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Home My WebLink About0126 TROUT BROOK ROAD Assessor's map and lot number ............................................ Q�OF TN E Sewage Permit number ........................................................ f Z EA"STADLE, i House number ........................................................................ 'oo M 9 m� o, 3 �0 'F0 ypY p' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................ ....... ................................................................ TYPEOF CONSTRUCTION ........................... .......................:' ?f ...................................................................... ...........................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................................. Q..S,4. .....:.1. ..........................................:......................................................................... ProposedUse .........I.`...i'..........t........................ ......?... .......................................................................................................... ZoningDistrict ......................:.................................................Fire District .............................................................................. Nameof Owner ... .�...r1:i.....� ................................... .........Address .................................................................................... Nameof Builder ....................................................................Address ..................... .............................................................. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ...Roofing................................................................................. .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate Cost Definitive Plan Approved by Planning Board ---------------__-------------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. i ALIBERTI, RICHARD =A--8-5 No .2.3.3.4.4.... Permit for ,Two Story Single Family Dwelling ............................................................................... Location Lot #6, 126 Trout Broo1, Rd. ................................................................ Cotuit ............................................................................... Owner Ric.hard. . ...Aliberti. . . . .......................... .. .... .. ..... .... .. .... .. Type of Construction .......Masonry & Brick: ................................................................................ Plot ............................ Lot ................................ s Permit Granted .........August 5, 19 81 Date of Inspection ....................................19 ' Date Completed ......................................19 PERMIT REFUSED ................. ............ ...... . .�y............. 19 � ........ .. ........................... ti. AF 1 .. z........... ..... .......6 . Approved ................................................ 19 ............................................................................... ............................................................................... OFIME The Town of Barnstable BA MSTABi e, 9QAMAM �mi' Department of Health Safety and Environmental Services 1659.UU TEo nor a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION ��6 `Tr 10 U`� � �vf� & C,0 i-7L Location of shed(address) Village Property owner's name Telephone number x Size of Shed Map/Parcel# giggZnnaltur—e4 Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? e_- Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg Engineering Dept. (3rd floor) Map ac,V Parcel 00tG Permit# 1 House# IdZ-G� Date Issued Board of Health,(3rd floor)(8:15 - 9:30/1:00-4:30) IRS-, 0?J in. Bld t d d 19 i KiajFA E. 9ANCE W� q E AND TOWN OF BARNSTABI e Building Permit Application LProjeetddress B 0 1 /rt�Cr`� �'� /C �Cd Village �y 7 Own // er �� / . Address Tel"ph�0 7? L /362 I 1 Permit Request Ktr c First Floor spu a feet' Se and+Foor square feet Construction Type . c.L �c Estimated Project Cost $ op^&2 e Zoning District Flood Plain Water Protection Lot Size QJ J Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure_1,� Historic House ❑Yes UN6 On Old King's Highway ❑Yes LW Basement Type: ❑Full ❑Crawl Er'//alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing -'D- New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil O/Electric ❑Other Central Air ❑Yes 0'No Fireplaces: Existing New Existing wood/coal stove �es ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) None ®'Shed(size) / ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information �/ Name �� s► y e .Y' Telephone Number �R- �� l 9 Address i`2(0 �16Z �K License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 9 [9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY IT NO. + e TERM DATE ISSUED = ti MAP/PARCEL NO ADDRESS VILLAGE OWNER 4 • .r DATE OF INSPECTION: FOUNDATION FRAME + INSULATION + FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: - tOUH FINAL FINAL BUILDINGq( Jqfj-P DATE CLOSED OUT. 2 . r t ASSOCIATION PLAN NO. _ 1� The Town of Barnstable • - •� 1 Services • ` � Department of Health Safety and Environmenta Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax. 508-790-6230 For office use only Permit no.------ _ Date AFFIDAVIT HOME IIViPROVE ETMTNA CCATIONW SUPPLEMENT requires that the "reconstruction, alterations, renovation, repair, modernization, MGL c. 142A y pre-existing conversion, improvement, removal, demolition one but construction than four dwelling units or to owner occupied building containing residence least tered contractors, with structures which are adjacent to s` r building be done by registered certain exceptions,along with other requirements. Est.Cost Type of Work: Address of Work: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(sy. Work excluded by law Job under S1,000. Building not owner-occupied :7--owner pulling own permit Notice is hereby given that: OWN PERMIT OR DEALING WPTH UNREGISTERED OWNERS PULLING THEE HOME MROVENIENT WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE FUND UNDER MGL c.142A ACCESS TO THE ARBITRATION PROGRAM OR GUI SIGNED UNDER PENALTIES OF PERJURY Lhemeby;apply for a permit as agent of the owner.6 Registration No. Contractor'Name Date OR. Owner's Name w • �'"�' •` Tl�c• Cunrmotmealth of Afmadmem. ��• j2s Department of Industrial Accidents a�.. :� ' _::a, 6111111 V".. on Street Boston.Marx 02111 Workers' Compensation Insurance.A171davit O."Wet in nomm (o 1 am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity WI•. ❑ I am an employer providing workers' compensation for my employees working on this Job. address pelier# iY ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who h., the following workers' compensation polices: v address• •eftt phone#- insurnnc co Defier# C^+-�;;�' .N.�T.��.. «... K7Pa!'r4.••.i�.l�'��g'r'.•'T�R'�fr*�ifelJ' _ - '�74F�'°�•=A%•�ri_ ..t�w - --...:.:.......�—• yens mInv efh phone#s --s-- --- Atiacb additionai'sheet if aF2eeRa_r ;'7 a - "``" _ --•-� ~� -� �;re-�a♦++f..tt't"+�nt1i?' •'i?:'' �- -..fir.-'�.�i:1-_mZ==" '---"�—_,� ,.�..'��,r�.:��•--�,�•. failure io secure coverage as required under Section.SA of DIGL IS3 can Ind to the imposition of criminal penalties of a fine up to 6f500A0 and/o one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a lice of S100A0 a day against me. I understand that coin•of this statement m •-be forwarded to the omee of Investigations of the DIA for t oveeate reritieation. I do herebr under the pants and enalties of pcdurp that the infommion prorided abowis trite c "991't Signature Dale e /3 �N Print name Phone# Febeck only do not write in this area to be Completed try city or towo oNeial MrmitAieeote p Mounding Department citys: a� g � et immediate response is required 0cc 5deetmen's Ottien[3linith Departmentson• phone#,o riotber-� °-Information and Instructions ; • tires all employers to rovidc workcrs' compensation for tl Massachusetts General Laws chapter 15_section 25 requires p empio}•ces: As quoted from the"law".an empinver is defined as every person in the service of anathcr under any contract of hire.express or implied.oral or written. j An emplitrer is defined as an individual,partnership.association.corporation or other : gal entity,or any two or m die 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 resides therein.or the oaLupam of die owner of a dwelling house having not more than three apartments and who such dwelling I dwelling!rouse of another�vho employs persons to do maintenance,construction or repair wort. a or on the mounds or building appurtenant thereto shall not because of such employment.be deemed to be an empio: MGL chapter r52 section 25 also states that every state.or local Iicensing 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.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 chapte been presented to the contracting authority. �..�w.�-�• Yia:`1 i�7 77, _�f�v V ,^ti„'� n1i♦.�•[•�cl� -•��,'L.:: �: .r I/7r.1Ti.•f w.:'...�l � �•� •.�V4••�+'i•.- .•.�.,... ! -:/1• •:•µ w�!^Y7:.tY-L+�.,A i-'1N�;:•.;y•.��. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation anc supplying company names.address and phone numbers as all affidavits 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 requir to obtain a workers' compensation policy,please call the Department at the number listed below. .n-w..r ',,•..� �Yc. '..ice;:�.!.�.1.'..._•! La�.•►.f•R1i �T�•...'firsr••�4.y� ,3.. ... . , ------------ _• S: ��..•..i�.l�.:wr."7.a::u•.• _ ..cif:•. ��.Me.•• 7!!1!,d-Ti`• City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office a refereaznce number.to contact you regarding The affidavitsdmay be returner be sure to fill in the permit/license number which will be used as the Department by mail or FAX unless other arrangements have been made. Tlie Office of Investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to give us a call. 777. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street _. — Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 ^r' R. • TOnN OF BARN7iABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE ... . . !. .. • . "::� :. C� JOB. LOCATION 'Number Street address Section of town "HOMEOWNER" •� e �- Li �� 7��. ._... Name Home phone Work phone PRESENT MAILING ADDRESS d.� a - '?*•� City town State Zip c: The current exemption for "homeowners" was extended to include owner-occ, dwellings of six units or less and to allow such homeowners to engage an dividual for hire who does not possess a license, provided that the owne: acts as supervisor. DEFINITION OF HOMEOWNER: Person(sl who owns a parcel of land on which he/she resides or intends tc side, on which there is, or is intended to be,, -a one to six family dwell-4 attached or detached structures accessory to such use and/or farm structt A person who constructs more than one home in a two-year period shall not considered a homeowner. Such "homeowner"- shall submit to the Building Of on a form acceptable to the Building Official, that he/she shall be resnc for all such work performed under the building permit. . (Section 109.1.1) The undersigned "homeowner" assumes ,responsibility for compliance with the Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures andrrequiremE: and that he/she will comp with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be requir to comply with State Building Code Section 127.01 Construction Control. 4 ... .• ....- . . .. ...... ..ter. ... .. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which - bu: Permit is required shall be exempt from the provisions of this sectic (Section 109.1.1 - Licensing of Construction Supervisors) ; provided i Home Owner engages a persons) for hire to do such work, that such He shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are as: theresponsibslities of a supervisor (see Appendix Q. Rules and Be3ui for .licensi.ng Construction Supervisors, Section 2.15) . This lack of often results in serious problems, particularly when the Home Owner t unlicensed persons. In this case our Board cannot proceed against tt inlicensed person as it would with licensed Supervisor. The Home Owr. as supervisor is ultimately responsible. :•!. .•• To ensure that the Home Owner is fully aware of his/her responsibilit communities require, as part of the permit application, that the Home certifyunderstands the responsibilities of a supervisor. that he/she un p P last page of this issue is a form currently used by several towns. Y( care to amend and adopt such a form/certification for use in your com: r , X-PRESS PERMIT OCT 15 2002 TOWN OF BARNSTABL`E • 'own of Barnstable "Permit N YK y �' Nxpbu Q ononthtJMm Lrrue dare d • �� p� Regulatory Services Feyo� ' MAN. . P }. .asy. a� Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office. 508-862-4038 _ Fax; 508-790-6230 EXPRESS PERNIIT APPLICATION RESIDENTLAT ONLY Not Valid washout Red X-Prere Imprint Map/parcel Number Proporty Address An it IlResidcatial \ Value of Work QV, rW C,� Owner's Name&Address , Contractor's Name ?m GC LD l DS p"3Fi ` 1 Tclephona Number LJ 0 K) 1"{G(?—\\-7`] Home improvement Contractor License#(if applicable) t0 2)-71`7 Construction Supervisor's License#(if applicable) O�� 5Worklnan's Compensation Insurancc Check one; ❑.I am a sole proprietor ❑ I am the Homeowner , (�P I havc Worker's Compensation Insurance Imurance Company Name I rav e�,e 1-f lde l-Y 1(,1-t I .Cb. cf Workrm='s comp.Policy# _7 PJ U 3—q a.a X Ce 5 3 — 50 2- Permit Request(chock box) roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stepping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maxiinwn.44) ❑ Other(specify) •Where required: Issuance of this painit does not cx"t compliaucc with other town dcpart tent regulations,i.e.lustotic,Consmation,etc. S' lgnature Q:Fanrj:expmtrg Ravised 121901 � C AS��bUf`t0 ,`�P LIUjOne Ij 5ton, fV1a0�-� OO s I . n.r , .'• ill . .. :•rl, Ir.I, li , Irr.r:ll,l .nlrl r•i•.,u { tri .uLlr r :. nrrllllr..rlu,n �t, 11• •/I,...1.I/.I UOARD.•O!= uUILUItt�:: Itl_C;UL.i\IlUtt;;Llconst': CQJI:;I I<UC-i'IOhJ ;;III' tqup,hur:'C;; Uirt0daW.:;l Ql"kv l'i C:xpiruN:.c10l10/;'UG: ,.:lit KuslriGlud:°00 MAULJ CAZLAuur 1565 MAIN --I- 0 ;;rERVILLL, fv1A 0;'G55 i, 677/ rze a. 1'�47/' :10 ' Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2004 PAUL J. CAZEAULT & SONS, INC. Paul Cazeault P.O. Box 2781 Orleans, MA 02653 Update Address and return card. Nl:u•I: rcasuu fur change. Address 1 i Itenc%val I Gmploymcnl : Loll C:Ird r��rs 1/Jo//6utu�tluCr6lUG v�..%lt/,cihlcU�LCWe�if Board of Building Regulations and Standards License or registration valid for iudividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 103714 Board of Building Regulations and Standards Expiration: 7/9/2004 Onc Ashburton Place Itm 1301 Type: Private Corporation Boston, Nla. 02108 MAR-06-02 WED 09:56 AM 11ASTORS & SERVANT FAX NO. 110188r.)J23r. OF LIABILITY INSUR 1"iCJ;;(=C)l;jr�:L"F• v I:I: TN(S CI Iil1f ICr+TG IS I;:SUt_L' AL, I,i.C� • ONLY AND CONFEH� N0 :llGr S 700 IIJ:3t 1C0�C� HOLUL"R. "MIS CLHTII ICA11 p( P •n . UC:ix I. ALTER THL covr-AACC AFt 0N1 li Z: Ts L: C r c o ri`�d i r l! , I:I C 2 t3 1 F I --•_._—.----..---_ I'+iurlr_D ItvSURE.I{;AI-'-OI; Pau1.7- Q&,) llt U Sb s ROOfil)g I INSu"LliA. CC) N.O. box 930 IN;•vFil_110) T'ran::,}�01 Cad i �arsux•Is 1`;11;,, i'-tA 01G�,;: I uJ;a)nral<;. INSI)(q_fl U: TWc 'CIL ICIES CIr INSLMWXL U;TED EFLCAV MAVL; I]CCN ISSUED TO lNF? 1I'ISURL`'D NAM(D AOOVc: r=0fl TI IC POL 'Y I' AIAYNY PECU1REM KE' iF'f{!vt ON C0NC)"1'DtJ Ol- FNY CONTRACT OR OTHER DOCUMCAT W1111 HF5r'ECT 'TU N/Hil H "OL F4:S. AIN, THE Itd UflP,tJCG rFFURDEiD rsY TFIG (OI_ICII_S 17=SCH0.l[D 11E.r1FIN IS SUl3JLCT 7U ALL T}IF TLII !C I''0LICIL'S. AGGRCGATC LIkIiTS I'IUVJN MAY I-IAV( JL-64 f c--DIJ L)OY PAID CLAIMS. POLICY . .. Pf-)-LI-CY GIr I GRICtAI Ln11L1iY g � tiXI I Iltpn 1_1vc? •- L, �hY ( � ;0yn.1II27 1,rNFf4A..t.L 0'1 /c 11 1 L) - — 30 Wi X TIT) D e-d; 1, 0 0. t. 11, GFr{1 AGC.IICC:/01_LeaITAr('1_ICS PEA: _ � rCx.IL7V I X 4u-�CI....`....,I.L!YJ - r•,Inll;;. atlrcic,)rn11LeLIACILIIY I AN AU-W I All OWNED A1,11 G", - I I I If;nc: ! SI>ILUULLUi,U10'i I ;Oli.i I II NI.0 AU10;1 ' - r70:1•p'ilrvl•.[)AlJli);j - � � I11D;1� CAnACE LIAMLnY -T—._"--•-.'...- .-- __._.. 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