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