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Home My WebLink About0002 BREAKWATER SHORES DR R Town of Barnstable *Permit# �0 00 S -PRESS PERMIT Expires 6 months from issue date MAR 2 0 2006 Regulatory Services Fee Thomas F.Geiler,Director TOWN OF BARNSTABLE 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 Imprint Map/parcel Number J� Property Address kluJ � �_ � Residential Value of Work 2 CZ;t`� "— Minimum fee of$25.00 for work under$6000.00 ®moo t Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor El-I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) (�<,Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) 'Where required: ssu jo iermmit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. t . ner t sign Property Owner Letter of Permission. ement ntractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 - The Commonwealth of'Massachusetts Department of Industrial Accidents 07 Office of Investigations 600 Washington Street Boston, M4 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I.,e;�bly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: 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 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet, t 7• ❑ Remodeling ship and have no employees These sub-contractors have & ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' romp. insurance 5. ❑ We are a corporation and its required,] officers have exercised their 10.❑ Electrical repairs or additions 3 I am a homeowner doing all work right of exemption per MGL 11.❑ P Bing repairs o� additions self:[No workers' comp. c. 152, §1(4),and we have no 12. Roof repairs insurance required.] t employees. (No workers' 13.[:J Other 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 tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 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: City/State/Zip: 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$1,50Q.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 Investigation r ins ce coverage verification. I do hereb erti ai cs and enalties of perjury that the information provided lb ove true and correct signafore: Date: NO Phone#: —t J07 Official use only. Igo 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 I City/Town Cierk 4.Elect:ricai inspector 5.Plumbing Inspector I 6. Other Contact Person: Phone#: Information and. Instructions -. Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, 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 shall 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 produced 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 until acceptable evidence of compliance with the insurance 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),address(es)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. Se advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in 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 stamped 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 (i.e. a dog license or permit to burn leaves etc.)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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, TEA 02111 T'el. ul 617-727-4900 ext 406 or 1-1077-MASSAFE b ax #617-727-7749 Revised 5-26-05 vrww.inass.zovlcia off- 7 'yof TYc ro`y The Town of Barnstable DARISTAIL ■•... 9 Inspection Department 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner April 21, 1992 r Mr. William R. Tourles 2 Breakwater shores Drive Hyannis, MA 02601 Re: 2 Breakwater shores Drive A=306.137 Dear Mr. Tourles: This office has received a complaint alleging that a business is being operated at the above referenced property. Please contact this office immediately re this matter. Very truly yours, Richard R. Hearse Building inspector RRB/km I L920421A TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date Rec'd By Assessor's No. c3o& —137 Last Name -{ Ole s ' First Name ORIGINATOR Street Village State Zip Telephone: Home Work Description: COMPLAINT INQUIRY Requestor's Signature COMPLAINT Street Address a � LOCATION A= 3o6, 13 ,7 OFFICE USE ONLY INSPECTOR'S Date Inspector ACTION/ COMMENTS FOLLOW-UP ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MOR.) MISCI f F IF N V A L 10 Fli NC T.1i 0 N 13 7 LOCj0002 BREAKNATER SHORES CT--',r]07 T09] 41(WO hY 1,1Y," .215,136 NAfLfNC:, ADDRESS---- PCA71011 PCSjo,") vi�joo PARENT] TOURLES, VILLIAN R MAP APE A 770AC jV]394816 Pf GJ201 %BANC BOSTON fit` GE CORP SFI.l SF21 .1.3 113 j P 0 T504 44090 UTI U'r li 7 j t X:.-, .30 SQ FTI 1ASS 3ACYSONVILE1 FL 32X"'31 AYB]1960 EYB]1975 OBSJ CONSTJ 0000 LAND 61510() IMP 78400 OTHER ----LEGAL DESCRIPTION---- TRUE MIKT 143500 REA CLASSIFIED #L A N D 1 619.,100 ASP LND 605100 ASP IMP. '178400 ASS? OTH #BT,DG(-',-3)--CARD-1 79,400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 2 BREAKPATER SHORE DR TAX EXEMPT #DE LOT I RESIVENT'L 158560 . 143500 143500 #RR 017':, 007"1 OPEN SPACE COMMERCIAL 1NDUSTRIAL EXEMPTIONS' SALE"H)'31,99 FFICE j 12500o OFBJ(590111'3420 AF.D] LAST ACTIVITYj06113,190 PCB: I' �oFtroy� 73 Town of Barnstable *Permit# t 0 Expires 6 months from issue date BAMS[ABIA Regulatory Services Fee Thomas F.Geller,Director 4— ArED MP't Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIA-010= 200,E Not Valid without Red g Press Imprint Map/parcel Number 30 _,� Property Address n1 S 19-0-� 1 (Residential Value of Work ®�� ✓ Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: C1 I am a sole proprietor t �am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name workman's Comp.Policy# Permit Request(check box) ❑'Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) �(J Re-side 7❑\Replacement Windows. U-Value (maximum.44) *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ** ote: Property Owner must sign Property Owner Letter of Permission. Home r me ntractors License is required. Signature Q:Forms:expmtrg Revise053003 Assessor's map and lot number .. ..................... �G • *THE t0 Sewage Permit number .....GLQk SEPTIC SYSTEM MUST BE ; P IAN� : B9BHSTADLE, i House number - Z INSTALLED IN COM L 90 rasa ......................................................................... WITH TITLE 5 O t6 AI \0 ''�Fo waY a• TOWN OF , BARn' llit `�f�t._ BUILDING INSPECTOR ....................................................APPLICATION FOR PERMIT TO :.... i `-' . .................. TYPE OF CONSTRUCTION ....................................... r....................................................... ....... ...........9. ...... ........9.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ProposedUse ......k1.l.CX.P.. ........................................ ..................... ....................................................................... ZoningDistrict ................/........................................................Fire District .........:.................................................................... Name of Owner ..... ./ /' P !'�......... ............Address ......slo.rx's...�%( z...... Name of Builder 2� .. . ......5r.. .?Ae ......r6.................Address ...l.L.� 3.10! ?K5ll¢v�l.P..(4.0 ..T4��rJh/S Nameof Architect .................&- a.A-C................................Address ............................. .................................................. Number of Rooms .................... ...........................................Foundation ......131 C Exterior c/�I.-9.40 .............................................Roofing ..., 's3 �1�P�. ................................................... .....Interior /te" i'oe Floors .......k/.M. � ............................ .... i�...................... ................................................ Heating g Fireplace ..................................................................................Approximate Cost ........�f..60 p:.. ............................. Definitive Plan Approved by Planning Board _________________________,_____19________, Area .......A.F;z.�.s........ Diagram of Lot and Building with Dimensions Fee ✓...l........................... SUBJECT TO APPROVAL OF BOARD OF .HEALTH S 15 Y/STi4g. ovS e 1 9— AD -1 . Pools W I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .l.S...... au41. . .ani...................... FREEMAN, CECIL , 22495 DDITION ~` No Permit for Singl.Q..FAiAjJ-.y...D l,l ng................ Location ...Sk QrP—.-9 1).r. ................ S.......... , Owner .....Ce ...cil Freeman. .. ..... ....... ............................... ` Type 'of Construction ...............Frame..........'................. Plot ............................... ..... Lot ................................ • '� September 9, 19 80 Permit Granted .......................... Date of. Inspection �.9..19�� Date Completed ,, G19R/ , lNI1. S Y hRMIT REFUSED , ......... ................. ..... `19 ff®73. i ..........�g. .................................. ........... y ......... . . ................................................ i» .......... .4�. .................................................. y f ...... i .......................................................... Approved .....:.......................................... 19 ......... .................................................................. r ,z - Assessors map and lot number .:...:..:.:......................:..o....... ' ` T ET Sewage Permit number ..... :1 /,+ r.... .r�;' lln�r,� i ` r Z BARNSTABLE, i House number ......� ........................................................... k 9oO�Mb 9• 3 �0'Q MPY a• TOWN OF BARNSTABLE n r BUILDING INSPECTOR APPLICATION FOR PERMIT TO . I Iry- 1 TYPEOF CONSTRUCTION .............................................. :.. C .E ....................................................... ......................rf. ..�....... .........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........�...........:.:`..........................::..r.h....:............x 'f::..............................................:........:... ProposedUse ....... ..... .'.. ........ ................................................................................................................................ .......... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .r.................. !`.......`............?......................Address .:�..'.? r ...t...:.:�.?.e 4'e.......:......:.......:......a.......... � f Name of Builder ./i 4r........!::t'.�rt.rfC"Ir! 6'-".................Address / / ... ............................... f Name of Architect . ................Address .................................................................................... Number of Rooms ...........................................Foundation .......... �d6; Exierior ........��/ ' f "` '" Roofing `t ^ �`�r�............................................................ ............... .................................................................... ;..f. n l ..............................Interior f Floors • .................................... .................................................................................... Heating......... �..r. ....:.'`..' ' . ..........................................Plumbing .................................................................................. Fireplace ..................................Approximate Cost ........ . Definitive Plan Approved by Planning Board ________________________________19--------. Area ........'...: .......................... Diagram of Lot and Building with Dimensions Fee -� r ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTHIn / r I I _ I S i1 1 • ( t i l a»'t.5�'. •'r .f<'� d l t I I 4� .l 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ...... .............................................................. L r 1 FREEMAN, CECIL �1.t306-137 No .22495... Perm - for ,,,;ADD ITIO Single Family. Dwellin _ Location .... 2...Breakwater. . . . ....Shores. . ...Dr. . .. .... ....... .. .... .... ....... .. .. .. ..................Hyann i s.......................................... Owner .....Cecil Fr eman ......... ...................................... Type of Construction ....Frame........................ Plot .......................�. . _ Lot ................................ Permit Granted [September...9.,....19 80 Date of Inspecti`on ....................................19 Date Completed ......................................19 (�-'P'ERMI)REFUSED .................................... ..�. �. .� ......... ............. . .... . .......... .....�.........1............. i ............................................................................... ............................................................................... Approved ................................................ 19 ' ............................................................................... .y ............................................................................... a L