HomeMy WebLinkAbout0033 EVENTIDE LANE � ,�
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TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
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PARCEL ID '273 085 008 GEOBASE ID 37648
, ADDRESS �33 EVENTIDE LANE PHONE
Hyannis - ZIP -
LOT 12 BLOCK LOT 'SIZE
DBA DEVELOPMENT DISTRICT NY
PERMI'T� 21360 DESCRIPTION SINGLE FAMILY DWELLING (PMT.##19}341)
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: ; Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: r`
( BOND $.00 CIE
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY ;
• BARNSrABM •
OWNER COBBLESTONE, LANDIN 039' &
ADDRESS P 0 BOX 274
BARNSTABLE MA BUI!}}'ING DIVIS A'
By '14
DATE ISSUED 02/27/17 EXPIRATION DATE i
TOWN OF BARNSTABLE r
BUILDING PERMIT
l '
PARCEL ID 273 085 008 GEOBASE ID 37648
ADDRESS 33 EVENTIDE LANE PHONE
Hyannis ZIP -
LOT 7 12 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT HY
PERMIT 19341 DESCRIPTION SINGLE FAMILY DWELLING (TOWN SEWER)
PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT
CONTRACTORS: MARKWOOD CORPORATION Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: $221.65
BOND $.00
CONSTRUCTION COSTS $�1,500.00
101 SINGLE FAM HOME DETACHED 1 PRIVATE P STABI•F,
OWNER COBBLESTONE, LANDIN
ADDRESS P 0 BOX 274
BARNSTABLE MA BUILDIN- IVIS
BY
DATE ISSUED 11/18/1996 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
A i
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL
INSPECTION APPROVALS
0ell3 9
2 2 I'V 2
yV
3 c 1 HEATING INtPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPRO
F<gk AkNm
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
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TOWN OF BARNSTABLE ZONING
ZONE : RC- I TO THE BEST OF MY PROFESSIONAL KNOWLEDGE
SETBACKS OPEN SPACE INFORMATION AND BELIEF THE STRUCTURE SHOWN
FRONT - 20' HEREON CONFORMS TV THE HOR/ZONTAL SETBACKS
SIDE - 7.5' AS GRANTED UNDER THIS OPEN SPACE DEVELOPEMENT.
REAR - 7.5'
PROPERTY LINES SHOWN HEREON NOf
WERE COMPILED FROM AVAILABLE �o����` C. gsf9
PLANS OF RECORD AND DO NOT FRANK '^
REPRESENT AN ACTUAL SURVEY WHITING N
ON THE GROUND. o No.29869 Isk
zlk
THE DWELLING DEPICTED ON THIS ` PLOT PLAN
PLAN WAS LOCATED ON THE GROUND IN
BY SURVEY ON DEC. 4. 1996 AND L� L BARNSTABLE, MASS.
EXISTS AS SHOWN AS OF THE DATE
OF L OCA T/ON. SCALE: 1 '-40' DEC. 5. 1996
THIS PLAN /S FOR PLOT PLAN EAGLE SURVEYING 8 ENGINEERING.INC.
PURPOSES ONLY AND NOT FOR $28 Route 6A
RECORDING. DEED DESCRIPTIONS Yapaouthport. AA. 0267S
OR ESTABLISHING PROPERTY LINES. (508) $62-8182
(508) 432-S833
THIS PLAN IS VOID /F NOT
STAMPED AND SIGNED /N RED.
0 20 40 80 PROJECT NO. 96-387
' - a--z.O --/r
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'TowA of Barnstable *Permit#
AU Expires 6 months from issue date
G 0 7 2015Regulatory Services Fee
• snxrvsTesre. g� (^,
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9� $ OF BARNSc �Ev. Scali,Director
t63g. �0
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Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 02 3d zif f
Property Address J7 ,"4Q
[Residential Value of Work$ �Z�p Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
Contractor's Name dJ S Dk 1'`a V Telephone Number ���2C( L Z 6�g Ll
Home Improvement Contractor License#(if applicable) 6 ( Email:
Construction Supervisor's License#(if applicable) Dq 55{e (1P
( Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name rX QQ-I CS
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑,Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
[SJ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required. fin,
SIGNATURE:
Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc
Revised 040215
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Adzch a=copy nffEe warkere=np=zt ixm party decLrmt om Frame(shuwh3:g f e poli.LT n er ma&'eggs on ash):
Faslnce to Sew 25A of MM c 152 rap lead to tine imposes oi•criminal pen$Ities CCE a
Rue up to SL_SDU GD andlor ow-ycarim as well as civil Pen-AIR m'$m fr!=of a 5TGF VJGFX OR=and a.Hm5
c ap.to$250-00 a day agar fhe violator- Be advised'9 a copg of ffvs std=eut maybe ceded to The 41ffina of
r hgr..by cerLfp ruuLr tksgtmis auipmuff6k P$teat$s�u 77rnzcr6m pravido ahesve is hue mud= eszt
rurL frsa rxud I]F ruat wdhr in f Us areas is bg=Rvzw by CE�,m- u•ficial
City or Tows: R rmitTA-c=st 9
L Bwxa efHealth I$dIrng I af�{£aima=k 4.EIedri,,IE sp iar 5.Ping for
Gffi=
NFac r- C,semaal Laws chagtea I52 rmpm--S an eaaplayeas to provide w06='=MP— h(3n far chair eruployFes
Ptusaa3t-to ffiis sty an emplDpce is drFrued service of=ot=codes arty ea tract of hire,
express or ed, are orb"
An MPFzYar•is defined as asn pat= h associafian,carpara H or other legal amity,or my two or more
of fie km mgoing mgaged m a Jars Mlh z e,and 1ach, ,$e legal rives of a deceased employer,-or the
recezver oar trustee of an ina ideal,partnership,associaiian or other legal entity,eruplaying employes However the
- o�tner of a dweffmg house having oat more f�ire aparlme�s anti who resides fliea-ein,or the occupant of the
dwelling house of another Who emplays pecans to do m3filtc e,mns�on.or repair work on sack clweliing house
or'on f�.e grounds or btnlding thereto sba n not because of sorh=ploymrnt be d=med to be-an employer."
l�o aFpmlEnaztt
KiGL chaptEz 152, §25C(6)also sW=tit¢every state or local fic�asmg agency shall withhold the issuance or
e commonwealth for a
- to 6 erate a bvsiae�.s or to construct bntl in th n5'
renewal of a hcetrse or ermit �s
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ap-plia=t Who has not prod>fced acceptable evidence of coTMph-mm with.the histn- . -coverage requn-ed
Ac��Tt;rn,aTTy,MM chapter 152,§25C(7)stains-Neither fie commonwe;althnor any of isrpolidcal subdivisions shall
ca:act fr fie e=d ante of ubEc vfa�onisl table evidence of campIiance with the;n crn�nce
enter into asp P P •
req mts of this chapter have been presendrd to the=A acting aoihouty."
Applicants
Please fll oat fe workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
s nam s es and mnnb s aldng with their=t,:Ecate(s) of
necessary �PPl3'sob-confractnrC) e{), address( _) Phffie ea{)
ins-n=Ce_ Limited LiabihLy Companies CLLC)or L=tit dLiability Partnerships(LLP)WIG'no employees other ihan the
members or partners,are not mquirDd to cagy workers' compensation ir,m„-a„oe_ If as LLC or LLP does have
employees;a policy is required_ Be-advisedthat this affidavitmay be submith!d to the Department of Industiial
Accidents for confamahon ofm Wince cov=Bge. Also be sure to sign and date the affidavit. The affidavit should
be returned to fie city or tout:.that the application for the pamit or license is being rrquested,not the Departmant of
Ind strial'Accidents. Should you have any questions reg rdmg th-e lavz or you are*�grsed to obtain a v*orkers'
compensation policy,please call the Department at the n=ber listed below. Self-insured companies should eatr-r their
self-ir snrunce license numBea on the appropriate lime.
City or Town Officials
..:
Please be sore that the affidavit is complete andpned Iegr�Iy'T'he Department has provided a space at the both
ofthe affidavit for you to�out in the event the Office oflnv�gaiians has iD contact youregarding the applicant '
Please be sm e to fill m tbLe permitl irense n IM m which F M be usi�3 as a mfermnce nataber. In addition4 an applicant
that must submit mule p=6--Wlicense applications in any given year,need only sob f one affidavit indicating cuarmt =
polieyr�naation Cifnecessary)and imder'Tob Site Address"the applicant should write'all.locations is (city or
town)."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 fW e permits or licenses. A new affidavit must be filed o 1±eSCII
year-Whets a home owner or citizen is obtainh]g a license or permit not related to-any business or commercial ventrn'e
Cie,a dog license or permit to bum leaves etc.)said person is NOT reg3d to complete this affidavit
The Office of hzvestigafinns would hike to thank you in advance your cooperation,and should You have aay.questions,
please do not heshfr,to give cis a tail_
The Departmemfs LA - ,telephone and faxn>m>l
aF Comm0•nwl--tla OfMassachu-4tts
- - .D�#m.�t c�•f Tad�al.A. �s - ..
of
CIA G2111
Ta.9 61 -727-4•9-00 Q�±$766 ter 1477 hL4 SAFE. .
F=4 617-727- 4-4
Revised 4-24-07
IARNSTABL£.
6;9. to Town of Barnstable
Regulatory Services
Richard V. Scali,Director
Building Division
Thomas Perry, CBO
Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fa
Property Owner Must
Complete and Sign This Section
If Using A Builder
IVA as Owner of the subject property
hereby authorize I to act on my behalf,
r relative to work authorized b this building permit application for:
in all mattesy g p pp
(Address of Job
I
Signature of Owner Date
Rightfax C3-2 7/24/2015 7:30:31 AM PAGE 2/002 Fax Server
i
DATE(MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
Phecuilficate
FICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ERTIFICATE OF INSURANCE DOES NOT CONSTITUTE ACONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE
ODUCE HOLDER.
TANT:H the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.B SUBROGATION IS WAIVED,subject to
s and conditions of the policy,certain policies may require and endorsement A statement on this certificate does not confer rights to i
holder in lieu of such endorsem s.
PRODUCER CONTACT
NAME:
FREDERICKS INS AGCY INC PHONE FAX
1046 MAIN ST (A/C'No,EacO: (A/C,No):
E-MAIL
OSTERVII-IF-,MA 02655 ADDRESS:
24LMM INSURER(S)AFFORDING COVERAGE NAIC R
INSURED INSURER A: ACE AMERICAN INSURANCE COMPANY
QUALITY WOODWORKS,INC. INSURER 8: 1
INSURER C:
INSURER D: i
17 PATIENCE LN INSURER E:
COTUIT,MA 02635 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CEKT*Y THAT THE POLICIES OF INSURANCE=BELOW HAVE BE SSUEOT—OTHE NSURED NAMED ABOVE FORTHE POLICY PERIOD NDICATUX ,OTWITHSTAN=G i
MY REGUMENENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED On MAY PERTAN.THE OaA1RANCE
AFFORDS BY THE POLICIES DESCRIBED HEREIN B SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POL1CM5.LIMITS SHOWN MAY HAVE BEEN REDUCED BY
PAD CLABAS. i
NSA ADD SUB POLICY EW DATE POLICY EXP DATE
LTR TYPE OF NSURAHCE L R POLICY NIARBER (MWMYYM (LUMMYYYY) LOUTS
GENERAL LIABILITY EACH OCCURRENCE $ `
COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $
CLAM MADE OCCUR. PREMISES(Fa occurrence)
D EXP(Arty one person) $
PERSONAL&ADV INJURY $
GENL AGGREGATE LIMIT APPLIES PER: ERAL AGGREGATE $
POLICY PROJECT❑LOC PRODUCTS-COMP/OPAGG $ i
AUTOMOBILE LIABILITY MBINED SINGLE $
ANY AUTO LMIT(Ea accident)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULE AUTOS (Per Peen) {
BODILY INJURY $ i
HIRED AUTOS (per aecidarm
NON-OWNEDAUTOS PROPERTY DAMAGE $
Per a=dwM -
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
4EXCESS LIAR CLARr.MADE AGGREGATE $
DEDUCTIBLE $
RETEN'MN$ $`Y {
A WORKER'S COMPENSATION AND Wc5 OT
TATUTORv HER
EMPLOYERS LIABILITY YIN UB-SB978786-15 04/192015 04/1W2016 LIMITS
ANY PROPERITORMARTNEWEXECUTIVE El NIA E.L EACH ACCIDENT $ 100,000
OFRCERIMEMBER EXCLUDED?
(��w,In NH) El DISEASE-EA EMPLOYEE $ 100,000
It yes,desalt under - E.L DISEASE POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS ImIm I
DESCRIPTION OF OPERATIONS/LOCATHMNENCLESIRESTRICMCW SPECIAL ITEMS
TM REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTDTCATE HOLDER AFFECTING WORICERS COMP COVERAGE
)
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CERTIFICATE HOLDER CANCELLATION .,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL qE DELIV
IN ACCORDANCE WITH THE POLICY PROV i!
AUTHORRED REPRESEMA7IVE
ACORD 25(2010A75) The ACORD name and logo are registered marks of ACORD' iM-2010 ACORD COR r g reserved.
Parcel Detail Page 1 of 3
13
MASS
D
Logged In As: Parcel Detail Friday,August 7 2015
Parcel Lookup
• Parcel Info
Parcel ID 273-085-008 I Developer
LoY LOT 12
Location 133 EVENTIDE LANE Pri Frontage F I
Sec Road I Sec
Frontage
Village JHYANNIS I Fire District I HYANNIS
Town sewer exists at this address�YeS Road Index 1986
k.
Interactive � � � s .
Map
Owner Info
Owner ISECOR,CHRISTOPHER S& ROBIN D I Co-Owner -� I
Streetl 33 EVENTIDE LANE I Street2
City 'HYANNIS State MA Zip F6_26611 Country
• Land Info
Acres 10.23 use ISingle Fam MDL-01 I zoning RC-1 Nghbd 0107
Topography Level ( Road Paved I
Utilities JAII Public I Location�— W
Construction Info_
Building i of 1
Year 11997 ry -I Roof Gable/Hip Ext
all Cla board
Built�I �� Struct Wall� p � I
Living Roof AC
1302 Asph/F GIs/Cmp None I aK
Area Cover Type
Style Ranch I Bed
wall Plastered Int _ Rooms 3 Bedrooms
Model Residential Int Hardwood Bath(�2 Full-0 Half
�—� Floor I Rooms I I �
Grade Average Plus I Neat Hot Air �I Total 6 Rooms t
Type Rooms
HeatStories 1 Story Fuel Gas F ation Poured Conc. I #
14
Gross 3088
Area
Permit History _ . ..__
_. ..........
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20962 8/7/2015
e �pomur�aaircueaLC�i o�Cczaaac�c�aeCi i
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistrationt ''j61.601 Type: Office of Consumer Affairs and Business Regulation
= Expiration:- 1_DF29/2016 Private Corporatic� 10 Park Plaza-Suite 5170 .
Boston,MA 02116
QUALITY WOODWO.F -S_. = i
!1-' �._�..'•__� jig
ARMINAS DIMSA
17 PATIENCE LN -
COTUIT,MA.02635
Undersecre
n
ta Not"valid without signature
Massachusetts -Department of Public Safety
Board of Building Regulations and
Construction Supenisor Standards
License: CS4)93566
ARMWAS D c\
17 PATIENCE Lr�r
COTUIT MA 0205
iit,.
Expiration
Commissioner' s 02/20/2016
Unrestricted-Buildings
contain less of any use group which
enclosed space.35,000 cubic feet(9911n3)of
Failure to possess a current edition of
State Buildin the Massachusetts
B Gode is cause for revocation of this license.
For DPS Licensing information visit: wWW Mass.Gov/DPs
Assessor's map;and lot number'...- ......�1.
Q�
�%�, fYIU�J�'� eis`�4s, aEi ZUUJo'd SEWER �oF ropy
Q
Sewage Permit- number ............................•. .. .....................
House number '..........................417 j—�...F�5..:............::....
ABBSTADL
MA86
OM M�9
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ........ .AX1AtrgQ.t..:; ..dwell.7.Xlq.................................
TYPE OF CONSTRUCTION wood frame
..................................................................................................................
. t
J.a3aua r.y...X.1.41.................19..89..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit. according to the following information:
Location Lot #1.�.............Eventide Lane H1'..annis.r...�.................................................
...................... .....................................
ProposedUse .............................................................................................................................................................................
Zoning District R'B' H is
........................................................................Fire District ..........X.......anrl..........................................................
Name of Owner „Capricorn Realty Trust ....Address ...7.65. Falmouth Road.,.... yanni.s.,...
Name of Builder Franco R.E. Dey.Co. Inc. ...Address ...7.6 5„Falmouth. Road,,.„Hyannis.... M M.
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ...............El.ht.........................................Foundation .......P. C.-.............................................................
..
Exterior Clapboard and/or shingles............. Roofing Asphalt ,Shingles
g .............. .. ..........
Floors Caret .Interior Sheetrock
Heating ..Gas...F..W.A.........................................................Plumbing. ............TW.Q.-GQ.PpPr............................................
Fireplace .yes........................................................../ ../.... ...........Approximate. Cost ........ 50.E�0. .r.0. ..................................
Definitive Plan Approved by Planning Board _____' /__ 3___________19 __. Area ....11 T,...p.q......ft
Diagram of Lot and Building with Dimensions /!/! Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Ck
r
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.
Construction Supervisor's License ........0.0.0.9.8.9.............
, .
No -----.. Permitfor ------------
'
'
---..:---------------------- .
. .
Location -------------.-------- '
'
. �
---'----------------------''
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Owner --...---.---------------..
.
. . .
Type of Constpuc$i6n -------.��_--.--.�
.
' '
---------'----------------- n
. . - �^
F16* — Lot ��
r------- ' ---------' '
. .
. .
- �
Permit Granted -------------]P ^
. ^
Date of Inspection -----------'lA ' '
. , ` ' .
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Date Completed ................. -------lg � ^
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Assessor's map and lot number .,oO73...-.�-�,f.:. .
E r0�
Sewage Permit number ...... .... ....�x:
4+ �� �J C Z BAR33TADLE, i
House number ................................... J 3. 90O M6 9...................... 'ED YP9 a\
TOWN OF BARNSTABLE
3`
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .....cona frxV1c.t.. ..............................:...
TYPE OF CONSTRUCTION wood frame
........................................................................................:..............................
J ....................19.`.%9..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Lot #12.............Event. ...
ide Lane. ............................... y.4Anis, ... CIA,,,,,,,,,,,,,,,,,,,,,,,,,,,
..... ....... ..... ....
ProposedUse ......................................................................................................................................
Zoning District R'H' H anni.S
.......................................................................Fire District ..........Y..................................................................
Name of Owner , Capricorn Realty Trust Address ..7b5 Falmouth Road, „Hyannis, MA
.....
Name of Builder Franco R.E. Dev.Co.Inc. ..,Address ...7 5 Falmouth R0ad�...gy R:gis,, Mil„
4
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Name of Architect............................:.......................................Address .............................
Numberof Rooms ...........E1ght.........................................Foundation .......P.C..............................................................
Exterior Clapboard and/ shingles Roofinghalt SBainales
...........Asp..
Carpet ...................................Interior Floors ...................................................
HeatingGas....F.W,..A..........................................................Plumbing ...........` wo.-:C pja?r..............................................
Fireplace .Y!�j.............:c...........................................................Approximate. Cost ........$.5 Q.e.0,0 0.0 0
Definitive Plan Approved by Planning Board _____ ____________19 a(�__. Area ...11.76.._.gq,..,,ft..,.......
d
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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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.
Construction Superv{isoY License ......:Q.0 Q 9. .............
No Permit for
...............................................................................
Location ................................................................
...............................................................................
Owner .....................:............................................
Type of Construction ..........................................
................................................................................
Plot ............................ Lot ................................
Permit Granted .........................................19
Date of Inspection ....................................19
Date Completed
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EPARTI,ENT OF PUBLIC SAFETY p q p p C. ._ )STAGE.
ONE ASHBURTON PLACE, RM 1301
32 W.
BOSTON, MA 02108-1618 �� 3 �} 1995
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires:
Restricted To: 00 i (/
TIMOTHY PEARSON each bottom, fold sign on
?OBX 519 ;back, and laminate license card.
CENTERVTLLE , MA 02632 ,Keep top for receipt and change
' -of address notification.
- 23542
Restricted To: 00
DEPARMN, OF PUBi,TC SUET?
Y.A�✓
C NSTRUCTTON SU MTER LICENSE 00 None
R roer: Expires: iA - Hasonry only it
- 1 & 2 Family Homes
Failure to possess a current edition of.the
u;ssachusetts State Buiildinq Code
s cause for revocation of this license.
E'RVIT r
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COMMONWEALTH OF MA.SSACHUSETTS -
�^ Lc LQ
DEPAIr:MEN7 OF LNDUSTRIALACCIDENT'S
.t
600 WASHINGTON STREET
ames J Car-:o:)ee BOSTON, MASSACHUS= 02111
�Or'�:ss�one'
WORKERS' COMPENSATION INSURANCE AFFIDAVIT
(lianscclpermiact)
with a principal place of business/residence at:
( rylSatc(Lip)
do hereby certify, under the pains and penalties of perjury,that:
1 am an employer providing the following workc.s' eompensarion coverage for my employees working on this
lob.
17
- C�
Insurance Companv Policy Number
[) 1 am a sole proprietor and have no one working for me.
[) I am a sole proprietor,general contractor or homeowner(cirde one) and have hired the contractors listed b=ou
who have the following workers'compensation insurance polio
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
1 am a homeowner performing all the work myself.
NOTE Pleasc be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dwc:ling of not more than three units in which the homeowner also raids or on the grounds appurtenant thereto art not gcnerz'J.-
considered to be employes under the Workers'Compensation Aea(GL C 152,sea. 1(5)),application by a homeowner for a lice:sc
or permit may evidence the legal sutus of an employer under the Workc:s'Compensation Act
I undcritr:rd that a copy of this sutcmcnt will be forwarded to the Dcpar nc.:of Industrial Accidcaa'Ofncc of Insu:anct for Wvc-aE,
vc itcuion and th:z failure to secure eovcmgc as required undo Sccrion 25A of MGL 152 can lead to the imposition of criminal pc.a'_cs
consisting of a finc of up to S1500.00 and/or imprisonment of up to one yc-za avil penalties in the form of a Stop work Orde:a-.e a
finc of S100.00 a day against mt.
Si£ncd this _ 11 day of UW1;IIb —» 119
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Licc.ucr�l'cimirtct: 1_icc:.IsorlPu III ittor — ---
Town of Barnstable
Building Division
367 Main St.
Hyannis,MA 02601
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oFIMMEr�
_ The Town of Barnstable
BA ASS,LE.MASS,
' Department of Health Safety and Environmental Services
MASS.
�'•�F039+ `�� Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
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Type of Inspections ..( '
Location'3�> 'E� k k 6 Permit�Ntf`nber k9 3 4
Owner N"4\&(0 G io Builder 1 A wk
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting: J
6(zeood� -Az) . L,6 s t- 20�'o
( 'T
E-3
Please call: 508-790-6227 for re-inspection.
Inspected by
Date
Assessor's Office(1st floor) Map. ,7 ~Parcel 6)), Permit#
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Date Issued 1 I
Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) APPLICANT MUR OBTAIN A SEWER
Engineering Dept.'(3rd floor) House# �V, TRING IOIr RMIT FROM THE ;
_ ENCTYUI�MSION MOB �t„E1CONSIM ,
Planning Dept.(1st floor/School Admin. Bldg.)
Def' ' ' "e.Plan Approved b PlanningBoard V ' r! 2F y p 19 ) 9 e 9.
TOWN OF B'RNSTABLE Is
` Building Pe 7 t' lication
Pro' treet Address , t
Village YItoJ . f.
Owner Address
Telephone J t
Permit Request c 7 SO
-
First Floor square feet
Second Floor ��' square feet
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Sn i Grandfathered ?
Zoning Board of eals th zatio Recorded
Current Use � L Proposed Use / G
Construction Type
Commercial Residential
Dwelling Type: Single Family 1 Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
:Historic House Unfinished C4
Old King's Highway
pNumber of Baths No.of Bedrooms
Total Room Count(not including baths) Q First Floor
Heat Type and Fuel r Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached r1_4 Barn
None Sheds
Other
Builder Information
Name �/!�7 ICj Telephone Number 7 ID 211
Address t License# �� 2
/ 17/ Home Improvement Contractor#
.111W � % Worker's Compensation# W U 17-rj(ol)
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS L AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
OUM)
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
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-• FOR OFFICIAL USE ONLY 4IP
PERMIT NO. �s
DATE ISSUED
MAP/PARCEL NO. —
r ' ' VILLAGE
ADDRESS � 1 -� .•. � t
,
OWNER
DATE OF INSPECTION:
FOUNDATION i
FRAME; JLA�-
INSULATION �J V �L l _K\
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FIREPLACE,,`X
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ELECTRIC-ks ROUGH - FINAL - -
PLUMBIN ROUGH'' - FINAL } T _
' GAS: , ROUGH FINAL
FINAL BU _ 94
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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The BSC Group-Cape Cad Inc
Madaket Place B12
Route 28
BE` CH 1-1 AR US_0:
Mashpee MA
110C EL.EV . - 75 . 65 i: . G . V . D .
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ZONE:' RC-- 1 ----- --
SE TBACKS: (OF'Z___N SPACE) 617 477 2525
FRONT 2V
SIDE 7 . 5 '
REAR 7 . 5 '
4` PROPOSED SEWED;
CONNECTION
FOR SEWER MAIN DETAIL SEE PLANS BY KAL KUNTE ENGINEERING CORP . LOT (�
k 1749 CENTRAL STREET STOUGHTON MA . 02072
� IN
(H y a C,rl j S)
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FOR:
CON-STRVCTlOi ROTES :
1. ALL UNDERGF:QUNU UTIt_Il° IE.S SHOWN WERE COMPILEU ACCORDINC TO AVAILABLE
C��'��Cfl��`� REALTY TRUST
RECIORD PLANS FROM THE VAFjj0US UTILIT'- COMPANIES AND PUBL,10 AGENCIES
AND ARE APPROXIMATE ONLY. ACTUAL. LOCATIONS MUST SE, DETERMINED IN THE
FIEt_D. THE CONTRACTOR MUST NOTIFY UTILITY COMPANIES 72 HOURS It" ADVANCE SCALE
METERS
I Or CONSTRUCTION. THIS WAYBE DONE BY CONTACTING THE DIG - SAFE CENTER s
tI - 800 -- 32? - 4544) FEET 0 Ifl
2. ALL WORK AND MATERIALS SHALL CON ORIM, TO THE TOW N CI'; BAR �STAELE
DATE: ..,_.�_�.5..�..�._s !�_._ a
DEFT. OF PUBLIC OR"r-:S CONSTRUCTION SPECIFIC-AT#ONS AND STANDAIRDS .
_. .w R .. . .. _
C0W' /DES1GQ -r A, 1 1. /L
3. PRIOR TO START OF CONSTRUCTION THE CGhiTR}:CT<JR MUST 0S7'A!N FROM' T K E
TOWN OF BARN3TA,t . E A SEWER TIE - IN PERMIT A; ;7 A ROAD OPENING PERMIT. CHECK �• �: 1-J ,�� . �a,�
v D RA WiN 1
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FILE NO-
S ET: OF: I
GENERAL NO T L`_�_S :
PROPER TY L I NES WERE COMP I L ED ROM,
�T AVAILABLE PLANS OF RECORD AND DO
I .NOT REPRESENT AN ON THE GROUND SURVEY.
2. ALL WORK AND MATERIALS SHALL CONFORM
TO THE TOWN OF BARNS TABL E DEPT. OF
j PUBLIC WORKS CONSTRUCTION SPECIFICATIONS
AND STANDARDS.
3. ALL SEWER PIPE SHALL BF_ SCHEDULE 40
OR APPROVED EQUAL .
� I 4. BEFORE CONSTRUCTION CALL "DIG-SAFE".
I -800-322-4844 FOR LOCATION OF
UNDERGROUND UT I L I T!ES.
69
5. 'VERTICAL DATUM IS: NGVD
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L 0 T 1 h. BENCH MARK USED: M. G. S. I IOC. EL •75. 68
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LONE • R C —
SETBACKS: (OPEN SPACE)
1 FRONT - 20 "
SIDE d REAR - 7. 5 '
H
OPEN LOT 12
SPACE IC . 050t S. F. {
3Ex
40 65_00 ',fop
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LOT 9 � 6
r LOT / 2 EVENT / LaF- Z_ -ANF_
BA R S 7TA B L_ Z < Hy,aNN / s
� bl PREPARED F-OR
.: N",:vs� : T�• ,� 4h
S G,4 L E / 20
9 -�
1 hAAS*.
d VIFF�3?i415 " 3#cir�S __
� �`� ' � f.�I °.,� �T E'�4 GL �' SUR �=:F'YING � 1�':'�'GINF_ E'RING . �_�•'c" .
15- -If 91:? .5 3 3 3
0 l0 20 40 JOB NO: 96-387 FIELD: TAW\PDR CAL! : SAH T HE-K: C,=W�-DRN: SAH
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