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HomeMy WebLinkAbout0011 FAIR OAKS ROAD � I �a.� r-LL Da-ks ~R�, . � Q . . m �o a 9. a - .� t TOWN OF BARNSTABLE BUILDING,PERMIT APPLICATION Maps ' Parcel fD9o'1 ® ' Permit# u Health Division 4 = Date Issued Conservation Division g Fee w. v "Aft Tax Collector / Treasurer 4 Planning Dept. Date Definitive Plan Approved by Planning Board ' Historic-OKH Preservation/Hyannis a 4 4 Project Street Address Village • 0XJ 4—, Owner Address Telephone e � Permit Request mo Square feet:1 st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District Flood Plain' Groundwater Overlay Construction Type Lot Size Grandfathered: ,❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) F Age of Existing.Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No - P 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 r Number of Bedrooms: existing new Total Room Count(not including baths):existing new. First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil D Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing s New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: F Zoning Board of Appeals Authorization ❑ Appeal# Recorded Commercial ❑Yes ❑No If yes,site plan review# ; 4 Current Use Proposed Use A flBUILPER INFORMATION Name Telephone Number Address License# 1 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO • k k 5 - � SIGNATURE DATE FOR OFFICIAL USE ONLY . • " PERMIT NO. ` •' '` ; DATE ISSUED _ TM MAP/PARCEL NO. ;fir '� t" Y. ? ' _ � - t ' } -' _ '' - - , • " + � s r ADDRESS a VILLAGE OWNER � F. • � - i � - �. ._ R� " . Fr :. �' .' �W DATE OF INSPECTI FOUNDATION ' • .1 r .` - � .� -� � �� � _ � - ., ` , . `. - , ..«t: - "k fi - _ ,. . :.M •- r` S a .. FRAME INSULATION - r FIREPLACE [ o ELECTRICAL: ROUGH FINAL *' + PLUMBING: ROUGH- - FINAL GAS: ROUGH FINAL w r _ :.✓ " ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. # ®� The Town of Barnstable Department of Health Safety and Environmental Services Building Division ` Eo� g •' ' 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,-with certain exceptions,along with other requirements. { Asp Type of Work: ` &� F-YK4iAMo, stimated Cost Q Address of Work: P 64 4-, � Owner's Name: Js bo r A) M)q R L-ELY Date of Application: �kq lob r I hereby certify that: Registration is not required for the following reason(s): Work excluded by law OJob Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY 1 he by apply for a permit as the agent of th owner. Date Contractor NariVe Registration No. OR Date Owner's Name q:fbr ms:Affidav -- --- _..� ,..:,,euaviervCueui uJ tv�ilaasea�.rlliJl''uJ _ Department of Industrial Accidents OIIICC O//OYBSMY&OOS 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit ����r� �ac�=;;"'%'✓"� ������ ����- I �����/�j name: location: I k0 /Q city hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r netor and have no one working in any ca acity Er I am an employfe�r providing workers' compensation for my employees working on this job. comaanv name: tJf ) ( ' �/ I f it /� r�r,LJ ► xx address::::::: city' f-y l phone# 5F I insurance co. ` olicv# `,A. ,O ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: cOtnDatly name: address: , .:'...; Ow. ..,: 6ilOne# OiItP# :::'::•:::G: ,. ,. :'.::::: :......':...... addTC33: ;: ; city ; fihtlIIe# urance co.. - • oiicV Faflure to secure coverage as required wider Section ISA o[MGL 152 can lead to the impositlon of eziminal ptsultles o[a tine ap to 51,500 00 and/or one yeah'imprltonmeot as weft at dull penaltles in the[arm of a STOP WORK ORDER and a fine of 5100.00 a day agaitut ma I undeiatand tLat a copy o[tlils statement may be[onrarded to the Office of Investlgatlons of the DIA for coverage verlflcatlon. I do hereby certi the pains and penalties of perjury that the information provided above is tru:mid c rrect Signature G�. �� Date N . Print name L Phone# A) l "\ T'7 official use only do not write in this area to be completed by city or town official city or town: permit/license# • ❑Buflding Department ❑check if immediate response is required ❑Licensing Board ❑Selectmen's Office' contact person: hone# _ Health Department P ❑Other (rind 9/95 PIA) . CERTIFICATE OF LIABILITY INV ANCE . 09/11/9 rl+ooucER THIS CERTIS ISSUED AS A MATTER OF INFORMATION PIc1:;tOr.; & Servant, Ltd. ONLY AND S NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5700 Post Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P-O- Box 1158 E as L Greenwich, RI 02010 INSURERS AFFORDING COVERAGE li,,UItED MS,UHEHA: lranscontinenL-al Ins. Co. (CNA) Paul J. Cazeault & Sons Roofing _-_-.-._...._...__.._._ -._.- .._.__...--.---_..__ _._. IN;UREH R. INSl1HFH 1): INSIIH ER{_: - COVERAGES THE POLICIES OF INSUIMCC LISTED BELOW HAVE BEEN ISSUED TO THE INSUFC-D NAMED ABOV[ Fort THE POLICY PEIVOD INDICATED. NOTWITIISTANDING ANY REQUIREMENT, TERM Oft 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 HERFJN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. ACUlEGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ IN���------- fi(iIIGY WffCTIVF F'(11_li`,Y F.XPIIlA 11f)N LIMITS IfI TYI'I:OF IN6URANCE' POUGY NUMBER - _pA1E MM IM OA1E MM OD 1, n GLNEHALLIAUILIIY C180024822 04/30/99 04/30/00 EAGIIOGGl1HHENGE ]"S-1, 000, 000 j� f.(IMMI:NCIAL(:LNIHALI-UN411YF IH E 0AMA(:1_(Any—ex100, OOO CC .IIAIM:i MADF /( (1GGUHI FXP(Any ule perSS.) OOO ,X P� DL'd 1 OOOPFRSONAI AADV IN.II1.11_000� 000 . (il-NEHAL A00"k(iA I E S2/000,OOO (iFNI A(i(Ol KiAl F 11M11 AVVI I FSPEH: VHOOIIC IS-f,OMV/OV A(i(i xz OOO1.OOO V(111CY I J F'HO.IFr;I IOC A U 10 M 0 0 1 L I'L I A(I I L I TY - GUMFRINH,):;INGLFIlMII S ANY All IU At I OWNI-.UALIIOS - ROUILYIN,IUHY S (Per per, SGH F 0I11.1.1)AI)10;i ' IIIHFIIAl11O:i -HOF)IIYIN.)URY S (Per ecJdenl) _.._. NON-OWN ED AIITO:i ---- -- P140PFH IY I IA MA(it• S .................__. (Per rY.Udenl) -- GAIIAGL-UAWLI(Y AIIIOUNIY F.AAWADFNI J. . ANY All Ill (111IF.R MAN FA AGI: S AUIOONLY: -Arirp S EACH EXf,ESS LIABILITY OCCIIHNFNCF S --)OGGl1H CLAIMS MADE AG('iHFCiATF S ' S S p x A WOIKEIlS COMPENSATION AND WC199413744 08/09/99 OO/O9/OO X EMI'LOYERS'LIAUIUTY F_I._FACHACCIDFNI _ _ .S100/_0:00. F L UI_F.A F EAEMVtOYFF: $100_, 000 EL DI:EASE VOIACY{IMIT 600 1 000 OlnlR OLSCII111TION OF OPEIIATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED 13YEHOORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED:INSURER LETTER: CANCELLATION SIIOULDANYOFTtIEABOVE DESCHBEDPDLICIESBECANCELLED BEFORE III E EICPIRAPON DAIETIIEREOF.IIIE13SUING INSURER WILL ENDEAVOR 10 MAIL3LO_DAYS WR111EN NOTICETO THE GERTIFIGATE IIOLUERNAMEDTOIIIELLFT.BUTFAILURE TODOSOSIIALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON III E IN5UREIQIS AGEN 15 0Fi R EPR ES ENTAIIV ES. AUTHORIZEDREPRESENTA IV[ ACORD 25-S(7197) U S S 2 a 9 4/MQ 2 0 9 3 BAM 0 ACOAD CORPORATION 19m HOME IMPROVEMENT CoNulations REGISTRATION li Board of Building R g 1301 I One Ashburton Place _ Room I Boston , Massachusetts 02108 I --------... - -COME IMPROVEMENT CONTRACTOR Exoiration 07/09/00 I � legistration 103714 I - —__ NOHE IHPROVEHENI CONTRACTOR ARTNERSHIP I _ - = TYPO P I - Registration 103714 I - Type - PARTNERSHIP I T- Expiration 07/09/00 PAUL J _ CACEAULT & SON5 ROOFING Cazeault Paul J - P _0.. Box 2781 I PAUL J. CAZEAULI S SONS ROOF! 22 Giddialt Rd . I Paul J. Cazeault .Orleans MA 02653 I r w y42�iddialt Rd. P.O. Box 27t1 1 ADMINISfflf-" Orleans HA 02653 S Board of Regulatio f Bu n rton Place, Rm 1301 J One AshbU 2108-1618 Boston, Ma 0 Birthdate: 10/2011959 License: CONSTRUCTION SUPERVISOR LICENSE Restricted To: 00 Number: CS 026325 Expires: 10/20/2001 PAUL J CAZEAULT 1585 MAIN ST OS'rERVILLE, MA 02655 7665 Tr.no: Keep top for receipt and change of address notification. ff 23L>z-- Assessor's office (1st floor): - oFtNETo Assessor's map-and lot,number 6W...1.;� Board of Health Ord floor): = Sewpge Permit number ........................... SEPTIC SYSTEM MUST :............. .6 . ':......... INSTALLED IN COMPLIA MAIME. :. STADL i Engineering Department (3rd floor): f WITH TITLE 5 °° e0� House number ..................:.......... .... ..........�.!..............;......... �0 YP APPLICATIONS PROCESSED 8:30r'9.30 A.M. and 1.00-2.00 P.M. only: ENVIRONMENTALCODEA TOWN REGULATIONS TOWN 'OF BARNSTABLE BUILDING INSPECTOR.. APPLICATION FOR PERMIT TO ..........E(44.15)......... ................................:..................................................... } TYPE OF CONSTRUCTION ............... . . . ......k .......... .................. .......................... TO THE INSPECTOR OF BUILDINGS: The -undersigned hereby op lies for a permit accA ding to the following information: �r 2 D#Ks L� I / Location "'c1.l.4... ....................... ...................... ProposedUse .....c. �. �1&.....jaM . .C,P....! c [. CP .............................................:............................ . Zoning District ......'T.-D....I.............................................Fire District ... r ?... ./... 4.1 .. .. ... ..!. Vie. Name of Owner /k+K-....C.1�1.ri..>-F-.N.C...........Address .I5Q.U....&J-0'-.0 M(e...Kbl......:... ................ Name of Builder ...,9.:....kO4-- ..............................Address Name of Architect 2!ja. R.F!an!>�r', �.4�/�................Address -R6,?_m)..06-x?..Ah3- �. � !!J......,.. Number of.Rooms ..R..................5�?-24 b ..................Foundation ...(Y C. ........... ............................... Exlerior ....cS ��?°��. c,lAllP!�4'.C� /�........................Roofing ........ .s ..................................................... Floors ...Haz. d.wrii.........................................................Interior .S/. ..�' �J.9 .................... Heating .....c)././....................................................................Plumbin i Fireplace .......Q.he........................................:.......................Approximate Cost ...... ... .�1� ....L�11- Definitive Plan Approved by Planning Board -----l - ------------19 Area ......�..�... `. ........ Diagram of Lot and Building with Dimensions Fe � �1 f: . .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �P sr OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............. ......... ..... ..................... Construction Supervisor's License CO.0..1..3...2......... A. J. LANE, CO 29647- Permit for ....Two Story Single Family Dwelling ' Location 'Lot #5, 11 Fair Oaks Road All Centerville _ - Owner ... . A. -J. Lane, Co. .' •,., - Frame - - Type of Construction t ;: _ ....a.... .......�.............................. Plot............................. Lot ................................ l Permit Granted ......July:.11.�...,.... �......19. 86 Date .of:fnspection ....................................19; _ Date Completed ........z ... �......- ..19 _� crri NI w.: Assessor's office (1st floor):. of I E tO Assessor's map and lot number Board of Health (3rd floor): E, _ � , �� ;°� ♦� Sewage Permit number ........................................................ Z BAWSTADLE, t Engineering Department (3rd. floor): � 'oo rb q. House number .:............................... ....1�..................:.... .- �oMaY°r' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only NNTOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO &I.ndJ.' TYPE OF CONSTRUCTION ''�� �'t� j �� ..........................l�J! .........19j_ .. r TO THE INSPECTOR OF BUILDINGS: l The undersigned hereby applies for a permit acco.r ing to the following information: �' F Ri Location .................!.. -k7: '� - 34 :..t.:... t" ' �4�.!. ..4:......................... .......... SJ�� L c�['tiy� a� .... .aiC��Y:arr•... .. Proposed Use ......:..........f...:.....�.:.......� ............. .:........ ..............-:.......................................................;................. Zoning District .....X.. .............................................Fire District P..t.1 �t'(J!•1.1 �( .� .r..ca.!.l. . ........... 15 �; Name of Owner 4- �Gr 1C, ( aCi... UC . .........Address ..._.... C=, :F'.STD?.��...Zl\., ....A* :.:.tiu................................Address 5�-.( .� Name of Builder n..��... .....................�) .... ....`..�' ...... Name of Architect !C ? tCi()V1Q►' S`•1(40.C... Address .l.%)!<:aYd1�xY ...0 t.1� .1....�:t.!. i�SA.�:1......... Numberof Rooms � � r �`� r �•-T•••..................__..............:......................Foundation .....:.................:....... ............::................................ Exlerior ..... i7�t�,��S�� tt,ph41ak."&........................Roofing Aso x). Floors jJ.(a/ ,tt?c') Interior1 Heating .....0AL,..................................................................Plumbing ..... ... .d.i... ...... ...........:-............,� ............:�:.... ..... Fireplace ......C•.OE�.......................: .........................Approximate Cost .e?& t ....j.f.7.T............ Definitive Plan Approved by Planning Board _____12-!_01------------19_�_S_`_S, Area .......................................... Diagram of Lot and Building with Dimensions Fee ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH c OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ri v I hereby agree--to conform to all the Rules and Regulations of the Town of Barnstable`rega d rig the abo e" 9 g , construction. 1 Name ... ... .... ................. Construction Supervisor's License C: OL3....�5�. ......... A.;. J. LANE, CO. A=168-92 29647 Two Star No ............,.:.. Permit fo ....................y............. ...........Single Family Dwelling Location 11 Fair Oaks Road ............... J .................Centerville..................................... Owner .......A. J. Lane Co. Type of Construction .....Frame . .......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted July 11, 19 86 . . Date of Inspection ....................................19 Date Completed ......................................19 r INETOWN OF BARNSTABLE Permit No. ..29647... . iG4 { i. BUILDING DEPARTMENT Cash (,�aI00(�e OQ)3l I1 D" �18:wa TOWN OFFICE BUILDING HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to A. J. Lane, Co. Address Lot #5, 11 Fair Oaks Road Centerville, Mass. ` USE GROUP FIRE GRADING OCCUPANCY LOAD f THIS PERMIT WILL`NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. February 23, 88 ........................ 19................. ........... Building Inspector il74/t.v,.Af f �INIG EPT,�ILE'COPY7 WHITE , 1�,40 COPT--tXELLOW+ APPLICANT COPI� ;'I TOWN OF BA NSTABU' MASSACHUSETTS f PERNiIrt VALID AT ro a 168-92' ib f r. DATE Ju'1 11 r 19: 86. PERMIT.NO. fir-�4'7 Lane nooREss Listed Below 0201 a APPL'IGANT ISTR EET) ICONTR.S,LICENSE); '.. - - NUMBER .OF PERMIT T.0 Build .Dwell'ing (2. ) STORY Single Family DWe11inP DWELLING"UNITS ,(TYPE OF•;IMPR OVEMENT) NO �' (P�20POSED USE) a f` ZONING AT (LOCATION) LOt` 1fS, `1 Fait Oaks Road Centerville: DISTRICT 1 j 3 (N0.): (,STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) r a SUBDIVI5ION LOT BLOCK S�ZE' �UILDIt 11' IS .T BE FT WIDE BY FT LONG BY ` FT IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIO ?0 TYPE USE GROUP BASEMENT*ALLS OR FOUNDATION (TYPE) REMARKSf SeWa a 86 , 1 West `Bay Realty: TrustO:C 1 80,000.00 PERMIT. 156.75 AREA_QR 2240 sq. ft.. ESTIMATED COST; FEE VOLUmE+' (CUBIC/SOUAR E.FEET) A.: J. Lane, Co Inc t OWNER BUILDING DEPT. Worcester �to,ad, .'F'ramingham BY ' ADDRESS ` v ` 1. u f •>),;h _.Tri-nrio-n�cioT f_. r.:.' I CAB LE'`SEPARATI ' � CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOF ALLCONSTRUCTION WORK- ELECTRICAL;: PLUMBING AND -.'f FOUNDATIONS-OR FOOTINGS. MADE: WHERE AC'ERTIFIC�ATE OF. 00CUPANCY 'IS RE- MECHANICAL INSTALLATIONS. R Z.PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING:SH'ALL NOT BE OCCUPIED UNTIL: MEMB'ERS(READY To LATH). FINAL INSPECTION HAS BEEN MADE. 34.FINAL INSPECTION BEFORE' / OCCUPANCY. POST THIS CAR® SO-IT IS VISIBLE` FROM STREET . BUILDING INSPECTION.APPROVALS PLUMBING INSPECTION APPROVALSELECTRICAL INSPECTION APPROV,ALS • 1.. ; 1 1 . 1 �,� = '} 3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVA G OTHER Z 2:: -BOARD OF HEALTH t WORK' SHALL NOT PROCEED UATIC THE. PERMIT WILL BECOME NULL-AND VOID iF CONSTRUCTION iNSPECTIONS IkICATED-ON THIS ! INSPECT,OR.*HAS APPROVED THE VARIOUS WORK IS NOT STARTED.WITHIN SIX MONTHS-OF DATE THE CAN BE ARRANGED FOR;BY TELEF rM .� y "STAGES''OF CONSTRUCTION PERMIT IS ISSUED AS NOTED ABOVE. OR WRIYTTEN.NOTIFICATION 1 •�®{mow'^"•+��Rxtw�e �ol�liln®�arl� 7RiA tit- 0 1 0 b PeA7. 2 9p _ �V� o Nam- LT 0 Q e 44 3l1 t5F nN o • °m�2 p Q°y S �x \ G1•5+ li��v JOB # 85-492 CERTIFIED PLOT PLAN PREPARED FOR.- LOCATION. L-5 FIVE CORNERS:` RD . BARN SCALE: 1=50 DATE: 6/18/86 REFERENCE: PB 410 PG 10 A J LANE CONSTRUCTION I HEREBY CERTIFY THAT THE BUILDING,. SHOWN ON THIS PLAN IS ON THE ,. OF GROUND AS SHOWN HEREON `ARNE ��yG • c H' OJALA H down cape engineering 126348 0 CIVIL ENGINEERS _—•---LAND .SURVEYOPS 'r ROUTE 6A YARMOUTH MA D TE PEG. LAND SURVEYOR