HomeMy WebLinkAbout0073 BRANT WAY 2"-')47
OF THE T°�
Town of Barnstable *Permit.# cmozll
ti Expires 6 months from issue date
Regulatory Services Fee-a,—
BARNSTABLE,
MASS.1639. Thomas F. Geiler, Director
IfDM X-PRESS PERMIT
Building Division
Tom Perry,CBO, Building Commissioner MAY 1 4 2009
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us TOWN OF BARNSTABLE
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number_
Property Address _ I 12AN� t.".fOY lYy �
Residential Value of'Work Uy« Minimum fee of$25.00 for work under$6000.00
Owner's Name &Address
2 �'T-��I
Contractor's Name It 6 a19/ ' Telephone Number &j6K- 770�"�yrEs/
I Ionic Improvement Contractor License# (if applicable) / 6, 2
Construction Supervisor's License # (if applicable) Z J1d 7 6
❑Workman's Compensation Insurance
Chec ne:
1 am a sole proprietor
❑ I am the Homeowner
❑ I have.Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy #
Copy of Insurance Compliance Certificate must be on file. ,
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
te-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum .44)
"Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
.SIGNATURE:
i"PI-ll.LSTORNIMbuiiding permit formslEXPRESS.doc
-Revised 100608
r The Commonwealth of Massachusetts
07 Department of Industrial Accidents
Office of Investigations•
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance_Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): tqx y C G0411do"
Address: (, &6,-7 i:.J1g
City/State/Zip- A r.t Phone.#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
..2:�am a soleprpprietor or partner-' listed on the attached sheet 7. .❑Remodeling
ship and have no employees These sub-contractors have g_'❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'-comp.-insurance comp.insurance.$
required.] 5. ❑ We are a corporation and its -10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12. oof repairs
insurance required..]t c. 152, §1(4),and we have no 13.❑ Other
employees.[No workers'
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compmsition policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must subnut a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the subcontractors have�errployees,they must pr vidt their workers'comp.policy number.
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 expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
finq tip 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 hereby certify u derr the pain •and penalties of perjury that the information provided above is/true and correct
Si e. ALL Date: ;.Sb
Phone#
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 5.Plumbing Inspector
6.Other
Contact Person: Phone M
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,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 foregomg-engag in a jom en ipnse in@ud�.n`gtlie.Iag -represent ha'�3�f- lec�ased empiuyer,-oc he-=----- --
receiver or tiustee 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 another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(17 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,MGL chapter 152,§25C(7)states"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 contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of
insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit 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 required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials -
Please be sure that the affidavit is complete'and printed legibly.•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 permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address" the applicant should write"all-locations in (city or ,
tnwn).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each
year.Where a home owner or Citizen is obtaining a license or permit not related to any business or Commercial venture
(Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would liike WAWA you in advance for your 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
4ffiee of Iavestigatlon:s
600 Washington Street
Boston.,MA 02111
Tel. # 617-727-4900 ext-406 Cr 1-977-MASSAFE
Fax# 617-727-7749
Revised l 1-22-06
• www.mass.gov/dia .
Teti Town of Barnstable
Regulatory Services
p $ Thomas F.Geiler,Director
16 Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstabl e.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using ABuilder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for.
-(Address of lob)
Si e o r Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side. .
O:FORMS:OWNERPERMMSION -
1
Town of Barnstable
Regulatory Services �+ `,
4
BAYNc,AX.F Thomas F. Geiler,Director
� Building Division PrED F Tom Perry,Building Commissioner
. .200 Main-Strce HyannisrM*-026D 1 _. ..... ... _ _._. . . _._.._.....
www.town.b a rnstable-ma.us
Office: 509-862-403 8 Fax: 508-790-6230
HOMMOV NER LICENSE EXEMPTION.
Please Print
DATE
JOB LOCATION:
number street village
"HOMEOWNER'.:
name home phone# work phone#
CURRENT MAILING ADDRESS:
eityhown state zip code
he 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,provided that the owner acts as
supervisor.
DF.FUMON OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to-
be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building yermit. (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."homeownee'certifies that-be/she understands the Town of Barpstable,BuildingDeparhnent
ni irnum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signat#rm of Homeowner
Approval of Building Official
Note: Throe-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that "Any bcimeowne performing work for which abAding permit is mquasd shin 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 ad as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q;
Rules&Regulations•for Licensing Conshvction Supervisor:,Section 2.15) This lack of awareness ofleir results in serious problems,particularly
when the homeowner hirrs unlicensed persons. In this case,ors Board cannot proceed against the unlicensed priori as it would with a licensed
Supuvisar. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of biArr msporuilnlities,many communities require,as part of the permit application,
that the homeowner citify that be/she undcshmds the respom abilities of a Supervisor. On the last page of this issue is a form cunrntly used by
scvaal towns. You may care t amend and adopt such a formnlcerti5cation.for use in your community.
Q:forms:homcaxcmrpt
— a Board of Building Regulations and Standards
,I i�mn!
HOME IMPROVEMENT CONTRACTOR
\; Registration: 123659
Expiration: 3/25/2011 „
Tr# 281647
Type: Individual
Gary C. Graham
Gary Graham
66 Brant Way
Hyannis, MA 02601
' Administrator
1#oard o ui mg egu ate ns an andar s
Construction Supervisor License
N License: CS 42246
s„
Expiration: 3/20/2010 Tr# 18950
Restriction: 00
GARY C GRAHAM
66 BRANT WAY. �� _
g HYANNIS, MA 02601
Commissioner
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map l Parcel �' Permit# 70 13
Health Division Date Issued -7 1-5 1,7 3
Conservation Division s-S� Application Fee O
Tax Collector D���� ���✓� Permit Fee J4 b'�a % 6 '
Treasurer
'PI.iCCO
IBA SERER
9 P ENGGWECTIO�;PE FROM THE
Planning Dept. �GDIVlSION PRIOR T0
consTFcUG"fI0111:
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 2A tyT L-191
r�+
Village
Owner Won 0 YY►i4j ?A 158 Address `7� 132A�7"l�Kl y
Telephone r
x
Permit Request T0 E X'►511"V, D&C'V 19N0 5R how,
nr �� , dFr
Square feet: 1st floor:existing�K_ proposed 336 2nd floor: existing 3) proposed I) aF Total new 9b
Zoning District RC' Flood Plain Groundwater Overlay
Project Valuation'��� o� Construction Type tioo o i=213m PT. ON Sohro T ui31..
. f
Lot Size IS boo f Grandfathered: ❑Yes ❑No If Y supporting 9 es attach ortin documentation.
Dwelling Type: Single Family ff' Two Family ❑ Multi-Family.(#units)
Age of Existing Structure 1b yRS Historic House:,❑Yes t�1'No On Old King's Highway: ❑Yes &o
Basement Type: CAI 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 new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: UYGas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing _ New' Existing wood/coal stove: ❑Yes ®No
Detached garage:❑existing ❑new size Pool:❑existing Cl new size Barn:❑existing ❑new size
Attached garage:2Lexisting ❑new size Shed:❑existing ❑new size Other:
t.
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ o {:
J ® �
Commercial ❑Yes ❑No If yes, site plan review# r
Current Use Proposed Use - S1
BUILDER INFORMATION
Name �) �, �- G�--RHEN Telephone Number Fn'•77�-iq
Address License#
�1!1 tiNNIS M R Home Improvement Contractor# Q3&. l
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO O ri II
SIGNATURE DATE b`I k 3
I
FOR OFFICIAL USE ONLY
PERMIT NO.
I
DATE IS SUED
MAP/PARCEL NO.
ADDRESS '�. VILLAGE C)
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
r
DATE CLOSED OUT
ASSOCIATION PLAN NO.
. W
.. - �1ae rVomvrreaivaea�t a�✓�aaaac0u,�aetla
BOARD OF BUtLDJNG REGULATIONS
License: QONSTRUCTION SUPERVISOR
ln` Numb EG _ 042246
� I
H 03i`204 Tr.no: 20196
GARY C GRAHA
66 1 B''RIANT 1l1FAY :,. 9` Lw.•av�i t, ...
HYANNIS, MA .0260` ems"
Administrator
t }_ GTE
Board of Building Regulations and Standards
HOME IM,S,20VEMENT CONTRACTOR
Registration 23659
Eration= /2r�5/2005
a3. �
.� _ YPe J-di'Vidual. `
Gary C.Graham, '—T,ry
Gary Graham
66 Brant Way - �
Hyannis,MA 02601
Administrator
- 1
• t
� •' .. - 1. = _
r
SHE
Town of Barnstable
ywP�OF Town
Regulatory Services
Thomas F.Geller,Director -
ns.►ss.
9 039. g
Buildin Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-403 8 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT ,.
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERNIIT 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. v
Type.of Work: Q Q c� �X/S�7a� Di(_k. Estimated Cost D
O.
Address of Work:
Owner's Name: /-bm 4 mil pe/S1Y
Date of Application
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
[]Job Under$1,000
QBuilding not owner-occupied
❑Owner pulling own permit
Notice is hereby-given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO-THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Y /2 US
Date Con actor Name Registration No
OR -
+e Owner's Name =
I '
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office Of10YBS080IIS
_ 600 Washington Street
_ Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
location: 7 3 Yh'I V
city41 phone# 3W-77$-/'1:6
❑ I am a homeowner performing all work myself.
[� I am a sole vrovrietor and have no one worldrig u ca achy
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rovidin workers' co ensation for my employees working on
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have
the rkers' compensation following w mP Polices: ...::..:....-.................
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FaO�e to secure coverage as required wider Section 25A o[MGL 152 can lead to the imposition of criminal penalties of a Hue up to$1,S00.00 and/or
one yam m in
,imprionent as wen as civa penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
I do hereby certify under the p and penalties of perjury that the information provided above is trru/avi correct
Date f' y� -
Signature
694149r Phone# ,Y- 7-1`��/6/
- Print name +
official use only do not write in this area to be completed by city or town official
permit/license# ❑ �Bding Department
city or town:
❑Licensing Board
❑Selechnen'a Office
❑checkif immediate response is required ❑Health Department
contact person:
phone#;- ❑Other
Omsed 9195 PJA) r
t
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
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
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
with the insurance coverage required. Additionally,neither the
wi g
not produced acceptable evidence of compliance
P
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 contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate'of.insurance as all affidavits may e
t
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign an
- o the city or town that the application for the permit or license is
date the affidavit. The affidavit should be returned t
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' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. 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 Permit/license number which will be used as a reference number. The affidavits maybe returned 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
once of lovesdgafions
600 Washington Street
Boston, Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
°F111E_ Town of Barnstable
ti
Regulatory Services
9 saxiv c E,$ Thomas F.Geiler,Director
i639• ��
'DTE039. Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner lust
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize 6A1ZV (?eP H19M to act on my behalf,
in all matters relative to work authorized by this building permit application for:
i3a111VT 1,/a
(Address of job)
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Signature of Owner Date
Print Name t
QTORMS:OVi E ERMMSION �.
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.o�TME�O TOWN OF BARN.STABLE 30662
° Permit No. ................
° BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
Ewa �
•63q• `
`'Fear HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Capricorn Realty Trust
Address Lot #13, 73 Brant Way ,
Hyannms, Massachusetts
USE GROUP f 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.
December 30 87
............................ 19................. !.. !. ........;. ..,c .g" e-
Building Inspector
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
_ IRsaaeTaaa % TOWN OFFICE BUILDING
SUL
7g i6j9. � HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
BuildingPermit $k....`-? 6(ra.Z..............:........................................................................................ .... .�................ . . ...._
issued to d—...:..tr.... c? ? ...........GT/.3, ''.� /
Please release the performance bond.
RNSTABLE, MASSACHUSETI S BUILDING
ER IT 4
DATE x'1(�Y.— `' 19 ? PERMIT
AP�LYCApT'}' i1C0 tic ai ":; i:. i�iib` C.'?' ADDRESS Lt')LJ
(NO.) - (STREET) (CONTR'S LICENSE! -
NUMBER OF
PERMITTOp�,,i:3 Ul�U .�'.`d(j.L J.12,1 � ( Z) STORY'. - �:..L t);7•:s...1 J_1i<1DWELLING UNITS
,(TYPE OF-IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) uot; h 131 7 3 .f,%.;!'1 s.,::. .' DISTRICT
(NO.) (STREET)
ETWEEN AND
x (CROSS STREET) '(CROSS STREET)
LOT
'iJ.IVISION LOT BLOCK SIZE
ILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
,F
0 TYPE USE GROUP BASEMENT WALLS OR FOUNDATION -
(TYPE)
REMARKS: "
OLUME - 113U :��1• 1•.'t../ `'r t1� �,i{J•j• L;V PERMIT !i �)li
ESTIMATED COST .FEE $_:'
• - (CUBIC/SQUARE FEET) '
OWNER. C4 ricurj—, lu i1 i i'l"U
t
iAJ_Tt?<7Lll, ..,C.� _ BUILDING DEPT.
ADORES f
S 8Y ...• ri
.�r. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER T=MPORARILY OR
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 OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS..
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LAT,'H). FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEF(4RE-
OCCUPANCY. -
r POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS _ PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
6JG
I 1
V :
r
3 .y HEATING INSPECTION APPROVALS ENGINEERI G DEPAR ENT
OTHER (((' (((\ BOARD OF HEALTH f • ,
ty
A VVOWSHALL NOT PROCEED UNTIL PHL- INSPLC' PE.R? I)dIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPLCTIUN!i INUICA11. UN IIII:;CAN)CAN I
ib
TOR HAS APPROVED THE VARIODUS STAGES OF WORM IS NOT STARTED WITHIN SIB( MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
{ CONSTRGCTION.'" [PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION.
r
THE
;se sor's map and lot number ... ...... .. '
Sewage Permit number
�• I � C Z 3 SHTi►DLE, i
House number ...... ......................................7.......................... mo
`tt
p 2639.
Ar
TOWN OFBARNSTABLE.
BUILDING INS;PECTOR .
i �
APPLICATION FOR PERMIT TO COY�S'trLiCt Single .Family DW@lling � � s
! k
a,,. .
TYPE OF CONSTRUCTION .......W00d Frame.....................................................r
r. - r
Septembert� 8..... . .. .?9 .
TO THE INSPECTOR OF-BUILDINGS:
f
The undersigned hereby.applies for a,'permit according to' the following information:
Location�•�t #. ...• . t• t�z:[�a�t; T��ran rL s ..MA. ....................................................... .....
Proposed Use .....`.. :`......r ": , , ......... :..... ' r _
r i .
Zoning District R C Fire District '..... ................ ...... .............. .......... ......
-,Ca nicorn Real - b Falm t
Name of Owne ..p.......:. .................. ; ' 'u .:...:.......Address 7.6.5
Name of Builye anI 0••Real-ESt.DeV.Co.' Inc.Address. .............! . IRO...... .. .....:... h.. . i fry
Nameof Architect ..................................................................Address .................................................::........................................ h
i
9
Number of Rooms ...... .......................................................Foundation .......P.X..................................................
.:... t
- r µ
Exterior Clapboard aridfor••Sh ngl,�p•••;;. .•....Roofing '.Asphalt.::Shirrg.1®8
IiNl
.�....
Floors ... arP et..............................................�.. ..................:Interior� .�.-
...:......s3@•8�OCG .:.'.....:..........:.......
........
Heating Gas......-...::F.....••A•• ............ ....... g Capper.........................:...........
p Non@ .......Approximate. Cost :...� O�.Q.RC QQ
Fireplace :........... w.
�3d
Definitive Plan Approved by Planning Board ________________________________19-------- . Area xur .. :...:.f.t
Diagram of Lot and Building with Dimensions Fee ` ...
SUBJECT TO APPROVAL OF BOARD OF HEALTH / I
jp
. I
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 3
I hereby agree to conform to all the Rules and Regulations oJeTown,of Barnstable regarding the above
construction.
Nam �—...
+
Construction Supervisor's License . .. .. .... ......................
I
`
� .
CAPRICORN REALTY TRUST
. .
�' 30 662' One Story
^ . Permit for - '
Fp` ' Single FamilyD�ellio�-..| z. � ------ . .. �...........
,
` Lot #I] v
Location --------�- 73 Brant �a----------.^.
I{ a i ^ ' '
- .--�--..�� �-------.'-.c---..
Jvn&. .......Capricorn Realt.� T` �. ��t� ���-----.a�.c .-.. � . -
�
| Toa of ~~ ~ ~~ I �a� me........................
` .......... .......... -----.------�-_---- . .
� . ` . .
� -
Plot .............. Lot ... ............................
^-'- - April 24 , � 87
Permit Granted .-� . lg
. ------------ . �
�
� Dote of |nspection �----.
/1_ -
^
"p'= Completed ` ..... ' . . `
�
. -
— �
-�
. '
. - �
Assessor's -map and lot number s � :> . �.... r'
t � ,� FTNEt
I ;. (/
Permit
Sewage Perm number. ...A....../i�
-- � v ��.d.. -..✓ '�r��/��� Z BAHHST/IDLE, i
House number r NAB&
.................................:......•................................ 00o 1639 \0�
t
AEG NAY a'
'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
A � .
APPLICATION-'FOR PERMIT Ohgt 4- ;'S.� g-1, �Aiiii1 `we1i rig
' TYPE OF CONSTRUCTION WOO.d...F.r.aMe....................................................
Septe��er 1=6 ........... . . .....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Y
LocatiorLot..#.......13...Bran'.tai .'V.ay"..ITyayiYii.e...r,;A., ........................................:...................................... �
ProposedUse ......................................................................................................................................................
ZoningDistri Fire District ... ...........,.....
R C..,:� ............................................................... �jyA2111i�. ...........
E
Name of Ow'Mpricnrn-Realty Addr'165..•Fg1ino'iitYi"Road; Hyaririiso lv�a'g$'.
Tres�t.................
Name' of BPI 1C0..Re81... .....Address ......:.
. .................................................................
Name of Architect ....................................................Address
E
Number of Rooms S.=....................... ....Foundation
P.C.�.............................. ...............................
Exierio - ...Roofin
C�apYrvard'•'an • •or".Shi>'t�]:e�.................. Asphalt•����ingles
Floor-s: ..................Interior ..........
e> rpet........::....................................:....... Slieetrock
3t
r-MrgaB.....�; �'_-':{ -6A—i._...:.............................................Plumbing .... . .P..r..........
._ _ wo
Firepl: .::.......................................Approximate. Cost P
Definitive Plan Approved by Planning Board ________________________`___:___19_-_--___. Area
-- _ .....
� 10� . .�q� ft.
Diag-ram of Lot and Building with Dimensions Fee ....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
t
4
1 -
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. C'
Name zz it/ f ...........................
G
Pres .
Y
Construction Supervisor's License ....................................
99
�, � 004 8
CAPRICORN REALTY RUST 272—�3
No ....30662 Permit for One Story
Single Family Dwelling
Location ...Lot #13 , 73 Brant Way
.........
HXannis
Owner .......Cap.ricorn Realty Trust
...................................
Type of Construction „Frame
..........................................................................
Plot ............................ Lot ...........................
Permit Granted A p ril 24 , 19 87
Date of Inspection ....................................19
Date Completed ......................................19
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\ I Graz
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OF
C. sc TOWN OF BARNSTABLE ZONING
FRANK WHITING N BY-LAWS DATED FEBRUARY 1986
No. 29369 w
LONE: RC- 1
LASETBACKS
Y
FRONT 30' i
SIDE = 15' i
REAR = 15'
PROPERTY LINES SHOWN HEREON WERE COMPILED
FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1348---05
AN ACTUAL SURVEY ON THE GROUND. -- --- --- �_.
THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED
PLOT PLAN r
ON THE GROUND BY SURVEY ON APRIL 21 1987 in I
AND-EXISTS AS SHOWN AS OF THE DATE OF LOCATION. I
BARNSTABLE MASS .
THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1"=20 ' APRIL 22 1987
. SHOULD NOT BE USED FOR ANY OTHER PURPOSE. -- -- ---- - —
BSC / CAPL_ COD SURVEY CONSULTANTS t
3261 MAIN STREET
DATE PROFESSIONAL LAND SURZY R— BARNSTABLE VILLAGE. MA. 02630 (617) 362-8133
.1 '
I
V c42
t y t
o lO
Cal
�o e
• ���``N OF
C. TOWN OF BARNSTABLE ZONING
FRANK �WHITING Z4 BY-LAWS DATED FEBRUARY 1986
ap NO. 29869 0
LONE: RC-1
SETBACKS
FRONT 30'
¢��z lam) ✓ _ -
SIDE 15
REAR 15'
PROPERTY LINES SHOWN HEREON WERE COMPILED
FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1348--05
AN ACTUAL SURVEY ON THE GROUND. ---- --,- —
THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT FLAN
ON THE GROUND BY SURVEY ON APRIL 21 1987. in
--AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS .
THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1"=20' APRIL 22 1987
SHOULD NOT BE USED FOR ANY OTHER PURPOSE. -- —= —
BSC / CAPE: COD SURVEY CONSULTANTS
3261 MAIN STREET
DATE PROFESSIONAL LAND SURVE>ft1R BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133
N
T
SMgtcora/ 1 p
YaN�� r
` CC328
2
i
LOCUS
J Q~
o�
n
LOCATION MAP
SCALE: 1 = 2,083"*
ZONE RC - 1 ,Y
15,000 S. F. M I N.
125" MIN. FRONTAGE
SETBACKS BRANT._ _ ( 50 " WIDE — PRIVATE) -♦- �'�'_ _ _WAY-
FRONT 30 P E _.._ V _--
R0PUS V srrww "
S I DE 15
REAR 15" ._.. . . . =r
fir' R O P. Cv "'
B. M. USED :
110 C ELEV = 75.68 N.G.V.D. S I I ° 5 43'" W
_ 125. 00'
I � ,
W' Z4 ' x 44- ' ff � O
o � to 1 co
R y' 3 5EF, ( 4M OIo
p L t_//'f
ct)l
N O
IrN -� r -
LOT 14
LOT 12 o , cv z
co1
. I
LOT 13
15, 000 + S F.
— 1 2 5 . 0 0 -
N 1 1 ° 56 " 43 E
� r
CAPE COD SURVEY
Q. CONSULTANTS
3261 MAIN ST. ROUTE 6A
BARNSTABLE VILLAUE, MA 02630
a, (617) 362-8133
PROPOSED SEWER
CONNECTION
40C;ER c
PAUL IV:
m#cmfoE- Icz . LOT 13
krs.3c,4:o
r4 I N
FOR SEWER MAIN DETAIL, 7 1:E PLANS Her KALKLINTF FNGTNEF:RING BARNSTABLE MASS.
CORPCRATTON, ] VIOLET (7tvCLE, SHARON, MASS .
( HYANNIS )
FOR:
CONSTRUCTION NOTES '. CAPRICORN REALTY TRUST
I. ALL UNDERGROUND UTILITIES SHOWN WERE COMPILED ACCORDING TO AVAILABLE
RECORD PLANS FROM THE VARIOUS UTILITY COMPANIES AND PUBLIC AGENCIES
AND ARE APPROXIMATE ONLY. ACTUAL LOCATIONS MUST BE DETERMINED IN THE
FIELD. THE CONTRACTOR MUST NOTIFY UTILITY COMPANIES 72 HOURS IN ADVANCE SCALE ILA = 20'
OF CONSTRUCTION. THIS MAYBE DONE BY CONTACTING THE DIG - SAFE CENTER METERS
( 1 - 800 - 322 - 4844)
FEET o 10 20 40
2 ALL WORK AND MATERIALS SHALL CONFORM TO THE TOWN OF BARNSTABLE DATE: SEPTEMBER 18 , 1985
PEPT. OF PUBLIC WORKS CONSTRUCTION SPECIFICATIONS AND STANDARDS .
3. PRIOR TO START OF CONSTRUCTION THE CONTRACTOR MUST OBTAIN FROM THE COMP./DESIGN
TOWN OF BARNSTABLE A SEWER TIE -- IN PERMIT AND A ROAD OPENING PERMIT. CHECK:
DRAWN : T. P.C.
FIELD: R. E. G. / J. V.B.
FILE NO:
DWG. NO: 1001 — 1 3 JOB N0:03— 1348- 05
SHEET: OF: