HomeMy WebLinkAbout0417 TURTLEBACK ROAD N
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W11 OF BARNSTABL.E
J. 10I3 JAN 2qro : RBarnstable `��<<31�0�,� a
rm it:
Regulatory Services ate:
�oF THE Tp� BIl IO �`Th-0°►n&S.F. Geiler, Director
Building Division ee ,3,� Q�'��
n MSBIE Tom Perry, Building Commissioner
by a�0� 200 Main Street, Hyannis, MA 02601
www.town.ba rnsta ble.ma.us
Office: 508-862-4038
TOWN OF BARNSTABLE Fax: 508-790-6230
SOLID FUEL STOVE PERMI_T
Owner: I�jC�� l l Pho : —ne. 994 �� —�23
5
Install at:
A<,A t:�D Village:
f ' Ir 5
Map/Parcel: ozrg Date: ( I 2e I I S
Stove
A. New Used
B. Type: Radiant Circulating Co2cn���
C. Manufacturer: � ,�,� ( , ( Lab. No, 4,& 4A)SI / l�L I'�I3�
D. Model No.: ,�
Chimney
A. New xist .(If existing, please note date of last cleaning CJ' /o'Z-
B.. Flue Size j' X i f
C. Are other appliances attached to Flue?—L`»
D. Pre-fab Type and Manufacturer
B. Masonry: QE�mined
Hearth
.A. Materials: - �
B. Sub Floor Construction L
Installer ff
Name: lSe I I,
Phone: _ Address:
Location a `Installation: 41 r-t `j ��. �
H.I.0 Registration#
Construction Supervisor# '
OR check Homeowner Installing, no license required.
APPLICANTS SIGNATURE l I
APPROVED BY:
Please make checks Payable to the Town o Barnstable
*This constitutes on.official stove permit after inspection, hoto
P graphed, and approved by the
Building Inspector.
i
,M
The Commonwealth.oflMlassachusetts .
Department oflndustriaZXe dents
Office of Invesfiga2jojns
- 600 Wash ington street.
Boston,MA 02111,
• www.mrrss.gov/din ' •
Workers' Compensation Insnr-�Me Affidavit: Builders/Contractors/Eledtricians/Pln.mbers
Applicanthformation Tjease'PrintLemlly
Name(Business%0rgani7ation/Indi7idual): ,
Address:
City/State/Zip: 42e
Are you an employer? Check the
appropriate-box-:Type of project(required);
1•❑ I am a employer with 4. [] I am a general contractor and I
employees (fun and/or part time).* • have hired the stab-contractors 6. ❑New construction .•
I F1 I am a'sole proprietor or partner- listed on the:attached sheet 7. ❑Remodeling
ship audhave no-employees These sub-contrac}ors have
8. ❑Demolition
working for me in any capacity• employee,* and have woiIars'
[No workers' comp.hwu a„ce comp, insurance•$' 9. ❑Buzldmg addition
required] 5. [] We are a corporation and its 10.Eltlectdcal repairs or additions
3.( I am a homeowner doing ill work, officers have exercised their 11•Q plug rEp�s or additions
y \myself [No workers'comp. light 6f exmaption per MGL 12,0 Roof repairs
b3M=Ce required.]t c. 152, §1(4), and we have no
employees. [No workers' 13.❑ Other
comp,insurance required]
*Any applicant that checks box#1 must also M out the section below showing their workers'compensation policy iafnrmation•
t Ho=owoers•who submit this affidavit Indicating they are doin&H work and then hire outside contractors must subrrit a new affidavit indicating such.
tCuntractors that check this box must attached an additional sheet showing the name of the sub-conhmators and state whether ornotthose entities have
employees. Ifthe sub-contraetors have eiaployees,they most provide their workers'comp.policy number. ,
I ain an employer that is providing workers'compemazYDn insurance for my employees Below isihe policy and job site'
information.
Insurance Company NaSne:
Policy#or Self-ins.Lic.u: Expiration Date:
lob Site Address: C1ty/Statemp:
Attach a copy of the workers'compensation policy declarafionpage'(showing the policy number and expiration date).
Failure,to secure coverage a9 iequired tinder Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500.00 and/or one-year hnFIisox=ent, as well as civi pmaltties in the form ofa•STOP WORKDRDER and a ime
of up to$2S 0.-00 a day against the violator, Be advised that a copy of this statement maybe forwarded to the.Office of
Iuvestigations of the WA for insurance coverage verification,.
Ida hereby certify ' der the pains. nd gf'perjury that the information provided above is frtte it correct:.
Si tore: Date: ,3
Phone
official-use only, Do not write to this area to be completed by,city-or town affzciaC
City or Town:' Yermitllacense#
Issuing Anthority(circle one):
i
Town of Barnstable
oft►,E r .
Regulatory Services
sAxrrSUBLF, • Thomas F.Geiler,Director
9 MASS.
�A i639• A.O� Building Division
rEt)MA't �
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
IPlease Print
DATE: l 2 b I L
JOB LOCATION: -f17 1 uvz- -I�% PA. 1 'L rI r
number streeeet�7 p village /rq
name home phone# work phone#
CURRENT MAILING ADDRESS:4`? /&1 -I¢_ &L(A A _
024:4
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('*)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"homeo "certifies that he/she understands the Town of Barnstable Building Department
minimum inspection pro ed s and reQur ements and that he/she will comply with said procedures and
require nts.
Signa re of Hom
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 of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
'Q:forms:hoineexempt
�1NE Town of Barnstable
Regulatory Services
ySTAB
b I'E' Thomas F.Geiler,Director
i639. ,0�
'O�Fc ter. Building Division
'Tom Perry,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
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work.authorized by this building permit.
(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 Signature of Applicant
Print Name . Print Name
Date
Q:FORM&OWNERPERMISSIONPOOLS 6/2012
c{ -
TOWN Or BARNSTABLE
Town of Barnstable M? AIJG -2 PM 12: 22 .
. CF 7ME 1p�
Regulatory Services
BAMMNsTAsis,
Thomas F.Geiler,Director w. _. Ll�IISION
. � M" 9 Building Division
a639. 10�
AIEo n"o�� Tom Per
ry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
TPA FEE: $ .'� , 0O
ERMI
SHED REGISTRATION V Kfq
120 square feet or less
Location of shed(address) Village
Property owner's name - Telephone number
CXG1 009
Size of Shed Map/Parcel#
gigntore UDate
i
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature required) (ZW(7 O /pT�/0�
PLEASE NOTE: IF YOU ARE Wrr]3]N THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRL&TE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Sr -TVC SY
Assessor's map and lot number .......................................... I��TALL��
Na
SANITARY
Sewage Permit number ..../L.. ............................................. I&G **
TOWN OF. BARNSTABLE '"'a `�
CF?NE t0
S/I f/7 5®
i E9HH9TODLE, • +`•
o Y',,:•e� BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .......(; .LY. O (10.T....... ......r/..Ql��
TYPE OF CONSTRUCTION ...............W-00—Q....../:, ! .........................:.............................................
11.......a.ra..........19.,7s
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to. the following information:
Location .... T.. !. �. : ..../!Y.S.I+ .G.....IL h'., 4.... .../vIII�I J'.I�OII�J../?71..4 L.►S'...................... .
ProposedUse .... ,Y....../..!.. i�.1�. � ..................................................................................................
Zoning District ..... Fire District ......C.. ..
Name of Owner ...qp.Q E'/ow..... G./. 1?,O.....Address ....(R.3....11J./.tlPv y.:.
Nameof Builder ..................... � .............................Address ....................................................................................
Nameof Architect ...................SA J.4,9..............................Address ....................................................................................
Number of Rooms ........................�?.....................................Foundation ........ �,✓ .!�.......C�®/..S'i..........................
Exterior ....3� AN- A+.�!d S' .............Roofing .......�15' /7f1-T
.......... ........... D.. D...........
Floors ...Ot4/�... �rfI.�i' &.7. +�I�I#4.R.�O...
..... .... ........................................Interior ...... ..................:...................................
Heatingf��Q.T.... . . . ..TiE . ......l�Y... /. .+........................Plumbin P.Yt.�iq....� W.t�trt iI.tVi�k I
l�Y/It R g
C o P�°E R vvi4-rE� /b�PE
Fireplace .......Y.E.s........1'.�F/l!.7- ,R.�... -J. _
.... .........................Approximate Cost .........?1.�Q.Q..O........................................
Definitive Plan Approved by Planning Board -----------______-----------19_______. Area ...........�3.�.Z
Diagram of Lot and Building with Dimensions � Z. .
Fee .............. .........e....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
2-z4
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... ...............
Q ,
�"R
Joseph C. . .�
- | �
l
� . .
. ^
17698 l 1/2 story, ' ^
No ................. Permit for ------------ |
~
single
family Idwall1oo
------''r—
Location ---.��...��'.'-''����'��.----'... .
- '
Maratooa Mills '
--------------------------. '
^
�mm�o� C �mlcarm
Owner ----___��___�___________
' -
frame
Type of Construct-ion ------- .................... .
--------------------------. . �
. /
-----____. Lot ................................�368
p|c�
~ /
.
May l9 ' 75
Permit Granted ---. —'--]g
'
`
Date of |nx iun /Z ..�?�����-��^
Do** Completed .zu -----'lq
'
`
'
^ �
. . '
PERMIT REFUSED
'
.................... lV
- ^
. '
-------------------.
-------. .
_
`
-------------------_------.
.
.----.'---------------...----. ' .
............... . '
---.------------.-----.
. �
' Approved ---------------.. yJ
' ` '
.�
` ------ -------------------..
i ------------------...---.--...
=�
Town of Barnstable *Permit# 70141S
~O� Expires 6 months from issue date
sr� Regulatory Services Fee - °0
9 ,3 9 �� Thomas F.Geiler,Director
�bArE p •
Building Division
Tom Perry, Building Commissioner -PRESS PERMIT
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 3 2003
Fax: 508-790-6230
EXPRESS PERTNHT APPLICATION - RES STABLE
t Valid without Red&Press Imprint
Map/parcel Number
Property Address
esidential Value of Work S �
Owner's Name&Address ��/ � /V`C c4e ?/'l
Contractor's Name D Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box)
�e-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improve eense�tretf--
Signature
Q:Forms:expmtrg
Revise053003
Assessor's map and lot number . ..i..:r�..`...tl'...............
- l Sewage-Permit number ........ /, ........................................•
�fT"ET°�° TOWN OF BARNSTABLE
Z BASHSTSDLE, i
"b q BVILDIHG INSPECTOR
�D MPY fr• .
a -�= lx 'lol l4a�1
APPLICATIONFOR PERMIT TO ....................................................................... ....................................................
TYPEOF CONSTRUCTION .. ......t� ...........................................................................................
c, ?. -n ................19..-1..4
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ... A-7 ..... � ..... ✓l T'L f °�1��... It',.a� .....................................................................................
......?....
ProposedUse ....... . ........ .R.........K�.l/I /:/�1/f:;-L.............................................................................
Zoning District .. !,.. ...........................................................Fire District ... &AZ;r....'-. �........................
Name of Owner ............. ' ..../�O <-.,A ......Address ......4/7 71,r.Xa'./.C: ..,!X:!.4..:......
Nameof Builder ......... )•, I0.�C.....................................Address ............................ + ... ..................................
Name of Architect ........... . ...............................Address ............................ ?., .. ................................./��
Number of Rooms ............... ...........................................Foundation .........&I.........!.:.�/J, ,l/..
Exterior K .........................Roofing ...........,4xf,/,P/ ; 7 ............................................
Floors /�/��Y. .....................................................Interior e. /�
' ......../J �/ /
Heating .......�.��...�.....�/`�;./. ,Q�......... ...�/.!C:...........Plumbing a� .... ...
Fireplace ...... Y If .. ..........".....� &,--).......................:Approximate. Cost ......
. .,�,(��� �
...................................
Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ! •� 72..................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....?'+�!.!�.< .��?...�..`..-..... ! ._ .............................
Polcaro, Joseph C. A=62-8e
, r C.
No .,. 18537 permit for „}ebuild 1 1/2
story frame dwelling (fire replacement)
...............................................................................
Location�.n Turtl. . e. ...back Road.........................
......... .... ... ........ ........
Marstons. Mills
...............................................................................
Owner ........Joseph C.. Polcaro
' Type of Construction ...........frame
...............................
........ .
Plot ............................ Lot ...... .. #368..... .....
Permit Granted .............July...............22.... .......19 76
Date of Inspection ....................................19
Date Completed ...... .......................19
PERMIT.RE USED
...................................... .. . .......... 19
............../..
. * ..... ......
............ . ....... . ....................... ...................
Approved ................................................ 19
...............................................................................
...............................................................................
1 �
Assessor's map and- lot number ✓('0
Sewage Permit number ..... /. ............................................ y
Q�aFTMEtO�♦ TOWN OF BARNSTABLE "�"�' .
Z BARNSTODLE, i
o p BUILDING INSPECTOR a
APPLICATION FOR PERMIT TO ........ .....S INX-4-�E /�""�'3/t,'lj Y. *0tl-r,g
.................� ..............
TYPE OF CONSTRUCTION .................. !�/7 /" A. :.':.......................................................................
. ...............
rh
............................................19........
TO THE INSPECTOR OF BUILDINGS: ;, 1
The undersigned hereby applies for a permit according to the following information:
Location �.U T ./ /it �.S'7r/ l; Ik' ?/��,f /Ylf�/.�rn !.....�.�4. .. ....................
........................ ..' ......................................... .... ..... .. .,.....
Proposed Use /"� i/�A �A V . //a "/1✓C ........................................................................
ZoningDistrict ..... .. .......................................................Fire District ...... .` ". ........................................................
Name of Owner c�l7 p!a�..... /'/� :!..! .!Q .....Address .... a.v R /�i/I� �l1/�lF... ............. `S f
............ ........................................... /LL
Nameof Builder ...................... ............................Address ....................................................................................
v
Nameof Architect ��.:�?.�..............................Address....................... ....................................................................................
Number of Rooms ........................<. .....................................Foundation .....l..;(f......
Exierior .....- 1"Me.....,Bo�r� n.c ..............Roofing:..... ./ 1 f3�-.T.................................................
.................. ..................................
Floors .... "......................................Interior ......: !. .` +?.. .
Heating f1/J.�".. � F.! .....��tk:.. /'l// ........Plumbing .._/�'4.!/
.....-....................
C 0 P/0 E R yV r17-6 A f F lu
Fireplace ........Y :r........t.C.F',Ar- -"r-,��. ...........................Approximate Cost ��f3(�,
............... ......... ............................
1 ..Definitive Plan Approved by Planning Board -----------_______---------__19________. Area ...............�............................
Diagram of Lot and Building with Dimensions Fee ..............r �.
SUBJECT TO APPROVAL OF BOARD OF HEALTH 9Z6
c6 .
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name '! �<i. �,(I ..�... . : .� 1�'' ?�Y. .............
� 9olearo, Jmaeob '. 'A=62-8
~/
/ No J7690_. Permit for .....l_l/2..story,
_.. `
i i family --
VYl
`� \ � -
Location ---' -----
________..�az�tm�n..�ll1a_______.
Owner ............. �
Type of Construction ----fraou�------. -
'
^
�
� ...........................................................
'
� Plot ............................ Lot —.. _
'
!
�
May 19 75 '
Permit Granted -------------]P
Date of Inspection ------------lV
|
Dote Completed ------------..lV
/
|
PERMIT REFUSED
`
-----.-----...��--------- lV
� �
. .
--------------------------.
—'------`------------------' `
`
------------.--------.----- '
'
..................................................'...,...............'......'
�
| .
Approved ................................................ lA
........................
~
-------`-------------.----..
Assessor's map and lot number ..............
Sewage•.Permit number........�. ........................................
�Q°FT"ET°o TOWN -OF BARNSTABLE
Z BABBSTABLE, i 'r
a �a.��� BUILDING , INSPECTOR
APPLICATION FOR PERMIT TO 0
TYPE OF CONSTRUCTION:;.... .......
......... ...A,2................19.76
TO THE' INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..� .T .....#.V`o. c.....� /.1..74.9,8 '... ...................................................................................
Proposed Use ......VAYt-t! ...... ://v!........Jt� 4. �/ a.-.............................. 1...............................
Zoning District ..(. . .......................................:....................Fire District ...(... .T......". ?. ...................................
Name of Owner .. 5.'.....C.`......(0.0.4n.ChWO......Address .......�.17....r�—Z1-9.?STA-Ck 0.........
Nameof Builder ........... . .......................................Address ............................. Z..................................
Name of Architect ............ ...........................:...Address ............................. A..M../.r.....:...........................
Numberof Rooms ...............1 ...........................................Foundation ........./a......... 4D��0..............................
Exterior ...........Xrt./1.�. ....> Q ! V..........................Roofing ...........AS$1./1.4. ............................................
Floors ............ ..............................................................Interior ........ 0.�,�. ...:..... ......................
Heating ......./l.Q.l .....AfA..........d.Y....V..l.'L-...........Plumbing ..........r2.......4-�41A.Z.........................................
Fireplace .......r�G .. ..........`".... ..0'�C ....................:...Approximate Cost ...... a�.Q.W..........................
Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ` �2..
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. .•..
Polcaro, Joseph C.
18537 tebuild 1 1/2
No ................. Pdrmit foi ....................................
story frame dwelling (fire replacement)
.................................................................................
Road
LocatioHn .13.'Turtleback'
.........................................................
..........M.ars.to.as..Mills........................
.............. .. ...... ... .... .. . ...... 0
Owner, *..................................................................ph C. Polcaio
frame )6
Type of-Construction ..........................................
..................................................................................
e—j r, , ill
#368 71
,-Plot ............................. Lot ................................
t
Y
7
jib
,;Permit Granted ........ July 22
... ........19 6
7
Date of Inspection
Date Completed AV' 7:..-.,;......y19
PERMIT REFUSE
...... 19
...........................................................
4,A
z�
...................... ........................................................
.......................................................
.......................................................................
.............................:..................F.......................
r
Approved ................................................ 19
................................................................................
......................
yJ
IQ
LOT 368 ,
LAND COURT PLAN NO.30751 F r,
SHEET NO.3
44,46'0: S.F. .
3c �
N _ -
t
............... �_ A/ 0 .
-5yi
50
PLOT PLAN
FOR
JOSEPH POLCARO
/N D ON MARSTON MIL LS BARNSTAUI
SCALE 114 = 5' DRAWN:
DATE MAY 16, 1975 CHECKED
PHIL I P D. HOLMES'. r,x
Cl V/L ENGINEER
LM`S
my MAIN STREET
R 74 JOB'-NO: :;1510
b'
t tyF��yr»s Ft .
y-ib
, `ate �t75y�
'� arty.• $1�y" �# t S __
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_ -- 7?F57- f�• -
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R04D'
PR
CERT/FY THAT THE FOUNDAT(Or
} LOT. AS .SHOWN
DATE E!REG/ST