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Home My WebLink About0055 BARNARD ROAD I r' L- I I �0 660�•SS o0 ' 6go�oo LOT 45 LOT 34 20752±S.F. 0.48 ACRES z 'L Poop ,6- 12 -_ -c=�RpoRT —? — — — - - — _ — — — ��m SHED ED — la� SHED — DECK 0 . 6 SHED �titi 60 l LOOD ZONE x POOL CERTIFICATION RES ZONE.- RF-1 WN OSTERVILLF.' SCALE 1"=30' PL REF` 7685R ELEV NIA SETBACAS: 30'-15'-15' A A AS4C YANKEE LAND G�jTc�FSyG 1 CERTIFY TO TfiE' BEST OF MY �� F� ��® SURVEY CO. , INC v STEPH' -+ KNOWLEDGE THAT THE FOUNDA27ON 1 119 ROUTE 149 IS SHOWN ON THE PLAN AS DOYLE ,� ly� MARSTONS MILLS, MA 02648 IT EMT5 ON THE GROUND TEL 508-428-0055 FAX 508-420-5553 JOB -7®7_1--.- DATE.•6/29/15 NUMBER 55113POOL .............................................. J3 PROF TOWN OF BARNSTABLE Buildinom ZHE 201406775 t3AItNSTABLE, Issue Date: 10/07/14 P e r m i t y MASS. �ATFD 39. A Applicant: TREESE,JAMES Permit Number: B 20142715 Proposed Use: MULTIPLE HOUSES ONE PARCEL Expiration Date: 04/06/15 Location 55 BARNARD ROAD Zoning District RF-1 Permit Type: POOL INGROUND RESIDENTIAL Map Parcel 139036 Permit Fee$ 125.00 Contractor O'CONNELL,EDWARD Village OSTERVILLE App Fee$ 50.00 License Num 104987 Est Construction Cost$ 29,900 Renearks APPROVED PLANS MUST BE RETAINED ON JOB AND INSTALL AN INGROUND FIBERGLASS SWIMMING POOL HEATED IT1jHIS CARD MUST BE KEPT POSTED UNTIL FINAL SOLAR COVER 16X7 1/2.4' BOGA MESH FENCE W SELF CLOSE GA E INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: TURNER,THEODORE R JR TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 55 BARNARD RD INSPECTION HAS BEEN MADE. OSTERVILLE,MA 02655 Application Entered by: PR Building Permit Issued By: 44�— THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEYPORARJLY b Y. ENCROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WO"IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS D OT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 'ROM THE STREET POSTTHIS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health LEGEND TO, A R WS TA B L CONCRETE BOUND (FND) ■ Mom^ �'``�, t c� f ; �,, � ." ; IRON PIPE (FND) ogl�rya:."tr � PERCENTAGE OF LOT COVERAGE 54 LOT AREA 20752t S.F. ` ._� EXISTING STRUCTURES ' r="N tv T *HOUSE 17.8% y "'y ;.' ` fax•ram. Ip' t+' ,.'w,a.. �Y, ka •COTTAGE 3.3% - Y •SHEDS A & B 0.3% "` :. ryf ;, q� y •� e� F, EXISTING PAVEMENT 21.3% TOTAL COVERAGE 42.7% V., .V Tx LOT 36 LOCUS MAP N 6eopoo a PLAN REF: 7685 F & R LOT 46 CERT REF: 133029 & 145097 LOT 45 ASSESSOR'S MAP: 139/036 ° y ZONING: RF-1 d o DRIVEWAY., (1P FND) �� a a \ SETBACKS: 30'-15 —15 FLOOD ZONE. X r, fPR0P0Sm , LOT 34' Poop =DEac 6�� , PANEL NUMBER: 25001C 0776 J 20752±S.F. a- e a DATED: 7/16/14 0.48 ACRES — a o OVERLAY DISTRICTS: RESOURCE PROTECTION jr 6. __- - - - - - J PLOT PLAN OF LAND — -_#55— — — — — — — — ,A o LOCATED AT: _ _ w .T�w�� SHED 55 BARHARD ROAD ' — _ — - — — .� A r { — ,�� ovc� a SHED OSTERVILLE, MA LOT 4 LOT 29 —_ — DECK' t (C/8 FND) PREPARED FOR. THEODORE TURNER A P R I L 21 , 2015 Lo,, 6.01, ; STEP N ® REV: r s LOT 3 o �. 4 DOYLE b. #375 REV: s SHED 6�ryti1y �� SUF��` REV: 6° YANKEE LAND SURVEY CO, INC. GRAPHIC SCALE 119 ROUTE 149 LOT 2 30 0 15 30 60 MARSTONS MILLS, MA • TEL: (508)428-0055 FAX: (508)420-5553 A" NOTE: — I yonkeesurvey@comcast.net www.yankeesurvey.net lu SEPTIC SHOWN PER TOWN RECORD. 11 1 inch = 30 ft. SHEET 1 OF 1 JOB#: 55113 JM Town of Barnstable ' *Permif4cR ExpiMg months from issue date Regulatory Services Fee SMIT r. Richard V.Scali,Director APRp 16 2015 Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press InWrint Map/parcel Number 1 ,� 9 1 3 C, Property Address 5 5- i3 A RjJ A 2 213, mt►- 2 L 1 L [residential Value of Work$'J2 c o n Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address S•S RjPRM9LM) 2C1 6 =, rY1A Contractor's Name C�w�q nc� ��C b,:i ry CAL Telephone Number Home Improvement Contractor License#(if applicable)10 5f 1 9 Email: - Construction Supervisor's License#(if applicable) C S n Q bo3 ❑Workman's Compensation Insurance Chec fie: Lj!rI am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Re ue eck box) LIJ'Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Ar&J 5� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. '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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: c C:\Users\Decollik\AppDataU.ocal\Microso8\Windows\Temporary Internet Files\ContentOutlook\2PIOIDHR\EXPRESS.doc Revised 040215 The Commonwealth of Massachusetts • Department of Industrial Accidents Office of Investigations kvi 600 Washington Street Boston,MA 02111 www mass.gov/dw Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aaulicant Information Please Print Legibly Name(Business/Organization/Individual): ,664 ,Arm Q,CQ r xx,L L Address: 7 3 9 R to c,-- 2J_ m P r si6.0 S 1'1'`O( S , yr A . O City/State/Zip: Oa64,!9 Phone#:—go 8 - -2 )b-- a(o 3 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 cmp loyees.(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. a soleproprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and.have workers' x 9. ❑Building addition [No workers'comp.insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3. officers have exercised their I am a homeowner doing all work 1 L❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§I(4),and we have no 13.❑Other employees. [No workers' comp.insurance required.] 'Any applicant that checks box#{1 must also fill out the section below showing then workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: ES )F3^- ru,4n City/State/Zip: 0e, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: ��_. 1�'t/� Date: A Par L 1 loi Z dl 5� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M 5 Massachusetts-i3epartment of Public Sat'W- {{ Bourd:of Building Regulat ohs art'd Standards E zo f C:nn4rruction fiupen i r � License: CS-017603 EDWARD R OCOONE PO BOX 84/RIVER RD Marstons M US MA t xp'ratipn " j Commissioner .0210612016 .rr ucviriita:'rfvc�r�!��C'�la.t�ur�rr_•-r:': ` Office of Consumer Affairs&Business"Regulation License or registration valid for individul use only HOME IMPROIi'EMENT COPlTRACTOR before the expiration date. If found return to: Fly " Office of Consumer Affairs and Business Regulation gggF. ;Registration: "`104987 T►Fe usti Ex 10 Park Plaza-Suite 5170 c- pi" ow.<7/16/2016 DBA 7— _ Boston,MA 02116 E.R.O'CONNELL,BUILDER '``: Edward O'Connell PO Box 80738 River Rd...-: Mars tons.Mills,MA 02648 Undersesc*ary Not valid without signature o4`�ME EARN3fABli;'i} 9 IMASS. Town of Barnstable si639.@� Regulatory Services g ry es Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m a.us' Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 6-c&wAr<4- y'Co>y e,2<,L t to act on my behalf, in all matters relative to work authorized by this building permit application for: `3Ar iy A/-C-4 2C-4 . os*--ryk Ili. ,vi da , (Address of Job) AP2�L I b,.'La►� Signature of Owner Date i f1�ova rzr= T L) t,)E cZ Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\UserslDecollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content O0 tlook\2PIO1DBR\E)PRESS.doc Revised 040215 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1� Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis eject Street Address 5 SVZ & cyillage D w l I: UZ U G LO n i�! �$Q ;Owner - I H FO Q D (Z t- I Z 1 U 'U L_'-rL Address Q rZ y 14 4-SS Telephone- '`_ -- . c Permit Request cc — �� ✓`P� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi amily (# 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.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including b hs): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other - Central Air: ❑Yes ❑ Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ e ' ting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ xisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board Appeals Authorization ❑ Appeal # Recorded 0 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) (Nam`eD W A R R . 0 C©N/1)!�G G cTelephone Number a So 8 7 76 O 6 9 3 Address (• � o)( ' L/ 7 S JZ v F,92 m, -License #- CS O "I b o a NL w R S r•lv S M i L L S . M A r-Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE- - / V / FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED . MAP'%PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r R FOUNDATION FRAME . INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH- FINAL FINAL BUILDING. DATE.CLOSED OUT ASSOCIATION PLAN NO. > Town of Barnstable Regulatory Services RAMSTAME, Richard V.Scali,Interim Director 6 ► 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 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, c �� i2. O C� n]1N c L Construction Supervisor License # CS o i7 AO 3 ,hereby certify that I have assumed responsibility for the project under construction,as authorized by building permit# 1 `J Co�'1!Fissued to (property address) '5S ►ljc r-o k l�� ., v-C\A. onn d , 201Y. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) I L Z 9/Z0e LICEN HOLDER DA q/forms/newcontrb rev:103113 Town of Barnstable Regulatory Services " Richard V. Scali,Interim Director 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 NOTICE TO THE BUILDING DIVISION OF CHANGE OF CONSTRUCTION SUPERVISOR 1, l t+Eo D o R E 0 T u V2 N 6 R ,owner of property located at ;$ S & W 12 tj A R 10 rZ b. ,hereby certify that 0+M (F 5 R . T tR a t: S L is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# <�PD I H pkol"I 5�issued on 20 /`t I understand that the project under construction must cease until a successor licensed Construction Supervisor,is submitted on the records of the Building Division. III l & PROPERTY OWNER DATE q/forms/newcontrowner reference R-5 780 CMR mv:103113 I2 OF'ME TG�� Town of Barnstable Regulatory Services vHARNBM MnASS. $ Richard V.Scali,Director 1639.. 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 E If Using A Builder I, T 14 I�o D o t2 � R , Tv ✓Z Ih 1_� �as Owner of the subject property hereby authorize 1= O'W ► 'k dJ _ o C p 0-vJ r? L L to act on my behalf, in all matters relative to work authorized by this building permit application for. R N A-oz ID ►2 S T��(R V l I l: Itil �-s S . (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 T �+��aovZ�� iR� 1 � 12r�,�✓Z Ggw�42�J R. D �Coa�vE � • Print Name Print Name 30 I q Date Q:FORMS:O WNERPERMIS SIONPOOLS Town of Barnstable ' Regulatory Services �oFzrte rofrty Richard V.Scali,Director P �^ Building Division BnxNsz'as Tom Perry,Building Commissioner MASS. 1639. �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �t DATE: � . Please Print � � JOB LOCATION: b S^6 6-k-v� number street village ..HOMEOWNER': 1 bl CO we,,n m A �� we-k §.0�` ��a'S�l �( Scti•.�2 name home phone# work phone# CURRENT MAILING ADDRESS: S cityltown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner".ishall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner'certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. _ -- HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of,a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AvOcant Information Please Print Leizibly Name(Business/OrganizationMdividual): 1 ,�. ('�[p,U uC Address: pe 3 a k 1 3 e 12 C-1 City/State/Zip: m tar Phone#: Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I etployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.L41 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.msurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions q ] 3.❑ 1 am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other poi "J is) 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 hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 6-5- t,3 A r m> /2 I ._,_ - - _City/State/Zip: o s+r, y� I ro A Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpena/ties o7peryu that the information provided above is true and correct. Signature: Date: /L z s o r Phone#: 4 O c13 -2 7 to - O 6 9 3 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: .............------------- r�/fir`(cain:ns,:o-,00�/,1 c•��r l(IJJn[I'!1_C•(: . Office of Consumer Affairs&Business Regulation License or registration.valid for individul use only La'tiOME IMPROVEMENT CONTRACTOR } before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 104987 Type: � 'r 10 Park Plaza-Suite 5170 Expiration: 7/161201.6 DBA Boston,MA 02116 E.R.O'CONNELL,BUILDER "... Edward O'Connell r- PO Box 841738 River Rd 4 a Marstons Mills,MA 02648 Undersecretary Not valid without signature ' Massachusetts -Department of Public Sa9:ety Board•of Building Regulations and Standards 'Construction Supervi.kor License: CS-017603 EDWARD R OCONE PO BOX 841RIVER Marston 1 1151VFA 0264>3 G: r' a x i Expiration Commissioner 0210612016 L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map J� 7 Parcel d 3 Application # Q 6l0� Health Division 1 Date Issued �f� G Conservation Division l�' Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 55 9 NAR-lb Village Owner M4F=;' 'E � Address '5�5 SAQNAt.fl QGD� Telephone '3 D45' 0 Permit Request dU Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 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.ft) Number olyBaths: 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 ` � T° g30 '` Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 0APr000 A,F�✓�C6 RX's:fMor 7-Z& !,WC Telephone Number Address )9�Lt&Z S-T - License # \ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /�I� DATE �� FOR OFFICIAL USE ONLY } APPLICATION# t, DATEISSUED MAP PARCEL NO. { I ADDRESS VILLAGE OWNER DATE OF INSPECTION: �„�'FOUNDA°TIQN��t"�� r:� tiu.s►�s FRAME INSULATION.µ { FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL `t FINAL BUILDING' DATE CLOSED OUT ASSOCIATION PLAN NO. s ine t-ommomvearrn aimassaenusew Deparbn:ent of Industrial Accidenft Office of brvestigations `. 600 WashhTton Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Baders/ContractorsUectricians/Plmnbers Applicant Information Please Print Legibly Name(Business/orgenizahonanavidtral): AokA4 3ng 9,64 ,4 4- "67 T1 r, Address: II© F VKUM- '511 City/State/Zip: AAO.AACWJ. #0�4 Phone tf30 r 0SS- Are you an employer?Check the appropriate box: Type of project(required): 1.W=a employer with 4. I am a general contractor and I �—* have hired fe sub-contractors 6. ❑New constriction employees(fnIl and/or Bart 1m1e). 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees' Tie sW>-c ' rs have 8. Demolition working for mein any capacity. emill7ces and have workers' 9 El Building addition [No workers'comp.insurance ComP required.] 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all wodc • 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12❑Roof repairs inmrance required.]t t^152,§1(4),and we have no employees.[No workers' 13.❑Other�E;vta ��IL Comp,insurance r ] *Any.applicant that checks box#I mast also fill out the section below showing their wuricers`compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional shed showing the name of the snb-contractors andstatr whether or not these entities have employees if the sub-conkaetws have employees,they mnsI provide their workers'cane.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: �ES� ��t/2a✓✓[E" CC'� Policy#or Self-ins.Lic.#: W,%' G Expiration Date: ` Job Site Address: iQd1/19 0 �+ . City/Stab-/ , Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the fog of a STOP WORK-ORDER and a fine of up to$250.00 a day against the violafnr. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of flee DIA for hmwce coverage verification. I do hereby certify under the p curd penalties of p that the information provided above is true and correct Si Dare: 02- Phone#: 5 ' OfjTrial use only. o not write in this area,to be completed by city or town oj7cia1 City or Town: PermibUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Afi&swltisetts General Laws chapter 152 requires alremployers to provide wormers'compensation for their employees. Pammnt to this statute,an employee is defined as"...every person in the service of another under any contact of hie , express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in'a joint enterprise,and including the legal representatives of.a.deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto Slid not because of such employment be deemed to be an employer." MGL chapter-152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance-or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not prodaced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work unto acceptable evidence of compliance with the ins =ce requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insuiance coverage. Also be sure to sign and date the affidavit. The affidavit should be retried to the city or town that the application for the permit or license is being requested,not the Deparmeat of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the .miber listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permitAicense number which well be used as a reference number. In addition,an applicant that must submit multiple pennitlHcense applications m any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _ (city or town)."A copy of the affidavit that has been officially stomped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture '(Le.a dog license or permit to burn leaves etr.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a calL The Departments address,telephone and fax number- The Commonwealth of Massachusetts D-epartment of Industrial Accidents Q-ffice of la.Reatigatians 600 Wasbft tan fit~ Boston,NSA 02111 Td.#f 17-727-4900 ext 406 or 1-$77-MASSAFE Revised 4-24-07 FaX#617-727-7749. www-mas gGv1dia Wesco Insurance Company A Stock Insurance Company WORKERS COMPENSATION WC 99 00 01 B AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Ncci Code:26135 1. Insured: Policy Number: WWC3085631 Cape Cod Aquatics Pools and Hot Tubs,Inc. 110 Parallel Street Harwich,MA 02645 _Individual _Partnership Other workplaces not shown above: X Corporation See Extension of Information Page Federal Tax ID: 450540671 Producer: Risk Id: AmTrust North America,Inc. Renewal of: TWC3351560 c/o Paychex Insurance Agency,Inc.(B) 150 Sawgrass Drive Rochester,NY 14620 2. -The policy period is from 4/7/2014 to 4/7/2015 12:01 a.m.at the insured's mailing address. 3_ A- Workers C mo pensation Insurance:Part-One of the policy applies to the Workers Compensation Law of the states listed here: Massachusetts ' B. Employers Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: State Bodily Injury by Accident Bodily Injury by Disease Bodily Injury by Disease $100,000 each accident $500,000 policy limit $100,000 each employee C. Other States Insurance:Part Three of the policy applies to the states,if any,listed here: All states except ND,OH,WA,WY and State(s)Designated in Item 3A. D. This policy includes these endorsements and schedules: See Extension of Information Page 4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating Plans.All information required below is subject to verification and change by audit. See Extension of Information Page TOTAL ESTIMATED ANNUAL PREMIUM 3,142 STATE ASSESSMENT 94 TOTAL ESTIMATED COST 3,236 Minimum Premium 500 Deposit Premium 356 Issue Date: 3/17/2014 Countersigned by: Authorized Representative THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA - a p'' 120 i227. 0 •. ,15 O 1' w \. ►a '30, •04 0 cz S 66 0 S 100• b :b d to F_�___� �+�� • w 13 o lg. 0 21 61.0A 5 This MO R'T AG ' N 'EC' T i ►' FzpdD�`Z�ON�`.� uC" d.: ,,_`��, r..It• ��;�, .:3+�:cry t�• .M:.-,.:'�T .� ��k.'R•��c�,.'>r.,. F THAT THE'BUILDINGS •M-3-i` ARD` sio T n q .. AT`R.n. (i��) �` Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MassaclLsetts 02116 Home Improvement Car45or Registration ;' . -' Registration: 154843 " "' Type: Private Corporation '_ 's:'•.: '`':' ``` Expiration: 4/10/2015 Tr# 238291 Cape Cod Aquatics Pools&Hot tubs„ft James Treese 110 ParAHel St. Harwich,,.MA 02645 Update Address and return card.Mark.reason for change. ' SCA 1 Ci 20M-05/11 Address Renewal Ej Employment 0 Lost Card V die �OOmvrizor�(ve�a�C%v/.aaaac�ivaeC�,a _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: t glstratlon: 154843 Type: Office of Consumer Affairs and Business Rulation piration: :4ltt�1.5 Private Corporation 10 Park Plaza-Suite 5170 F Boston,MA 02116 Cape Cod Aquatics�ol5 totit i15-: tfic. - James Treese 110 Parallel St. Harwich,MA 02645 Uadersecrctary Not valid without signature r 07 14 • • _ P. Ride Certified pool Compliant Chain Link Fence t al A Fabric Example For Turner Pool Job:Attention Brenda,Town of Barnstable �s = 1 41 Oct 07 14 01 : 40a P• 2 Certified Pool Compliant Self Locking Gate Example I For Turner Pool Job: Attention Brenda,Town of Barnstable 6s4i R �w TYPICAL r VER DIG p ------------------- --------------------------- ---I W I - u- i I W I 7,_6" - - I w 7'-611 I F - w U) . w � I p ----- --------------------------------------------' z WATERS EDGE w Q -- - ----------------------- - -911 zz JJJIIlll1- 4" SAND BED WEIGHT: 700LBS CYBERLANE NO SPA 750 - DIG PLANrl., AREA: 121 SQ FT SCALE 1/4 =1-0 DATE 08-22-05 PERIMETER: 47 FT gergluumnoCs VOLUME: 3400 GAL DRAWN BY KLB REVISION 01 ALL MEASUREMENTS AND QUANTITIES ARE BASED ON AVERAGES' Oct 0614 09:53a Tumer Corp 5084200631 p.1. Oct 06 14 07:41p p.1 •� Town of Barnstable Regulatory Services ryas = WAmd V.Suilk Urft or BuRding Division row ram.,snadl,�c�� 200 Mdn Sftw,Hyena,MA 02601 Office: 30"62-403 a Fax: 508-790-WO Property Owner Must Complete and Sign This Section If Using A Builder I, JLt"165k. Owner of the suby=pmpeny hereby authorize m- F�4 Oros to act on mybehalf, m all matters relative m work anthomed bythis ImI&g permit application for. (Addmss of job) **Pool fences and alarms are the respoa&IWof the applicant Pools are ant to be fled or tuTm!d before fence is instaUed anti an frW mspectitms are performed and accepted. stnuue of Owner Appliaat FZigt-N46W PtmC Name r Date Q.��(S��pF91fIRCYf��Q 30'' 1 205 1227 0 66.0x• 35.0AD5o 6 0 �, c� S 6 100 b b 4� . Iv Tla d � N rn 9• • o w_ 1 21 10 • ,� - • Yr / 60'12'10 r . 0 jE3'. ' 41UE'•::�" j��w: , This 'MORTG'IGE "'IN8PECTIO`N .BakS ..onl FZOdD� d1VE`' C :�r: E8 __ � TC }{�Y Tj� �• �:.. ..•�:.. . .._:.. �,g�., . ,: 'r..+7L' •.,�li .:Sri:;s3;tt'.5 •:` "'. ..7 '•,T.'>'•i _'T4: 11.7 Sy Y • 'S• l'- THAT THE BUILDINGSKE �f id y `.t �•�, ram FEC ;' .. �s�� fSTE 1i1�}Z,4V9'I�IL[:9, IdA" 2A8, .:' a� ,n. ,f� .. 5 .. A ' . _ a.� 1:. :4 �-.�A< �,��.,y:�., . MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Onlv(800)392-6108,FAX(800)851-8424 9/3/2010 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.36 p � C� LOdC BARNSTABLE BUILDING COMMISSIONER SEP 0 7 RECD 367 MAIN STREET 367 MAIN STREET By HYANNIS MA 02601 Re: Insured: THEODORE R TURNER JR TRUSTEE OF TRAVARES Property Address: 55 BARNARD RD,OSTERVILLE,MA 02655 Policy Number: 0915847 Type Loss: Lightning(not resulting in Fire) Date of Loss: 07/19/2010 Claim Number: 279974 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 CMA00021 r 1 -.26s3� �"E The Town of Barnstable Department of Health, Safety and Environmental Services = Building Division d?¢}�� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: 12 `� 7- 96 Name: rh E o io o yt t_. (2, T) 2 ry#542 . E' d2 Address: S S 13 A i2 A) A 2 h 2 0 Village:©S!V2 0 1116 ARC6M01A,r=oN, Msatorrouoi Type of Business: 5 fo d K S-t f3 v N b s Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor, no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit, • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in . excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up track not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit 1, the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: I a 'aF-9V urner Qlapital J lanagement 8— ranamics Pnc- �1I116estment nub�41isurnnre Consultants The Captain Small House and 55 Barnard Road Osterville,Massachusetts 02655-2202 (508)428-5151 (800)TURNER 1 THEODORE R.TURNER,JR. Serving Conservative Investors Since 7960 Wednesday,January 22, 1997 Ralph Crossen,Building Inspector Town of Barnstable Building Services 367 Main Street Hyannis,MA 02601 Re: Parcel ID R139036,Deed Ref. CTF 36282 Location 55 Barnard Road Osterville,MA 02655-2202 Dear Mr.Crossen: Attached please find three plans of the hot tub cabana that you requested for my file.I would like to thank you and your staff for all of your time and consideration. Please feel free to contact me if I can be of further assistance. Very truly yours, G� Theodore R.'Turner,Jr. x Enclosures(3) kl 42511/1 Securities offered through Nathan &Lewis Securities, Inc. Member:NASD, S/PC and Boston Stock Exchange Q� - -51 TTING _ 'NE S �t' .Q C ET Yef _ O Pep Aftaj�p iar Ire f HOT TUB CABANA As" GUILT FLOOR PLAN 7x��E: urawic�7r aurm er o�rE: I-21-9 7 ERO. T.TURNER 55 BARNARD ROAD OSTERVILLE, MA. w.A-] I -— _ 51 TTING T 'NE - C ET IgIK JO-C -- .--...-- - �I I i i I i i HOT TUB CABANA `AS 13UILT) j FLOCR PLAN ; fcwit: Jo Mqv wve: 1-21-97 E O M . URNER 55 BARNARD ROAD OSTERV I LLE, Ma. °"wq j" • ' I I _--Si TTING T WE � C ET ° p, 10.0 7-O J3.9?t] \, BAR_ 7 . 1 0 12:p" 'TU� •\\`'�\`` \\ i I I HOT T U13 CABANA (AS BUILT) FLOOR PLAN acwia: wnawao ar oawwn er ATa; I-21-97 E O. T.TLJRNER 55 BARNARD RCAD oawwiMo rna+aaa � OSTERVILLE, MA. A_I Permit# bT 73 Conservation Office 4th floor w(2 _ �� . 1�r Date Issued / b Board of Health Ord floor L. oR Engineerin> Dept. Ord floor) House# � . Planning Dept. (lst floor/School Admin.Bldg.): N o P f6 r — Musa. .. /- Definitive Plan Approved b Planning Board 19 PP Y g (Applications4mKessed 8:30-9:30 a.m.& 1:00-2:00 .m. sep-f C � I��p►i�CS (*I et4'fA`Z®t)!AND TOWN OF BARNSTABLL�.UNW Building Permit Application T,O Proiect Street Address 55 Barnard Rd. Village Osterville , MA. Fire District COMM (honer Theodore Turner Address 55 Banard Rd. Telephone 508 428-5151 PermitRcouest: Construct 3 Seasons Porch (on Existing slab) Construct New Dining Area (Over Existing Car Port) Construct New Carport, Replace all Roofing , Install Skylights Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of ApMls Authorization Recorded Current Use R e s id en tat Proposed Use Construction Type Wood Eaistin2 Information Dwelling Type: Single Family Two family Multi-family Age of structure 30 Years Basement type Masonry Block Historic House Finished yes Old King's Highway Unfinished Number of Baths two No. of Bedrooms two Total Room Count(not including baths) seven First Floor Heat Type and Fuel Hot Air Central Air Fireplaces yes Garage: Detached Other Detached Structures: Pool Attached yes Barn None Sheds yes Other Builder Information Name E.R. O' Connell . Telephone number 42$-5579 Address 738 River Rd. License# 017603 Marstons Mills , MA. 02648 Home Improvement Contractor# 104987 Worker's Com usation # N/A NEW CONSTRUCTION 0R ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Barnstable Project Cost 35 ,000 Fee SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T �(p FOR OFFICE USE ONLY ' ADDRESS VILLAGE 9 OWNER DATE OF INSPECTION: FOUNDATION FRAME fir" INSULATION FIREPLACE h ELECTRICAL: ROUGH FINAL d ti = •a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: I<-�� b� •�/► \�� DATE CLOSED OUT: f, ASSOCIATE PLAN NO. �t t;p'e It yc_iY � ' r�l.S'0 -" r�"' k..'1.L s%'y'.j°. t� •_ ,� q`�j .�r� F'rYt`� i. �e f°' ,'s �� r �•` r t t .', i` N. » $..�- S C, d -y'+j v�i{ ,�7�+• a{.y '} �.3 �- a � a. � f2�' t. iYr 1 - '� i-k�.1 �rFL kv.Y f� �y�' .i i y��'•- .M'i'i.1� _F • .. � I.. f � '� � 1f��,,�y,i.1}. ( Y �fi + T� s� ..�y; �`F��,�•� �. l� r '` tf.. ♦ of s sy. iCir,�a a• iT' a i.r&'a S Z f- 1 a f !� Y �. 'C - h U ° �i "� .y� .�� •.q�,��.�'i.' ar.> 4�3"vy al�.a �.� �"r# 1%� ♦ ,•'!i,• • �A"s�.5�"`' wr'� t'�a�*C � A� +��r�y � t�-��rr��r#�,�3tlF�� ,�'��1?�b a•,. 1 IA 31f- y •~✓.. v;j 'vT , r , � � ',S •l. 7i S X. a ;'t 1 t F t'/...(� f.8 _ .. •' :lj...�.K'4N `_ C.. 4•�� •L, � �AlS z��i i','4. '� .. . � � C� �� %� �G�� CPr�i��f/� � i � �� C 7 U I 9P111 1 FDEC .-, TOVAN GF BAft,.S�NBIE ZONING EOARQ t1F aPPEALS December 15, 1997 Town of Barnstable y_ Zoning Compliance 367 Main St. a =-Hyannis, MA 02601 Dear Sir: The house owned by Ted Turner located at 55 Barnard Road, Osterville, is a horror to the neighborhood. Mr. Turner not only runs a business from the house, he has a cottage with an extra bath as well as a bedroom. How can this be allowed. Do Barnstable zoning laws allow this disgrace. We are not going to accept this. Is Mr. Turner above the law? Neighbors \` ►1 D 13 q� 3 ca 3U m Mo . /- 7 - 97 — � ..Pit✓G tom. ' to Sir Speedy The bueineso printere 0 The Right Impimion.EveryTim 11 Enterprise Road•Hyannis,MA 02601 ' Tel.(508)778-2328 Fax:(508)778-1513, i { RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 55 Barnard Rd. Osterville 139 36 C_O LAND too a 3 BLDGS. 3 OWNER d��va aG�y.� �w, ��; /�.� TOTAL Jp - - / �3 LAND Qpa" RECORD OF,TRANSFER D BK PG I.R.S. REMARKS: Lot #34 BLDGs. zS7�d f rn Turner ' Theodore R. Jr. 10/27/65 285 12 C f #36289 B TOTAL o Zo . 6a LAND, /J dt—, si O C7S BLDGS. t r TOTAL LAND 1 r BLDGS. I TOTAL , E + .. LAND T BLDGS. 1 a s I TOTAL LAND �.. BLDGS. L _ TOTAL I LAND I !'. BLDGS. TOTAL . LAND I INERIOR INSPECTED:. /r / BLDGS. T � TOTAL � I DATE:�j :�.� �02. LAND � ACREAGE COMPUTATIONS rn BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE __ TOTAL p�HOUSE LOT �D9D b � � � vO v LAND CLEARED FRONT rn BLDGS. TOTAL REAR ' WOODS&SPROUT FRONT LAND REAR rn BLDGS. TOTAL WASTE FRONT LAND REAR BLDGS. - TOTAL lab mw LAND .3L 0) BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL + FRONT DEPTH STREET PRICE DEPTH % FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH vv TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND u SWAMPY NO RD. BLDGS. } 4 TOTAL .-. �t .. �........ ... .......•.raw r. r ��AGG ....rcn POP4Cl , unwrrnRn.rI�NN. J mar Bik'WoIIs .. Bsmt.,Rec.Roomy., St.Shower Batl��/ Bsmt. — �6 pURCH. DATE —• nc.Slab Bsmt.Garage St. Shower Ext. Walls PORCH.PRICE ick Room Walls Attic F1'&Stairs Toilet R . i - Roof RENTide �•7 ` t srs ells, " Fin.Attie 7 A&F1 •• Two y Bath Floors z X� INTERIOR FINISH Lavatory Extra D Ztrl' z :mN:a F 1 2 3 Sink Zt Attic _ }� r/=' r/4,-'' Plaster Water Clo,Extra q EXTERIOR WALLS Knotty Pine Water Only iuble Siding` S;ti!" Plywood No Plumbing Bsmt.Fin. ngte Siding. ; Plasterboard Int.Fin. ' �•- hin les' �. O g ELF. TILING ne..Blk: f G F P Beth Fl. Heat Q ee Brk.On Int.Layout Bath'i&Wains. Auto Ht.Unit f �Q -A-:�Veneir:0`+ Int.Cond.- - Bath Fl. &Walls Fireplace ,m.„Brk:On HEATING Toilet Rm.Pl. plumbing lid Com.Brk. : Hot Air Toilet Rm.Fl.&Wains: / Q. 30� tlq3 Tiling O T r - Steam Toilet Rm.Fl.&Walls PD Q f, • enket Ins.. Hot Water St.Shower ^:�5 J 201 Total ,of'Ihs. Air Cond. ' Tub Area I Floor Furn. ag i ROOFING COMPUTATIONS ' l ;ph. Shingle. Pipeless Furn. 3 S.F. Q Q I ood Shingle No Heat ..-7lo S. F. cbs.Shingle Oil Burner S.F. O770 ate Coat Stoker / bn F �D 4 0 llr , Vf. Gas S F OUTBUILDINGS 1 w ROOF TYPE Electric S F 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED able Flat gip,, Mansard FIREPLACES S.F. Pier Found. Floor ambrel- Fireplace Stack Wall Found. 0. H.Door LISTED `I FLOORS Fireplace Sgle.Sdg. Roll Roofing 1 >nc:" LIGHTING Dble.Sdg. Shingle Roof irth No Elect. DATE l no Shingle Wells Plumbing / 7 � ardwood ROOMS Cement Blk. Electric D 9. /2' sph.Tile Bsmt. TOTAL 7 Brick Int. FinishTi 1 PRICED Ingle 2nd 3rd FACTOR 'r✓LI� 7-7F REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGk RE�M.�OtD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. WLG ZZZ - / �yODD Q O Z /OO 1 13 ioo 3 i 4 1 •5,. —7 , EI + 9 i TOTAL PROPERTY ADDRESS I I ZONING I DISTRICT CODE 'SP-OISTS.I DATE PRINTED I CSTATE I PCS I NBMO KEY No. 4'0053 ~I BARNARD •ROAD 11 RF-1 300 11C0 07/09/95 1011 00 27BC IR139 036. 7352S LAND/OTHER FEATURES DESCRIPTION ADJUSTMENTFACTORS Y UNIT ADJ'D.UNIT TURNERr THEODORE R JR TRS MAP- Lana Sy/Date FF- Demenston LOC./YR.SPEC.CLASS ADJ. COND. F PRICE PRICE ACRES/UNITS VALUE D.atription / CD. FF-De N/Anes ISL A N D 1 88,P700 CARDS IN ACCOUNT - L 10 18LDG.SIT.1 XI .48 =10C 154 119999.98 184799.98 .48 88700 NBLDG(S)-CARD-1 1 76.900 01 OF 01 A #PL 55 BARNARD RD OST N BATHS 2.0 U X C= 100 7000.00 7000.00 1.00 7000 3 #DL LOT 34 B 45 4ARKET 137000 FIREPLACE U X C= 100 3100.00 3100.00 1.00 3100 B /ERR 0073 0100 INCOME SE A PPRAISED VALUE 165.600 D J ARCEL SUMMARY A AND 88700 . T S LDGS 76900 A T ' -IMPS M OTAL 165600 F E 4 CNST N � E DEED REFERENC T. DATE q�,� R I O R YEAR V A L U E !/ A T Book page '^•' Mo. vr.D S.1-F Ace A N D 88700 T S C133029 •I I 2/94 A 1 LDGS 76900 U C116631 b1/89 B 35000 OTAL 165600 R C36282 10/65 FY90 REMODELING E BUILDING PERMIT S Nu.b- D*le Type Amou n TAKING PLACE LAND LAND-ADJ INCO E JSE SP-BLDS FEATURES BLD-ADDS UNITS 0/88........... 88700 10100 OOrI.1. Total r 1 Norm. Obsv. Cless Units Units Base Rate Adj.Rate A I Qe Depr. OOno CND Lot 4t R.D Repl Cost New Ad, Rapl V.I.. Stories H.ight Roeme Rms Baths a 1%. 1 P-ty..a Fa0. D1C+ 000 105 105 61.55 64.6 65 65 9 66 100 66 116569 76900 1.0 7 3 2.0 7.0 Dastrip6- Rate S aro Feet R?I.Cost I 1.00 IMP V/DATE: / SCALE: 1/D 0.42 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 4.63 �493 96493 S FCP 65 6.50 308 2002 N * 15- TYLE � 08 ONTEMPORARY 0.0 T FFG 30 19.39 308 5972 3 ESTGN-AVJ-MT- -Q1 ESIGWWUJ05T---5-.-D R FMP 55 5.50 364 2002 ! ! XT-ER:iiAt-LS- VtJ DW-FR-XME-------7.-0 U ! ! i EAT-tAC-TYPE- 172i AS----------------T.0 C 39 ! NTEZ.;FIWTSH- -QQ ------------------D-:Q T *--14-* ! ! NTEYt:CAYO"UT- _0T ------------------D.0 U ! *----26----* 51 NTf7t_flU-A-LTY- -02 S AXT-AS--EXTE7t.---tr-1 R 22 ! 14 ! tOVR-ST"CT- iTQ ------------------TIl A w ! ! FMP ! ! E 't00-R-001/7=R-- -00 ------------------tr:0 L D 980 1493 ! FFG +�----26----* ! 0 Of--TYP-E---- IJO ------------------0-.0 Total Areas Aux Bose E BUILDING DIMENSIONS * -14 * ! ILEVrRIC-A-L - -90 D:-G T W S ! FCP 42 ! OU"AT11M - -00 -----------------99-;e9 A W26 BAS .. FCP N22 W14. S22 E14 ! 28 *--15-* --------------- -- N22 - FFG ---------------------- 278C-OS7TERV2=LE---- L .. FMP N28 E26 N14 W26 S14 S28 ! ! BASE16 LAND TOTAL MARKET • ! ! ! PARCEL 88700 165600 *--14-X----26----* AREA 9141 VARIANCE +0 +1711 STANDARD 25 r p � 66.04 p0,o _ A 5 35. nJ " 30, ry •pA p o -. 66 .0 VA100 U3 N c Vy O --------- k__ _ � _ __ - µv to -==_===f t-� LIl f=-_-_� W 7--7 - O !!N_� = �' - 1 cr w W w o i \-_ ---\ 3 Qz C)_ 2 --- � j 00 :-__-- _ 1 W_, =1- A 25 o - 1g 40 610 1 L 60. �'10 S 60 2 p RES.. ZONE.- 'RF-I" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: _OSTERVJLLE __________ REGISTRY OWNER: THEODORE R. _TURNER____ __ ____ DATE: DEED REF: _ CTF. 36282 -------BUYER: REFINANCE___ 1�90____________ PLAN REF: _L.C. 7685E__&____________ 6 _ SCALE. ____- -- --- 85R 1"= 30 FT. I HEREBY CERTIFY TO LVEWORLD BALVK f'OR SA VINGS _ ,.� `H of 1.. _______THAT THE BUILDINGS SHOWN ON THIS PLAN ARE LOCATED ON THE GROUND AS PAUL YANKEE SURVEY SHOWN AND THAT THEIR POSITION DOES a ��CONFORM CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE R4E,'l-ITHEI'V ,-J) TOWN OF _BARNSTABLE ----AND THAT i rdt. 32098 143 ROUTE 149 THEY DO N_0_T__ LIE WITHIN THE SPECIAL FLOOD H.AZARD \'';� :Is't?``� 2`� MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_ 95 _ �'��-,:�� .;`� TEL: 428-0055 THIS PLAN NOT MADE FROM AN INSTRUMENT PAIJI, A. 1dF,R1THF P1C` - STJRVF:Y N'nT Tn PP. TigF.n r�nr7 rr.rirre r.Tr 6155 ..:: .,�.. ,. ..... 4-. ,. ,.,. ..c...un✓.'•;m:m:.Ww'ri:.M1+1`.b. :� :fer fi::}..h:_ .. .F Y .. .. .•A Fri.. DREW ELECTRICAL CO. 103 A MIDTECH DRIVE W. YARMOUTH. MA 02673 (SW 778-0723 November 28, 1996 Bob Weston Town of Barnstable, Wire Inspector Bob: I am writing in regards to a permit we obtained on August 30, 1996. The customers name is Ted Turner, and the address is 175 Bay Street, Osterville. The job description is;wire outlets, switches, and lights,family room addition. The only work that Drew Electrical is responsible for on this job is rough wiring; inspection called In on 09-20-96. This letter is to inform you that we are no longer doing work at this job. The building has an existing.100A service,which is. currently overloaded, and the owner chose not to upgrade. We would ask at this time.for you to close out this permit. If you have any questions, please call. Thank you. Eric Drew i a:RR ::.}•:. :::.............:::.::.::: •::::::. ]BUILDING � ;> s �. cF..:....... REIM- 1 ism is MIN 1 .:::...::...:.........::.: .............. . y:>::><<»>:: ED TURNER RNARD RD �`< 7ILLE .>:::::: STERV •;:;:•::;;•::•}::::;:};r}r:•Y:•}:;;t•>:; :i>>}?:•rityi5:::<ty;::sroi::<;:`: :.:}::::::: yr ::::;::;::;:::::<: :::;;;;::::E:y;::::if:::::::?%: : ER i 3 .::.:.:.:...:.::.:.... .......................:::.................. ............ :........................:.:... LEGA::.:: :..::LtAPT..::..—:,.�..:. LSO USN NMI r r ltiM1.. 111- `-.'- - - - ::•. € € '>'` RESEARCH im ME low Rm i low OEM ism low= mom No i owl >'' ..... ism .........................................................5\v}...:.'v'�..S..S.....:h;L...............v..':.,........................................x.rr}i}:;•............... I 6 i TOWN OF BARNSTABLE, MASSACHUSETTS I ASSESSORS MAPS Ze b Q.27 'v i 4 I ! 6Aq'G ;M �p PL u •+AM�lO i 2 ,I IAgGIq No • +j �`•` Pp�p �eP ; ' yA►�' ib A4 U Shop. � � , .wlra• aq �'r Z9`• �� y � • or aA All .r • ; f 30y q'04, tP pZy IV .010 AZ 130 .52"0. too59 oil goo I / 'o`AO I ,� �ze-q COrI/Al tAl1[ , s fp01 fix Alto . • I f� 69 P ? I. 09 f i I LA e7 NI VAR* P' y�r t,e t %16 REV. BY AVIS EE � y •► CIA to .09 R f I1 Oo �� 'a ORIGINAL ISSUE: lye►° `�a {i f 161 �A A ;I►�' !' QN i r �� \\ ePg- T Y ! '4 6� ooy P`fEa !P�. OVA use �I I i M Pit ep . sq — � A 6�y N N\Np1pN may. ' /GKIE rigor - 16 140 279 • IIS 139 NT2 � Board of Building Regulations and Standards Transaction No. - One Ashburton Place - Room 1301 Boston, Massachusetts 02108 o Registration No. Application for Registration as a Home Improvement Contractor or Subcontractor Effective Dace MGL Chapter 142A, CAM 780-6 Expiration Date FOR OFFICE USE ONLY Date 1. Name L t2 CO3y A, C, �.— Print the name of the individual or business applying for the registration(not both) 2 Mailing Address do A P y c COB YZ 8- S J-7 9 Area Code&Telephone Number 3. City MAP S 4y w-% 'W-/l 1 State irk/d tip oa 6 V Y 4. Street Address(if different) Print street and Number(P.O.Box not acceptable) City State tip S. Applicant type: 0-1 dividual ❑ DBA Cl Partnership ❑Trust ❑ Private Corporation ❑ Public Corporation (See instructions on back regarding enclosing a pry or town registration under the DBA or"fictitious name"law-MGL c 110,ss S dt 6) 6. (see instructions) rr 7. Number of Employees I()8. Individual responsible for Home Improvement Conttacts /7��o�a.e.�_ 0CC-44'Cl IZ 9. Title of individual responsible for Home Improvement Contracts 10. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? ��❑ If yes,complete the table below. Use additional paper if necessary. Yes No Type license or registration Issued By License or Expiration Name of license Holder registration number Date aNs ..L*'s i o3 11. List all partners, trustees,officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary.(See instructions on back) Check here if you wish to receive an application for additional ID cards for key persons.❑ Last First, Middle initial T-7-itlein Applicant Business %Owner Address 12 Is the applicant claiming exemption from the registration fee? (See the instructions on the back) ❑ ❑ If yes,include a copy of a current Construction Supervisor license or motor vehicle repair shop license or registration. Yes No 13. Registration fee enclosed:$ Guatanty Fund fee enclosed:$ Include two separate certified checks or money orders-one marked"Registration Fee,one marked"Guaranty Fund". ALL APPLICANTS MUST INCLUDE A GUARANTY FUND FEE EVEN IF EXEMPT FROM THE REGISTRATION FEE See instruction on back for amount of fees. Make all certified checks or money orders payable to"Commonwealth of Massachusetts" Pursuant to Massachusetts General haws Chapter 62C section 49A,I certify under the penalties of perjury that I, to my best knowledge and belK have Ned all slate tarn returns and paid all stale taxes required under law. Signature of applicant or applicant's representative Title held with applicant A false answer to any question In this application constitutes grounds for suspension or revocation of the applicant's registration. 7/20/92 APPLICATION FOR REGISTRATION AS A HOME IMPROVEMENT CONTRACTOR OR SUBCONTRACTOR Who Must Register' All persons,individuals,proprietorships,partnerships,corporations who solicit,bid on,or perform home improvements as a contractor or subcontractor on an existing one to four unit owner-occupied residential building and accessory buildings Complete rules and regulations on registration and enforcement actions(780CMR-6)are available from the State Bookstore,Room 116,State House,Boston,MA 02133,Teo(617)727-2834. Exemptlons from registration include:workers who work for contractors or subcontractors for a wage; in general,all licensed professionals or tradesmen, when they are working solely within the scope of their license, such as architects, elecuicilUM plumbers (except for construction supervisors); the Commonwealth or its subdivisions;schools offering voc-ed courses or training in home construction or improvements;persons building their own home or personalty doing their own renovations;where aggregate sum of payments for any bona-fide single job is under$1,000, part-time contractors or subcontractors whose gross revenue is less than$5,000 in the previous 12 months;persons enrolled as a full-time student for the last and next academic terms,and 2/3 of whose employees are so enrolled,and whose gross revenue is anticipated to be or has been under $5,000;persons who install air-conditioning systems,central heating,energy conservation devices,provide conservation services on behalf of a public utility,landscaping,interior painting,paper hanging,finished floor covering,tile,fencing,freestanding masonry walls,above-ground swimming pools, shutters,awnings,patios,driveways Instructions for Application Fill out front side of application.pririting with pen or,typewriter.Item No.refers to Question No. PLEASE READ CAREFULLY!APPLICATIONS NOT COMPLETE WILL BE RETURNED WITH ATTENDANT DELAY! ITEM 1. Applicant:The applicant name must be the name in which you do or plan to do business. 5. Applicant type:If applicant is not a corporation and at least the surname of the principal or one of the partners is not included in the company name(dba name),a copy of the"fictitious name"certificate filed with the city or town clerk must be included with the application. 6. Applicant partnerships and corporations must show a Federal ID number.Applicant individuals should show a Federal M number if they have employees (in'addition to the owner). 7. Number of employees:For the purposes of this application and 780CMR-6,the number of employees shall include all construction related employees who worked 20 or more hours on the payroll in the weekly pay period prior to date of application. 8. Responsible individual:If the applicant in Question I is other than an individual(Le,a corporation,partnership,etc)the name of the individual person responsible for the home improvement contracting work of the applicant entity must be entered here. If the person so named holds a construction supervisor's license and owns 10%or more of the applicant entity,the applicant entity is exempt from the registration fee.Enter license and ownership data in Question 11,and check"Yes"in Question 12 if claiming exemption from the registration fee. 11. Corporations or partnerships may include any official document which lists the required information, such as pertinent sections of the Articles of Incorporation,current Annual Report,registration as a foreign corporation as filed with the MA Secretary of State,or a copy of the current partnership agreement in lieuaof listing the required information on names of partners,•trustees,officers, directors,and major owners Organizations other than corporations must submit copies of any business certificates filed in cities and towns pursuant to MGL Chapter 110,Section 5.(Also known as the DBA or"fictitious name"law). If the applicant desires to have additional identification cards issued to key individuals(partners,officers,etc.)check the boor as noted to receive a supplementary application form. 12. If applicant or responsible individual is a licensed construction supervisor under MGL C.143,S.94(i)or a registered motor vehicle repair shop operator and is claiming exemption from the registration or renewal fee,check yes on Question 9,and include a copy of the current license/registration certificate with this application.(See instructions for Question 5,above). 13. Enclose a certified check or money order for the registration fee(if the applicant is not exempt),and a separate certified check or money order for the guaranty fund. Please note on the check(s)which is for the Registration Pee and which is for the Guaranty Fund.Make checks and money orders payable to the Commonwealth of Massachusetts ALL APPLICANTS MUST PAY THE GUARANTY FUND FEE EVEN IF EXEMPT FROM THE REGISTRATION FEE! Mail completed application form,required documentation and certified check(s)or money orders to: Director, Contractor Registration State Board of Building Regulation and Standards One Ashburton Place - Room 1301 Boston, MA 02109 Registration Fee: $100.00 (Renewable every two years) See Note 1 Note 1: Individual Licensed Construction Supervisors in good standing under Chapter 143,Section 94 who register as an individual or as indicated in the instructions to Question 8,above,and individual motor repair shops registered in accordance with Chapter 100A,Section Z are exempt from the registration fee only.To qualify for this exemption,the applicant must check W in Question 12 and submit with this application a copy of the current license or registration certificate which shows the expiration date. Guaranty Fund Contribution: Zero to 3 employees $100.00 4 to 10 employees 200.00 11 to 30 employees 300.00 More than 30 employees 500.00 See Note 2 Note 2- The Guaranty Fund Fee is a one-time fee at initial registration unless the fund becomes deleted. In such a case,all registrants can be,assessed for an additional contribution in accordance with 780CMR-6 and MGL c.142A. ALL APPLICANTS MUST SUBMIT THE GUARANTY FUND FEE Ob The Coatntonwealtk of tltas. achusctts - asil Dcpartnunt of Industrial Accidents _1.71 t Office Dl//IVest/yaUO/IS - " 60(1 If aWthigwit Street •: Burtutr.A1ass. (/2111 A- , ► Workers' Compensation Insurance Affidavit �pnitcant mtormation• Please PRINT-lebtbly t name: r^ w A/•C�- R. Co w v�t�L� location: city 0S phone{+ 4 2,S—cs-7 9 rJ 1 am a homeowner performing all work myself, am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. comranv name: address• City: phone#: insurance co. Uplicy# ,-. ••... ,.......-.,„.,-..:,..:.. .. -a.,.,.._....:.•;Y....-..�[s.:n,.n...«.:,.w..rr�w..,h,...—•--•.......:.c.�•....�..a,•....�. ..w:-.'.,'sS's.-..•....•.v..•:,'.:".;--^..�,.:.....►....�..,. 1 am a sole ro rietor beneral contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city: phone#• insurance co. 120liev# �- .. , .•,.. _.. ur:nt:.' ':7'��ov�a._r,r•.:'•T r.T,e.frrgr,.•�._ ----^xP+�reay��-t'�.`:!l�w�!��s+:c?t`+...; vac�••e�?..-��:m+i�.,�e-,'^•-+--s' company name: ,address: city: phone#• insurance co, icy# Attach additional'shcet if necessar i='�i``''3i r'`t'o .- "�'"{'�� 7`•�'"'':+�` Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a fine up io S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP 1VORK ORDER and a fine ofS100.00 a day against me. I understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereht crrtifj}'tinder the pains and penalties of peryan•that the information provided above is true and correct. t Signature ;1��tu�-� D /J-+ Date Print name Ct�iu A^� D,tr[�otlN t;iL$� Phone#_ t/ Z& ' S! 577 a?official use only do not write in this area to be completed by city or town official city or town: permitAicense# rlBuilding Department Licensing Hoard Q check if immediate response is required 13selectmen•s Office C3I1calth Department contact person: phone#; rlOther Irev,sed 1.05 P)A1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an en►pinree is defined as every person in the service of another under anv contract of hire, express or implied, oral or written. An en►plurer is defined as an individual• partnership, association. corporation or other legal entity, or any two or more the foregoing engaged in a.joint enterprise, and including the legal representatives of a deceased employer, or the rcceiver 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 dwellin- house of another,.+-ho employs persons to do maintenance , construction or repair work on such dwelling hous or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that ever•state or local licensing agency shall withhold the issuance or- renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any :applicant -.vho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter haN been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted-to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested• not the Department of Industrial Accidents. Should you have any questions regarding the "law'or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City oC rom.,ns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas( be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. ►-•-aulr.•w...:- -.— .-�..�..�+r►.ww.�.:�...v+-rvZ�!!..w-.•..-"n"'. ...:._-. _ - -.^.ee,r+r�•wwa.,wo.,..v, The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 Restricted To: 00 n DEPARTMENT OF PUBLIC SAFETY = � CONSTRUCTION SUPERVISOR LICENSE 00 - None k' �J { Nusber: Expires: 16 - 1 & 2 Fanily How Restricted To: 00 Failure to possess a current edition of the Massachusetts State Buiildinq Code N. EDWARD R OCONNELL is cause for revocation of this license. • RIVER RD f; MARSTONS M, MA 02648 } FL HOME IMPROVEMENT CONTRACTOR Registration 104987 Type - INDIVIDUAL Expiration 07/16/98 ,QE.�R. O'CONNELL, BUILDER jO WTIJ R. O'Connell ADMINISTRATOR PO Box 84/738 River Rd Marstons Mills MA 02648 oe:Walls `_ Fin.Bsmt.Area Bath Room Base BLDG. COST �..i mc:Blk.Walls Bsmt.Rec.Room,.-.�-' St.Shower Bathes Bsmt. 1�FQ PURCH. DATE nc.•Slab Bsmt.Garage ` St.Shower Ext. Walls PURCH. PRICE. 9ck Walls " Attic FI.&Stairs Toilet Room Roof RENT one Wells Fin.Attie I Two Fixt.Bath Floors ars"- INTERIOR FINISH Lavatory Extra z XaG D I tmt.•. F 1' 2 3 Sink Attic r/ r/� Plaster Water Clo. Extra 39 EXTERIOR WALLS Knotty Pine Water Only Fin iuDle Siding rr. Plywood No Plumbing Bsmt. . • Int. Fin. 5 7 ngle Siding c.'P Plasterboard a}. r,rJo��ninglee �L� TILING G+G / /u• 3�y inc:Blk. G F P Bath FI. Heat D ice Brk.On Int.Layout Bath',&Wains. Auto Ht. Unit �(,�leneer.f' Int.Cand. Bath Fl.&Wells Fireplace I om.•Brk:On HEATING Toilet Rm.FI. plumbing f Q ilid Com.Brk: (� Toilet Rm.FI.&Wains. a' 3p� tl y93 /s Hot Air Tiling p O Steam Toilet Rm.Fl.&Walls r O Q ! _ So St.Shower 2Z I�+ lanket ins., Hot Water oof'IAS! Air Cond.- Tub Area Total Floor Furn. F>.ROOFING . COMPUTATIONS 3 Dr Q sPh.Shingle. Pipeless Furn. S.F. � - • i Ifood Shingle -- No Heat. S.F. , . isb65Shingle' •� _ Oil Burner S.F. C) ZZO i slate �• , Coal Stoker 11,F. i1Rcrf#je40eA to Gas. ''lyAJ. S.F. OUTBUILDINGS I -;;.ROOF TYPE _ Electric S F r 112 3 4 5 6 7 8 9 10 1 21314151617 8 9 10 MEASUREC fable`—�•' "Flat^" pier Found. Floor lip q,- Mansard FIREPLACES S.F. �• -( I ;ambrel-s.: Fireplace Stock,-- - Well Found. 0. H.Door LISTED � i FLOORS Fireplace Sgle.Sdg.. Roll Roofing LIGHTING Dble.Sdg. Shingle Roof DATE-1 =arth .- No Elect. Shingle Walls Plumbing �( xine ,. a Cement Blk. Electric Hardwood ROOMS PRICED TOTAL 7 Brick Int.Finish Asph�Tlle Bsmt. 1st 6-t F j Single 2nd 3rd FACTOR f REPLACEMENT OCCUPANCY - CONSTRUCTION SIZE AREA CLASS AGE REMOD.I CCOND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep.1 ACTUAL VAL. ^{ DWLG. J'� No 6c aj AJO O O - Z IOO f 2 _ 3 t q 15 r � I_6 T , e ' 9 �3 Z� i 10 TOTAL I t 4. ` RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET 55 Barnard Rd•• Ostervi:lle SUMMARY--^+ $` 139 36 C-0 . LAND t:* OWNER /� �c.�Y.�- 77 _ 73 BLDGS.TOTAL l RECORD OF TRANSFER DATE EIK PG I.R.S. REMARKS: Lot #34 i� � LAND �G SLOGS. z Turner Theodore R. Jr. 1 10/27/65 285 12 f #362,82 TOTAL O 2<9,- 36a LAND, SLOGS. TOTAL LAND BLDGS. , TOTAL LAND O) SLOGS. r I L TOTAL LAND m SLOGS. TOTAL LAND i i SLOGS. — TOTAL 'LAND INTERIOR INSPECTED: ^ c� SLOGS. ti )c%c. 9' DATE:Kj —,?.Z —7 0—, / TOTAL i ACREAGE COMPUTATIONS LAND LAND TYPE jj•OF ACRES PRICE TOTAL DEPR. VALUE SLOGS. TOTAL HOUSE LOT CLEARED FRONT LAND E REAR I , SLOGS. � WOODS&SPROUT FRONT r- TOTAL t REAR LAND ! WASTE FRONT Q SLOGS. REAR TOTAL 1 LAND I SLOGS. TOTAL LAND -3 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH y(p FRONT FT.PRICE TOTAL DEPR. C RR. INF. VALUE HILLY TOWN SEWER LAND uu ROUGH TOWN WATER SLOGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND r SWAMPY NO RD. BLDGS. ! TOTAL TOWN OF BARNSTABLE, MASS. UNITED APPRAISAL CO., EAST HARTFORD.CONN. • office use only LIir L11111in fill Wraffl1 of 14flcarssurhua fG Permit No. t7• cparttribit of public ig Occupancy A Fee Checked�3o= � BOARD OF FiRE PREVENTION REGULATIONS 527 CMR 12.00 1 5/92 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ~ All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date DeCPmhar �n ,ooc ,a City or Town of Barnstable To the inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. 55 Barnard Rd Location (Street & Number) Owner or Tenant Ted Turner C d Owner's Address Same i. No, A Is this permit in conjunction wittt a building permit: Yes ❑ No ❑{ (Check Appropriate Box) Purpose of Building Home Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undg(nd ❑ No. of Meters 3 New Service Amps _J Volts Overhead ❑ Undgmd ❑ No. of Meters w Iw Numoor of Feeders and Ampacity This fob was roughed by Eric Dr�tirA Location and Nature of Proposed Electrica ork roi-t w�>: g, CheckPc3 n„t ro a ae} rtile brpakpr- H to copier receptacle Ad C Total G No. of Lighting Outlets No. of Hot Tubs No.of Transformers KVA No. of Lighting Fixtures Swimming Pool �e in. 9 9 g gmd. ❑ gmd. ❑ Generators KVA —' No.of Emergency Lighting Na. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switches No.of Gas Burners FIRE ALARMS No. of Zones w U No. of Air Coed. Total No.at Detection and 0-4 No. of Ranges tons Initiating Devices °G Heat Total Total y No. of Disposals No.ot Pumps Tons KW No. of Sounding Devices No. of Sell Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers Heating Devices KW Looms Connection ❑Other No.of No.of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage lUbs No. of Motors Total HP Security System OTHER: INSURANCE COVERAGE Pursuant to the requirements of-Massachusetts general Laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES Ji NO O 1 have submitted valid proof of same to the Office. YES CR NO O it you have checked YES. please indicate the type of coverage by V checking the appropriate box. 001 97 NCE CJ BOND O \ INSURANCE OTHER f7 (Please Specify) rantinpnt^1 w (Expvatlon Date) CHECK APPROPRTUM BOX: I have Worker's Compensation Insurance C{ I have no Employees ❑ Estimated-Value of Electrical Work S Work to Start 10/31 Inspection Date Requested Rough Final i-7;In qS Signed under the Penalties of perjury: FIRM NAME UC. NO. A7043 Licensee. Raymond E. LaFleur Signatur LIC. NO. Bus. Tel. No. 775-6814 Address 'if) PpraPirpranrp Way HUAnni c� MA n7Fnl All. Tel. No. OWi`1ER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re. quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent •ROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS. DATE PRINTED I CSTATE I LASS I PCS I NBMD I(Ey NO. 0055• BARNARDIROAD 11 RFrI _ 300 :11CO 07/09/95= 1011 ! OD. 27BC R139. 036- 7352.9 LAND/OTHER FEATURES DESCRIPTIONADJUSTMENT FACTORS Y UNIT ADJ•D.UNIT TURNER,�THEODORE R *JR TRS MAP- FF.By/Data Size Dimension P PRICE PRICE ACRES/UNITS VALUE Dexription / CD. FF.De INAtres LOC.iVR.sPEc.cLAss ADJ. COND. .#LAND . 1 . 88i700 CARDS IN ACCOUNT - 10..18LOG.SIT.1 x XI .48 =10 . 154 119999.9 '.184799.98 .48 88700 #BLDG(S)-CARD-1 1 .76,900 01 OF 01 #PLi55 BARNARD.RD'OST BATHS 2.0 U X C=• 100 .7000.00 7000.00 %00 7000 3_ #DL LOT!34. & 45 4ARKET `137000 FIREPLACE U X: C= 100 3100.00 3100.00 1.00 3100. E #RR 0073 0100 INCOME A SE D %PPRAISEDlVALUE 165P600 J ARCEL- SUMMARY' r AND '88700 % S LDGS 76900 T -IMPS M OTAL '165600 E CNST N DEED REFERENC Tape DATE Recorded R I O R YEAR'V A L U E a T Book pegs Insl. MO. Yr.D Salsa F - AND 88700 r • S C133029.t I "2/94 :A 1 LDGS '76900 C116631 ; b1'/89 B 35000 OTAL 165600 l t36282 10/65 F - BUILDING PERMIT Y90 REMODELING Number Data Type A---ITAKING PLACE "' LAND . LAND-ADJ .' INCO E �SE SP-BLDS FEATURES BLD-ADJS UNITS 0/88........... 88700 10100. Conat. Total r e l Norm. DDSV. Class Units Units Bea9 Rate Adj.Rate A 1 ,1 Ago Door. ConA CND LOC eb R.G. RaDI Cost New Aoj Repl Value Stories Heigal Rooms Rma BWIts eF PaAywW Fat. 01C+=000.-105, 105 6%55, 64.63 65 65 29,66 100 66 116569 76900.1.0 7. 3. 2.0- 7_0 D'FTIon Role S are Feet Repl.Coal MKT INDEX: 1.00 I P V/DATE: / SCALE: 1/00.42 ELEMENTS CODE CONSTRUCTION DETAIL BAS: 100 4.63 �493 96493 . FCP' 65. 6.50 308 2002 N, •*--15-*- TYLE 08 ONTEMPORARY 0.0 r FFG - 30.. 19.39: 308 5972 ! ! ' ESTGN-AVJMT- -9T E-S-IGN:7f6J03T---S.-O FMP '55 5.50 364 2002 ! ! ` XT-ER.61At- S-- bt D"tFR-AME-------tr.'O T! EATtAC7YPE- 172 AS----------------fib r (r II 39 ! NTER- :FIIV7SH- -9D --------------- Mro NTE1t.tAMUT- -UT --1r-D *----26----*. 511 NTf-k;QU STY- 172 S AWIF AS--EXTf1t•.---tr-0 22 .14 a .. tOU1t7,STRUCT- -UD ------------ ----M-0 '> w -4 t FMP ! ! E tOb'R'COWR-- -00 ------------------1-.-0 D 980. 1493 ! " f FG *r---26----* ! 60f-,TYPE---- �?0 ------------------tr 0 ETotal Areas Aux- BDse- BUILDING DIMENSIONS * � 4 *- ! -t€t-tRIt11t 7 -00 --------- U--D T SAS NZ8 ,t:-C6; N5Y E15 S51 W . •S ! FCP 42 ! OWMAT1lM--- -GO ---------------99:-9 • A W26 BAS. .. FCP N22 W14. S22 E14. ! 28 * 15-* --------------- --- ---------------------- FFG N22 W14.N22 E14, S22 S22 22 22 2-78C-OSTERV` ttE---- L FMP'.N28 E26 N14 W26S14 S28 ! ' ! BASE16. LAND' TOTAL" MARKET ! PARCEL 88700 165600 *=-14-X----26----* AREA; . 91411 VARIANCE +0 +1711 , f STAND.ARD 25 - -.-..w=..�..:a.n....,..�._ .__...�w_ ._.,a_.•.". _.- - -. .. ...:.� ." �fi -_sa-.--::. -. .. ..�..v.- ..•?. ...,. .... .,,d,.....:�.�.-•;...<_,.._��.._:�_r-K:a....-�.�..�-,-:.........�c...:.,aiS."ai_a._:-�....=w-a.. �;;«.:iy:.;:.::,.,.."..-,._ . ..__•-.-..,-.s,,.�..A_-_.._. � ,wq;. �y �ti. � _ .`�� -"�_ —.� ' a y a�s�" 3 � ,� e TRANSMISSION VERIFICATION REPORT TIME: .01/03/1997 09: 05 . NAME: BARNSTABLE BLDG, DIV -- FAX 1-508-790-6230 TEL 1-508-790-6227 DATE,TIME 01103 0.8:57 FAX NO. INAME 94200631 DURATION 00:07: 41 PAGERESULT 4u � � w MODE STANDARD ECM �/ /�1 i yF3 93-APPROVED No"it Deoan igTHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'o"°a Date TOWN OF BARNSTABLE Applirtt#inn for Di ipwml Works Tonotrur#ion f rrmi# Application is hereby made for a Permit to Construct ( ) or Repair Q4*'an Individual Sewage'Disposal System at: ........ .. .._..... ............................................ .............. --a2+�.u: .......................................... � r lion•Address or Lot No._ ...1. S � c �Lti1/ L� ....................... f�✓�Gi�....... ... .....-................................•---......-- .-.. ....----......... ........---.......--- k Address Uj :......... :.. ........... ................................................................ ......................:........ Installer Address Type of Building Size Lot.............:..............Sq. feet �. Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures . W Design Flow................... .................._gallons per person per day. Total daily flow.-.......s0.....................gallons. WSeptic Tank—Liquid capacity/...gallons Length................ Width............... Diameter................ Depth................ x Disposal Trench— No. ........ ........ Width.......71..... Total Length.! Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1"4 Percolation Test Results Performed by....................... ...........-............. Date ...... 0.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to :... ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ...........................................................................................................................................a................. 0 Description of Soil......................................................................................................................................•--•-............................. x U ..........................................•----.................--•-----•---------------------------•--............-----.........._................................................... .............. w ....................................................•-...._----...----..............•--........................................................:......... ......:...... x U Na ure of Repairs or Alterations Answer applicable.../!JsT��'�-.....1��.--.5 �.�..,� - '.............................. /A�,`"�........................ ....•-•••U' 7"........................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance: s en i u b e board of health. Signed ......Jl .. ....................... ... ..... ................................ ................... .... .. ApplicationApproved By ......... ........ .......................................................................... .... Application Disapproved for the following reasons: .................................... ' ............................................................................................................................................ .......................................... ...................: ......:.:.:.:..... Permit No. ...— Ei `1.. ...................... Issued ................................................... ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (rer#ifirate of Tantpliance THIS IS TO CERTIFY, That.the Individual Sewage Disposal System constructed ( ) or Repaired (\ ) Ci TJ b ,< .......................................................s,- ........................................................................................................ at .............. ...........................G�..........4TT.0 U/l...:£.......................... has been installed in accordance with the provisions of TITLE...3.�of The State Environmental Code as described in the application for Disposal Works Construction Permit No. . .-...��..y.. ...... dated ............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED,AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. o ..................... - , p DATE.......�:..:�,�........... .............................. ................................. Insector ............... ................. ............................. ........ THE COMMONWEALTH OF MASSACHUSETTS /- 9— C33 BOARD OF HEALTH TOWN OF BARNSTABLE Fu..��........... �io�roottl nrko ( ono#rnr#ion �rrmif Permission is hereby granted. ...............................................' .....VS`.i-".'�t,.l�?':•..�J to Construct ( ) or Repair `C) an Individual Sewn a Disposal System _ at No....................................� ....... =�,`c�1�� G�.� U-S ' � uJ!�-C�: Street !� as shown on the application for Disposal Works Construction Permit Noy.-, o -,.�:1.�_ Dated............................. . . ........................ ...................................:........................ .. 7 Board of Health DATE............(........Z 1-..:-.. ...�....... FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS i TOWN OF BARNSTABLE LOCATIONS SEWAGE # VILLAGE ASSESSOR'S MAP & LOT �— 03 INSTALL.ER'S NAME & PHONE N SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �V (size) ' X 5;2Q 7 NO. OP_BEDROOMS PRIVATE WELL OR UBLIC WA'TE BUILDER OWNER 2 DATE PERMIT ISSUED:_1�— DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Na -I s'a-� i 77 77, 7. 77-- 77-77 592655