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HomeMy WebLinkAbout0050 ANGELL ROAD z � _ � Assessor's Office(1st floor) Map Parcel Permit# 4 sZ2 7 Conservation Office(4th floor)(8:30-9:30/1:00-2:00)� Date Issued "5- /5 ;9 . Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee C2, Crb Engineering Dept.(3rd,floor) House# THE _ Planning Dept.(1st floor/School Admin. Bldg.) , RNSPABLE,�` DefinitJProe by Planning Board 19 r 019. .� TOWN OF BARNSTABLE Building Permit App 'cation Projectd ss �D �� ✓L�� Village 1-7/74/S _ { ! 0 �n .4 :Owner T�/�G2Se �D�y� �e QRI , �. '"Address Telephone 7 7- —" �7 2 Permit Request G' `112oo4 a .,_ ee First Floor - square feet Second Floor square feet Estimated Project Cost $ ��Q O• Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded i Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Build�e Information Name 1-41d/�► C"gze 4 v✓►' -YSBK.S (a0,11t1q Telephone Number o b Address Z2 6 / //�✓7 /"// !// ` 6'�� License# CS 0.Z 60 3.Z 6 6X 2 7 O / 04 le-Ans, Home Improvement Contractor# /0 q7F?76 O Z 6 S�� Worker's Compensation# GJ C C� O I�S NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CON TRUCTIO DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��� /Y 1401 SIGNATURE `�J'� DATE � BUILDING PERMIT DENIED OR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. ;� V DATE ISSUED MAP/PARCEL NO. — — ADDRESS f VILLAGE OWNER DATE OF INSPECTION: FOUNDATION } FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL r - GAS: ROUGH FINAL f FINAL BUILDINGLO ` DATE CLOSED;OUT s + ASSOCIATION PLAN NO. 1 s r — ( Department of IndizaWdAccidents � _ , . 0/llCeol/ale�pSdOos . t 600 Washington Street Boston,Mass. 02111 " Workers' Compensation Insurance Affidavit name• location: city phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity [am an employer providing workers' compensation for my employees working on this job. companytinmee ... . . ..... . sba I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who hav the following workers' compensation polities: ... .. . . .. . . ..::.:........::.. .. ULMpagy,name: :..... .:. . .... ..::...:.....:,.::::.. ..:. ad ress• ...:.. .......... city- nh one. # . ..:...:....:,. . insurance CO. QOfIt company nam : address• SIS.y nhone#• nsurance co. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/oi one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. f understand that copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify the pai sand penalties of perjury that the information provided above is true and correct Signature ° Xx, Date Print name t��° �G���'` Phone# i off vial use only do not write in this area to be completed by city or town otlicial c cin•or town: permit/license 0 rlBuildint;Department C3Licensint;Board i C3 check if immediate response is required Oselectmen's Office C311calth Department contact person: phone p; rJ01her 1. irevneC J'��7)AI -Commvmveald 23407 DEPARTMENT OF PUBLIC SAFETY p Q D 23407 ONE ASHBURTON PLACE, RM ON" 1301T 1rJ�S BOSTAMA�,�O021O8-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: CS 026325 10/20/1997 ,� Restricted To: 00 !.-/ 1- a) PAUL J CAZEAULT Dew ch bottom, fold , sign on 1580 MAIN ST ��ck, and laminate license card'. OSTERVILLE, MA 02655 eep top for receipt and change '4 f address notification. �� Restricted To: 00 2 3 4 0 7 DOARTAEST OF PUBLIC SAFETY CORSTRUC*SDPERVISOR LICESSB 06 - None , Expires: 1G - 1 & 2 Family Boxes 00 Failure to possess a current edition of the Massachusetts State Buiilding Code - =CAUL'J CAZEAULT is cause for revocation of this 11cense. 80 IIAIO ST OSTERVILLE, MA 02655 ! I - ' �D DR . DATE(MMIDDIYY) AC RD CERT AITY I U"N 04/16/96L V PRODUCER ........ ... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Drake, Swan & Crocker HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 14 Lot's Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orleans MA 02653-0429 COMPANIES AFFORDING COVERAGE Peter G Walther COMPANY Phone No. 508-255-3212 Fax No. A Assurance Co. of America INSURED COMPANY B American Policyholders Paul J. Cazeault etal DBA Paul COMPANY J. Cazeault & Sons Roofing C COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LR DATE(MM/DDNY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 A % COMMERCIAL GENERAL LIABILITY CFP25552812 05/01/96 05/01/97 PRODUCTS-COMP/OPAGG S 1,000,000 CLAIMS MADE FX OCCUR PERSONAL&ADV INJURY $ 500,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500,006 FIRE DAMAGE(Any one fire) $ 50,000 MED EXP(Any one person) $ 10 ,000 AUTOMOBILE LIABILITY P COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ IP1 AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC STATU- OTH- TORY LIMITS ER _ EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 B THE PROPRIETOR/ INCL WCC1861950195 08/09/95 08/09/96 EL DISEASE-POLICY LIMIT S 500,000 PARTNERS/EXECUTIVE —— OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER I DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS Roofing CERTIFICATE HOLDER ." CANCELLATLO.N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND ON T E COMPANY,ITS AGENTS OR 5EPRESENTATIVES. AUTHORIZE EP ATIVE ACORD 25-S(1195) O:ACORD:CORPORATION 1988 APPLICATION_ FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE T G9pectoi of Wires ;1 Wiring Permit # COM/Electric# 32-2907 ry Town of BARNSTABL$ Massachusetts Building Permit # Date JOHN & BARBARA BARTER Customer: on (Street #) Lot #. in the vi la a of utility.pole number or underground number Customer's billing address— Temporary A A New installation Change of service Starting date Job description ALARM SYSTEM Service entrance voltage Amperage Phase Wire size (cu.or al.) Conductor per.phase Number of meters Water heater Off peak: Yes No— Estimated load: Electric heat kw, lights kw,Range dryer Motors, H.P. & Phase Ready for first inspection Ready for final inspection Electrical,Contractor CC0CT �1 Al-AT?M CYCTRMS, TAB Lic # 2234r Telephone # 77 —1/lam? Address PQ Tz()X i?4,R uY_ANNTT MA �6Qj Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in- Service and Meter— Off Peak Meter Final Approval Disapproved' 'For the following reasons . r . CERTIFICATE OF INSPECTION Date To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been completed and has this day been inspected.and approval granted for connection to your service. Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 INSPECTOR'S NOTICE The Commonwealth of Wclssachusetts °_� 0,t, �,. DePar, nc tt of Public Scfe,,y BOARD OF FIREOccv PRVIEPITION REGULA11ONS Q7 CMR 12'CO ° `° oCetieai�_ 3/90 . APPLICATION FOR PERMIT TO PERFORM ELECTRICAL ank) Alt-ork to be Pet'r�rmcd !n aeeordancc with the Macsachuscru Electrical Codc, 527 C.'�{F 12:00 O�' ` (PLEASE PRINT 111 11-K OR TTPE ALL I1firORliATrON Date November 15, 1994 City or ToLm of BARNSTABLE The undersigned applies To the c for a permit to perform the electrical work describedcbelotor v� Wires: Location (Street & N=ber) 50 ANGEL.L ROAD o-mer. or Tenant JOHN & BARBARA BARTER O%-Mer`s Address SAME. AS ABOVE Is this permit in conjunction With a building permit: Yes ❑ No � (Check A Purpose of Building ppropriate Box) Utility Authorization NO, Existing Service _-__-__-Amps -I-Volts Overhead ❑ Undgrd ❑ No, of lieters New Service s /P.----Am Vo 1 is Overhead ❑ Undgrd ❑ No: of M Nuaber of Feeders and Ampacity eters Location and Nature of Proposed Electrical Work BURGLAR ALARM SYSTEM i No. of Lighting Outlets No, of Hot Tubs (No. of Transformers Total ove No. of Lighting Fixtures Ab In- KVA Swimming Pool . No, of Receptacle Outlets grnd. ❑ grnd' El GeneratorKVA of Oil Burners No. of Emergency Lighting--- No. No, of Switch Outlets Batte Units No. of Gas Burners No. of Ranges FIRE ALARMS No, of Zones Total No. of Air Cond. tons No. of Detection and No, of Disposals No. of otal Heat Total T Initiating Devices s Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained No. of Dryers Detection/Sounding Devices Heating Devices KW Local❑ Municipal No. of Water Heaters KW No, of No. o Connection❑Other Si ns Ballasts Low Voltage No. Hydro Massage Tubs Kirin No, of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® NO I have submitted valid proof of same to this office. YES[ NO If you have checked YES, please indicate the type of coverage by checkin the a © g ppropriate box. INSURANCE BOND ❑ OAR ❑ (Please Specify) 03/09/95 Estimated Value of Electrical Work $ Expiration Date Work to Start Inspection Date Requested: Rough Signed under the penalties of perjury: Final FIRM NAME ASSOCIATED ALARM SYSTEMS , INC . Licensee KELLY A KEANE LIC. NO, Signature ,�• 234C Address p ,0 BOX 1148., HYANNIS MA 02601 Bus. Tel. No, LIC' N0, ._ _775—_ 442 OWNER'S INSURANCE WAIVER: I am aware that'the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Signature of Owner Telephone No. or Agent PERMIT FEE $ 15.00