HomeMy WebLinkAbout0167 MOORING DRIVE 1107
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Town of Barnstable
ta�Ze "Perpxlt#
ILq btu f n+anthrPoer Luua doir
aAwrRAPtY Regulatory Services - Fee
�, ►ai9• a` Thomas F.G+aiter,Director.
Building Division
Tom Ferry, Building Commissioner -
200 Main Street, Hyannis,MA 02601 f —
Office: 508-862-403 8 _
Fax: 508-790-6230 F � 01
EXPRESS PERMIT AP LICATION - SID L
Not-Valid without Red X-Pra.1 Imprint _ irs`AnE Gi t E�y
Map/parcel Number l
Property Address Q 6- COT17_1-7
Residential Value of Work (o onn�-
Owncr's Name dt Address_ S"A LTA n
�o On --
Contractor's Neu �C ) L C).Z -F <")O nS P0�3�1 C'q Telephone Xumbcr 1 M--\\I
Home improvement Contractor License#(if applicable) tU"3-7 i l3
Construction Supervisor''s Uccnse#(if applicable)_
5Workman's Compensation Insurance
Check one.
❑ I am a sole proprietor
❑ I am thq Homeowner
[ I have Worker's Compensation Insurance
Insurance Company Name �na-V e_,L 1"`j ��.2C Yl Cl•1 t 1 .CO, of S
W orkman's comp.Policy# -1 P j U B-g a a X Ce 53 `JO 2--
Permit Rcquost(chock box)
Re-roof(Stripping old shingles) All construction debris will betaken to \
❑Re-roof(not stripping. Going over Minting layers of root)
❑ Re-side
❑ Replacement Windows. U-Value (maxim=i.44)
❑ Other(specify)
'Where raquired:.Issuance of thu parimt does not exempt compliance-nth other town dcputrnent regulations,i.e.Mistonc,Conscrvzt m rtc.
S ignatur
t
Q:F0rrru:8xpmtrg
Reviacdl1t901
S
r
Tlic ConuPrarili'ca11/i of 1{TaSsacPcus'c�ls
— Depart'inciif oftPidusi'rPal/Iccidents
' OlffG�ldf!l1EYi:SGt9'�dltT�'�
64(1' 3f�a.r/flnl;[o;r Street
1luslotr, Mass, 02111
Workers'Coulpcnsatlon insurance Affidavit
hams p �s*i' !�NINE,
st
,� --- --_- -
�: ; .❑ Lam a homeowner performing all work myscif., �7
{ '❑'[am a sole proprietor and ila�c no one working in any capacity
� �- 2 b-3�J
F
and an crll i0 , ulD�llt: )
f, r .aF,;.. , P Yec providing workers coml)crisation for my Call)loyccs working on this Jut,.
�n� ,;,... �3flisj b�0� 'TFi4iJIIiiWAc00 1[i.iA;i]I;•al,::
'' ❑ [ a sole proprietor,general contractor, or Gom ow
the fotlowin workccs.,com ( )
F e ncr clrcic aac ar►d have hire':!the
z: xy<' T e w•- :,• pensation Polices: contmctot`s listed bel tiho I ow.� ;u,------------
------------
. :
v
Failure to trecure coreragc as required Cr See( 25A of htCL 132 can lead
one Qr(hears 8ta(C Imprisonment as well as civil to the Imposition of c ;.��attics of a(ine u to _
��fgir
copy of this statement may Ge forwarded 0p(hdOpfticcho( nvcstiF boos of the D[A for cavcrA c Yerl(i
STOP lvoiiK ORDER and a fee of SL60.00 n da a P $1400.00 411
tdo here ctrtl s. G cago.,• Y gala,;tee. I undCf7lsnd(ilAl A Y undcrlhc pales and penaliles ofperfury that file lnforIrtatior:provided above la.'
Signatu ruc and corren'.
r _E'tint aanlc
ot]1da1 use onl .hhonc#
Y do not write In this area to be com
cl(y pleted by cityo,filoi . �' ;itiU70> IIIiOiGJdIe�D iq�(I .Ortown..
permlt/Iiccnsc(((] �___ '�
check If immediate response is required 0liuliding I)cpar(n,cnl
il contact person: QUccnsing Board
C)Sdcctmca's o(Gcc
phone(;;._ C111cAl(li Department
t�cri�od)Ns P)A) D ofii c r
emu:aa?��'�.•.....____ �"
ACDRDry CERTIFICATE OF LIABILITY INSURANCE _ DATE(MMroD/YY)
PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
MCShea Insurance Agency, Inc. HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ¢
Oaterville, Ma- 02655 INSURERS AFFORDING COVERAGE
508=4lQ-7 90.11
INSURED Paul J Cazoault & sons Roofing Inc. INSURER A: W6>aterII H®ritaye la®. CO. ..— _
INsuncR e: Trav 1sxzA Indl>mu iLy_ Co Of Ill
1031 Main Street INSURER
Osterville, Ma 02655 INSURERD
INSVHER E I,
COVERAGES
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 DE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY 7'HE'POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSRLTR TYPE OF INSURANCE POLICY NUMBER DATE YMMJDD/Y WE POLICY DATE MWOWY I LIMITS -
GENERAL LIABILITY EACH OCCURRENCE 111 00
x COMMERCIAL(jtNFRAL LIABILITY
TIRE DAMAGE(Ay one lire) s
CLAIMS MADE I OCCUR MFO EXP(My one person) S
A _.., SCP0467325 04/30/03 04/30/04 PEASONALAADVINJURY s 000
GENERAL AGGREGATE $2,000.,00
GEN-L AGGREUAIE LIMIT APPLIES PER: PRODUCTS-COMP/OP A(:G !s
POLICY PHO-
JECT LOC
i
AUTOMOBILE LIABILITY I
' COMBINED 31NOLE LIMIT s
ANY AUTO (Ea amd9m) .
ALL OWNED AUTOS BODILY INJURY j
SCHEDULED AU10S
(For person)
HIRED AUTOS I - BODILY INJURY s
(Par accident)
NON•OWNEO AUTOS -
.. .- PHOPERTY DAMAGE j
(Per accident)
GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT S
ANY AU10 OTHER THAN EA ACC S
AUTOONLY: AGG s
EXCESS LIABILITY LACH OCCURRENCE _ s
OCCUR I ;CLAIMS MADE AGGREGATE E
j
DFOUCTIDLE
Ht f NTION s
WORKERS COMPENSATION AND W
M I T RYMIT LIS ER
EMPLOYERS'LIABILITY 1 "' -
7PJUB-922X653-502 08/10/03 08/10/04 t L.EACH ACCIDENT j 400
$ E.L.DISEASE•EA EMPLOYEE S 00
E.L.DISEASE•POt ICY LIMIT S
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY EN90R6EMEN71SPECIAL PROVISIONS
CERTIFICATE HOLDER _ADDITIONAL INSURED:INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE THE EXPIRATION
-� DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABIIJTY.OF ANY XIND ON THE INSURER,ITS AGENTS OR
REPRESENTA I S, r
AUTHORIZED 7�Tn
ACORD 25-S(7197) 0 ACOHO CORPORATION 1908
1�i �O�II?/1�'�f1���i'fi
I I Board of BUI ldill"- Rc`.uiLitions and Stand.11 d
7 ,I)
One AshbU'.1011 Place - Rool11 1301
Boston. 1VI,_1Ssachuset1S 02108
Home Improvement Contractor Registration
Registration '10371.1
Typc: Private Corporation
Lxpiratiorl: 7/9/2004
PAUL J. CAZEAULT & SONS, INC.
Paul Cazeault
P.O. Box 2781
Orleans, MA 02653
Update Address:ild rrUu it card. 11:u I: reason for ch:uy;c.
,. Address Rem�v;d I'll nplovint•ul 1.10 (':n,I
�j�: 1/ip JJtl//,III/AIJn.!/"IU rI/�.i l///JJ!/,(,'IfG11:Uai
Board of Building Regulalions and Standards
Licciisc or rcf isU'alion valid fur indiv id ll a.c out;
HOME IMPROVEMENT CONTRACTOR befoi c the expiration date.. II*found rcl.u•u io:
Registration: 103714 I1o:u-d of I;uildi11g Rl;u a elatit)ns it(I St:IndaI ds
Expiration: 7/9/2004 Onc Aslibin-ton Place Rnl 1301
Type: Private Corporation lio.titi° Ala.02108
PAUL J.CAZEAULT&SONS, INC.
Paul Cazeault
22 Giddiah Rd.
7 ,^ u' ,OpJ/;"7JIV JtrOIf[I"G�� [�vF(.11OJrICI(.I(JC'GW
Orleans, MA 02653 II: s
Administrator No. 4 � BOARD OF BUILDING REGULATIONS
L License: CONSTRUCTION SUPERVISOR
I
` Number: CS 026325
B i rth d o te: 10/20/195 9
Expires: 10/20/2005 Tr. no: 8603.0
Restricted: 00
PAULJ CAZEAULT _
1031 MAIN ST — �
OSTERVILLE, MA 02655
Administrator
Board of B uilding ePrn
ulation�>
-- One Ashburton Ace, 1301
Boston, Ma 02108-1618
License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20M)59
Number: CS 026325 Expires: 10120/2005 Restricted To: 00
PAULJ CAZEAULT --
1031 MAIN ST
OSTERVILLE, MA 02655 _
Tr.no: 8603.0
Keep top for receipt and change of address notification.
PROPERTY OWNER MUST COMPLETE AND SIGN THIS
SECTION IF -USING A BUILDER / ROOFER
(Please return this form to Cazeault Roofers with your signed proposa[lcontract)
I, �4&7;We, 454 Clgz- f, ✓2 , as Owner of the subject ro ert
P P Y
Hereby authorize Paul J. Cazeault & Sons Roofing
To act on my behalf, in all matters relative to work authorized by this building
Permit application for (address of Job)
�iggnature of Owner Date
Print Name,
Ir s EPT CWYS
a
ti Assessor's map and lot number ,l J INSa�p
J -
Sewage Permit number ...... . H/�TK TITLE
.. ENVIRONMENT
_ House number ............. ....../! ..lJ.................................. TOWN REQV�
L
MA39
i679• 9
TOWN ' OF BARN:STABLE
BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO ........ _ ........ ............................................................................
TYPE OF CONSTRUCTION ,Cl .. ...... ' ` ...........:............................................
, .. ..�................19........
TO THE INSPECTOR OF BUILDINGS: '
The undersigned hereby applies
for a permit according to�the
,�following information:
l
Location ... iG�/....... ........... ....6�.'. �,".; ..... ..........................................................
ProposedUse ....� ............................................................................................................................................
Zoning District ....... ............................Fire District ........
t! �cu-c !! ... 1. . ..-.. .e�. ' .
Name of Owner . .............. .....:Address �77
Name of Builder � � ..
.. .. . . ................ ..................Address .......... .. ...................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ........... ...................<..::..................Foundation ..
dfzae�. ..................................
Exterior ..G ... .. ................Roofing ....L � ...................................................
Floors ..... . ........................................ .....................Interior ..... . 14..� ..................................................
...... . 1
AHeating - ..... .................. .Plumbin g ..........��...::�..2rv:�.:........................................
Fireplace ........C.....................................................................Approximate Cost ;)4
Definitive Plan Approved by. Planning Board ____ , ---------19 Area
Diagram of Lot and Building with Dimensions Fee v�......................'.......................
SUBJECT TO APPROVAL OF BOARD OF HEALTHD�J�
-III el'21
5
-30
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...........................
Cedar Acres Realty A=24-119 1 ,
"''Sewaqa #79-473 '
k.
Nc� ...2.1.66.9... Permit for .
orre strrry rlwe'1'1'(`nq
...............................................................................
Location ..........1 0t„10.1 lkQ r IDA--Rr....,...16.7. r
7
......................... A1;W11....................................... 4
Owner ..Ce00r..Aq!" .S...R�s3.l.tY.........................
Type of Construction .........f.rame......................
..
Plot ............................ Lot ................................ '
Permit Granted ..........$ p� t,..:..2Q.. 79........19 -
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
................................................ 19 1
..... . ............................................................
. . .........................................................:.
. .....................................................
cr" tu0t!
Approved ..:......................................... 19
.............
...............................................................................
Assessor's map and lot number ................. T e 7 �,
a i TOf`
Sewage Permit number . ? ;`... d�P� ♦�
E'71 Z 33AR35TABLE, i
House number ....................................r.......:..............L so rasa
p 1639. \0�
I 0 Uri a'
TOWN Of B`ARNSTABLE x 4
BUILDING INSPECTOR
..APPLICATION FOR PERMIT TO .......... r���t,_,,.............................................................................................
TYPE OF CONSTRUCTION rTt"'J` 'T.�'. ,°,! .............................. ......................................................
. ... . ...................19........
r TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following inf�or—m�ation:
Location ... .. �.. .... .37Gj.... ,(/.tr �,�-'f�..... ....
ProposedUse ... . / ......................................................................................... .. :. ....................
`✓
Zoning District y` � •................................................Fire District ,�rr�,.'
....................... ,_...'�.......... ......... .......... ....................
Nameof Owner l ...... i...........4 .....Address ........................................................
Name of Builder 1 !lt. . L ...................Address : F :... I........................................
d
Nameof Architect ..................................................................Address ....................................................................................
/7 .. ��" .. .,........ .................................
Number of Rooms ..............Foundation
Exterior ................. <C.. 9.•,�1/ ! ...............Roofing ....�C'��' ...................................................
s .. . Interior ....., " .................................................Floor . 4
. ....................Plumbing .....Heating .. F......... ............................................................
�
l
Fireplace ..................�/. ..............
.. ..............................................Approximate Cost ... .w..... .......................................................
.. Definitive Plan Approved by Planning Board ______�-�,_-__r____ s___--------19_-1�_�. Area ......../...........................- ... '
Diagram of Lot and Building with Dimensions Fee_v �.............. .......................
SUBJECT TO APPROVAL OF BOARD OF HEALTHr
- 7
1
i
30
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. `
��� % '
Name .,.................... ............. ..:.........................
y ,d �
Cedar Acres Realty N A=24-119
sewage #79-473
4
No ..... Permit for ..Qne...atory..dwe.l.1.in q
...............................................................................
Location ....I-Q-t...10.1........1.6-7--Nojarj-nj.q...Dr:........
....................... ...........................................
Owner .......�Adlar..Acres...Rea.l.ty...................
Type of Construction ........f ramd.......................
...................................................../........................
Plot ............................ Lot ...............................
Permit Granted ............../as ce P.t....20..........19 79
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
................................./............................ 19
....... . . .. .. .....................
........... .. ............ .............. ...... ...........................
........................ ....................................................
...........................I...................................................
Approved ................................................ 19
...............a...............................................................
............................ ..................................................
TOWN OF BARNSTABLE _
Permit No. -------------------
Building Inspector
{ �+b"a Cash
OCCUPANCY PERMIT Bond ----____--_--_—____-__
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
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.
...................................................... 19...___ ......................................................................__....... ....... ._.. _._.._._._
Building Inspector
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