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HomeMy WebLinkAbout0019 GOLDENROD LANE / / �,�` �i �j�f C� L�/1���-'t-` /�i' /�-��`� � • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'Map 9 Parcel Permit# �.35� Health Division Date Issued Conservation Division Fee Tax Collector �'�' /b3 /a�oo� Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-.OKH Preservation'/Hyannis Project Street Address / / f�D ��cl go Village Owner le - Mk4ERAddress - l �1C/F_k) RO A)Q Al 0* Telephone —'3 8 Permit Request ks-16/juak-s ' /10SAgll AUEcL) 4skh �Iyhlkwl� Square feet: 1st floor:existing proposed- 2nd floor: existing proposed Total new od Estimated Project Cost Am o Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: O 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 O Oil 0 Electric 0 Other Central Air: ❑Yes- ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing O new size Pool:❑existing O new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:Q existing 0 new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded 0 Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use ` 4 BUILDER INFORMATION L Name ephone Number Address �} License# ��'(/ �. yfS!(i (� Home Improvement Contractor# Worker's Compensat' n# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE z Z3 Lad s , 1! } _ FOR OFFICIAL USE ONLY P�RMITNO.- - DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE - ~ ~ i Ia OWNER DATE OF INSPECTT6N: FOUNDATIONS FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i `GAS: -ROUGH t FINAL I , FINAL BUILDING - 9 DATE CLOSED OUT 41 ASSOCIATION PLAN NO. The Town of Barnstable Department of Health Safety and Environmental Services Roy :Building Division 367 Main Street,Hyannis MA 02601 ' Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building,Commissioner Permit no. - Date i 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: h'IDIt �X�c%�h �G�E� /IUS7����U i= 10 Estimazed Cost Address of Work: E n d ANA28 Owner's Name: k&PPU- W)Q- ,0 Date of Application: / /0, 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 DOwner 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 a ent of the owliq- A Date Contra r Name Registration No. OR Date Owner's Name q:fomu:Affidav -- Department of Industrial Accidents ?t Office OIIOYCSlI98000S - � 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit o/// nine: location: r N city �r�N/ nhone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one working in any ca acity 17%%%%///%%%/%%%/D%%%/%//%%///%/%%/%/%/////%%%%%%///////%%%%%%%%%//O/%%/%�////�/l/0/ll//!l//lG'/OJ///'r ( 'I am an emplo er providing workers' compensation for my employees working on this job. 1 �omaanY name:.::. ,�(;.� �' tn��i°�U�•<k' �5,:j-,s. :::.. �n(1'�`"��Cti=• '... ., ' .. ::::..•::••:::.,.:....,......... ..:...: ....:.... ..... :.:}}}::-:>:-;;;ran;:..>:• :.::::;:::..::.{:.. o-' `::�tg s. ttdaress.:.: i.... �•'�.:..:�I3.0. . ..:. ......:::..:r..:... n { crtw ,lJ) •j'j�y-f��r t: :.phone ::... ....::....::+ ::::.{:•::::::..... �t .................:::.:.... :: :.::.:....+....,+...... n...:...:. _..._ .:. .. . ..> olicv ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: :: ._ ti?.`.. ae ex• address. . :. ..:.:.:........ .. .:.:. ... :,:...: ;.,. -......: :. .. :.; _.: ,.,. ritye ::.::..:. :#nhone : .: �9�' >< }::.: -% nsumnceca;:• :.. ..: ...:. : .. ..:: oltcv#::>.. ,..- ..« ::. v::.:..::::::::v:.....�•.v:�:::w:.:.::............:{.:: •.�:...:..::i::^i^:i:;•}}i:y,i• +:k:;::.[:;v::: .. ....... ... .;_ sio-r;..; cmnnanv name: Boom .:: ;:.;::�>:�:;,>::::: :: .......; -i:..:•:•...:::>:'::..:::::::.:::: }:.: :;:::;.i;i:;:;;:. •.;.:. address. :.: .... .. : :.:.. : . :.... ::. .:. ,. .; s city...;: ..;.;.. .:..>• ;... ::; '.. :.nht►ne#': ...:. t -> a, r > , esnranceco:..+: _._. ;.;;..::::;::{{.>}:.f.. ;: olirv#..` Failure to secure coverage as required under Section 25A of MGL 152 an lead to the Imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Arse of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify wider the paints and penalties of perjury that the information provided above is tru,,and correct Signature .� I�+ Date Print name L. I__k Phone# ---------------- ofIIdal use only do not write in this area to be completed by city or town official city or town: permit/license# L❑BuildingJen❑check if immediate response is required ❑Licensin❑Selectrn❑IIed contact person: phone#; ❑Other Urisad 9/95 PJN F � Q „/'�aaaac�ivael� I s - I e HOME IMPROVEMENT CONTRACTORS REGISTRATION I Board of Building Regulations .and Standards I ' - Room 1301 I One Ashburton Place 1 Boston , Massachusetts 02108 -r------------------ !OME IMPROVEMENT CONTRACTOR I CA� ,,,,� egistration 103714 Expiration 07/09/00 1 -— — _ HOME INPROVENENT CONTRACTOR y F e - PARTNERSHIP I Registration 103714 = Type - PARTNERSHIP pAUL J . CAZEAULT & SONS ROOFING � Expiration 07/09/00 Paul J . Cazeault P .0 _ Box 2781 I PAUL J. CAZEAULT 3 SONS ROOF! 22 G i d d i a l t Rd . I Paul J. Cazeault Orleans MA 02653 16'e�42iddialt Rd. P.O. Box 278 IG� I Awwisf,.,7011 Orleans NA 02653 Regulations Board of Building ReRm 1301 Ashburton Place, One Ash -1618 Boston, Ma. 02108 Birthdate: 101201195 License: CONSTRUCTION SUPERVISOR LICENSE Restricted To: 00 Number: CS 026325 Expires: 10/20/2001 PAULJ CAZEAULT 1585 MAIN ST OSTERVILLE, MA 02655 7665 Tr.no: d change of address notification. Keep top for receipt an .. CERTIFICATE OF LIABILITY INSURANCE oaiiii� PBODI1cER• THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ma;tors & Servant, Ltd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5700 Post Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ P-o- Box 1158 East Greenwich, RI 02818 reen INSURERS AFFORDING COVERAGE ........ ._._.. — - - -- ---- -- ....'-- _....._............ .....__._._._. ......__.._...-_......___ ... -'--'......_...._... ...._.... INSURED - - - INSURER A:Transcont:inental Ins. Co. (C ) Paul J. Cazeault & Sons Roofing ,'-' - --------' ---...' -" -' "---' ..-....._...__.......................... ...... . INSURER LA: —. INSURER G: INIi 11H tH U: ..__......................... ...... . INSURER F: COVERAGES TI IC POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHG POLICY PG11OD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CCNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.D(CLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INr.it F'[)LIF.Y FFF FCTIVF POLICY FYPIRAv69 LIMITS LTR TYPE OF INSURANCE t p POLIICYNUMBER IMMIDDIM DOI1 DATE MM DO — A GL•NLRAL LIABILITY C180024822 04/30/99 04/30/00 EAGHOCCIIHHENGt 11/ 000,000 �{ (:(IM MLH(:IAI.(i tN LHAL IIAHILIIY FIHE LIAMA(il,(Anyune l-re) 1100, OOO GI,AIMS MAOF.1 �]OGCUH MFDFXP(Anyunepe(sun) S5. OOO PERS Tf 1 L--_--.— x PD Ded 1 , OOO ONAI AAf)VINJURY Sy , 000J, OOO -- '-- AGGHt(;AIt i2,OOO OOO t;FN'I A(;tiH l-t;AIF.I1Ml1 APPI IFS Ph H: PHOIIIIC IS-GOMP/OP At:C• S2 OOO PHO• Vol ICY X ,IHC.1 1,0E AUTOMOBILE LIABILITY CUMHINEUSINLi I.t LIMII S (Fetecciderel) ANY AUTO -- At I OWNFI)A111U:i HOUILYIN.IUHY S (Perperson) SCHF0l11,FD A111U5 nlHtu AU IO:; RODN YINJURY 1 (Per eccldenl) NUN-OWNED AUTO:i -- PHOPFH IY IIAMA61-, S .. .. ....._..._....._..........--- (Per awdenl) DAHAUL•LIABILITY ALIIUUNLY-FAAGGIDINf It - ANY At;10 (17IIER TO IAN FA ACG S ALIIOONLY' AGG S EXCESS LIABILITY EACH OCC(IHHtNCL 1 C1C:C.lIFi GI.AIMS MAOF. AGGFIFGATF 3 1 ............. S S HI- /O0 XVMI I11. HY :A WOHKFR3 COMPFNSATION AND wC199413744 08/09/99 08/09 H EMPLOYERS'LIABILITY F.1.-EACH ACCIDF:N I' S1OO 000 F.L.DISEASE-CA EMPLOYFF $100,000 E.L.EW;F.ASE POIACYIIMIT 1500 000. 011,101 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER A0017IONAL INSURED:INSURER LETTER CANCELLATION SHOULOANYOF THE ABOVE DESCRIBEDPOLICIES B ECANCELLED BEFORE THE EXPIRATION DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR IO MAIL3a_.DAYS WRITTEN NOTICE70THE CERTIFICATE HOLOERNAMED TO THELEFT,BUT FAILURE TO DOSOSHALL IMPOSE NOOBLIGATION OR LIABILITYOF ANYKIND UPON THEINSURER,ITS AGENTS Oil REPRESENTATIVES. AUTHORIZED R EPR ES EN TAi11V E ACORD 25-S(7/97) 9 S 8 2 8 9 4/M8 2 8 9 3 BAM 0 ACORD CORPORATION 1908 ���• •e TOWN OF BARNSTABLE Permit No. __.-------_------- Building Inspector cash OCCUPANCY PERMIT Bond ------------ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to 1. nmerc:iai PI-O.lerty Wrp, Address (,,)I.den �bd Lane, Marstn,-,:. Wiring Inspector Inspection date Plumbing Inspector � � /" Inspection date Gas Inspector Inspection date A. Engineering Department ; (/ '�. ,�`. f"/ti �y,r Inspection date ; 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. f" »........... 19».___ ................:........»..:.Building»:Inspector'..»»» �r a Z d, 0 0 0 S Q . IF-7 44 u Ln . 0 FOUNDA 1 IU • J • 0 N 1 00, 8 4' _ 3°` Fox GL owe '. Romeo f tr i' N! CE[ZTIF�II~p .:y. toyaTto�1 MARSTor�IS M1�.LS GGtZTIF=Y THAT TI-1G FvUNDA11oN '5Wa\,vI-J Pt_AI,1 RL->_'G PELAGE NCB EO�i GOAAPLYS W ITN THE �51DE.1 i►-�� 1_O T 8 °' �•uD 5t_Ti3ACK �'C-QiJi�ENIi_tiTS o1= Tc•1e I i PI_A� 'Poe. NII CH , TQwI.1 0� gARtJSTa ZL E . A.QD IS tjo r LtiG�TC Wl 7141 V,� T"C �=L I N bAT� 25 B�4 XTC-Q- t�. t-IYI= t 16.1G_ • RLGIS•tLtZ�D 1...a1.1C� SUevGYolz� ;� T(415. _L7 LA W (S Qc)T L3ASEv -1-- n�_1 - -- US .TEC'_v1LLG` b /;XaSS• .l•,•I"s �J�t_W; 1�Ut?�/t=.�{ S� T:•IC. uf=c="�.t:: ; •��•l���LD pp i'1" [3( UyCCJ 1C� ['_,kijt1L- �.c> C' !I�rti - ------ -T-•l�orrme � �/. i�O_8L o J SEPTIC'SYSTEM eV1E��A ®F �TNE r Assessors map and lot number ................... ........... INSTALLED 06V COMPLIAI►• yf Sewage Permit number ....:.. .................... WITH TITLE 5 e �" ENVIRONMENTAL CODE BSTAXLE, House number .....��(.411. MA66 .................................................. TOWN REGULATION 'o i639. • � � � ��YAK a' TOWN OF BAaNSTABLE BUILDING INSPECTOR J APPLICATION FOR PERMIT TO ........... G!.� .........Srhr .. ....... Y1!11! b!�E. . .................... TYPEOF CONSTRUCTION ...................4CO)A.M.15• ..................................................:..........:................................. Y• ...?...........19. Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit) according to the following information: Location ........ T .. .................I ........... � .�.�. c .................................... Proposed Use ................ o.,cA1r1, :i...........I6l.E h6l.g�................................................................................................. Zoning District .........Fire District .1. . . 24�1.�Wr.. iV :Q1.r. ............... ............................................................... ...... Name of Owner 6jmq. o n`.....`4!� ..Address ....7.:.a.'.....�� .......L.fib.....�...�P^.WTER9i.�l E ...... i i1 Name of Builder .T� n4T �� �� r •D,••••S !'f14f2ltillC AIL........ Ez..... .(5...................Address ...... ............................. ....(^... Nameof Architect L—'^-- ..........................Address........................................ .................................................................................... Number of Rooms ..................................................................Foundation .......... ,,AA,,t 1� �- ( j, r- Exterior ....Ull..(. ..... ,..... . ...... ....,..�... `!4 ..Roofing ............. 5 ..kf41. ....... �+ Interior o�4T Floors ...... ... . . .. .... .�� �r........ .......LJ..K..��....�..................T--1Q: ............ ..sr Weafing%"'��.!'f' :! ....l.V:� f2��.�....6-f N.S.......1011:;[!1::::!��.T 'Fireplace rY t7 �l teu DOO OU p .............................................Approximate Cost ................ .....,t...........:.......................... .... ' F✓�'12 rG1vK Definitive Plan Approved by Planning Board -----------_------_-----------19--------. Area ...2..�.Jr9 0' WNYQ 2oa .............................. �s Diagram of Lot and Building with Dimensions Fee ...... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH N ti � o X ,Lave P-O I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �.......k ...................... Cmnouercial Property. Uorp. ' ]—---.24l50. Permit for .oae .� �--- ' ....... ��� � siri amil dwelling ----..^^-----.." ......................................... ^ - ~ ' 19 (��ldeo I�nl Iaoze Location ---.----_------------... Marotznza Mills ----.----.-----.,.----------- Owner Cnn�*errinl ��z3». ------------^--':---`--- Type of Construction -----�r�zme --------- . . --------------------------. #8 Plot ............................ Lot ................................ . �~~ - Permit Granted --.JDz��.��--��.�—'_lq 82 'Date of Inspection --------_--,lQ ' . ^ — . Date - - Completed * ������, lP ~ ' PERMIT REFUSED REFUSED ----._---------------.. l9 .- - - --.--._—..----------.`�------. . ` ..................... ~—.----.------.--.—.- ^ _ ' -----------..~...---.—...----- .----...—.--------~—...�—.----- i�Approved ................................................ _ --------------.------.~~.~.— .. . ` ' '' — ---------'`^'—~'— y '' Assessor's map and lot number ...�.z,,/X 14 /-5ai:- TM E P Sewpge Permit number .......( ...... . ..�.�?.................... / Z BAR3STADLE, i House number � /yll. 9 raea ............................ o i C 1 639• ♦0 TOWN OF BARNSTABLE ' BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..................................... TYPE OF CONSTRUCTION ...................f I AIVI ..........................................�.......:................... ....................... ... . ......... ........... .............193 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ h.........................................'�Isa. C.Q.J 1?-00 ��✓ / i i . ................................. ................................... � ��� n ...n ! 1........... o.m .....:........................................................................................... Proposed Use .................................. t . Zoning District Fire District .=. -T �i ..n /i�= 1 t/i l�a ........................................... o. ............. ................ Name of Owner(. ...►. f f,1r9.�, t/1.C�+ `r ?•..Address J�C] P:.0 7 ..... `r,�/vCr Pl l��F- ............ ........ �7 Name of Builder ►�-r# v� l r�'tl4 i�r(4.................... � la t h :• 1�rr,IvIC iI .....................\...i. . Address .......:................. :. ........... .......... ... Name of Architect ..................................Address "- --.- Number of Rooms '...........C��--IF ..................................Foundation ......�b........!. .�.!�.................)�:Fl, C .......... Exierior ....!r`f.'. ............... \4A,....�` ( ti4f• P `......Roofin .( Y�� I :� I1{\[c•. <.: ...:........ 11 j _ } ......... ....... .. !4?1� g .............r�...... ..!!�............. ... ... � .....!:.O�l C i�.-' ............. ......4 .. !l,r','V i c7J{ t'Z Floors ........ .,..........>...:.,.:....:... ......... ...................Interior .. .... T. ............. Heating A- AA..!....... .......-�....F.�...•.............Plumbing ..... /.......J.. r.. ► f'i. lid%................. •. ..4. t:.. Fireplace � ,ctiIt!.(.............................................Approximate Cost . 0C O . CS C% /. . ........................................... Definitive Plan Approved by Planning Board -------------------------------19_______. Area ...a�..�`.? 9 tb ............................ Diagram of Lot and Building with Dimensions Fee ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name A u�i 11t tlt e........ I 1.� .i�, '��........................ �� :•� Commercial Property Corp. . A= 149-130-15 24150 one story No .....I........... Permit for .................................... single family dwelling ...........:................................................................... 19 Golden Rod Lane ,%S.a..................................Location .......................... Marstons Mills ............................................................................... Commercial Property Corp. Owner ...... ............................................................. Type of Construction ..........................frame................ ..................................I.............................................. Plot ............................ Lot ..........#....8 .................. sf Permit Granted ..........June...2.2...............19 82, Date of Inspection ......... ..........................19 Date Completed ...... ...................19 PERMIT REFUSED ....................... ......� ..... 19 ................................................................................ ................................................................................ ............................................................................... Approved ............................................ 19 .......................................................................... ...............................................................................