HomeMy WebLinkAbout0043 STONE BRIDGE LANE 9
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Town of Barnstable *Perrrdt#R00&13/y/
Expires 6 months from issue date
\,s �� a� �� Regulatory Services Fee ag
Thomas F.Geiler,Director
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 PERNUT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number �b
7Residential
Address �13 him& • e+ �J—► V 'Value of Work�.0 U Minimum fee of$25.00 for work under$6000.00
Owner's Name.&Address �1 V' 'w d pb � f
3� ftw
5-+-- Df -I
�J u�11 ICJ lk Tele hone Number
Contractor's Name P
Home Improvement Contractor License#(if applicable) � J
Construction Supervisor's License#(if applicable)
,i
❑Workman's Compensation Insurance
Ch9ek
one: -%
I am a sole proprietor
❑ 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) ^
2 a-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: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Impro nt Contractors License is required.
SIGNA
Q:Forms:expmtrg
Revise071405
°FTH�T�ti Town of Barnstable
Regulatory Services
MAss� Thomas F.Geiler,Director
9� s6?9. �
pTFo Ma's' Building Division.
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, as Owner of the subject property
hereby authorize V s 0, -I�C to act on my behalf,
in all matters relative to work authorized b�liis building permit application for.
L-3
(Addres Job)
ignature of Owner Date
Print Name
Q TORMS:OWNERPERMISSION
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,NIA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: ]builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): wc�,, Caw
Address:
City/State/Zip: MA (A0 0 I Phone it: IGO"`l
Are you an employer? Check the-appropriate box: Type of project(required):
1.❑ I 2M 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 $ 7• ❑ Remodeling
ship and have no employees These sub-contractors have S: ❑ Demolition
working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition.
[No workers' pomp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
required.] officers have exercised their
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑JP,4umbing repairs o-r additions
myself.[No workers' comp, c. 152, §1(4),and we have no 12. Roof repairs
insurance required.] t employees. [No workers'
comp.insurance required.] 13 ❑ Other
*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 expisa-don[late).
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$1,500..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
Investigations of the DIA for insurance coverage verification.
I do hereb�.y certify under P e pai d penalties of perjury that the information provided bove is trueand correct
Si ature: Date: " C�
Phone#: 9
Official use only. Do 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 3.City/Town Clerk 4.Electrical inspector S.Plumbing inspector
6. Other
Contact Person: phone#:
Y
� T/.
_ Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
License or registration valid for'
Re lstraition9 ACTOR ludividul use only
_ 24310 before the expiration date. If found return use
007 Board of Building Regulations and Standards
_ iWduai One Ashburton Place Rm 1301
ames Curley (: —.� I Boston,Ma.02108
Imes Curl -�
17 Fuller Rdy
mierville,MA 026322 G--{
Adminlstrator -"
Not valid without si na
i
g ure
I( ,
c
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -�
a c ors Lo 3
Map Parcel Permit#
Health Division / Date Issued - ) Z d 1
Conservation Division + `® Fees
Tax Collector � r7 l , SEPTIC SYSTEM T M
Treasurer �►�-n_ �� � D/ INSTALLED IN WAPLV: ;'-
WITH TITLE 5
Planning Dept. /}- n ENVIRONMENTAL COS" i
Date Definitive Plan Approved by Planning Board �' ry ` TOWN NEQULATJONS
Historic-OKH Preservation/Hyannis 1§ io o
Project Street Address 6 i(31 le Lev,
Village v 9 Y,�,��� Y\ s
Owner i �< PO,VL kt,-I( Address S i4lMe
Telephone Sop 4a '9 G-73(.3 S 67 q$3 S1 ( -7
Permit Request 6 kr, n ce. LX 14'Y)e a a 'S un D 6n
CS Ihy,
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Valuation • �S6D Zoning District Flood Plain Groundwater Overlay
Construction Type W60
Lot Size Grandfathbred: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Famil Two Family ❑ Multi-Family(#units)
Age of Existing Structure ► PS Historic House: ❑Yes No On Old Kin s Highway: El Yes ❑No
� ' :� � Y
Basement Type: P.Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing 3 new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas P Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Deck
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE I I
FOR OFFICIAL USE ONLY
z� d
1
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.,
ADDRESS �'
i �°,.�.,,. . VILLAGE -
OWNER
lSP'
DATE OF INSPECTION:,^%
FOUNDATION C��t
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH - FINAL
GAS: ROUGH—* FINAL
FINAL BUILDING
DATE CLOSED OUT d
ASSOCIATION PLAN NO.
F VE
The Town of Barnstable
• snxMsrnsM -
9� MAS& �0$ Regulatory Services
ArE1659. A Thomas F. Geiler, Director
Building Division .
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
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. ((//�� -��
Type of Work: Q:C 6 p ui-P Estimated Cost J S'
Address of Work: �� 010,e.. f ae,,r
Owner's Name: I ,ke-K
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job 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
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
a16161 a
Date Owner's Name
g1orms:Affidav
The Commonwealth of Massachusetts
1
> -- Department of Industrial Accidents
,OlflceoffaYestfaadoas
-- 600 Washington Street
s% Boston,Mass. 02111
Workers' Co m ensation Insurance Affidavit
armunim
name: DN k PQkk-OA
location: 4-3
city �� �nt1 �.S phone
�I am a homeowner performing all work myself.
❑ I am a sole rietor and have no one woridzt in arty acity
❑ I am an employer providing workers' compensation for my employees working on this job.:
'a ss
«are --
::.:
............ .................... .....::;::::.:::::.::::::..:::.::.......
c
t]
:;<<::.
ltisurance co:: . ... . ...: :.....>:>::;:>;»::<:>::<:<.<:.;::
❑ 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:
he=
vnnm
m an CO A
adore s
ri N•:x
e
m a
city'« <'<'. ><><> > :> ><'. <> << > > _> > ><:` :>:::>: `>< » > ; >> -
..........,.. ... ...........:.. opicv
/
:<:::;:.:.::::;.;::.:.........
:< on
X.:.:.;.: <;:. .:.< .?»><>>:::::`::::>::>:>::.:>:: :: :.:::.;>>::;>::'<:»»:>> <::>:<:::::::>;:>>::»:»>: :<::«:>:»»> :<:<:>>': it
cite
aranc
oil CV
Paflure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of ctfntmal penalties of a line up to$1.SOO Q0 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flat of S100.00 a day against me. I mulastand that a
copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage veridcatioa
I do hereby certify under the pains and penalties of perjury that the information provided above is tprw.and correct
Signature LD AJ, Date
Print name I cl lQ1o.11J PQ 9, V Phone#„ S O 7 VQ 71 —
official use only do not write in this area to be completed by city or town offid-1
city or town: permit/llcense# ❑Building Department
❑Licensing Board
❑check ifLnmedlate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
(mvnsed 9195 P1A)
Information and Instructions �.
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law", 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
nce , constructhan or repair work on such dwelling house or an the grounds or
another who employs persons to do maintena
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 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,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 wnt:acting
authority. `
I
Applicants
;_ Please fill in the workers' compensation affidavit completely,by checking the boat that applies to your situation and
supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe
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 pernhit 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' compeasati6 policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed leghly. 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 perntidlicea number which will be used as a reference number. The affidavits maybe rcturhR to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you 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
Me of Invest10atlons
600 Washington Street
Boston,Ma. 02111
- fax#: (617) 727-7749
phone#: (617) 7274900 eat 406, 409 or 375
f
OF SHE Jr,
The Town of Barnstable
-`�'g Regulatory Services
t639• �0
Thomas F. Geller, Director
Building Division
Peter F. DiMatteo, Building-Commissioner
367 Main Street,Hyannis MA 02601
Fax: 508-790-6230
Office: 508-862-4038
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: 1 1 S
10B LOCATION: S '" �� �� village
Ll Streetnumber
..HOMEOWNER": D11 C I� p�rh,K-eve. l� O 7� �7
home phone# work phone#
name e
CURRENT MAILING ADDRESS:
city/town
state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or
less and to allow homeowners to engage an individual for hire who does not possess a license,arovi�hat
the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on yihich he/she resides or intends to reside,on which there is,or is
e and/or
intended to be,a one or two-family dwelling,attached or detached stwo-ye s accessory all not beo such uconsidered
farm structures. A person who constructs more than one home in a two-year p
a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the
Building Official,that he/she shall be res ponsible for all such work performed under the building permit.
(Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and
other applicable codes,bylaws,rules and regulations.
The undersigned."homeowner"certifies that he/she understands the Town of Barnstable Building
rocedures and requirements and that he/she will comply with said
Department minimum inspection p
proced an u' en .
Signatur of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply
with the Slate Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the
provisions of this section(Section.109.1.1-Licensing of construction Supervisors):provided that if the homeowner engages a
person(s)for hire to do such work.that such Homeowner shall act as supervisor-,'are
upervisor." the responsibilities of a supervisor(see
Many homeowners who use this exemption are unaware that they are assuming Po
Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness often results in
serious problems.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the
unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible
as part of the permit
To ensure that the.homeowner is fully aware of his/her responsibilities,many
application,that the homeowner oce�fyYo t he/she understt pa
ands the
adopt responuchtlities of a Supervisor.a form/certificatioa for Ouse in n the our community ge of this slue is a
form currently used by several
Q:FORMS:EXEMPTN ! '
.i i
PLOT PLAN
FOR LOT 0
Lodicatc location of Earaec or acccmory Lulldint
Additions . 10. disl,cd Lind ---_—
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001wr TOWN OF BARNSTABLE Permit No. 3295.6.......
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
.M�
0 HYANNIS.MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Capricorn Realty Trust
Address Lot #3, 43 Stone Bridge Lane
Marstons Mills, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
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.
I
� Feb=ary 23, 90 �
.......................... 19................. ......... .........
Building Inspector
3 ARNSTABLE, MASSACHUSETTS � . BUILDING PERMIT
DATE 19 PERMIT NO.
rAT (LOCAT
NT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
TO (_) STORY DWELLING UNITS
(TYP OF IMPROVEMENT) NO. (PROPOSED USE)
Io ZONING
ION) )STRICT
(NO.)• (STREET)EN AND
(CROSS STREET) (CROSS STREET) I
LOT
SUBDIVISIONS LOT BLOCK SIZE I
I
I
{ BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION I
I
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
�I
t
i
AREA OR a PERMIT
,VOLUME ESTIMATED COST $ FEE
-.(CUBIC/SQUARE .E 1
OWNER {
BUILDING DEPT. I
ADDRESS BY
I
THIS PERMIT CONVEYS'NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR I
® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. '
{ MINIMUM
INI U OF THREE CALL REQUIRED FOR
APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE _A CERTIFICATE OF OCC_UP-A.N.rY—L- R +a.E6.H .41e-At+»'�T-e---[TT'o'
2--pR)ocJ,80—H EiUILDINv' SHALL NOT BE OCCUPIED UNTIL
+ MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE.
3.-FINAL INSPECTION BEFORE
OCCUPANCY. j
POST THIS CARD SO IT IS VISIBLE FROM STREET �
BUILDING INSPECTION APPROVALS PLUMBING(INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
3 I
v � I
i
,� 1 I
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z 2 �•fAI �lg 2
C,
3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
oa3-`
OTHER --_--_---- BOARD 01 tIEALIFt
o
'PERMIT ',!LL BECOME NULL AND VOID IF CONSTRUCTION
WORK SHALL NOT PROCEED UNTIL THE INSPEC- INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR.HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
BUIIDING PERMIT No. -� �—
e�— DniE7�
ASSESSORS P.kRCEL NO.�a
—S
CONTINUATION OF ROAD BOND
The undersigned owner/contractor hereby agree
force until the following work items a' compIetedatot[he sat1- road bon in
Q
in
Engineerg Section of the Deoar=e:it of Public war s: the
Zl�
loa: and seed shoulders as Soon -as
weather pe^its:
v other e
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WHITING N /��'. /✓yi,1i
No. 29839 �J
- /pEgpL g0 pPoJ. �t/o. 6 9 -20 Z
Asdessor's offioe •(lst_ floor): THE
/ a�� , E�ze/�
a, i-b'p. t�� C
Assessor's-ma and lot number `
Board of Health (3rd floor): 8 SEC ego o.
. Sewage Permit number ... : .:. / ..
Engineering Department (3rd floor):
N E,
House number .................................. ..... ..!c..il/Ll............ ENM
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00'= P.M. only; TOWN REGULAMONS p
TOWN 'OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO C.Q 1s.tXUQ.t...?...s.Ingle,,,family,.!l q;Llin,g..........
TYPE OF CONSTRUCTION
................Marcy 25 19
f_ TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........L.P. ...# ...................................... Qne... r.i.G.qe...14?.ilk..........................ma. S .AAS...Mi,lls..............
ProposedUse .............................................................................................................................................................................
Zoning District ........R•F• .....Fire District .... stille......................................................... ........erV.................................
Name of Owner Ca.pri.QQX.n...Re.A.I:k:Y...'T'.x'ust.............Address ..7..6S...k: IM0.filth...RQ.gld ....HYannis..............
Name of Builder ..F.r.a.11C.A...R.,. .....D.E.V...... Address ..7..6�...ka.]ms�.uth...k�a.ail,....H.Y .z>�, ..............
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms .........eight............................................Foundation .........R.-C.............................................................
Exlerior C.I.aP oard...andLox'...s.h.in.gle.s..................Roofing ..a.sphalt...sbiagle.s........................................
Floors .....c.a7:.p.e.t..................................................................Interior ..sheetrock..........................................................
Heating——.:.�`za3 -:F..:V:1.A...:...............................................Plumbing .......Tv TvQ--QqPP.1PX................................................
Fireplace ..............Ye.5............:................................................Approximate Cost ..........$4.Q.r.0 N,,0 0
Definitive Plan Approved by Planning Board ------R.7`' 3---------- 8/ //�W('
9 Area :..... .. ...................
Diagram of Lot and Building with Dimensions ��j.�
Fee ......................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/Z 4;1d
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
a ......... ............. ... . ............................
• Construction Supervisor's License ..0 0 0 9 8 9
. ..................
C:APRICORN REALTY TRUST k
No .32956... Permit for ..1 Stg);y.........
Single .Fam1 ...........
Location L4t.... . . .......� ...,S .QX��...$z.7,S4�� Lane
..................Ma. S.t.QR5...mi.UV9........................
Owner .....Capricorn„
Type of Construction ..k:Z.aMP...........................
Plot ............................. Lot ................................
Permit Granted .......June...7.................19 8 9'
Date of Inspection ....................................19
Date `Completed �. ��.�� 19
X�Y)
e pn's
Lam: u
y s =
Assessor's off ioe Ost floor):, -:. G�/ o*TME
Assessor's map and lot number . .,li..... _5": r d..l//! QNl
Board of Health (3rd floor):'
�..,/.... Q L B9Ba o�
Sewage Permit number ... .: � r. I � ° `-'9T/1DLE, .
Engineering Department (3rd floor): .. ` �o -raea e�0
-039•
House number
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00• P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO gQ.nAtXter..t...A.,s inal9...family,,,.dwellina
TYPE OF CONSTRUCTION ........ ra.ad...f..r..ame.................................................................................�................
.2.5...........19....ID
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
` Location Lot...#3 Stone Br dc1P Lane NZarstons...Mllls
ProposedUse .............................................................................................................................•.............................................:..
Zoning District ........R•F........................................................Fire District ....�P11tPX,y],� e.rOsterville
......................................
Capricorn Realtv Trws
d, Name of Owner ..... .................................�...........................Address ..7.Fib...Fa.1.z!le?t71t. ... 5��. .�....Hdnrx s..............
e of Builder ...Fra.nca. R.,E.....Ae.XV..C.C?.....zn.P..Address ..7..65....Pa.l.nl. .tat,..h...Ro.a .,.... Y.a.?7�.n .S..............
Ne of Architect ..................................................................Address ....................................................................................
Number of Rooms ........e gk3t............................................Foundation .........P. .............................................................
Exterior Cl.c-Apboc-. r.d.. .nd./.o.r...ah.a.X1.f;le.s..................Roofing ..a.SL_�halt...S.h1.ngl.e.s........................................
Floors .....cdrFz et.................................................................Interior ..sheetrock...........................................................
Heating ......Ga.-9:7.F.' WR.A.,...................................................Plumbing .......TWO.-CO.piper................................................
Fireplace Yes............................................................Approximate Cost .......... 4.Q. .0,00,.,00..................................
✓ Definitive Plan Approved by Planning Board -------� __/� ____19_8 Area ...................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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 ....... /l/ .....
Construction Supervisor's License ..000989
CAPRICORN REALTY TRUST A=125-006-01,@,T-00n-�n;�
�
7 0 06 -0 0 67
No Permit for ...........
...
Single Family.. ......
.......................................... ..
Location ...Lq:t...#.3.j......43.. Stone.....Bridge Lane
Marstons Mills
......................................................................
Capricorn R6alty Trust
Owner ..,,,Capricorn..................7--*... ...
Type of Construction ..F.ram.e...........................
.. .. .... ..
...............................................................................
Plot ............................ Lot ................................
Ju e 7 89
Permit Granted .......................... .............19
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT COMPLETED 1/1