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Home My WebLink About0018 RED OAK LANE C NO. 152113 ORA MAW Ml U" ESSELTE Town of Barnstable B Ridin - i '' Post�Tliis�Card So That°it.is�1/,isible From"the Street-Approvetl Plans.Musi�lie Retained�on�Jofi`and.thisdGard Must be Kept $ Posted Until 514Ins Per pection Has Been Made: s mit - '= �xsR ,.� Where a Certificate;of�Occupan¢y is�Requir`etl,.su.ch Building shall Not be Occupiedrunfil a<Finahl speetion�has�been made: Permit NO. $-17-1859 Applicant Name: CAPE-COD INSULATION,ANC Approvals Date Issued: 06/23/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/23/2017 Foundation: . _..__.__. . — - Location: 18 RED OAK LANE,WEST BARNSTABLE Map/Lot: 128-025 Zoning District: RF Sheathing: Owner.on Record: TZELLAS,LISA M g� _ Con WE tractoriNarne: CAPE COD INSULATION,INC Framing: 1. ,,ContrrZK License 153567 2 Address: 18 RED OAK LN - _ , WEST BARNSTABLE,MA 02668 � st'-Project Cost: $2,500.00 Chimney: Description: WeatherizationRermit Fee: $85:00 Insulation: -Project Review Req: Weatherization r k Fee Paid: $85.00, ..• a� Final: Date: 6/23/2017 Plumbing/pas T f Building Official Rough-Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by his permit is commenced withWS months after issuance. Final Plumbing: NmAll work authorized"by this permit shall conform to the approved appiicaUon aQd the approved construction documenu�fo� hthis permit has been granted. All construction,alterations and changes of use of any building and stiattures shall in compliance with the local zomng,by laws and codes. - Rough Gas: O This permit shall be displayed in a location clearly visible from access street or roa. and shall be maintained open for publid inspection for the entire duration of the " work until the completion of the same: Final Gas. • s will not be issued until all a licablesi nature��Bwldi and Fire Officials are rovided on thispermit Electrical The Certificate of Occupancy PP g Y.g _< x Pa R � - Minimum of Five.Call Inspections Required for All Construction Work y ` �� "" �� Service:- Q.Foundation or Footing � ��u *a „ 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flueaining is,installed "�5� F 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Finals 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final. Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health', "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT :Fina ro TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a O � djLD11 j -'EPA,Parcel U - -Pplication # Health Division JUN 1 3 201 7 Date Issued Conservation Division 'OVVN Or Application Fee ` IVSfA8 Planning Dept. ke-rmit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address al e'r Village�d*J, Owner .Z/.rW <ie/l%a,> Address _r 9 lay � Telephone Permit Request /��1TA/� �� ir�,Q �Z Z G��/aJ6 / C�/��J to S /ice Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a2,s a , © Construction Type 41l4i Lot Size Grandfathered: ❑Yes ❑ No . If yes, attach supporting documentation. Dwelling Type: Single Family > Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: . ❑Yes i LNo On:Old King's Highway: ❑Yes ZNo 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 ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION -(BUILDER-OR HOMEOWNER) Name C, /�� C� /i S,J�A�o Telephone Number -7 rr 7 V 4- _ ,i Address Jr License #�i y , � �� Home Improvement Contractor# /.4-3 a:L2 7 Email,/1�i/ �Y �,o(„� d,.s��/ �, Worker's Compensation # o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE zz1//7 op- FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ' '= INSULATION FIREPLACE M ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL '1 FINAL BUILDING DATE.CLOSED OUT ` ASSOCIATION PLAN NO. r - r i Towla of Barnstable ` 'Regulatory:Services . : Wtbard V.sca;;Actor o Su ildift Div y toga Tom ferry,DWIdag C;ommisiioaer 200 UmbiStreA Iiyannis.,MA0260.1 WWW.towubaCfl.CUib1e.nm.us Of- 508>862.4038- Fm 508=790-62.30 Property der Must 'C;a_mplete:and$Ign Th s'Sectti.on If UsjM 'DWd f .LISA TZELLAS p.,Q ft,erofthasu7b�eid h�i lay.atitthoi�ze C C Z to act--ounaybehalf,. in Rakmars relatim to oPlz authorized by-th is buking PCx�x it a plicatipn'for. 18 RED OAK LANE W. BARNSTABLE (M&ess of job) Pobacntres a alarms are t�i onsi6iay of,the applicam.Poibls aremotto 1�G'.fil16d':U'rutili=cdb'Lf0rC fcncc ij installed.and;-alb `mal: insgegtio#` a�.p!&A6 l.ind.aecepl�& Sinat=:of:f3wrier `Suture of Applicant LISA TZELLAS Print Name, pru>t Nazm - IBC • l� Date Q�'ORMS;pWi'F..HPk�M7SS1UNPt7�J1.S> � r The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organizationnndividual): Cape Cod lnsulation Address: 18 Reardon Circle City/State/Zip: South Yarmouth,MA 02664 Phone#: 508-775-1214 Are you an employer?Check the appropriate box: Type Of project(required): LZ 1 am a employer with 48 employees(full and/or part-time).* 7. New construction 2.Q 1 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] 3.7 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.FJ I am a general contractor and I have hired the sub-contractors listed on the attached sheet. U.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.r_J We are a corporation and its officers have exercised their right of exemption per MGL c. 14. ✓�Other Weatherization 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hip: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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Atlantic Charter Policy#or Self-ins.Lic.#: WCE00431902 Expiration Date: 6/30/2017 Job Site Address:l�/ �P e-" ,(,M 2U/�,(,�.f�A/�I2�City/State/Zip: 2 --- G R Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.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 andpenalties ofperjury that the information provided above is true and correct Henry Cassidy Si>;nature: `�: �."".""�""- " Date Phone#: 508-775-1214 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): I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: �* Massachusetts Department of Public Safety Board o'f Building Regulations and Standards License: CS•100968 Construction Supervisor HENRY E CASSIDY, 8 SHED ROW e''k WEST YARMOUf H'tJl /n��,,� ••11 I11 1'1 (�, lam- Expiration; Cofnmissloner 11/1112017 I 6 rr Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Mai, b usetts 02116 Home Improve me."t+C.©Stractor Registration Type; Corporation Cape Cod Insulation In �'� ��'�``' j"'.•rr Registration; 153567 C 1 ;t�,/ "' 1 Expiration; 12 18 ReardaW Circle /14/2018 So, Yarmouth, MA 02664 - Update Address and return card, Mark reason for change. SL`A1 ,.> '----..<� 20M•OB/11__.__. �.—.....-._..�_,........_._...._..._..._............ _ �� Q� _A/ ._.. Ind^�1{1r:i��s, '1... ��•li:It... �! +f, V/L9 ip0'J1L97LOlLlUOC(t!CIO�V(�`Cl4JCf•OI![d®�i • Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TIO-e.l Corporation before the expiration date, If foun urn to; Office of Consumer Affairs and sl as Regulation >:.itii,<ttS'�rlglatretion •Q�67t 12/14 20�16 10 Park Plaza• e 5170 Cape Cod inaul�tf"'t1 1 Boston,M 11 Henry Cassidy'N 18 Reardon Ciro' �v!..�Yfrt tl R ccD�. So,Yarmouth,M ' � 4.�a C� ^Q Vnderseoretary t al hout sl atu r CAPEC06=27 KDOYLE CERTIFICATE OF LIABILITY INSURANCE DATE 03/30/2017 ) 03/30/2017 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 polloy(les)must have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER ACT 10g �ere&Gray Insurance Agency,Inc. ore I3 Rte 134 c o En 1 c No 1877 818-2156 South Dennis,MA 02880 ma Ciro ers ra ,com NSU E B P O D NO COVERAGE NAIC a INSURER A fPeerle Insurang"ornpany 24198 INSURED INSURERe 1 Saf8tY Insurance Company- 39454 Cape Cod Insulation,Inc, INSuRgg 0 1 Endurance American Specialty Insurance Company 41718 16 Reardon Circle SURE Atlantao Charter Insuranco Com an 44326 South Yarmouth,MA 02604 INSURER INSURER P t 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, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH'PHIS 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, NSR TYPE OF INSURANCE ADOL BURR POLICY NUMBER FOLIC EFP LID EXP A X COMMERCIAL GENERAL LIABILITY LIMITS ACHO CURRE CE 1,000,00( CLAIMS-MADE LX OCCUR R/O OSP8263063 04/01/2017 04/01/2018 DAMAGE T RENTED 100,00( IVIED EXP(Amy one ersoh 5,00( L AOORq2&U LIMIT AP PER; -PERSONA & O INJURY 1,000100( 190 00( 1"OTHER: POLICY ja L00 '�� GENERAL ORE T 2,00 ROD S.COMP/OP AGO 2,000,00( B AUTOMOBILE LIABILITY COMBINED SING E LIMIT 8232707 COM 01 A�Ny�Y�AEU�TO 04/01/2017 04/01/2018 BODILY INJURY Per person) _$ A�URRTEE0��8 ONLY X ��p�N�pgyU�L�EEpp X AHNS ONLY X AVT09 ONLY �ROO�ER YDILY U AMAOE �Iden� 1+000,00( _ Per a cldTenl C X UMBRELLAMAB X OCCUR EXCE88 LIAB CLAIMS-MADE R/O EXCIOOO6635001 04/01/2017 04/01/2018 EA R EN 2,000,00( µµ•'rr, DeeEppDggCCoo RETETTNppTIINON$ Aggregate 2+000,00( D ANDEMPLOYERPBgCABILITY F �( PER OTH• A YCPRROIP�EIE VR%RTNER/EXEcuTIVE WCE00431902 08/30/2018 08/30/2017 endeloryln�HI E C`UOEp7 El N/A EACH ACCIDENT 1,000,OOC Ilyyee deeorlbeunder E. 9E• EMPLOYEE 1,000,00l 0E9, IP ON F TIO 8 DISE E_below E.L.DISEASE•POLICY LIMIT 1,000+00( DESCRIPTION OP OPERATICNB/ OOATIONB/VEHICLES (ACORD 101,Addlllonal Remerke schedule,may be eltsohed If more space le re Vorkers Compensation Ino udes Ottloere or Proprietors, quired) Iddltlonal Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLAIJON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Informational Purposes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ACORD 28(2016/03) ID 1988.2018 ACORD CORPORATION, All rights reserved, The ACORD name and logo are registered marks of ACORD MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 3/18/2010 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.38 BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET 367 MAIN STREET HYANNIS MA 02601 Re: Insured: LISA TZELLAS Property Address: 18 RED OAK LN,WEST BARNSTABLE,MA 02668 Policy Number: 1033643 Type Loss: Water Damage:Plumbing Systems Date of Loss: 03/14/2010 Claim Number: 273114 Claim has been made involving loss,damage or destruction of the above captioned propert,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division --a C) d � O -B, CMA00021 ®' N vJ 3' O CO TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map f Parcel `J Permit# 9. Health Division 5GJ -OZ92-5�3•s Date Issued Conservation Division El " 9 /9 ® Application Fee Tax Collector�R on b k al-— /o��/Op� Permit Fee oo Treasurer s I '� /Q o/i�a SEPTIC SYSTEM MUST BE � Planning Dept. 4�2z /9- INSTALLED IN COMPLIANCE TITLE 5 �//6� Date Definitive Plan Approved by Planning Board �/ '� °'t' /� M ,� E"rONME41 TAL CODE A 0 Y®11VN EG L T(0@�S Historic-OKH Preservation/Hyannis 2Z,2 G f� Project Street Address _/ RED nAY- L&2- Village W. bAR�o AhLC;= Owner &IO/Pr(it f p11F(7)Q1+ Address �14IF 1�,•2 Telephone S U? - CY 2 O C/Li z Permit Request &srAL L- AV 18 )c 3� FWT V ywAL �cx� L i/tJGRuyu<O Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay C= _o Project Valuation C)Do Construction Type c Lot Size e-lSb Grandfathered: O Yes O No If yes, attach supportingQgcumentation. Dwelling Type: Single Family C6 Two Family ❑ Multi-Family(#units) Age of Existing Structure A V;Ce-r-�- Historic House: ❑Yes ;Q No On Old King's Hig way: Oes rb No Basement Type: X 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: Va Gas ❑Oil ❑ Electric ❑Other /V— C- 6L &f4A%iM 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:(J existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# v Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# - ---Current-Use- - - - -- Proposed Use BUILDER INFORMATION Name �� /�G� % SFI�` / Telephone Number �� -S C��- d Z 2e-SI Address 38 13 PJAIQ SZ• License# 8A(LL)-:)1APDL1L Home Improvement Contractor# Worker's Compensation#Ac.X ' W ?mil �( ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO UL G ! �/i/ /�:Z � PAZ'5/11'i 5 �t LL SIGNATURE `— DATE %' 16 -o Z- } � M , u FOR OFFICIAL USE ONLY PER ,MIT NO. D�M ISSUED ` V MAP/PARCEL NO. ADDRESS VILLAGE OWNER " DATE OF-INSPECTION: FOUNDATION FRAME INSULATION 3 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH { FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT a_ ASSOCIATION PLAN-NO. 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W...: :[. r..$n:}.:y{:•:r'h}}:}.:F•:%{•;}}:x:>4Y }::!vY:r..:::}v4:.a•.;vi.....1......... ..:::x:::.•S:.v:::::n•Mn+.•:f•nv...•.vl..:.:.-�:::l.vn•x.t{•n•nf.^:::n:{rli;.}}}.4::• ...••:i•.v. : :v-).r- '+v:,.,i::r:'•:{�:rY:' 4:;.}K.!:v{: {.;•:wx:.•x;::•.•:nv:!v:•:v;•v:'h/.{�G ngf..t:•:•:.v:':{•.;:•.w•r.:..........f:::••;,r\..x•<'•:^';`•'•?-'"�'"::'`+•x.:. r :;?.r:r{:•:.:.:.. f ..nr,....: r.,r:v..;.,.......:v:•::{v:;.,ii;}:L:.. r:v.:{:...,:.....:r...?.i}r:?`v:•;{!•.'•:<4X:•.'•::::::::•::......{i;:h)v:. Q ' :�21JL12'812C•`eiGOJ:i':%$:7�:`;?i�'<:'/,S<p%{r:::l:$::}i?s:3::•i:;}:•`:•:.4^{4:h?;.:;{..L',•Y:::t::.�:...... Fafiure to secure coven�e as requirsdnnder Section 25A bf MGL 152 can lead to the imposition of crizninalpenalties of a fine-up to$1,500.00 and/or one years' prLyonment as weIl as duff penalties in the form of a STOP w0im ORD)KA and a tine of$100.00 a day against me. I mtderstaad that a' copy of this statemeatmay be f°zwarded to the Office of Investtgati9ns of the DIA for coverage verification •.,_ I do hereby_cerfi kep'ai d p aloes-of-perjury thathe-information-pr-o.sidedabaveis-iw& s correct Date /-'AK-O Z Signature _ _. ;. „..• _ $_1 plione# Z 6 Print name ' . official we only da not write in this area to be completed by city or town official permit/license# OB�ding Departnunt city or town: ❑Licensing Board ❑selectmen's Office ' phone a; - `-•---.-�'. contact person: f..vi.esl 9l95 PIA1 ' Information and Instructions Massachusetts General Laws chapter�152 section 25 requires all employers t n prove servicede e s'anothe compensation for contract employees. As quoted fromt4e `law , an employee is.defined as every peir erso .of hire,-express or implied, oral or written. An employer is defined as an individual, Vartnefshilp, 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 appurtenant theretd shall not because of such employment be deemed to bean employer. building MOL chapter 152 section 25 also states that every state or local licensing agency shall fu t.h is uahncaat who has of a license or permit#o operate a business or to construct buildings m the commonwealthy pp „ . not produced acceptable evidence compliance with the insurance coverage required. Additionally, neither the' commonwealth•nor any of its political subdivisions shall enter into any contract for the perfozrnaace of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented tothe contracting authority. .:<. .' " . .. .;.: . . . Applicants " Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation•and company names, address and phone numbers along with a certificate of insurance as all affidavits maybe supplying, submitted to the Department.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 1,4 date the affidavit. The.affidavit should'be retumed t the city or townthat the application for the permit or license is being requested,not the Departrnenf of Industrial Accidents. Should you have any questions regarding the"law"of if yQu ed,to obtain a workers' canpensatiohpolicy,please call.`th Depaituieizt atthe number•liitedbelow:.1 are requir ; City or.Towns Please be sure that the affidavit is complete and:printed legibly. The Departrnent has provided a space at the bottom oi` affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ply e� beiwliicliwill be'used as a iefeience numl?ei. TTie a davits ivay"E?e'r be sure to inthe.perautThcensenu�n _ ;._ - " by� or FAX unless other arrangements have been nude. the Departm ; .�. . The Office of Investigations would like to thank you in advance for you cooperation and should you have 2!g_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 GMCe of Iavestigatlnns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 :., : phone#: (617) 727-4960 ezt. 406, 409 or 375 _ i tME Tp Town of Barnstable Regulatory Services BAMSTAaLE. ' Thomas F.Geiler,Director 9`bA1639. �°� Building Division rED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: / ),�J L Px' t' Estimated Cost Address of Work: �D ��L� � �L sT L1't Owner's Name: fRlG///+nL t D2tiRA yGl� Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contra or Name Registration No. OR /�-0 2 /C 011 L Date Owner's Name Q:forms:homeaffidav i LOT 12 . 44,450f sf 30' o 110.8' O 3 0 0 h• v g II so � f� O ti1 1a ! r 'rl I O Oa I Vf �36 6 P� FLOOD ZONE "'C"_ FO UNDA TION CERTIFICA TION RES ZONE- "RF" _ TO AX W. BARNSTABLE SCALE.•1"=50' PL REF.- 398 64 E'LE'V N A I CERTIFY THAT THE ABOVE FOUNDATION IS LOCATED ON YANKEE SURVEY CONSULTANTS THE GROUND AS SHOWN, AND H OF Mgssgc 143 ROUTE 149 P. 0. BOX 265 IT'S POSITION _ 1J0ES—____ P�uL y�, MARSTONS MILLS, MASS. 02648 CONFORM TD THE ZONING LA W MepA, TEL: 428—0055 SETBACK REQUIREMENTS OF 9 Alo•32098 Q FAX 420-5553 _—_— STABLE'---- ��si ya�isiTE ANos°e3� — ___ i PA UL A. MERIITHEW DATE 1 25 //93 JOB 50242FND —L— NUMBER______ SEP-26-2002 07 :42 AM CENTERVILLECNST 508 362 9779 P. 01 yy66.4 V i TOWN OF BARNSTABLE. E , c o LOCATION / S' 1,,w1,&- SEWAGE # `I 2"Sys VILLAGE Jd9 &d4g rA ASSESSOR'S MAP & LOT INSTALLER'S NAME G PHONE NO. -SEPTIC TANK CAPACITY /sye Gs7' .tlis7'� y� Z lam tr LEACHING FACILITY:(type) (size) /moo sL� O NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER iyr&_ BUILDER OR OWNER )VI c� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 2 / VARIANCE GRANTED: Yes No v { i �✓ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 18 Red Oak Lane Barnstable Linda Brown 11125197 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) I C `IC LD g � D AA�3` AP.�I y`b y page 9 o: 10 (rnv1sad 04W197) f NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES The Commonwealth..'. _ o f Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I have we fora � ) provided p yment to our:injured employees under the above mentioned chapter by-insuring with: - ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY NAME OF INSURANCE�COMPANY 11 NORTH AVENUE P.O. BOX 4070 BURLINGTON MA 01803-0970 ADDRE § INpi t4CtlIPY ' ` . AWC 7005575012001 001 11/17/2001 - 11/17/2002 POLICY NUMBER EFFECTIVE DATES PO Box 1013 United Insurance Agency Inc Buzzards Bay, M, 02532 508 759-6595 NAME OF INSURANCE AGENT ADDRESS PHONE Richard T. Senoski 3413.Main Street. Barnstable, MA 02630-1234 EMPLOYER ADDRESS, ; 11/14/2001 EMPLOYER'S WORKERS COMPENSATION OFFICER OF AI!,tY) DATE MEDICAL T EATMF.NT The above named insurer is required In cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services'ln accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OF HOSPITAL ADDRESS TO BE P STE O D BY ElO1PL OYER 6e1t-M-Lft11. 01It'"A••M"nM lell at� 1 OR •wun■ �a•r•11 �. � ` I >!�• Awm�m�r0y1i�0ow t�NA ( '.•i� `11U�111/%►/ u��eg devio1111 � Eudu,;,t pug�I660jo 1a I ''"� f0 ur M1YS•■ 1 rn A .t �� J sA -►{.fir-� 9�i • RM OR Fro Lrpl kit 3. da Y vs w.: D Isf t--♦--t—� '� , at;i pCx ri I �� n..9 i y:: • re I 1 j e t SSss � II�-i F� L t �a M r�'Y-� t-. S'v:Y ♦ �C g tit rf1•e -� D tit 4.`..fT' • � �� 'I�i f'J9 i r-4---4-4-- 4 �� El k T f• i I y F� � ' 1 t I yl� � i�r--�— ►� • • Mp • TOIM 9100d WIMUNI 09L9 999 909 T YYd tT:lO ZODVOT!60 I g �.6 i�all {' w Oil fe at In rs i . 3i : [.:I sfe and Centen►porary _ itii(xt.. Series Details 1.tM1 a�M•{�W q MN 1rt•I i 7 f 1•11 t l I.711•t iel 1 t r c� �I I 'f S; W I a p .1 syy u Ir 3 S `♦ a I . lea I cn i Clio NO I p , V �.. � � � .�f�3. ti : ddd • _ M Cie. N j !� s bi + l r I � A het .L, F }J p ♦ . 10 r ^ •,� �� -• I - • 1t11p al Clafele Bnd.Contemporary p�� Series Details .o Wad.6ou•uwa We.Tali•,_„e'.Ine�1q-uoa e-? LOT 12 o 44,450.t sf 30' Cri w 110.8' O `0 1 0° 3g s 90 •o� I o w I � �36 FLOOD ZONE "c"_ FOUNDATION CERTIFICATION RES ZONE. "RF" TOWN. W. BARNSTABLE SCALE.-1 "=50' PL.REF. 398164 ELEV NSA I CERTIFY THAT THE ABOVE FOUNDATION IS LOCATED ON YANKEE SURVEY CONSULTANTS THE GROUND AS SHOWN, AND 143 ROUTE 149 P. O. BOX 265 ��N °F MAgc IT'S POSITION _-D= PAUL ti� MARSTONS MILLS, MASS. 02648 CONFORM TO THE ZONING LAW MERRNEW TEL: 428—0055 SETBACK REQUIREMENTS OF 9 NO. 32098 Q FAX 420-5553 BARNS_TABLE NAcIS aNvs°� --- JOB PA UL A. MERITHEW DATE-I25Z93 rvuMBER 50242FND ola� 48a 3 i Department of}Health Safety and Environmental Services Building Division AS& 367 Main Street,H}annis MA 02601 Office: 508 790-6227 Ralph Ctnssen Fax: 508-790-6230 Banding�`^tmissioni PLEASE FORWARD THE ATTACHED PAGES)TO: { TO: ATTN: i FAX#: 6 /2 a .3 FROM: DATE: / PAGE(S) (EXCLUDING COVER SHEET) TRANSMISSION VERIFICATION REPORT s TIME: 01/05/1995 03:31 NAME: BARNSTABLE BLDG DIV FAX 1-508-790-6230 TEL 1-508-790-6227 DATEJIME 01/05 03: 30 FAX NO./NAME 916178264823 DURATION 00: 00:56 PAGE(S) 02 RESULT OK MODE STANDARD r i TOWN OF BARNSTABLE Permit No. ..35639....:......... BUILDING DEPARTMENT t TOWN OFFICE BUILDING Cash Y• 039 9�cuv� HYANNIS.MASS.02601 Bond .X CERTIFICATE OF USE AND OCCUPANCY Issued to Nick & Lynn Tortorullo Address lot #12 18 Red Oak Lane, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. July 1 93 19................. .......... ........ �%1.............. BuildinggInspector °• TOWN OF BARNSTABLE BUILDING DEPARTMENT iAiva TOWN OFFICE BUILDING 039 HYANNIS, MASS. 02601 '�o rnr►' MEMO TO: Town Clerk FROM: Building Department DATE: / An Occupancy Permit has been issued for the building authorized by BuildingPermit 4. � _ ...._...._..... ................................................... .._............... issuedto ............ _..... .........._ . ....................................................... Please release the performance bond. _.. I-Ske Nort' hampUpppT� With its wide wraparound porch, this roomy farmhouse by NOL' RN Len Mysliwiec recalls the houses built on Long Island in the early r ,f SnMM TA. 0STABLE Build n In apartment 40 .446 Iry •R +i"t a s:s. �?o-b • °°� ye1F.. _ /: I - V J s , ` E. C ro ys" •- = - - = , w fit. .,4. '%'t.`- '' ,1.. jr 71 l %1 y �I — F - - xY' •<�'• �i•.,3� 7 1.'•'•y. a41-., s ) ra �.j� H � .t�" �tis �dt' "''c:••;.1-3731f �" -sue+-''."�'� o eLO e't�• '�' •'. s. �-•.r.[- �!'..: ti. �."/i`_e•}Y t.►. �-.}y fi" r r,,c.4 F -� .,y f s''"i7p�,u� . r.'`. :.- r 1lOUSE PLAN COPIAIGNTED BY UMMYSUWIEC DESIGNER f 'ti ' �'x 4;:J �=f i`Yt'",��'';•F '��";,�'-•.� 1 �j �rt;�=T�y4�� t�:4• .J ��.j, 4 ?,�'� ram: '+.. � • ��lr,�ys, � t��p��,Cr,,t�,4 ..f .: . T�.'�.. �r�a 7w7: ` '�• � .�., 1..4 a i�% r MIRM romxth wexpansive porch,entry into t ?.57 uare-foot with beamed ceilmgand large fireplace a breakfast area with a ,, .. .«.., < .,a�+�.• rltm fur �r+o�Y•iGa•rs.v••s,' w houRe n,bemade throng 1famly r oyer yAt; he door IeacTing to,t�`e ckyardd a generous tsland la$ he en: •fir err. ,Rr^ ,�.rr,�a� n�,.,l1lr - .ont�of�tlie first fioor', tl'�eiformal living room >Is o po i ethe Comm sous unlit room and h'�lf-bath are ofi a ack .Th e:-aiG+{J.�llr:+ s k+• a-"s: ..c�+ic`''ss � tnmgroomwhich esemblesa glaie!+t�e -n aory inns to nva ba ,oc ar ti an0f.MIUVInf Mill_Lving area at 0;e rearm odes a y- Zd. i x / . 1 li,pF BED RKF 12- 6 $ 1 A GARA y ',R r 23�123 - IRST FL001400¢agw� ca y�, •'�. •Eli ° S' pi [S •.'Y q.i• ��. 11 X � � .a�•. P RCH �_�- r}'�,�r 1�' �.� �.5�'�',d'y�'fi.�r?' t'�, �sir(' � •�._ ✓� •�+el�}rs`na� �s-.N. � . - / 0 f"'..-'..r. ' a'``n,�y. ��.,,�'t `• �� -r�, x'�` t '".e''1.1y.y�af#'''� a r�� "' a Y)' •;1� .,e�r• -� {t..r*tip lu.:';•, ..COUNTRY°LIVID h � ,U;S E P.O. BOX 622,:PRINCETON;t0'.J 08540 k (64�),924 9655 This design and any of the Information it convoys may.not be.reproduced in any wcy.vtthoat contrast � ` 1 i Permission as extended by the Mde o[vrorking drawings to the parehaser for hie personal one tide use in baltdiog K 1 fhc hcicsae lmit described therein Multiple re ttdve nae is sub t R., "ad 'pe Jec to an audidonni feo..Aii righb copyrtght4 ; 1 � :'; �.P!1�•�.�,K {'`c7"7':� �''�� .I;Lr•,w??`b° '�` �E�> jyYr' _i'x �y �`; _! : . } 04* l�I�r �+{'�✓++ili�' lE=, ''r"(r^�•�lj 4 st' '$' ?1 t ; }1.,�'- j' .. 7 4Wr s r 1 's" ) c T.•L �{ --'� ---- --- -- ._ 2 �"9SIvSxc --- ee[ Al ^ _ I i �r��•li* ''!!^^-;;-..4�u►:Lt1Y� �f ks.1:L.� Ak+ � `, "y- � I` 4 .. -. I : �q�r,�'�q,� �>y<-ffffff�cccccc•�'7;�h;f. 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HDUIe mO�IDflInnD lMeeflIKMULnRfl flRTlre Ule 11lU4iLT roAN ADDTONAL R6 ALs uaxn conuoxrm., i I. 0 i 1 1 - d S CLH YOU¢COUNr11YI Na NOUfef s TNR OMrINO DII¢LOfef!!O!¢IBtA¢Y R¢MI OP.fIONlD.OBYe.1 AND f......NreUey rxeAecxn¢nul.a¢meAlulReoueAUDularye¢ro¢txecouNtlnivlNanowecoo COUNTRY LIVING HOUSES O YON NAMr IYRIOX AND!¢INCetON IIANI!!l11.NNRN!ltN11 OlAFINO N,¢Aryy O!(IIe INYO¢MARON Q R¢ONYeyf MAY¢!elYeDDU¢M1DIN ANy a�'It110UT¢ONreA �lMIIf IOXAf!lteNDeDey yoln.DDllelr uL¢OFTNBf9olAalNOaronl¢Y-111A of 11-1-1-A P.tIM[UfE1N EUILO1NO tNe BOX 622.VRINCEiON.NEW JERSEY 631 0 112rL ,Nu°ii,ol�inrn¢iiileNvniulluN.Mulnn.elllrennveulewuuento•NAoumoname _ ,,� X 'r M'rr iL�� i`+. a ty,��j. �rTiyL",,•4 .rS. y-",.. r r•t•fi�J`'i �>* 'TTiii .. .M,, * •f �.�, 4`� ¢ �'rl��$� r��i�' "7�lfl� �r�i4Y.l,� d'yr�s�,N'./a�:r ". -. _ • v i "� ', rVr.y' t< k�" i r `�,jF ,e.�a�`'��a K �3'`•�'p J .r ,¢Rik V •n;en a s t--t [31 ��-----A77 i r '� ,'� sJr a�y,t..{� Lp�a��Y�R ,r•�eG � P �,��y �'�( � t7�h ^i � rtm� 0, '' f„f,��, 1 T Ire a�'��,�.i,.i,•Jtt.-.t Cat a '�'k lr'�yy�'' � � � � � s A � .. .. 4t�i�l4i'!'�j j*�R .,Q• 7�jA�6CA�M1•' E � � � ® �' (`h,}' k' `'t > �r .�� l.{�' r .pl"t-� hit `��. �. 4' .` 5�.,,�4¢`;..„ � t""i.,•., - .. � - �L ,'t ° �'-'Q-..,.��. at�!'�J•Qii�t+�L !,t 7 ��aRty - e Al 'Ah �� ,�' MIt. 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'. ii:�•:+a'?:P,G� .4Y q- •.+h:- ..4,r Jr.a r f?:Y'lY'. •'t v ,1.:-l. _ N, `.M1�J tt�, r`�..1 rcui�ourmrsivino,Nouh'hsai j:•M1;;�;;'� �• Txu oaAaiaa msciosenaaruedn Hers oumaea oensoreo+aoaronuaxreo er .H roy N sic ,t P.4 aors i. �,l�",f rreAtNrternf40anleAaeartlRUaA�DnInNpWanlaCeUMnlrlfYlaONOU]eL9L .',OUNTM( LIVING HOUSES sarnaa Aao nrneewa novas nae.aertaea nnr oawrmo noa+ar or me iaroar+non .'�,-s r -� rt�arerar+r reyeraoon mora+nr�Aramrotrtrnrrta+crrurunoa As 4 rdUa�ODatla '�' WA :r.l.w rA a muenu as ervacxAsuroaxureafoaA+oaenrewunsmania°Hirareaoeoer e RO)(6220RINCE?ON,NEW JERSEY 03310 �r::1� � '�j>;.:..r.':.,b: ,.. 'v r� xoweurmcrmnao nieiva.stu�sw aerennnwnrruuto mAx�oomoaA�eee, •y�r} ++4+"�►.' ��E-.!`.......G`,, ., ALL groansznyswna .. . i hfM l,� OAn.,,,_ MAftA�/ j a ucA / CEP EXPIRAT/p '..I 101 ftro" 061.3 N DATF epSlpN MOI�,�, BC/C NOJV E / CpNSTRLICFN 0 SS OFFFFcTIVEpAT $UpERVjs�R ?j, FI�L.0 .PNo7°re�sr F ��.� OSF 613 ° T�3 8`04.24. "A R T H 01 1 9 9 1 lc Npao chFOK Oq ONLY, FFF. 20 S UR C 042j g qqE MOH N 100�00 N H rq �P T ER p f f 6 r` c cOM AU70"I'l QU/gqU FEFFI'pgUFq s M ope Hr q 026T2 :• /Ss/pH �'qe To ` °TNERS. 2i NS AMpEO U"T�L S,y^N P•I (00! pU f 1 �J .. M•?$7-B?97T NUMB P E�E N�O�ER�HfR194 T ORSO,at , SAGNATE. URE�FEZhfE ANO OFF ,-y� ��.,�r�� S�iYO /1C N w°CCUP°A°F LC COMMSSpp�NFR Y - �" 7NIS EN All°HJ 2' � rTl�C �C U SF F LICENSEE l,O 198 q Co"'"'r�s/ONEq N q�T A C 9 MNF' FU H o .. VF S7GNq Se C SF Ve APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS I l,o�- 12 )c Z`ION V•�e.s-�- Side OS-�et-Vil�e. - VJes �- Sat-hS'� 0.��e. Qoc Ck � NO� I.LLAGE We•S�' ggt'hS�'0.�`�. � DATE 12 21 Sq. G �ICAN't P,ic�ar-e1 N10. E.�r1� . FEE___ 1)DrESS o o`it1 S'�'• VA ar-�r1i TELEPHONE NO. (Non-refundable, 11GINEER Qown Cape, En Cl -9. TELEPHONE NO. 3Co2- 4S41 1TE SCHEDULED i (Applicant' s signature) . . . . . . . . . u,u . o . o o e . . e . . . . . . . . i SOIL LOG 'ID-DIVISION NAME DATE 12-IZ-1' 8g TIME 'tPANS IbN A REA: YES NO -T.Ovw+as �W ri C.a e, E,h �t- , --�- )_ P 9 9• ED]GINEER- )WN WATER PRIVATE WEL BOARD OF HEALTH D.Speal�•rr`0.r1 EXCAVATOR ':ETCH: (Street name, etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) • NOTES : vj e. w0.y 50 = 5 5 o l± I well I ' 42 0 ':RCOLATION RATE:•CG MirN./in. ;ST HOLE NO: ELEVATION: TEST HOLE NO: -BEY"E AT-J-9* _ t 1 2 _. _..... £ 2 3 _ Sv65oi� 3 _ PE C2C. AT 8 4 4 0P-0 P MIN. Sec. 6 Swr►d 6 ----- 1 ��" 2- 7 4 18 9 - -- Sgr�c� _ 9 10 10 _ S�� 5 •• 1�1 12 12 13 e,r�cou r�'t'e rec� 13 _ 14 _ 14 15 15 16 16 '1ITABLE FOR SUB-SURFACE SEWAGE: LEACHING. FIELD LEACHING PITS LEACHING TRENCHES 1SUITABLE FOR SUB-SURFACE SEWAGE. REASONS: )TE: ENGINEERING PLANS MUST SHOW. NUMBER ASSIGNED ON PERC TEST APPLICATION ".1GINAL: COMPLT.1'M) IN ENTIRETY BY P , E. AND RETURNEI) TO BOARD OF HEALTH '►PY: RETAINED 13Y APPI.,7CANT T0-WN0F BARN.STABLE, MASSACHUSETTS "ifif C,P-E-, R M I A Z.,12,zi-0.31 DATE 19 PERMIT NO. 6 3 9 APPLICANT L i ADDRESS =J 0 li,.,; 355, 'j. 1,00 ":`76 (NO.) (STREET) (CONTR'S LICENSE) UMBER OF LJ PEBMIT TO STORY !",'illclli-1 Fc4l".111v DwC-l*f -.,---(L WELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) Lot- 41- , 18 R cl CM : !vit:sz -Han'istablc? -DISTRICT Rk, (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS. ST.REET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: ILA AREA OR 60, 000 . _ PERMIT 133 50 (CUBIC/SQUARE FEET) VOLUME ESTIMATED COST $ FEE $ . OWNER k v; o BUILDING DEPT, ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWER -Ay'BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FRt'THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL.INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUrANCY. POST THIS CARD SO IT 114SN' VESIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS/ 2 2 2 7 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARlNI4;1.- 1'111.73 211 �711) 2 B0Z OF HEALTH OTHER tylk av SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOUUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. Assessor's office(1st Floor): Asselsor's map and lot number f;b�07 u C IAA r, Conservation INSTALLED IIlI ®M ' `toard of Health(3r floor): WITH TITLE Sewage Permit number •- �%' ENVIRONMENTAL('® ssas�r�nct: Engineering,Department(3rd floor) E—�S�J TOWN REG(�L�.�.I® o �.�� House number Definiti4e Plan Approved by Planning Board tg APPLICATIONS PROCESSED 8:30-9:30 A.M.and.1:00- :00 P.M.only' TOWN ' OF BARNSTABLE { BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION e� 19 TO THE INSPECTOR OF BUILDINGS: �p The undersigned hereby applies for a permit according to the following information: /-mil Location - SL�J Proposed Use r Zoning District /(�' Fire District a, Name of Owner �iR �- i,-► Address-4�4 C Name of Builder_ GGvC �Jo� � / Address AG•/3o Y 355— Name of Architect Address Number of Rooms Foundation ExteriorlA Roofing Floors Interior Heating eo!eZQ �✓ Plumbing _/he-2 Fireplace 4 n2 Approximate Cost�ZG D Area Diagram of Lot and Building with Dimensions Fee 0 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. o Name ��. D; Construction Supervisor's License G yIA 7 C 1 TORTORULLO, NICK. & LYNN No 35639 Permit For 11 Story i 'Single,-,family Dwelling Location Lot #12 , 18 Red Oak Lane West Barnstable Owner kick & Lynn Tortorullo Type of Construction Frame � Plot Lot i Permit Gra`' ted January 29 , 19 93 De f Inspection '��'�3 ��o*Q31g D to o I to �� 19 • / /I j a77M TOWN OF BARNSTABLE 35639 Permit No. ......:......... BUILDING DEPARTMENT 4 "a"n I TOWN OFFICE BUILDING Cash Y� 67V• HYANNIS.MASS.02601 Bond X........ CERTIFICATE OF USE AND OCCUPANCY Issued to :Nick & Lynn Tortorullo Address lot #12 18 Red Oak Lane, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. j July 1 93 ' ...... ..... .. ............. 19................. .......... ... ....... Building°Inspector 41 f ..� •. }. TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rea,639.1 HYANNIS, MASS. 02601 �OIU�Y a' MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building, Permit-$�...... � ��C�, /„ ..... .......... ........ .. _.... � _ .... __....... 74 issued to ................�../.... �G;, , f�; 7'-V,4 i o� TO-U&7W... I e'y ._._.._ . �.... ..._ __... ._.__._ �N Please release the performance bond. o I ,•'.ts;_.xy r �,r-r �. tm..*'`,'."S• ?:Yx�.t ,:.y+ "4 Ili," b, .:.. r 1+ 3'. I .,. �,.!c ',i`°'.f�5i� �.{� .'3•. .,r4.�'';r a.. 11LDIN R�PE TOWN OF BARNSTABLE, MASSACHUSETTS T DATE } 19 }� PERMIT NO. • e F,•v<< APPLICANT %' ADDRESS (NO.) (STREET) 'ICONTR'S LICENSE:)— PERMIT TO - -- •- NUMBER OF ( O. STORY _ _. O•.OSE t. ...�'; •. ',,DWELLING UNITS -(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) - :T.��. l;.i Lt:_C,� Oiz 1,. !�;i' _ ':lC,�' tiu T-a1 - ;}� ZONING (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR 1668 L.. y _, E:VOLUME ESTIMATED COST $ v0 ��`'�V ' FEE MIT ) 7 J (CUBIC/SQUARE FEET) i OWNER l;i.i;f{. fa OWNER �ISU:-i.��i�.(_: .� ADDRESS . �JC1:l Cii �:A! BUILDING DEPT. 1 ��'•-`�J= BY _ z _ 4 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY. NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS':,-.-.AY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FRL�,_jl=THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL� APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEra,ATE INSPECTIONS REQUIRE.^-FOR � ALL CONSTRUCTION WORK: - CARD KEPT POSTED UNT!L FINAL INSPECTION HAS BEEN PEP.!.1I TS ,r,Rc REQUIRED FOR 1. FOUNDATION$ OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL I NSTANLBLIATIONS D `2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL EMB' MINAL INSPECTION TI 70 LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. j POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS z z py .KI � . HEATING INSPECTION APPROVALS ENGINEERING DEPARINQLjY q)lh 1 v / I OTHER f- SITE PLAN REVIEW APPROVAL b �itco4- �13U_ I - WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT N!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. n 0 VR THE HANOVER INSURANCE COMPANY NOTICE OF CANCELLATION Town of Barnstable December 6, 19 94 Building Dept. Town Office Building Hyannis, MA 02601 BOND NO. B1N-1576488 WHEREAS, on or about the 26th day of January 19 93 THE HANOVER INSURANCE COMPANY, as Surety, executed its bond in the penalty of Two Thousand and 00/100--------- Dollars ( 2,000.00 } on behalf of Nick & Lynn Tortorello of 14 Lan Road, Sandwich, MA as Principal, in favor of Town of Barnstable , as Obligee (Nature of Risk permit bond for Lot 12, Red Oak Lane, West Barnstable and WHEREAS, said bond, by its terms, provides that the said Surety shall have the right to terminate its suretyship thereunder by serving notice of its election so to do upon the said Obligee, and WHEREAS, said Surety desires to take advantage of the terms of said bond and does hereby elect to terminate its liability in accordance with the provisions thereof. NOW, THEREFORE, be it known that THE HANOVER INSURANCE COMPANY shall at the expiration of ten (10) days after receipt of this notice be released from all liability by reason of any default commited thereafter by the said Principal. Signed and sealed this 6th day of December 19 94 THE HANOVER INSURANCE COMPANY BY Caro Newcomb cc: Nick & Lynn Tortorello o Lovelette Insurance Agency m [REASON-USE._&_OCCUPANCY PERMIT RECEIVED z rn n " N