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0470 TURTLEBACK ROAD
o �� o ,� ,� a .� � � u p s� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 00 Application l sy 2 j l Health Division Date Issued Z/3 /1.5 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 1476 TU1+kb".k Village (Y) Owner Address s.r,� Telephone �b�-aS�-ISse Permit Request k0AC_,J'11V(_4L,_ a f!.t 4_44-. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation l - Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No. Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.-.fi.), Number of Baths: Full: existing new Half: existing ;- news Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Rook Count = f Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 3. Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood oal stove: ❑As ❑ No Detached garage: ❑ existing O 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 ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis, MA 02670 License # Cell (508) 280-6964 CSL-58633 HIC-169393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE j�2dl�r 1 FOR OFFICIAL USE`ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER . 1 DATE OF INSPECTION: !y FOUNDATION FRAME i;. INSULATION FIREPLACE j ELECTRICAL: ROUGH FINAL rr . PLUMBING: ROUGH FINAL '.. GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. " ' ' 'dell 1 . Town:of Barnstable _ Regul Cory Services Mch"T.sc;for Buii#ng Division Tom PerrN B.a l4ing Canomsaioner 204 Mafia Ste;Hyannk:MA 02601 www:bow-mbarosmble ma:as Offioe: 50.84624038 Fax: -508-79Q-6230 Property Owner Must Conctplett: ;$'*'his. Section. Yf.ilsiaae„ABuilde�r. ;.as.Qw,QeP P..tc 15i 3ect:p�nbpeny hereby authorize, /A e Carl�n ASku CA i o o:act>on aiy behalf, in aU matters-relative:oD audrorized by this b lding peim -application for. 41 O -Tli a-u ba.c k- kt a-4, Addxes`s"cifjxdi ;. Fool fences and alai�m�s:air-the,iespons of; applicant: Poo1S are not to.be.f&J or idized Wore feuke is m*s*tdl led.m id all final- ivaspections are.pei*fomed=d accepted 7�tvS /7 Q1.oetT/z Alcaey '-Janis Hafpae Met y(Dec 28.2014) Signature of Lamer S*abm of.APplic m Paint.Name .-PrintNkm Dare - Eoxs owcrrzu�sro�ooi.s Massachusetts -Department of Public Safety Board of Building Regulations and Standards C'onstrnction Supervisor License: CS-058633 MICHAEL J MCC �AR PO BOX 52 W DENNIS MA 6267; ' Expiration Commissioner 04/10/2016 I 4- Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr# 238121 'MICHAEL MCCARTHY MICHAEL MCCARTHY - - -- P.O. BOX 52 --- -- WEST DENNIS MA 02670 ----- _ / Update Address and return•c.rd.Mark reason for change. SCA 1 ip 20M-05/11 Address � []"Employment Renewal ❑ Lost Card �.�/ 4 r . Tite Commonwealth of Massachusetts Department oflndustrWAccidents Office of Investigations 600 Washington Street Boston,MA 02111 wNnunass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print ULdbl 1< a McCarthy Construction Name(Business/Organization/Individual): Po BOX 52 Address: West Dennis, MA 02670 City/State/Zip: CS1pA§Q3 HIC-169393 Are y u an employer?Check the appropriate box: Type of project(required): 1. I am a employer with_1 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 propridtor or partner- listed on the attached sheet t 7. []Remodeling ; ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity, workers'comp.insurance. 9. ❑Building addition (No workers'comp.insurance 5. ❑ We are a corporation sad its 10. Electrical r required.) officers have exercised their ❑ repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions myself.[No workers'comp, e.152,§1(4),'and we have no 12,C]R f repairs insurance required.]t employees.[No workers' 13. er comp.insurance requited] *Any applicant that checks box#1 must also fill oat the section below showing their workers'compensation policy Imbrmadon. t Homeowners adio submit this affidavit indicating tiny are doing all work and then hire outside contractors must submit a new affidavit indicating such. lCoatractoa that check this box must attached an additional sheet showing the mate cf the nb•wntractars and their workers'comp,policy lrmmatfon. lam an employer that is providing workers'contpensai7on insurance for my employees Below Is the paltry and job site Information. Insurance Company Name: Policy#or Self-ins.Lic.#; VWC. Expiration Date: Job Site Address: 4 7o Tv,H, �,,t, City/State/Zip: t Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure required coverage as r ired under Section 25A ofMGL c.152 can,lead to the g 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 i 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 Pe pa a enaUies of perjury that lite information provided above is true and correct. Si lure: Date: z-h r. Phone P I OffTclal use only. Do not write in this area,to be completed by city or town off iclaL ti City or Town: Permit/Llcense N. Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CltylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: a� .,ACC>®® CERTIFICATE OF LIABILITY INSURANCE °A 07r101201orzol,m' o7a 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 pollcy(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 01962-001 fiaAJ/►CT Bryden&Sullivan Ins Agcy of Dennis Inc 0810,Ext: (508)398-6060 X No,: (508)394-2267 PO Box 1497 �Sss: So Dennis,MA 02660 — ERIS)AFFORDING COVERAGE NAIC M INSURER A: A.I.M.Mutual Insurance Company_ _ 26158 INSURED INSURER B Michael McCarthy Construction Inc INSURER P 0 Box 52 INSURER D West Dennis,MA 02670 — INSURER E 4— COVERAGES CERTIFICATE NUMBER: 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. N07WITHSTANDING ANY REOUIREENIENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO `A1-IICH 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. ILTR TYPE OF INSURANCE INSR � POLICY NUMBER Mhi/D[j LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES occurrence) CLAIMS-MADE ❑OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ r_ N'L AGGREGATE LIIMITAPPLIES `PER: PRODUCTS-COMP/OP AGG $ — �OLICY 1 UECT 'i OC AUTOMOBILE LIABILITY COMa81N eD SINGLE LIMIT $ �d ) _ ANY AUTO BODILY INJURY(Per person) $ f AUTOOS AUTOSSCHED BODILY BODILY INJURY(Per accident) $ HIRED AUTOS rNON-OWNED PROPERTY DAMAGE $ AUTOS Paccident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ yyp I DEERDg ppMM RETENTION $ yy�gTp7� T� $ AND EMPLOYEFes�UABlllTlr X TVA LIM Ti s °ER- _ pNy PR�p��EToR�pq�TNE ECUTIVE�,�Y y/ � E.L.EACH ACCIDENT $ 500,000.00 q OFFICER/MEMBER EXCLUD i i NIA VWC-100-6017656-2014A 7/17/2014 7/17/2015 (Mandatory In NuHH))�r E.L.DISEASE-EA EMPLOYEE $ 500,000.00 DE9sCA N OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more apace Is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thielsch Engineering 195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Mass. Corporations, external master page Page 1 of 2 William Francis Galvin Secretary of the Commonwealth of Massachusetts w Corporations Division Business Entity Summary ID Number: 001062209 Request certificate New search Summary for: 470 TURTLEBACK REALTY TRUST LLC The exact name of the Domestic Limited Liability Company (LLC): 470 TURTLEBACK REALTY TRUST LLC The name was changed from: 470 TURTLEBACK REALTY LLC on 10-04-2011 Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001062209 Date of Organization in Massachusetts: 09-30-2011 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: C/O ]ON HALPERT 147 MEETINGHOUSE CIRCLE City or town, State, Zip code, NEEDHAM, MA 02492 USA Country: The name and address of the Resident Agent: Name: ]ON HALPERT Address: 147 MEETINGHOUSE CIRCLE City or town, State, Zip code, NEEDHAM, MA 02492 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER ]ON HALPERT 147 MEETINGHOUSE CIRCLE NEEDHAM, MA 02492 USA MANAGER JANIS HALPERT MALONEY 1794 GREAT PLAIN AVENUE NEEDHAM, MA 02492 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title I Individual name I Address SOC SIGNATORY ]ON HALPERT 147 MEETINGHOUSE CIRCLE NEEDHAM, MA 02492 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN... 1/20/2015 Mass. Corporations, external master page Page 2 of 2 SOC SIGNATORY I JANIS HALPERT MALONEY 11794T PLAIN AVENUE NEEDHAM, MA 2 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY JANIS HALPERT MALONEY 1794 GREAT PLAIN AVENUE NEEDHAM, MA 02492 USA REAL PROPERTY JON HALPERT 147 MEETINGHOUSE CIRCLE NEEDHAM, MA 02492 USA ❑ ❑Confidential ❑Merger Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: i^ New search I http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN... 1/20/2015 -s !L Assessor's office (1st floor): '/ � �FTNEt�� Assessor's map and lot number .....C..p.......................�.......:.... Board of Health (3rd floor): ?0 — ) _.. Sewage Permit number ........................................................ t ID STADLE, 0 Engineering Department (3rd floor): rs r s 1639-. NAea ft Housenumber ..............................................:........:.............. o APPLICATIONS PROCESSED 8:30-9:30 'A.M. and 1:00-21:00 P.M. only TOWN OF BARNSTABLE " BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......Build 10 r X 12 e-8" Sunroom ........................................................................,................................... TYPE OF CONSTRUCTION " Wood 'ra n.. & Windows .............................:....................................................................................................... May_..13.......................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Off Turtleback Roa.dq lV7arstox�5.. +[ •.!..1.,g.................................................................................. ......................................... k.................................... SunrOOm ProposedUse ............................................................................................................................................................................. Zoning District RP Fire District Cent-Ost- rRarston ..M� ................................................................... ..... 87 "Craftsland Road Name of Owner Charles Halpert ....Address Brookline , nria9s a Name of Builder The Barclay Corpm 131 Old Post Road. Centerville .......................................................Address ..............................,.::.::................................................ 362 V!e it Road Name of Architect ...Dgriald P1leyez!•.......•......................Address .South Yarmouth„ Mass . 02664 Number of Rooms ...One Foundation .Concrete B10Ck ..................................................... ............................� ........ .......................... Clad Aluminum ...Roofing ....Roof. Panet:...(.(?rIl4 . .1.................................. Exteiior ................................................................................. g �.uarry Till Drywall Floors ...............................................................................Interior ....... ............................................................................ Rot Vvlater Baseboard N ,A Heating .......Plumbing ..................... /� ; J-D-0 Fireplace N•A• ...... .......Approximate Cost .000..0..0..................................... Definitive Plan Approved by Planning Board __________________________ ____19________ . Area -2 s Diagram of Lot and Building with Dimensions Fee .............r SUBJECT TO APPROVAL OF BOARD OF HEALTH 6-0/J ;C!6 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 ... ...... .....`........��Gl ...:`.. .`.`................... 009845 Construction Supervisor's License .... HALPERT, CHARLES A= 62-6 No ...2.91334.... Permit for ...ADD & REMODEL . . ...... ........................ Single Family Dwelline,........................ .......................4-70................... Location W Turtleback Road ................................................................ Marstons Mills ............................................................................... Owner .........Charles .Halpert............ ........... Type of Construction .....F.r.ame........................... ........................................... .................................... Plot ............................ Lot .................................. Permit Granted .........May.J-4j...............19 86 Date of Inspection ..... ...............................19 Date Completed ........................ ..............19 Assessor's office (1st floor): �T 32 oF1 Eros Assessor's ma and lot number .....4�..+."'................... p , ( f)E TIC SYSTEM MU _ Board of Health (3rd floor): _ c1�'1„-3TALLED IN CO,;= Sewage Permit number WITH ���' = 1 E9SdST&BLE, g ......................... F Engineering Department (3rd floor): �D GJS '_:��3�r,'R®NMe` Lr-" rb 9• o� �, �n ; o �0 House number cofr"- _�3 aNpra' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only SEPTIC SYSTEM MUST BE LED IN COMPLIANCE TOWN OF (BARNSTABLI�N���®WITHTITLES B U I L D I G INSPECTOR .� � �� art...,,, £lkov-u Zlt7rAlo2Y-1 APPLICATION FOR PERMIT TO . Build 10! X 12!-8 ,,, tXQ; O ...... ..... .......... Y ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ....... TYPE OF CONSTRUCTION ...........,Wood Frame & Windows ......MaY....13.s........................19...86. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........Off...TiAr1loback..Road.,...]Aarst,onss....�i1•1• .................................................................................. Proposed Use ......Sunroo. . .m..................................................................................................................................................... ....... .. .... .. Zoning District ...RF...............................................................Fire District .C.ent.r.0S.t:n..Mar.S.tQnS...1UI lls.............. 87 Craftsland Road Name of Owner Charles. Haj.P.ert.............................Address .. x'Q.Qk1a.X1s9.,...MaaS.......................................... Name of Builder The Barclay..Co.rp.,. ......,...•...•.,Address ..131...01_d Post Road,...C,entervill•e 362 Weir Road Name of Architect ...D.Qna.ldAkeyer D.maIdAkeyer............................... .S4.1zth... .,....02.6.C.4........... Number of Rooms ...One........................................................Foundation .C.QZICS.'et.e...Black........................................ Exterior .....0 lad...A�.u>?1�. u 7.............................................Roofing ....Ro.of....Panel...(Glas.s.)................................. Floors .... uaT'T'y..T.i�... .....................................................Interior .,D.rY.WAl.l................................................................ .. .......... . Heating Hot Water Baseboard .......K.A.................. .................................................................Plumbing b`....................... Fireplace ..N.AA.t.....................................................................Approximate Cost ...... 8.,OO.Q...OQ............................. ..... Definitive Plan Approved by Planning Board ________________________________19-------- . Area .... ........... Od Diagram of Lot and Building with Dimensions Fee ............. ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 60IJ12Dd 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 ! t..................................................... ............. Construction Supervisor's license ...009845 HALPERT, CHARLES No ... Permit for ...Abb: ..TO...& REMODEL ................ ............ ....................... mily DwellipR................... Location ... ....................Maxatms..N1.1.1p............................ Owner ........ Type of Construction Fx.=p............................... ................................................................................ Plot ............................ Lot ................................. Permit Granted .........nY.. ................19 86 Date of Inspection 40. ..7 ; .................1.9 Date Completed ............. ...........19 .. 0 stable Fj"F Thy .wa��®f Barn 't *Pcrnut o '~ Expires 6 months fro issued e RMARMNSrAB MAS& Regulatory Services Fee t7. t D� Thomas F. Geiler,Director plE0►,ty+♦ Building Division Elbert C Ulshoeffer,Jr. Build inb Commissioner 367 Main Strcct, Hyannis;MA 02601w Office: 508-862-4038 Fzix: 508-790-6230 EXPRESS PERMIT APPLICATION Not Valid W11jout Red X-Press Imprint Map/parcel Number C)(-Qa/0��1� Property Address _ (" �)r-�-� P.[03C -��. . r Residential Oil ❑ Commercial - Valuoof Work Owner's Name &Address Jean is I a 16.n eq +- Jon A , H-pj p. f� t 79 6reat ING-1 y of No-e� ci O Contractor's Namez:21�4w- ���> Telephone Numbcr,� Home I.mprovemcnt Contractor License#(if applicable) Construction Supervisor's License #(if applicable) Q orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I.am the Homeowner Q-Thave Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy # y I.ernvYRequest(check box) �n ESS p. MI [�, Rc-roof(stripping old shingles) JUL �. 6 2002 ❑ Rc-roof(not stripping. Going over existing layers of roof) ®WN OF BARNSTABLE ❑ Rc-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify)' 'Where required: Issuance of this permit does not.exempt compliance with other town department regulations;i.e. Historic,Consen anon,etc. Signature cxpmtrg �r.