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0287 TURTLEBACK ROAD
2�-1 Barrows, Debi From: Donna Gavin <donagavin@gmail.com> Sent: Wednesday,June 19, 2019 2:09 PM U � To: Barrows, Debi LO`Z1 Subject: Re: Permit/Application:TB-19-1898 at 287 TURTLEBACK ROAD, MARSTONS MILLS for Building - Siding/Windows/Roof/Doors Please cancel the permit, we just had the contractor pull it and it has already been issued since we were having so much trouble trying to complete it Thank you On Wed, Jun 19, 2019 at 9:38 AM.Barrows, Debi <Debi.Barrows@town.barnstable.ma.us> wrote: Good Morning, Please attach a copy of your sub-contractors workmen's compensation information. Thank you, Debi Barrows Office Manager Town of Barnstable Building Department CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know.the content is safe! i Town of Barnstable RECEiP.T 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-19-1898 Date Recieved: 6/7/2019 Job Location: 287 TURTLEBACK ROAD,MARSTONS MILLS Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: EAGLES NEST BUILDERS LLC. State Lic. No: 173944 Address: 50 RIVERSIDE RD MASHPEE MA 02649, Applicant Phone: (207) 730-2388 (Home)Owner's Name: GAVIN, DONNA L& DEREK P Phone: (207)730-2388 (Home)Owner's Address: 287 TURTLEBACK ROAD, MARSTONS MILLS, MA 02648 Work Description: Replace 2 existing with windows with same size,and re shingle front of house Total Value Of Work To Be Performed: $6,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Donna Gavin 6/7/2019 (207)730-2388 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $6,000.00 1 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $35.00 6nl2019 $35.00 XXXX-X)M-XXXX- Credit Card 8154 .............................__._....-................................._....-...............................................................................................................--............-............._..................................... ---- -- Total Permit Fee Paid: $35.00 THIS ISAOT A-PERMIT k Town of Barnstable Building -� Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAM Posted Until Final Inspection Has Been Made. 2 639 Permit " Where a Certificate of Occupancy is Required,such Building shall,Not be Occupied untLla_Final Inspection has been made. Permit No. B-18-2465 Applicant Name: GAVIN, DONNA L Approvals Date Issued: 08/16/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 02/16/2019 Foundation: Residential Map/Lot: 063_-038 Zoning District: RF Sheathing: Location: 287 TURTLEBACK ROAD, MARSTONS MILLS Contractor Name:-� Framing: 1 Owner on Record: GAVIN, DONNA L , Contractor License: 2 Address: 177 SCHOOL STREET - - -- - - Est. Project Cost: $ 10,000.00 Chimney: MARSTONS MILLS, MA 02648 j `�j Permit Fee: $ 101.00 Description: move kitchen from current location to current dining room area I Fee Paid: $ 101.00 Insulation: Date: . 8/16/2018 Final: Project Review Req: r" Plumbing/Gas ((( ! C Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six`months after issuance. All work authorized by this permit shall conform to the approved application and thefapproved construction documents for which this permit has been granted. Final 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 or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on,this permit. Minimum of Five Call Inspections Required for All Construction Work: `� Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. S Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ApplicationN=ber...54J.�� ..- .l.. ................ ]MASS. Permit Fee..... ........................Other Fee........................ 163 Total Fee Paid................................................... lj il'1 i Iq la z I TOWN OF BARNSTABLE Pew Approval by.................................On.............AUG.03 2018 BUILDING PERMIT ..............................Patoa...................TOW(V C?F BAF±�STABLt; APPLICATION Section I—Owner's Information and Project.Location Project Address $' 1UVA J LJGtzk, - Village ibns a�5 Owners Name 'DDq� 6�yw Owners Legal Address 5'6.VU-Q- City State Zip Owners Cell#101' r7 30 Q 3$6 E-mail �o Q`� ^ mac ` Section 2—Use of Stractare J Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ® Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other-Specify Section 4 -Work Description Mow- Jo cuv-vcv\-- . 4 T Act imdated:?19201 8 i r Application Number.................................................... Section 5—Detail Cost of Proposed Construction CX--)Q Square Footage of Project oZS0 Age of Structure L4 7 Dig Safe Number #Of Bedrooms Existing 3 Total# Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6 Project Specifics i i Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression 1 ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply 19 Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using ❑ Yes ❑ No a crane , i Section 7—Flood Zone i Flood Zone Designation I Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8-Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last tmdated:2/9/2018 Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Tap License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CUR the Massachusetts State Bolding Code. I understand the contraction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10—Home Improvement Contractor Name I Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the roles and regulation for Home Improvement Contractors in accordance with 780 CUR the Massachusetts State Bolding Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town ofBarustable.Attach a copy ofyour H.I.C... Signature Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number ?''�3 0-a3 eG Cell o ork umber 5b g- �rl'1 —3l 32, x�' Z3?� S I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Bolding Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. I� Signature 1��yy✓�lti �� Date i APPLICANT SIGNATURE Signature h Date Print Name'1)Qn Y CMV L V) Telephone Number 0— �g E-mail permit to: T—1......i..a-A.n Mum o Section 12—Department Sign-Offs Health Department ® Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date i Print Name Last mdeled:2/92018 Ste- 7 �v�i W1� w �o N1 00 T r3en roam DO � �� ' all O V-v0 Ir 2 ��-7 Turz-rL w Iyulp b-o 2 gAuJ Ole- 00 `�- ; x C n� r\ OD Nn 4 o U- !8 AIL 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 Legibly Name(Business/Organization/Individual): D)OV\�'Vl 4 0 Address: L City/State/Zip: GL5�S �A l U 5 �� Q?�' Phone#: )LO'7- 3 a- a-3 b,5 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 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 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.[D Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also'all 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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. Signature Al -L7/Lvl/ Date: Phone#: :7qd q— 173 V- A?�f}l 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract 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 or 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 or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Bice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gvvfdia . Pam vieAa(e- tct) I-- �lG�.vc� mCo �u cx co --m- Edo 5 r;?— 7 LOT 377 330q N 43'10'00" E �— ?•�p 3 BSS 0' 63.5• 0 238.63' D E S I G N co 147.2' STII ENGINEERING Ex1T1NG & SURVEYING FOUNDATION DIRT www.bssdesign.com SHOWER DRIVE BSS Design, Incorporated Q 164 Katharine Lee Bates Rd Falmouth Massachusetts 02540 1 O FNO Q 508.540.8805 FAX 508.548.8313 w O o o LOT 376 45,170 SF M , EXISTING HOUSE V) U Z H \ #287 Q Q < LLI V) SEPTIC 0 TANK W Z U U O o Q N LEACH PIT —j Ur Q N Oo ❑D—BOX \ w m Q W � • � Q J OBLOCK PIT W a Z LJJ _ Z J 325.99 ELECTRIC IC Lt_. O 1- m F Q F- LOT 375 s 43.10'00" w W N Z U Q m NOTES: 1. LOCUS IDENTIFICATION: 5. SEPTIC SYSTEM WAS DRAWN AS OUR Bfj��Q/�� ADDRESS. 287 TURTLEBACK. ROAD INTERPRETATION OF INSTALLER'S SKETCH AND DE�y ASSESSORS No. MAP 063 BLOCK 038 HAS NOT BEEN VERIFIED. * T LOT 376 LAND COURT PLAN scale 2. LOCUS IS WITHIN: 30751—F le 6. EXISTING OFFSETS ARE TO THE FOUNDATION. � TO�jNOF '2 ZO,, 1" = 30' ZONING DISTRICT: RF �'4�jU date FLOOD ZONE: X APRIL 20, 2017 BUILDING CODE WIND EXPOSURE CATEGORY: B � FMAS. fF drawn ZONE II OF A PUBLIC WATER SUPPLY . . I CERTIFY THAT THE STRUCTURES LEGEND GROUNDWATER PROTECTION OVERLAY DISTRICT ARE LOCATED ON LOT 376 AS G `ff< 1yonnas m EJP RESOURCE PROTECTION OVERLAY DISTRICT SHOWN. JacttsWFu�k£'� PROPERTY LINE checked SALTWATER ESTUARY PROTECTION `' rvo. s3 ENDANGERED SPECIES HABITAT job number v EXISTING STRUCTURES 3. LOCUS IS NOT WITHIN: ,�'{��`� 16222 AQUIFER PROTECTION OVERLAY DISTRICT PROFESSION AL AND SURVEYOR � '' ���5 4. LOT COVERAGE BY STRUCTURES: title • EXISTING: 3,890 SF 8.61% DATE:` 2Zo 1 0' 30' 60' 90, - drawing number P24-81 :r Townof Barnstable ildi .�' Bu ng Post This Card So That rt is Visible From the Street-ApprovedPlans Mustabe Retained on Job and this Card Must beKept" :: Pos Until`Final in"spection HasBeen-Made. Permit 1 1, ct► WhereNa Certcate<of-0ccu,pancy;is Required,such Building shall No't be Occupieduntil a Final=lnspectionhasbeen made. Permit NO. B41-1318 Applicant Name: ANDREW SWEET . Approvals Date Issued: 05/02/2017 Current Use: Structure Permit Type:, Building-Siding/Windows/Roof/Doors Expiration Date: 11/02/2017 Foundation: . Location: 287 TURTLEBACK ROAD, MARSTONS MILLS Ma Lot:. 063-038 -Zoning District: RF Sheathing: Owner on Record: GAVIN,DONNAI Contracto�Narne: THD AT HOME SERVICES,INC. Framing: 1 Address: 177 SCHOOL STREET Contractor License 126893 2 MARSTONS MILLS,MA 02648 r _ _— Est. Project Cost: $23,762:00 Chimney: Description:, STRIP AND RE-ROOF fvermit tee: $121.19 INSTALL•(35)SQUARES ASPHALT ROOFING SHINGLES Insulation: NO.STRUCTURAL Feud: $121.19 . ., 3 Final: Date 5/2/2017 Project Review Req: STRIP AND RE-ROOF' , � ............................ INSTALL(35)SQUARES ASPHALT'ROOFING SHINGLES �' � Plumbing/Gas NO STRUCTURAL �,,, � x m.; ............................... Rough Plumbing: x Building Official Final Plumbing: This permit'shall be deemed abandoned and invalid,unless the work authorized,b' this permit is commenced within six months after issuance. , ,i ; •. Rough-Gas: All work authorized by this permit shall conform to the approved application,5hd the approved construction documents for whichsthis permit has been granted. All construction,alterations and changes of use of any building and stru�cturesishall in compliance with the local zoninitJ y laU an codes. Final Gas: This permit shall be displayed in a•location clearly visible from access street orroadand shall be maintained open for publ c inspection for the entire duration of the work until the completion of the same: Electrical , mod a �, d�, k '�`•,�w.. z, ,�.�r' nthe Certificate of Occupancy will not be issued until all applicable signatures by,'tille Building and Fire Officialsare providedI•on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing - Rough: 2.Sheathing Inspection 3.All fireplaces must be inspected at the throat level before.firestflue 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" (asset forth in MGL c.142A). . Fire Department Building plans are to be available on site Final: " -ISSUED RECIPIENT All Permit Cards are the property of the APPLICANT • 4 N OF MgSSgo o WCHELE �c CUDILO Cl STRUCTURAL No 34774 9 90c FG/STS FAQ �SSONAL l �- 0 0pow 15 U, t � t � t LZ i I v Town of Barnstable BU11Cllri . . Post This Caiic6o That'it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept b'& Posted Until'Final Inspection Has Been Made. - •. ._ - '~ 4 Where a Certificate-of Occupancy is.Required,such'Building shall Not be Occupied until.a Final Inspection has"been made. Permit , Permit No. B-16-3304 Applicant Name: Approvals Date Issued: 11/17/2016 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 05/17/2017. Foundation: . Residential Map/Lot: 063-038 Zoning District: RF Sheathing: Location: 287 TURTLEBACK ROAD, MARSTONS MILLS ``. Contractor Name: GREGORY M.CAULEY Framing: 1 Owner on Record: JOYCE, MARY K Contractor Licenser 173822 2 Address: 177 SCHOOL STREET ,._... �.. .M_..,,_.e�;. ... Est. Project Cost: $5,000.00 Chimney: MARSTONS MILLS, MA 02648 t Permit Fee: $85.00 Description: Install Beam in Living Room to remove wall and enlarge living room Insulation: r Fee Paid: $85.00 Project Review Req: Install Beam in Living Room to remove wall and enlarge living Dates 11/17/2016 Final: room -- y/4�� Plumbing/Gas Rough Plumbing: -- Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structur es shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspectio F n for the entire duration of the i work until the completion of the same. � ; � ------ - - Electrical ' r 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 I 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 I 1 I N i �. r, 4 i .. TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Map 0(03 Parcel Application Health Division Date Issued . Conservation Division Application Fee! Planning Dept. Permit Fee �i'J•�� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 2-8"} `-1 U9_rLG `64Ce— R8. Village +tZ_1-2 rl 5 yh ILLS Owner ' 7DOq ,vl,4 e4 v va Address Telephone t 20 7 - 7 30 ` Z 3 8$ Permit Request T-vi S h+u, 71 L -yn I AJ i.J*C( a � e,. 1 Vcr Square feet: 1 st floor: existing 6�foroposed `' 2nd floor: existing'--,.—proposed Total new Zoning District F Flood Plain b,i0 Groundwater Overlay Project Valuation 5 eSZf Construction Type WvaT�p Fra nA<_> Lot Size 1 .03 Gy'c S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure I Historic House: ❑Yes A No On Old King's Highway: ❑Yes &No Basement Type: � Full 0 Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing .3 new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing 6 new First Floor Room Count 5— Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Othe,B Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ NOV O 9 2016 Commercial ❑Yes ❑ No If yes, site plan review # TG vN OF BARNSTABLE Current Use Proposed Use ` APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nam Telephone Number ��/ Address License # L10 9�1 Home Improvement Contractor# I! �CK�, Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE - FOR OFFICIAL USE ONLY '> APPLICATION # X . DPTE ISSUED MAP/ PARCEL NO. '. ADDRESS VILLAGE ` r OWNER DATE OF INSPECTION: -FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _I FINAL BUILDING- -DATE CLOSED OUT ASSOCIATION PLAN NO. i' e Town of Barnstable . Regulatory Services IIAM Richard V. Scali,Director &65s. Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, D�vyyl,+ C�1 A-Y 14 , as Owner of the subject property hereby authorize Cat(re (v to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner S' tore of Applicant I)DnhA C /4'Y!'IJl Print Name Print Name Date Q:F0RMS:0VR4IWERMISSIONPOOIS . t Town of Barnstable Regulatory Services pirrj Richard V.Scali,Director Building Division BAZZWEA331.E. = Paul Roma,Building Commissioner ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);_provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot- proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page- this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS,doc 0620/16 2Tie Comnrorrwealth of 1�assadlrusetfs Deprarbnent of rndush ial Accidews O}flce a,fInvestigatians ' 600 Wasliiwgion Street Baston,CIA a2111 ��.�fvjumasLgov/dia 'Workers' Campensafiau Insurance Affidavit:Buitder-JCuntractars/Electricians/Phumbers Applicant Information / Please Print 1,ea Name3usinessanizationll�dtoi�al�. City/s tet U Phone Are you an employer?Check the appropriate boor ' Type of project(required): I.❑ I am a employer With 4. ❑I am a general contractor and I 6. [—]New construction yees(full and/or part-time).* have hired the sub-contractors 2.jFeM am a sole proprietor orpartaw- listed on the attached sheet. 7. ❑Remodeling drip and have no employees These sub-contractors have 8.•❑Demolition woo-.ng for me in any capacity_ employees and have woos' [No cUaticers' camp.insurance comp-msuranv-0 9. ❑Building additica required-] 5. ❑ We are a corporation and its 10_❑Electrcal repairs or adds 3_❑ I am a homeo-mer doing all work officers have esgrcised their 1 L❑Plumbing repairs or additions. €[No work='comp- zigfit of exemptim per M-GL 12-❑Roofrepairs iamn-ancerequired-]i c.152,§1(4�and we haveuo employees.[No workers' 13.❑ Other camp.insurance required.] 'bay WficaaBdmtchedmbox ftl r s also Moutthe section the&wa lere compevsatio-aporrcyurfara36ML Homeowners who subaait this dddmii=gHcatmg they are doing all work ani dim hire eut'ade contractors mmst submit a new affidaut iadicatino snclt TCo acio6 that 11W11r ibis box must attsrhed as addibanal sheet shoRrng the acme of the sub-cantrsctns and stye whether or not those entities hat• —p9oyees.If&esub-contactanhave employees,they nnrsrpmv-ide their worker'tamp.policy number_ I am an etitployer tleat is prmdding workers'cottWmsdicii insurance for mg enrpinyves ,BeIoev is the policy and job site information. Insurance Company Mann: Poficy 4 or Self-ins.Uc+_ l xpiratiaa late: t ti,4 k?O Job Site Address:. f�Aell a('/ City/State zip: Y��✓ /tt/CGS Attach a copy of the workers'compensationpolicy-declaration page(shaving the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a fine up to$UOD-00 anc for one-year imprisommmd 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 cagy of this statement maybe forwarded to the Office of Immstfgations of the DIA for insuran ge verification. I ria Irereby cerlrfy�ulydar the its an realties afpejury that the itfnrma#imrprmTrledabmw is bue and correct Sit�ature: Date: Phone lk !" d oidid um only. Do ttat write in this area,to be wmpletad by city artown o ffrciat City or Town.: Permitffikense;g Issuing A.nthority(ccircl one): 1.Board of Health 2.Building Department 3.Qty/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: -Information and lnstruc ions Massachuselis Geheral Laws chapter 152 rmpi rm all employers to provide wo3i='comp wsation for their employees. ' pa uantto this stage,an mployee is defined as.¢_.every Person in the service of another under aay contract of hire, express or implied,oral or wn tt-" An ernployer is defined as"an individual,partnership,association,corporation or other Iegal entity or any two or more of the foregoing engaged in aJoint eaterpzise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dweIli og house having not more tb as three apartments and who resides therein,or the occapant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dweIling house or on the grounds or bunking app t manttherein shall not becanse of sack employment be deemed to be an employees" MGL chapter 152,§25C(6)also states that"every,saaee or Iocal licensing agency,shall withhold the issuance or renewal of a license or permit to operate a business or to constrict buildings in the commonwealth for any applicant Who has not produced acceptable evidence of cumpfiaace with the insurance.coverage required." Additionally,MGL chaptrr 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter intn'any contract for the performance ofpublic woudc unahl acceptable evidence of compliance with the rosin ante. r ems of this chapter have Been Presemfsd to the contracting aufhomty:' Applicaurl Please fill.out tine wozkeas' compensation affidavit completely,by the ldag the boxes that apply to your sitnation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their cerfificatr- of insurance. L>mite;d.Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to ca>ry workers' compensation insaranca. If an LLC or LIT does have employees,a policy isre#ied. B e advised that this affida-vit:may be submittDd to the Dr_pa,-Ltnmt of Industrial Accidents for couE=i ation of insurance coverage. Also be sure to sign and date it ai�davit The affidavit should be-retumed to ffie city or town that the application for the permit or license is being requested,not the Department of Tnr art al Accidents. Should you have any questions regarding the law or ifyou are requited to obtain a workers' compensation policy,Please call the Department at the number list>rd below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sire that the,affidavit is complete and prirded legibly. ?he Department has provided a space at the bottom of tine affidavit for you to fill out in time event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the penmLWlicrose number which will be used as a reference number. In addition,an applicant that must sobmiL multiple peen Vlicense applirrations in any given year,need only submit one affidavit indicating r„rre_nt policy inbnmation Cif necessary)and under"Job Site Addrmss-the applicant should vut�"all locations in. (city or town)--A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fufm-epemits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not relat rd to any business or commercial venivre (Lt. a dog license or permit to bum leaves etc.)said person is NOT required to complete ibis affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Departments address,telephone and fax n>lmber. 'fie COMMMWe2lffi of Massachl,_-,F�- ' D Eepaitment of hid-ustial Accidents Q:mce of)hVes#gatio->as 600 WashiVan Sfr ;Bos�o-nzll�A E1�11F Tt,-L 4 617 727-4900 cmt 4€D6 or 1-977-, A ,AFE Fax#617-727 7749 1eviseti424-07 mess- �CT�a .... — �te tporrv�ttoatcvea�o���d�c�udeG� - Off Ice of Consumer Affairs&Business Regulation _ — HOME IMPROVEMENT CONTRACTOR -- s _Vpe: Individual istration Expiration 7822 02/01/2019 Gregory M.Cddley. Gregory Cau[Q�, 33A Baxter Aver' W.Yarmouth,A1Il .a2673; Undersecretary i a - Massachusetts bepartment of Public Safety (�71 Board of Building Regulations and Standards License: CS-009013 Construction Supervisor c � GREGORY M CAULEY ^-yl a 33A BAXTER AV ;, =Y W YARMOUTH MA 62fi734` l.� Expiration: Commissioner 05/11/2018 Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 i i Not valid with t signature Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain -less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS OF MASsq . o U STRUGT RAL m v P10 �7 o �¢ Iy-X 115T IN C U 1-1 D 1..1.1 P�-:\S A9��SSIONNX- Cam! 1�• P. Z L= '�M w t= m LLl! ® � Z C3 p a 2 x 1Cc:� Z p m LL 1�.! 0(- - -- Z tZ in 2 !9 _..zXG Flo O � I 12— t-- ,T i .I���,L.�z�• j Z C�,C. jq n-1-�,e,�4s LU i -------------- I i i I CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DEPARTMENT 1875 Falmouth Road Centerville, MA 02632 508-790-2375 ext. 1 FAX 508-790-2385 August 12, 2016 JOYCE, MARY K 287 TURTLEBACK RD MARSTONS MILLS, MA 02648 Congratulations, an inspection of your facility on Aug 12, 2016 revealed no violations. Inspection Note 5 BO SA's 3 CO's Pre-1975. Note: finished basement with full kitchen: Matches 1st floor construction. No bedrooms or sleeping areas and no bathroom in basement. Office area with large cased opening, no privacy. Agent denies marketing as bedrooms or for apartment use. If you have any questions or concerns please contact Fire Prevention at 508-790-2375 ext. 1 8310 MICHAEL GROSSMAN NA Inspector Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 1" 11/9/12 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 j a RE: Building Permits , Dear Mr. Perry, �O This affidavit is to certify that all work completed for 287 Turtleback Road,Marstons Mills has been inspected by a certified Building Performance Institute(BPI) Inspector. Ceiling: R-19 Cellulose All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN Of SARNSTAsl_ Map 0 6 3 Parcel 6g Application # Health Division 70111 OCT 25 R; 3: Date Issued Conservation Division Application Fe Planning Dept ®�i�5 Permit Fee 3Sit ?`, Date Definitive Plan Approved by Planning Board / Historic - OKH _ Preservation/Hyannis Project Street Address _I_W Cl006A Ro0.c} Village scj-6as �S Owner a t' o Address to. fox S oms+ Telephone 5oa �d�U 520 c, Permit Request 9-14 r_g�I tAnse- +l 1 016 • Ri't sa a 4- ►e "� c. 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 1 9 4 1 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes Cl 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 Number 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 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing' ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ I Commercial ❑Yes 14No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) cc Name ! CC J v • Telephone Number 5 01' 3 98 3� Address -'"D 61 License # Lc 10 5A 16 a0w4 Y-arfnftwi- ► Home Improvement Contractor# Worker's Compensation # MJC 331 R on ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �csmo%A SIGNATURE DATE O I I FOR OFFICIAL USE ONLY f - APPLICATION# DATE ISSUED ` C MAP/PARCEL NO. ADDRESS VILLAGE- i } z OWNER f DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' R " s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN:NO.. i �ia•:achusctts- Dcp�urtncnt of Public sareIN Board of Buildin!., Regulations and Standartl., _ Construction Supervisor Specialty License License: CS SL 102776 Restricted to: IC WILLIAM MC CLUSKY _ t 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6/28/2013 c'nnmi.<i,ncr Tr=: 102776 (F Office of Consumer Affairs and usiness Regulation M_W 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration - _---- -- = Registration: 171380 Type: Corporation - _- Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. - WILLIAM MCCLUSKEY - 7-D HUNTINGTON AVENUE =- SOUTH YARMOUTH, MA 02664 - Update Address and return card.Mark reason for change. -- i; Address j I, Renewal Employment {i Lost Card PS-CAS 0 6on4.04104-GIo1216 Ile 1f0w.,no?iweal�. d -ack aelta Office of Consumer Affairs&B siness Regulation License or registration valid for individul use only _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: c Office of Consumer Affairs and Business Regulation 1 i Registration: .:171380 Type ri 10 Park Plaza-Suite 5170 �a _O Expiration: =3114/2014 Corporation Boston,MA 02116 CAPE SAVE INC... WILLIAM McCLUSKEY' :'_ - 7-D HUNTINGTON AVENUE==--' : _ SOUTH YARMOUTH"'MA'02664 Undersecretary Not valid wit o signs -' The Comnzonwealtlt of Alassaclzusetts Department of Lzdustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 iviviv.ntass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Le�bly N3II1P,(Business/Or;anization/Individual): Address: ' fl �tlldlting'l on RVCOH,� City/State/Zip:�eu,-}�, �a�l'nt� (`t�A pab6�1 Phone#: SO$" 3 q $ - O 3 9 g Are you an employer?Check the appropriate box: 1.9 I am a employer with t 6 4. ElI am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 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 mein.any capacity, employees and have workers' [No workers'comp.insurance comp.insurance.: 9. ❑Building addition 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 re myself. ❑ S Pairs or additions y (No workers comp. - right of exemption per MGL 12, Roof re airs insurance required.]t c. 152,§1(4),and we have no ❑ p employees.[No workers' 13.0 Other_ comp.insurance required.] «`Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and Then hire outside contractors must submit a new affida�it indicating such. *Contractors that check this box must attached an additional sheet shoeing 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 ail employer that isprovi&ng workers'compensation insurance for my employees. Below is t/tepolicy andjob site informadon. Insurance Company Name: TeG�n o 0�90 -+ To S v%r an ae. Policy or Self-ins.Lie. T c 3 3 8 y / 9 1 3 Expiration Date: 1 Job Site Address:_ —3 �n r e �r u City/State/Zip: —�I—��—�1 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 S1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investieations of the DIA for insurance coverage verification. I do hetebV eerdij under the pains and penalties of perjury that the information provided above is true and correct. Signature: I O (1 y 'a Date: l iri Phone 5�g ' 3 4 8 - t) FOther ou1y. Do not write in this area,to be completed by city or town official Permit/License hority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone=: DATE(MWDDIYVYY) '4C(7RU® CERTIFICATE OF LIABILITY INSURANCE 5/10/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAOmNTF ACT Risk Strategies Company Risk Strategies Company PHONE (781)986-4400 4a.No):.(781)963-4420 15 Pacella Park Drive E• AIL ADDRE Suite 240 INSURERS AFFORDING COVERAGE NAIC 0- Randolph NA 02368 INSURERA:Selective Insurance INSURED INsuRERB:Safety Insurance Company 3618 Cape Save, Inc INSURER C Mechn0109Y Insurance Company 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBERCL125948081 REVISION NUMBER: THIS IS 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 BY 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. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M D MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Me occurrence) $ '100,000 A CLAIMS-MADE FX—]OCCUR CPPS1994480 0/16/2011 0/16/2012 MED EXP(Arty one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 ,GE N'LAGGREGATELIMIT APPLIES PER PRODUCTS-COMPIOPAGG S 2,000,000 X POUCY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accidan S 1,000,000 ANY AUTO BODILY INJURY(Per person) S B ALL OWNED SA(C�HO ULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED k (pRerPER DAMAGE S X Underinsured motorist BI sprd S 100,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 AXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 EXCESS RETENTIONS CPPS1994480 0/16/2011 0/16/2012 S C WORKERS COMPENSATION B WC STATU- OTH- AND EMPLOYERS LIABIUTY RY LIMITS ER ANY PROPRIETORIPARTNERlEXECUnVEY/N E.L.EACH ACCIDENT S 500,000 OFFICERIMEMBER EXCLUDECO N/A (Mandatory In NH) JrWn318007 /9/2012 /9/2013 EL DISEASE-EA EMPLOYEE S 500,000 Ha descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Issued as evidence of insurance. Issued as evidence of insurance. Thielsch Engineering, Inc. is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Margaret Song PO BOX 427/SCH AUTHORIZED RSPRESENTA1tVE 3195 Main Street Barnstable, NA 02630 _. Michael Christian/BAM ��` �r�"'� ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn2fimnlnaslnl Thn Anon neme and Inns ern raniefernA me►he of arnon 46D Vest 112tn Street H©u5irib .. • Hys is,Mt302601-3698 Assistance ., T �508) T71-5400 I(508)7-1:5-7�4� C�rparation Tryon-Bhnes • v�a�u b�oncapemda� HOME OWNER WEATHERIZAT}ON WORK PERMIT&FUEL RELEASE: PLEASE Fff-L OUT AM-qCN TES FOP M JF YOU ARE THE APPI ICANT HOME OWNHL I M N\2,• �thation �� hereby consent to and agree that weathe:azation work raay be doneby e-W Pxogram of Housing Assistance Corporation ( herein after referred as `Agee ) on the property located at The weatherization work done will be based on programmatic priorities and availability of fmading and it may include all or some of the following measures: 'W(--ather-s-tr:Wing&caniking of windows and.doors,insulation of attics,*•sidewa)ls &basements,attic and other ventilation measures and.possibly replacement of badly deteriorated windows_In consideration of the weaiLe izaiiOn work to be done at my home I agree to the,fQllowingg 1- I give Perm'IMPn to the "Agency"its.ageztts and employees to travel onto or across said property with such equipment and materials as may be necessary to perform wea6;aizaiion wow on said property- 2- The Housing Assistance Corporation reserves the right to inspect the fael or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed.. I have read the provisions of this agreement as listed and freely give my consent- Home -Own-cx- (Sigaatore) hate_ 0 Agezit: (sxgnai�zre � Date_ `' ✓1 J\ C�i� HA,C approved Weatherxzation Company,_ C V. Caliber Bolding&Remodeling Cape Cod Tmsulafion: Save Creswell Construction Frontier Energy Solutions Lobr&Sons Peter Sruth Resolution Fa mV— Rock Solid Coastructi.on' All Cape Insuiation Assessor's map and lot number ....a.. .:'..aM...... 8EP7'C 'yV� y A ST ... pp�� 6 �Y�©�0"� �1���r�9 �^�r� i THE TO FJ STALL C QyO ry Sewage' Permit number ........................ .�.1(j.M..< a,s, �� �'g ..... ^, � ARNSTAB i B LE, House -number ............................Z..$. ].. ............................... 90o MAG& /)/dC i 39. \0� 0 MON a' TOWN 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..`:..�eAl.?!.!'C./.......J�e......V..��// ! �'i ..J YG'..... '............ TYPE OF CONSTRUCTION .......... cl.v........................................................................................ ...............y::....1..................114 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........Q 7 �'"v� �L„SQr� �d � �!��.. !/N .... ` ...... .. ....... .................. .... ........... Proposed Use (141M 9-X i 51.�- leOc�ino ........... ................. ............................................................................................................. Zoning District ' .....................Fire District Name of Owner ..................................Address ,� ; Name of Builder ��/�""" <...Address � . !f/Ft`'v� l� tQ ? .4t. J .............. Name of Architect .......... //..�..................................................Address ............`"///•�'................................................................. Number of Rooms .........21- :.....................................................Foundation .....p.~`Jv SY-....1'd G�!�: ...................... Exterior .� ��0..`i �f�..............................................................................Roofing .............. ................................................. I J `, ` Floors C'o,jC/.:.....�............G!>�?....�...' .....! &:�..............Interior .........�!J... ...^.�.J�[,................................................ Heating ................ Pl! ....................................................Plumbing .......... Q.n`' '..................................................... Fireplace .►�................................................Approximate. Cost ........ � �� c) .............................. �. ...................................... ........ Definitive Plan Approved by Planning Board --------------___-----------19_______. Area /o��✓ 3a. 9( ...................... ..... 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 ...... ........... It�/ ...................................... Construction Supervisor's License ..Q.d. il�S3........... JOYCE, MARY 27801 ADD TO DWELLING No ................. Permit for .................................... Sinqle'-FamllV� DW611i ......I......................................................R9........... Location ....2.8.7....Turtleback...RQad........... .................. ......................... Owner .......XEArY...JQYQ.Q................................ Type of Construction .....ZrAMe........................ ..................... ...................... .................................. Plot ............................ Lot ................................ April 24, 85 Permit Granted ........................................19 Date of Inspection ...............19 Date Completed .......... ..�5.$............19 r b 15 w ' WIL a cis lt�T � CEZTIFIEICD PL..-)T Pt—.4,�`1 No. 19334 LoCJaTIOtJ C-AL — //1 ply 1 E ' pLA►J rLE1.Ica ` CF�iZTIF � TN AT TI4r-- FQ�II�E A1u Suav�J t-I r_� �o►� G ca�v�P L�!S vJ I T N T t-1 E 5 I v E.L I►-�� �_ �-�� � '� AIJD SET$AC�A QEQUIczEMEuTS OF �'►�t`C/, ,,//\\ -T O'-kJ U .�_������� wl -r,.-�� l�1 -R-►.� FL.c�oo �I►.i gaxTE� � �-��F• ��,�. -rF� IS DLA� IS I`1oT P�ASEo 0►-4 n `L P TG SI 10. UG h p 3 C") I�---- . •,z- f�i� uS�o iC� �Jefe Assessor's map and lot number ....(rt�?,?-�.�'..6. ,:........ 1 � �pf THE r0r Sewage Permit number .................................... ................ Z I STADLE. i House number ...........................I. `�.................... MADa �O 1639' \0� WOR TOWN OF BARNSTABLE._ s BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ..�..a.N..S.�!.0 t � . !'!C/ /�`� �S Ur /t�✓� ................ ..................................................................... TYPE OF CONSTRUCTION ..........r/� .ctlt::71. ...............y:...........................14 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / �/1 Location 7....� v/f�G J`1c f�'....� ........... !Q�Sf / .. ......................................................................... ................. ............t............. ................ Proposed Use Una (!1 '.. S'!✓. /ZUl1/t'uJ ............................................................................................... Zoning District ........Fire District.................................. .......�?.. .. .:1................................................. Name of Owner /��� ... !C? 1.l;..................: ...Address ! . Name of Builderl . 7m' � ...Address ` T Nameof Architect ..... ...... ...............................................Address .......y !1..:............................................................... Number of Rooms I?' ................................Foundation ' A..:................................ Exterior ...... ,( ' .....Roofin �A vlk�� /� G Floors �...... ..............�J, �?.7r,^... !.'!...`.................Interior .........U!`....... .��Jl9... . ............................................ ................... Heating ...........................................................Plumbing ........../t ..................................................... Fireplace ................... . ?.....................................................Approximate Cost ........ ........................................ Definitive Plan Approved by Planning Board -----------_--_-__----- T� I9/.. 3a 5�.......... 19- ----. Area Diagram -of Lot and Building with Dimensions Fee /(a....................... X , 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 ..... /1T �/ .... .............................. Construction Supervisor's License . ................. OYCE, MARY A=063-038 27801 ADD TO DWELLING No ..... Permit for .................................... Single Family..P!��p.jjing............. ...................................... ..... Location ......2 87 Turtleback; ........ .....................M.ar.s.to.pA..B.i.j.j,$......... ........... Owner .......r AKY...JPYP.g................................ Type of Construction .......,Frame................. .............................................. ............. .................. Plot ............................ Lot.................................. Permit Granted .......Agri 1 -24, 19 85 . ......................... Date of Inspection...............................I......19 Date Completed .......................................19 0-0/7' 1 _ o �. n Yr O 1 , X � \TN'd -sZ Zs `A�tN OF M4s�9 `� c �Cr WILLI,AM y�, ' NYE y U p No. 19334 O LOCATI ON 1` \ NO c3 ` 5 t..l o•••u►.1 PL A►,1 R 1=�E�E�.1 G l= . CrgTiKY THAT THE FQAN�E Rl.�t• t-a>�E o►_l Gorv�P LDS �.�/ I TN T 1-IE S I II E.L I►-� v- �� r At�t� SETCIC GAA OF THE 7t� v -To W Q OF 119.0 —7 �`fJ1.Ic�T7 A t,l D I S ►JU j �,-- . C. U •LoG•AT�� WIT1-1j1�1 �•l.apD ��IN BAXTG�Z. �`. u`(E' t4.1G. 5,y:eV.rv�rnAz a U►-1 n OSTEIZVtLLG c htasS, T 1-4 l 5 V L A U OT B AS EV IIJ•T�(J,AEIJT SUCZV�Y � TsaC_ v�cSrrT"S SI4tAPPLI CAS -j-r M ��� � 1 U� cff r: ,r .fl,C USUO IC-J Dc:rC, VAA Lo V Ll Wall- v Assessor's map and lot numbV Y7 : THESewage Permit number " .. ... i BA"STODLE i Housenumber ........................................................:.............. � NAM 9 f6 �DV a` TOWN 'OF 'BARNSTABLE SUILDIHG SPECTOR APPLICATION FOR PERMIT TO ...... !`� Q ll .....Ava?...1..T.1.ad,................................................... TYPE OF CONSTRUCTION ...................... Y.. .............. .................... 4 ...........1911.� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the........ followi g infor a ion: Location ........... .�I..........�'�"?—"f i� ..��� [ � .. ` ' ......... ....... ............... �. ProposedUse .............. 4.S1...6: ?. .�P` .!.? ......................... .......................................................... .... .. ... .... .. .... ZoningDistrict V..................................................Fire District ........... ... ....................................................... Name of Owner ...�f.". (.A.. ...........................Address .Zly ....T ................ Name of Builder .O!! '. dd�( °r !�1�...�)¢?fi1�.:....Address ...... Nameof. Architect 1..............!.`.�..`............................................Address .................................................................................... Number of Rooms ..................................................................Foundation c J ?.J...... Exterior ...Roofing 9..`sp..4ALT............................................. Floors ........C. .!Q. ........................0.........................Interior ............5. 1 Lh!7..........0........................... N Heating ...............N�..l......wq.�.e:.�-...........................Plumbing ................/e............................................................. Fireplace / pp l�t�jndv Approximate Cost ...... ........................................ Definitive Plan Approved by Planning Board ------------_—-----------19_ . Area ..... d Diagram of Lot and Building with Dimensions Fee 0 ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH i I 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 ..C&.� ...KCA...... ............... Construction Supervisor's License ...... JOYCE, MARY No ..... Permit for .BUILD..MDTTION.... ...... .......... .........Si.nqle...Farni.lv..Dwellina ........ ... ............... ..................... Location ...287 Turtleback Road ............................................................. Marston Mills .............................................................................. Owner .....Mia.rY.AWce....................................... Type of Construction .....TK ......................... ................................................................................ Plot ............................ Lot. ................................ -A Permit,Granted _z4abnaary...14r..........19 84 Date of Inspection!............. ................ 19 Date Completed .......... . .........19 Assessors map and lot'' ; ................. --J/� � Sewage Permit number r B68b9TABLE i ;1 House number .........................::.............................................. 639 e�►. i go?Of a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ..............�.7�t............ ...........:...........T............................................................. � TYPE OF CONSTRUCTION .....................Za ........... 6. x TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........... --.. ......... :�.C:.k ..� 1:: .......j .:.......... �, %`l•,/! ^I�Y 'j .� .....f �!/: L-rV, iyULa / li 4 �1i„) f-�... ..... Z: •.../ Proposed Use .................f .... .. ................. ....................... ZoningDistrict ............!. r' .. Fire District ..... —� r� ....................................................... ... .......`(............... ......................... Name of Owner )A11 V1 a.t a ..�..!. :44.t.,.F%...........................Address .. ... w,EZ; !.h:E E AS. ....1 ................ Name of Builder Address ... r�..... �� !M(:IS...... Name of Architect /.�..(�� ...Address .................................................................................... . .................. ........................................ Number of Rooms ..............�.................................................Foundation .... .� .......-w✓Avr .. ....`.::.?�,.C................. h,�i Exierior ................`...................................................................Roofing ........!` S t?. .�-� ............................................. .I. Floors ........ �� n e.�....................................................Interior ........... /I,F �'17.4C:�� ........... . Heating ...............!'...p�.....:..;./t. 4s .�:...............................Plumbing ...........N I .!........................................................... Fireplace .............. � .. + .............................A Approximate Cos4.192!>?v,•,G�...1... ........................ Definitive Plan Approved by Planning Board ------------_—_-----------19_ . Area ?. ! L7' e••••••••.•.•••.• Diagram of Lot and Building with Dimensions i Fee' ..... ... .......`':Z/. ........... 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. 11 � Name ...1( ;.1/w t.:....... '&(('./ti! . ( 4l. il�?:�..............V. �.. Construction Supervisor's License .................................... , i JOYCE, MkIRY A=6 3-38 N �97L 0 '2 Permit for Build Addition 4 ..................... .. Single Familv..Dwelli�........................... ................... ........... Location ....287..Turtleback. . ..Rqad........................ .. . ........... ... ..... .. Marston Mills ........... ............Marston................................................ Owner ....MaKY..79YPfft........................................ Type of Construction -EKaM............................. ............ ....................................... .............................. Plot ............................ Lot.................................. February 14....... 84 Permit Granted .................................. 9 Date of.Inspection.....................................19 Date Completed ......................................19 G l� Zh OF UA o`er NIICHELE GN CUDILO a STRUCTURALco No 34774 9FGIS FSSIONAl- ppvr k 4 1 : • l 9 w : a14 IA , , �L l V/,nth P r''c�r?7 --�---- i I tt : . _ ...... i I _. 0 , , 3 ^ , I {I I l " 1 } ( i t E I Fw P 47 77 Vf le I � 7 cn , ". Z . . /^` ""