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HomeMy WebLinkAbout0118 TURTLEBACK ROAD III Tr11e.��c � �� . a ng0q*.-Pid=Aoor) Map Parcel Permit# 3 , House# Date Issued = " 2 /e • Board of Health(3rd floor)(8:15'-9:30/.1:00- 0) Fee` �r V r d�l f 4, Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) 114E Definitive Plan A roved by Planning Board 19 BARNSTABLE. CEO 39. s TOWN OF BARNSTABLE 4 Build in Permit Applicati n Project Street Address Village S Owner Address Telephone ` Permit Request 66 M I I- .\J,A I oak 8EtV0VF_ Y24—J First Floor ( ?j square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No 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 Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑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 ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name () Telephone Number �] Address Q License# Home Improvement Contractor# Worker's Compensation#1,3J.c 0 . /t`jD NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ^ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNA DATE ` BUILDING PERMIT DENIE,D ,.R TH OLLOWING ASON(S) Pow gjaj=7 Lq I 4' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED- _ MAP/PARCEL NO. ' ADDRESS VILLAGE- 5-111 OWNER DATE OFINSPECTION: �: } FOUNDATION ' F b r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT,' ASSOCIATION PLAN NO. The Town of Barnstable • % wasrinrr. �e� Department of Health Safety and Environmental Services 9. Building Division 367 Main Strew,Hyannis MA 02601 om Ralph Crossen Office: 508-790-6227 Fax: 508-790-6230 Building Commissio For otrtce use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernisation. 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:'`11�0� �" 1114.Est.Cost Address of Work: ,�L�ophE- aak 4� j r�" l' Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIROWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY Qhey apply or a permit as he agent of the owner. Date Contractor Name Registration No. OR may: Date Owners Name The Commonwealth of Massachusetts Department of Influstria!Accidents 0 O/fICC Df//IYBSI%g8llOAS 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit �in6cantgrstwdrrr%%%%%%%//////��%%%///%% ?t'i' `'Y'G!'/%%/���%%%%%%%O//////%%%%%�/�%%/�%�%%%%"%< name: location hone# city ❑ I am a homeowner performing all work myself. ❑ I am a, p ri1 rand have no one working in, capacity I am an emplov r providin workers' compensation for my employees working on this job. cam anv iinme: address: hone#: / city insunincc Co. //////////////.1//////%//////////////////////////////.%/��////////////////////////////////////////////////////////////////////////////////i%///////////////////////%/////%////////.U/////////////////,/'s;;,,,,. ❑ I am a sole proprietor, general contractor. or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: com anv name: a tees: ;::::::::.:.:c::::>i:.,«::>:r:;.:<:<;;,.,.:.:..:.. hone#.. :.. dtr. Insurnnce .. com anv name- ::>:....::..::..:.::... addresr. hone#: .... insurance co.. oxx ilk to secure coverage as required under Section 25A of MGL M can lead to the imposition of criminal penalties of a ane up to S1.500.00 and/or one years'Imptvonment as well as civil penalties in the form of a STOP WORK ORDER and a true of S100.00 a day against me. I undentatd that s copy of this statement may be forwarded to the Omce of Investigations of the DIA for coverage verification. 1 do herebv ertify r the airs penalties of perjury that the information provided above u tr ..and correct 146� Date - Si Phone# _ Print name ofnaiai use only do not write in this area to be completed by city or town official permit/license 0 �❑Building Department city or town: ❑L tensing Board ❑Selectmen's Orrice ❑checklf immediate response is required ❑Health Departaent phone#-. ❑Other. contact person: rt+•tam 9,95 P1Al.. _ .. j" Information and Insti-actions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contra of hire, express or implied, oral or written. An employer is defined as an individual,Partnership,•association,-corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds c building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renev of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h.- 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 chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance 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. 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. Should you have any questions regarding the`law"or if you: are required to obtain a 6orkers' compensation policy,please call the Department at the munber listed below. City or Towns 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 fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number which will be uused as a reference mimber. The affidavits may be retutnR io the Department by mail Eor FAX unless other arrangements have been made. The Office of Investigations would like to thank you is advance for you cooperation and should you have any questions. please do not hesitate to give us a call. G The Department's address,telephone and fax number: The Commonwealth Of Massachusetts ' Department of Industrial Accidents , Oftice of Inllesdoadons 600 Washington Street Boston,Ma. 02111 fax#: (617).727-7749 phone#: (617) 727=4900 eat 406, 409 or 375 ACORD CERTIFICATE OF LIABILITY INSURANCHSR )R DATE(MMFDDNY) 'BAUL 7-2 05/04/98 UCER THIS CERTIFICATE IS ISSUED AS A MAT'ER OF INFORMATION ONLY AND CONFERS NO RIGHTS JPON-'HE CERTIFICATE r ake, Swan & rocker HOLDER.THIS CERTIFICATE DOES NOT kMEND,EXTEND OR Lot's Hollc Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDS"0 BY- HE POLICIES BELOW. : leans MA 02E 3-0429 COMPANIES AFFC ADINC COVERAGE a COMPANY A Assurance Cam. f AT. erica rid D Rust -_m No. 5 0 8-2 5 5 2 :2 Fax No. - — _ - -__----- - .-- ---- IRED COMPANY B Credit General Insirance Co. Paul J. C zeault etal- DBA Paul COMPANY J. Cazeav s & Sons Roofing C COMPANY D AVERAGES THIS IS TO CERTIF) iA' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED F SOVE F )R THE POLICY PERIOD INDICATED,NOTWI STANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NITH I,-SPECT TO WHICH THIS :;ERTIFICATE MAY t ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, -EXCLUSIONS AND C JDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF IN: Ati.;E POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MMIDDNY) DATE(MMIDD/YY) — GENERAL LIABILITY GEN! ?AL AG REGATE $ 1000000 }{ C',AERCIA: C LIABILITY CFP25552812 05/01/98 05/01/ Rc. icrs- )MPrCPAGG $ 1000<°-00 — .;LAI:'AS M! <�OCCUR i FER: )NAL 8 DV INJURY $ 5000 "0 "..:;cR'S8CG 7R'SPROT _AC DCCUF ENCE $ 500000 _- :IRE AMAG Any oneLre) $300000 _ AEC •.XP(An 3neperson) $ 10000 ,AUTOMOBILE LIABIL :CM NED�: GLE I-Wil $ At.• AUTO --- —-. — — -- Al OWNED AL 30E, (INJU, $ 1 Per rson) SCHEDULED Al Fi.kED AUTG` I 30D Y INJUt $ — Per •cident; .. DWI ZEE,A { SRC _RTY L "AAGE $ GARAGE LIABILITY AUTO ONLY: A ACCIDENT $ I HI:YAUTO OTH_RTHAN tUTOONLY: E ::H ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EAC OCCUi IENCE — $ UMBRELLA r"OF AGGEGATE — $ OTHER THAII U :RE: -A FORM $ .VC STA J- OTH- WORKERS COMPEN.-TION AND X - ORY LI:. TS J_.,.-ER EMPLOYERS'UABIL ! - EL E NCH AC, DENT $ 100030 THE PROPRIETOR/ INCL SWC17005901 08/09/97 08/09/98 EL 3EASE-'OUCYLIMIT $ 500030 PARTNERS/EXECU! OFFICERS ARE: RX EXCL - EL C 3EASE-EA EMPLOYEE $ 1000 00 OTHER I SCRIPTION OF OPERA! NSAOCATIONSNEHICLESISPECIAL ITEMS .00fing ERTIFICATE HOLD :R CANCELLATION _ SHOULD ANY OF THE ABOVE DES:RIBE POLIC. S BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUII.:)COMI kNY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE T;)THE ;ERTIFI,ATE HOLDER NAMED TO T.rE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SH .LL IMPK iE NO OBLIGATION OR LIABILITY OF ANY KIND ON TJIE COMPANY, —ITS GENTS rR PRESENTATIVE&IE AUTHORIZE ATIVE /A CORD 25S(1195) _ DACORD CORPORA,°-ION 1988 Y� tCtacv�ae�a ' HOME IMPROVEMENT CONTRACTOR$ ;REGXSTRATION "i Board of Building Rpgulati�on .and'; stan( ards; ; One Ashburton Place RoomQ3,,, Boston, Mas .achusatta"01108 HOME IMPROVEMENT CONTRACTOR ,Re�i--:trat,ion 103714 Expirat.* "0' Type _ PARTNERSHIP RONi MOVEHENT CONTRACTOR, J = Registration 103714 PAUL J . CA EAl1LT .& SONS ROOFING : j, Type - PAIRTIIERSHIP' Paul J . Cazeau l t s, :• — Expiration O7I09/98 r 22 Giddialt Rd. P .O . Bbx ;2781: I, 4 'leans MA 0265 �, > " PAUL T. CREAULT SONS ROO1 Paui1j.':"Cazeauit, r , 2 6iddialt Rd, ` P.O. Box 2: t Orleans ,HA 12653 1 J DEPARTMENT OF PUBLIC SAFETY 1367?6 ONE ASHBURTON PLACE, RM 1301 BOSTO,NM�02108•-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: CS 026325 10/20/1999 . Restricted To: 00 a w PAUL J CAZEAULTn� 1585 MAIN ST USTC(:V1"LLE, MA 02655 Keep top For receipt and change —„ bf address. notification. DEPART NT OF PUBLIC SARTY . _ :v�, fIEAOE� 1585.MgY11 ST, ` f .OSTERVIILE, NA O2665 ',, . 44 Asa 1 HOME IMPROVEMENT CONTRACTORS°:REGISTRATION I ,, Board of Building Regulations sand Standards One Ashburton Place -a Room 1�301 Boston , Massachusetts .02108 I i ; HOME IMPROVEMENT CONTRACT ------------ -------- t Registration 103714 Expiration 07/09/00 " I Type PARTNERSHIP mm ,HOME IMPROVEMENT CONTRACTOR °Registration 103714 PAUI_ J . CAZEAULT & SONS ROOFING Type - PARTNERS4IP Paul J . Cazeault t' I Expiration 07/09/00 22 Giddialt Rd . P .O . Box 2781 i .i' s ( I , Orleans MA 02653 w i `, f. PAUL J. CAZEAULT ii SONS ROOK " Paul J. Cazeault '6u iddialt Rd. P.O. Box 27E 1 ADMINIURATOR Orleans MA 02653 r/ I a Oi_"PARTMENT OF P'JB1_C 'iAFi_I , =� ONE ASHBURTON PL.ACL , RM 1:150 ,-s BOST0 A 0 -1.0 1618 !iV51 i,UC•I 'Ir• SUPERV";OI2 LICENSE ,,, •� r.Iunbe I Expires: j, �iillG I• + .>'325 i o/20/1999 ?Yr . .i:I� Orr AUL I CAZEAUI •I ,•'`'t •, ?. -�-., �` ',���r._ .. _ .. _ ____.-- _ .. 11)'8S I'ir.IN ST t I i ,'I I.l_E, Mr. 02Wi I;=pep tt;;: :or receipt: Auld ch,:n bf add. I oI:i f icai. ! ya fl•. ART i (st 3 ,21: 59 i J ` • Y ! I� t r t!_f i �••3 4 ' t.� M'i -14!•OIF� :�i t A 7k � 1!i ' / t G� � Assessor s mop and lot number :.�.'�"�. ...... .�;'�:. f THE o XSewage Permit number ,....n........ a%id .;� r .........-.......k!....!...., d Z BAEASTLUE i 9. �p r6 House number ............................................................�..... V 3 ��. 1/ �'0 YPY Or H . TOWN OF BARNSTABLE BUILDING INSPECTOR •mow... 1 �00`�^ APPLICATION FOR PERMIT TO ...................................................................................................................:......:.: ' TYPE OF CONSTRUCTION ........... oo C� ...................................................................................................... ...........................2..................9 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... .......... tu�. .............I... ProposedUse .......Il...........`.\......... ............................................................................................................................ C- Qn�s� t \ Zoning District /.....��... ......................................................Fire District �\\� �ertv��)�a ` Nameof Owner ......... .......... ... .. ..........p............................Address ..... ............................................................................. Name of Builder .....G cad ?....... c3�...'^\`.. ............Address ... ? ..w`'?.. 5?.............. .. ..:.............:....... Nameof Architect ..................................................................Address ......................................:............................................. Numberof Rooms \ r.................................................................Foundation .... Z........................................................ Exterior �`� ` �?` ..... ' .?-.g................................f......................Roofing ...... `?:Q�1vq................................................................ Floors ......W .................................................................Interior ....... ®e� ...................................... Heating .................. :....:.....................................:Plumbing ....................... ................................................:......... Fireplace ...............................................................:..................Approximate' Cost ..... :.©E.'........................<................. Definitive Plan Approved by Planning Board ----------- _- s 9 ---. Area .............................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS Y 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 .........L'''n OLSEN, DUNCAN & LEE ANN A=,7i6-94 91 25504 Build Addition No ................. Permit for .................................... Single Family Dwelling ................................ Turtle Road Location -c"r....................................................... Marstons Mills ............................................................................... o Owner Duncan & Lee Ann Olsen .................................................................. Type of Construction ...................Frame....................... ............................................................. .................. Plot ............................ Lot.............................. Sept. 8,-Jl. 83 Permit Granted ........................................19 Date of Inspection......................................19 Date Completed ........................................19 1'0 21 , s or's*map and lot number .......... ......... .. ......... ...... IN Ir ess ir -4Sewage Permit number. 13A"STABLE 11AS& House number ....... ...................................................... .. ... 039. 'ED TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ........t.�e .....A................................................................................................... TYPE OF CONSTRUCTION ........... Nc........................................................................................................ ........ .......... ........... ....... ................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......:;�5.1 ...............�. �:111 Z.... .. ......... . ......... ... ............................................................. ........ ... .. • ProposedUse ........ ......................................................................................................................................................... ....................................................Fire District Zoning District ... ............................... 't ........................... Name of Owner ...... ...Address ....A(.,........ .......... Nameof Builder ..... ............Address ... ........................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........ ....................... ........................Foundation .... ................................................................... Exterior ......... �........................................................Roofing ...... IONX14 V...................................................................... Floors ...... ...............................................................Interior .......94N .. zz ...........I....... ...................................I...... ...... Heating ... ......................... ..............................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost -41 ........................ .............. Definitive Plan Approved by Planning Board ___-------—--------------- Area ...... .. ..z...... ... 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 ..... . ............................................................... Construction Supervisor's License .....5 ren ............. OTSE0, DDNCA0 �- 35504 Boi itimz� . No -----.. Permit for ---.� ---. Single FamilyDwelling ---..��----- - . . . ------- .. t Road bold- ^.^..... ---------.~-..—.--------.. _ Mazst000 Mills ----.---------------------- Owner ....Doo/�a��_6_I,�e..�u�o..Ol.aeu_.. ~ Type of Construction ...I7������-----'--- , ~ ^ ----.----------------------. ` Plot ............................ Lot ................................ , ` ' Sept. 8' 83 Permit Granted -----------`--]q ' ' Date ofInspection .....................................lV Dote Completed ---.,~�/���-----lV . ' � � . ^ ~ ' - ^ _--,�3 r a