROAND THE CERTIFICATE HOLDER E ISSUING INSURERS . PORTANT: If the Certificate holderis an,a1nsDo�th�'o policy, policies omay(iy requ re and endorsement A statement 81 WAIVED,subject to the terra this certificate does not confer Inhts to the certificate holder in lieu of such endorsement PRODUCER dowling 8 O Neil Insurance 73 Iyannough Rd yannis,MA 02601 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY ; NSURED I aul J Cazeault&Sons Roofing Inc 031 Main St sterviI e,MA 02655 COVERAGES-'• - : :_-• ... HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1 HE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDMON OF ANY CONTRACT OR OTHER CUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE OLICiES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDMONS OF SUCH POLICIES.LSMiTS SHOWN ,RTYKY HAVE BEEN REDUCED BY PAID CLAIMS. OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE POLICY C)Gn"TION DATE IA ERscOI>PENSAiraN LIMITSEMPLOYFR5 L"' TYPROPRIETOR'NERS'DtECUT'-'CEAS ARE ATUTCRY LPATS o r zcL❑ 9947705 R11012011 8/10/2012 m9,AMAGStwMAQ WensOft - � ACCIDENT - S 500,00 EASE POLICY U.1'T S SOO,OO MEASE•EACM EMPLOYEE $ 500' 1SCRIPTION OF OP5UA n0451VEHICLESISPW LL TTEbAS CERTIFICATE HOLDER CANCELLATION DAVENPORT BUILDING CO smouLDANYcrnw-AeavremsciismPOLIGGSeECANCEILEDBEFORETME 20 NORTH MAIN ST ExPiRATION DATE T4(EREW NOTICE WILL BE DELIVERED IN ACCORDANCE SOUTH YARMOUTH,MA 02664 VAKM THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE I I 1 t _ ( j Y/C/ eTO ffice onsumer Affairs and usiness Regulation 10 Park Plaza - Suite 170 Boston, Massachusetts 02116 Home Improvement' ctor Re.Qistrat on Registration: 103714 = Type: Private Corporation = Tr# 297676 Expiration: 7!9/2012 SONS •"` PAUL J. C,gZEAULT & , INGi. ~'-sr Paul Cazeault ;.. 1031 MAIN ST OSTERVILLE, MA 02658 = �s :-. Update Address and return card.Mark reason for chan;e. Address Renewal Employment Lost Card I i-CAl Cr suM-04104-G101216gw - RiMISH J/ze -�arrvrw�ruoea�C/ a�✓��u� �d License or revistration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR office of Consumer Affairs and Business Regulation Registration: ='103714 5 Type. � :� 10 Park Plaza-Suite�1.70 Expiration: 812 Private Corporation Boston,MA 02116 - PADL J.CAZEAl1LT - _ w Paul Cazeault 1031 MAIN ST t: !e 4 =`per tom § Not valid without sigma re OSTERVILLE,MA OZfiS Undersecretary - �- iIla Massachusetts -Department of Public Safety —' Board of Building Regulations and Standards Construction Supervisor License: CS-026325 i, PAUL J CAZF.A TLT 4 1031 MAIN ST 0STERVM0 MA 026551, ,. Expiration Commissioner 10/20/2013 Property Owner Must Complete.& Sign This Form If lasing a .Roofer / Builder. (print) , as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofinq Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job C`�� -�O^^4allb cwe- Signature of Owner Mailing Address of.Owner Telephone# %s" Date (Please return this form to 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, thank you) fax#508-420-4555 + 0{Trt�. TOWN OF BARNSTABLE ,.INC �e Permit No. -------------------------------- Building Inspector { »eT.n Cash e +eso• OCCUPANCY PERMIT Bond ----__________-_____ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. m, 19 ......................................................................................................._ Building Inspector Assessor's map and lot number..........................� ...... .. - / � ' /� C�TILEtO Sewage Permit number . �. ...................................................... . . 9A"STABLE, i House number 9°c M6 9 ♦� ........................................................................ �a YPv a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ......................U1 ....j......................................................................................... TYPE OF CONSTRUCTION F`A �...!.. .... ................................................................................................... � • I ........ ...........19�::... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: l_�T l . ,JLocation 0 ................................................................./..."...I............y...................................... ProposedUse ...........A ix)n L!X! ............................................................................................................................................... Zoning District ........................................................ .......:......Fire District .............................................................................. . Nameof Owner .......... z............I.-..A... N�....I....:.........Address .................................................................................... Name of Builder � � �" ® ............Address Q►u i S L F o ....................................!.r.�.. ...�......... ..,..... .... ' ( 0 ' �IvCAr�� Ho�n>`S �G. Il .... r0><�rSwa 'n� N. 1-1 Name of Architect ........... .....!. Address....................... .................................... ...... .. . ..... .. ` l � Number of Rooms I .........................................Foundation k��(' •.......5 loom ......................... ....................... ............................................ Exterior ( l(��!,hUt ......C1QO C R 4lI!\......�ln�/I C��r Rofing ..........n C►� �Q ........��' �!b ...............................lt l ye (....,... `.. ..... Floors ... ............... ...........�GVIQQ.........................Interior .. ...... h�P...YOC .................................................. ................... Heating ...... ...........................:..............................................Plumbing ........:..............,.......................................................... Fireplace rS1 Approximate Cost 1A I ��ir (A., � i��'% fl Definitive Plan Approved by Planning Board ---------------_—-----------19_______. Area /' �`'�........................................... Diagram of Lot and Building with Dimensions Fee 4t "'y".0 SUBJECT TO APPROVAL OF BOARD OF HEALTH f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..�--... - .................................................................. S . Lannon, liz A=6=57 No f..204.9.6... Permit for .......one...story....?� ...... . . ...... ........ ... single family dwelling .............................................................................. 98 Clamshell Cove Location ....................................................... Cotuit ........................................... ................................. Liz Lannon Owner .................................................................. --1z La nnon Type of Construction .... .,tame. ......................... ................................. .............................................. L t Plot ................ ........... Lot .... ..................... Permit GranLe ........Auguat...17............19 78 Date of Inspection 7� . 9 Date Completed ............ ... ......................19 19 PERW40USED ............... ............. 19 ............... ................................. ........................ ...................................................... ............ `/..:................................:....... ................................................................................ Approved ................................................ 19 ................ .............................................................. .................. ......................................................... 1 �13ess 's map and lot num �7 Q� -- C �TNE T .Sewage Permit number .. :... UPTIC SYSTEM d MUST BE INSTALLED IN COMPLIANCE BaBasTnnLE, House number .. ... ...................................................' WITH ARTICLE 1I STATE ANCE roo M639 ATE •� aye SANITARY CODtAfNV TOWN cyar TOWN 'OF BARIVIST �3 BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .........................UIU .`. ....................................................................................... TYPE OF CONSTRUCTION ...........!( .: !!��}!5.......6vr, ..........................................:.......................................... ......................... ........ Lq-y.......A...........I91r. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby Iapplies for a permit according to the following information: Location 1-?T.....�1-1................... .�N.......(9(F .. ....C 0 T .7- .................................. Proposed Use ..........84il�,l.11. ` ......................................................... .......... ..................................................................... V ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ..........L)..-z .............. . 0.000......................Address .................................................................................... 6k1Q6Name of Builder ..... �- ........ ............Address R � �1 .. `�' ` " N .. ... Name of Architect ........N� t.....� � ....Address .... G ... 950.x.... DyouN...... . N. Number of Rooms .....................�.........................................Foundation ...........wL Q..(k �o0hd ............ ....................................... Exterior, . .jej 7laS......S�49 ...k.�� ...-.VIA I �1y`!. Roofing ...�'�?". .- IY2� y.... . ....... Salor.....1!!�0.......... ........ Floors ............ .............!.. ........... ........................Interior ........... .�2�`�Ou< ............. ......................... Heating .....014k........ 0A, ..........................Plumbing .... ... ..................b°.`...�10°'':................. Fireplace .............. ...r. LL p � �.........................................................Approximate Cost .........�t..�.r;-.....�QC:.lVlhy.....� / t. Definitive Plan Approved by Planning Board ________________�___________19________. Area ...... .'........ SO Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH l b9� _ JS - - - 1 I hereby agree to conform to all the Rules and Regulations of the Town o Bar st b e re arding the above construction. Name :................................................... Lannon, Liz 20496 one story No ................. Permit for .................................... (V single family dwelling ............................................................................... 98 Clamshell Cove Location ... -7� Cotuit ...................................................................... ........ Owner ..........Liz .........Liz...Lannon...................................... . ...... 4 - frame NJ Type of Construction .......................................... 71 #21 Plot ............................ Lot ................................ Permit Granted ... .....Augwt..1.7.........�.19 78 Date of Inspection ...... ........19 Date Completed ... ....... .............19 PERMIT REFUSED in C- ................................................................ 19 ................................................................................. ................................................................................ 'U ell— ......................... ......................................... • ....................... ....................................... Approved......... ....................................... 19 ............................................................................... ............................................................................... 1� I ' � � ai�l''•a� :-'' '� / 1*(' .,r.l�' JI ^1 `,a � ' - i�- � f 1 t ' ,1 ` ` t,Y_' � ^� f..^ , ' . 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FEET ,Y }•j;:','AN3.'VV '0VI" POINT OF ADJACENT �, �. ,E ,� ,�, h�':r��ra jt:?�K• q. , SCALE, � �'90 Df�S'��1; '!. F 'bG ENGINamfeg CO.INC) o� sz v � i CEnTIFY THAT.'T�lE�%'�~h�';;G_�� 1t�. y CLIENT _ 1 , ,. SHOWN ON THIS PLAO 'M .t,rr '�0. �� a • a� REGISTEl3 ��G63 t, ! LAI'� JO NO• ON UIE GROUND A9 CtVILt�. , O _ CONFO lMB 'f0 TFIF aOGI�. ,•,u1.+1 ,,;� ��.®I!`I��, 9URd YOR DR. BY _�r ' OF BAnNST OL ,;fJgAuf. o{ f ..��'r;sj, i:�K1E� 5Tj 'ILL MAIN'ST. Cb4.8Y= lbR, ,�jHl MASS. HYANMlS�, MASS. SMEET�O :St) FL DATA REB. LAND 0U;^Y1111t LI- '