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HomeMy WebLinkAbout0098 LAFRANCE AVENUE ale , Town of Barnstable Bil1lClil ? � Post This Card So That�t is Visible Front"the'Street-Approved Plans Must be Retained on 1Qb and this Card Must be Kept =� . , Posted"Until Final Inspection Has Been Made Where a Certificatexof Occupancyis Required;such Building shall Not,be"Occupied:until a Final Inspection,has been made " Permit Permit No. B-19-2521 Applicant Name: HOMEOWNER IS APPLICANT Approvals Date Issued: -08/15/2019 Current Use: Structure Permit Type: Building-Family Apartment with Construction Expiration Date: 02/15/2020 Foundation: Location: 98 LAFRANCE AVENUE,HYANNIS Map/Lot: 269-255 Zoning District: RB Sheathing: Owner on Record: MELLO,JEANETTE A ContractorName: HOMEOWNER IS APPLICANT Framing: 1 Address: 98 LAFRANCE AVE y Contractor License: EXEMPT 2 HYANNIS, MA 02601 `'N, Est ProJect'Cost: $50,000.00 Chimney: Description: Family apartment w/construction of 2 Bedrooms, Living"Room, Permit Fee: $330.00 Insulation: Kitchen,bath and 2 egress windows and A Walkout,Exit basement. Feb Paid:' $330.00 Main House:Owner Jeanette Mello Date: 8/15/2019 Final: Family Apartment:Sister of.owner Lois Hurley(nurs"e to help mom). Plumbing/Gas Project Review Req: k Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work aiathonzed"by this permit is commenced withirNix months after:issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documentsfor,which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws°and,codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the Final Gas: work until the completion of the same. bli Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fire Official`s are provided on this"permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.foundation or Footing A Ni ' " 2.Sheathing Inspection _ �z + Roug h: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Final: .5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage.Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Building plans are to be available on site 'Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: BLf Applic atimN=ber...�.-3 .L. ✓6.. ..�......._ , * • W S ASEL row AUG Q Peffiit Fee......&�� ....�...,Othea Fee... 5 20�9 N OF B Total Paid........................................ .. .� h..2�... ARNS�A8LE TOWN OF BARNSTABLE' Permit Approvalby....... _ .. oz4...... _ BUILDING PERMIT (� ...........P�.... 1 ...� .. ... .................. APPLICATION Section 1—Owner's Information and Project Location Project Address � i. �,� village Owners Name Owners Legal Address g �°-✓:-`" City n` State zip 6 1 owners Cell# Section 2 Use of Structure Use Group. ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑�/Fire Change of use ❑ Demo/(entire structure) ❑ Finish Basement ElFamily/Amnesty Alamo Rebuild [IDeck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar . ❑ Renovation ❑ Pool ❑ Insulation Other—Specify �`$ection 4;-_Work�Description _ � � V 4 VVVtititi �- TAct,mdqft!&-2192019 Application Number.......... tipp �Ii ......... ..... Section 5—Detail Cost of Proposed Construction MOP Square Footage of Project Age of Stucti�e ] '�`' ::w Dig Safe Number # Of Bedrooms l Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zane Compliance Method',❑ MA Checklist ❑ WFCM Checklist ❑ Design e Section 6—Project Specifics i ❑ Wining ❑ Oil Tank Storage ❑ Smoke Detectors a ❑ Plumbing ❑ Gas -❑ Fire Suppression i ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom d Water Supply ❑ Public 1:1 Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway ' Debris Disposal Facility. I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ 3 Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard' *.' Required Proposed Side Yard; Required Proposed F Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ `No Last imdated:2l9=18 I ofVIE;� Town of Barnstable Building Department swtixsTeBae. Brian Florence,CBO '� ntnss.q. Building Commissioner s63 �0 •erFO MAy° 200 Main Street, Hyannis,MA 02601 )ffice: 508-862.4038 Fax: 508-790-6230 Doc:1 :376:411 OS-14-2019 1 :50 BARNSTABLE LAND COURT REGISTRY AGREEMENT FOR FAMILY APARTMENT I Jeanette A. Mello, the undersigned, being the owner of property situated at 98 LaFrance Avenue, Hyannis, MA,holding title under a deed recorded with the Barnstable County District Registry of the Land.Court in as CTF No.C150356, being shown as Document Number 741-589, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,:which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a "Family Apartment" (as"defined in Zoning Ordinances) which would require compliance with the.,Fami.ly Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a-member(s) of the property owner's family residence. as accessory to an owner-occupied single-family � Occupant of Main Residence: Jeanette Mello i Relationship to Owner: owner Resident of Family Apartment: Lois Hurley Relationship to Owner:- sister This unit shall not be rented as an apartment or as a single room, or in an fashion which renta l al would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County. Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for.this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this--1 day of TOWN OF BARNSTABLE: O ER: By: Jea a A. Mello Brian Florence, B Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrumen HEIDI HARTNETT P Iic Notary Public mission Expires: lC�I2�Z 3 Commonwealth of Massachusetts gsample Uf My Commission Expires July 6,2023 a SMOK DETECT cEV1EWED .ate._ bb BAR;:STABLE BUILDING DEPT. DA E l4 -Sy1dKe -��►-E FIDE DEPARTMENT DATE 20TH SIGNATURES ARE REQUIRED FOR.PERMITTING --- ��A- 1 d' The Commonwealth of Massachusetts ' 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): Address: lceU� City/State/Zip: J Phone#: ) 3 y Are you an employer. Check the appropriate boa: Type of project(required): 1.0 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.❑ I am a sole proprietor or partner7 listed on the attached sheet. 7. ❑Remodeling ship and have no employees `These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y9. ❑Building addition workers' comp.insurance comp.insurance t equired.] 5..❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3. I am a homeowner doing all work ❑ g P ti ns myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp,insurance required.] *Any applicant that checks box#I 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. $Contractors 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 sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic:#: Expiration Date: 2 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 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. 1 do hereby cttfy under the pains anWeilury that the information provided above is true and correct Signature: - Date: Phone#: � Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# a 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#: 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 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, §25C(6)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. L 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 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 future permits or licenses. A new 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 (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank 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 office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mm.gov/dia Application Number................ e Section 9-.Construction Supervisor g Name Telephone Number Address City State Zip License Number License Type -Expiration Date `t Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10—Home Improvement Contractor Name Telephone Number Address City State zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Bolding Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section-11.; Home Owners License Exemption Home Owners Name:- Telephone Number_ - - eP �9d�'a.3 o-L_..Cell or Work Number _J�b6-47.-Ku I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation by 780 CMR and the Town of Barnstable. Signature .Date ) - cAPPLICANT SIGNATURE Signature—� — - - Mnf Name �� Telephone Number- E-mail permit-to: f T s..f.....i..".n InMA7 0 Section 12—Department Sign-Offs Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review Of required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization 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: , I ' (Address of job) IAW, J Si 0 Owner date Print Name I • i I r _ r i t Last updated:2/9/2018 I a Town of Barnstable tick Building Department ' Brian Florence,CBO sARNSTAHLE. MASS. $ Building Commissioner 1639.� �prfp�p1 a 200 Main Street,Hyannis,MA 02601 office: 508-862-4038 Fax: 508-79076230 Docz1s376:411 08-14-2019 1250 BARNSTABLE LAND COURT REGISTRY AGREEMENT FOR FAMILY APARTMENT I Jeanette A. Mello, the undersigned, being the owner of property situated at 98 LaFrance Avenue, Hyannis, MA,holding title under a deed recorded with the Barnstable County District Registry of the Land.Court.in as CTF No.C150356,Vbeing shown as Document Number 741-589, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,:which contains living quarters, is intended for use as a family apartment,for year-.round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by , the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family # 4G3 residence. Occupant of Main Residence: Jeanette Mello s 4 Relationship to Owner: owner a` Resident of Family Apartment: Lois Hurley - Relationship to Owner:- sister ' This unit shall not be rented as°an apartment or as a single room,or in an fashion which rental Y e tal would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future.owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for.this Agreement is the issuance of a building permit and/or certificate of occupancy by 1 the Town of Barnstable Building Department. f WITNESS our hands and seals this day of of 2011. 1 TOWN OF BARNSTABLE: O ER: By: 1 Jea e A. Mello Brian Florence, B Building Commissioner THE COMMONWEALTH OF MASSACH:USETT BARNSTABLE COUNTY, SS Date/�,Z,0 I�{ Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument P Iic 1, a��/L f- , HEIDI HARTNETT mission Expires: Notary Public lCQ�2o Z 3 Commonwealth of Massachusetts gsample My Commission Expires July 6,2023 TOWN Of BAIMSM[Xe Q19 AUG 1 S AH 9: 47 Y, 1)T 1S10N fD M� r `y � i h ,. � � � _.. .. '. .'...♦.. ..� - �' i /////////))) a� �� % • i - � 11 3 e � - � r y � _ � i _ � c �.. .. ... .. r. - _ ,. � - � sy .. _ ._, � .. '. i ,T�c � � ,. .. r4 � � � � ... -� - _ X .. .+- a '�', � � � 11t.CIS. r T.fF QurTcra►rM aZZA.IRRR.-,'1AM I 1 F11111 GF-11,11-0 14[, .,'',' WE, ANTHONY DELLOMO AND CHRISTINE M. DELLOMO of 51 Hurtle Avenue, Worcester, Worcester County, Massachusetts 01604 IN CONSIDERATION OF NINETY SIX THOUSAND and 00/100 ($96,000.00) DOLLARS paid d grant to JEANETTE A. HELLO of 98 LaFrance Avenue-, Hyannis, J . Barnstable County, Massachusetts -02601 h WITH (QUITCLAIM COVENANTS Uo The land together with the buildings thereon situated Barnstable (Hyannis) , Barnstable County, '. Massachusetts being shown as LOT 7 on shown on a plan 38570-B. Said land is subject to all rights, restrictions, reservations and easements of record, insofar as the same are in force and applicable. For title see Certificate of Title No. 106216. c• - a f I•• r '•: 1;I c> fit. •- + �[v7'I - Executed as a sealed instrument this 3yday of 5c ={r•„(�d� e 199a. An on amo Ic2�• C r st ne M. Delloma COMMONWEALTH OF MA88ACAV8RTT8 MWISTABLR, 88 Then personally appeared the ab�oya-•panted Anthony Dellamo and Christine M. Dellomo and ackhowl• dged the foregoing instrument to their free act and deed, before me, Notary Ubli 105EPN R SIER '•, ;'," Notary Publ '` MY CwmNsioni Expires luV30,2004 , 6ARNSTABIE REGISTRY OF DEEDS TO I7ete Time WHILE YOU WERig OUT M I Of Phone Area Code Numb16 Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED Y U CALL Messeg Operator AMPAD 23-021•200 SETS EFFICIENCY® 23-421•400 SETS CARBONLESS En'inee ' t. (3rd'floor) Map !v Parcel ���Permit# House# Date Issued �'� '/'�0 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) -O 1(�--- P IMF 19 - APPLIC OMTHE CONNECT R1ORTO ENGINEE e» , TOWN OF BARNSTABLE C°Nsu ,�'' 9 L Building Permit Application Pro' ct Stree 98 t Address � y-2iA j,-_F . Village Owner C 6 Address � Telephone 56 — 6 rj Q Z�Q 9 •Permit Request ��eD�c � wx/y 3y I D L s taRJ b ec y LJ l 16 �Axs (_,Shanec� '- t -First Floor square feet Second Floor d square feet Construction Type Ljoob Fr6�rn2- Estimated Project Cost A S,gob I Zoning District Flood Plain Water Protection Lot Size t�LAc,rr Grandfathered ('Yes ❑No Dwelling Type: Single Family 0' Two Family ❑ Multi-Family(#units) Age of Existing Structure /_:� %r S Historic House ❑Yes 840 On Old King's Highway ❑Yes 9-11 o Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) f 05 Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing Neeww Total Room Count(not including baths): Existing New �_First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes 4 Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) a ❑Attached(size) ❑Barn(size) O ❑None ❑Shed(size) C' ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use // Builder Information Name 1 L L Telephone Number 52 7 S _093 65 Address r. License# CS 6 5,S 8,,3 r�4 Me a a N 2k , I-� k.1A M k7 I S Home Improvement Contractor# 6 7 S^ Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ma, C- S A v r SIGNATUR DATE ya 9 BUILDING PER IT DENIE FO T FOLLOWING REASON(S) ! FOR OFFICIAL USE ONLY _ PERMIT_NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ' � i' T ` t •VILLAGE 'OWNER — `- DATE OF INSPECTION: 3 ; FOUNDATION FRAME INSULATION fi + FIREPLACE ELECTRICAL: ROUGH FINAL, PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL*. :FINAL BUILDING 'DATE CLOSED OUT I ASSOCIATION PLANsNO ! ' r � � t'7r L.ff .1 r 117 �2f� ys•! � .''�,/" V�' y ��•�', � .7,/ •�,/r• 1 ; �C1 A .., G. 7 � ' ��—�1. Al t 1.4 '' �`7 .;k (,)` -• t i / + l '' `\fir' POy [`+ 'a�kr i . I `• �� , �Y..+Y:� •�M�•F'�Mr.•a.�....��,,, �•.yw.,�.�.av« or , CERTIFIED PLOT PLAN`; ' z" Hr�ti>iFtT �� l U 7 �.� f�.• �r'r.r ,•t,:,F--. F _ ,}F . � �, Pin. i9'iG7 � � f' �� ---'�.-"'"°"; �r•� A A kh S T RTIPY THAT THE air it 04 IfwfVtlA�Oa/ i, y0 4r, �'Y e° s� ` 0 �yYg � °gVO� I6�60S�I� LAY 0 .+ 167 � �5614i h9 TO H ZO INN LAB VIR $'s �.:'�' __ � •r 1 i 6e s — -- —C�.t�_C • oTi $ O_e ,o U w C30..1_I u_s-f—f r-s e4ol I 6�®SIL �-i - - -- I � — 1 -.__ _ ' _ _..___"——." ✓�•.V/04)YIYtO92lI/C'.�"""` ��`/(UGClJd�C/�UxuJ � . DEPARTNENT OF PUBLIC SAFETY CONSTRUCTIOM`SUPERVISOR LICENSE Number Expires: RICHARD C,. LYNCH : PO BOX 667 "— HYANNIS, NA 82601 l '4. d HOME IMPROVEMENT CONTRA t • Registration 112676 t Type T - DBA Ezpirat' =ton 04/15/99 { r RICK LYNCH HOME IMPROVEMENTS RICHARD C. LYNCH _ ? OX 657/ 26 MEAGAN RD aoM�"�S�47OR HYANNIS MA 02601 The Commonwealth of Massachusetts Department of Industrial Accidents Office ollnsestigatioos • ' 600 Washington Street +� Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name: Q'1 1 C',Y, C location: !T00 ; 98 L. FR P-)o x �� 7 city 14 Va 0 n a :� M a- ma—`a - 040ne# ❑ I am'a oi�meowner performing all work myself. 0—lain as I d have no one working in alry capacity ❑ I am an employer providing workers' compensation for my employees working on this job. . I� L-4 ht LG. e P . company name: � C� inn ��c-o address: O R X 7 city: PyatA Ni S MG , phone#: 50S" 775ro811/5 insurance co. policv# (g'I alp a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnanv name: address: city phone#: ' insurance co a• comnanv name: address: Mr. phone#• insurance co. oiiiv# NWAWAWA,-;;,Fllllllllllllllllll11111I Fallure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OfIIce of Investigations of the DIA for coverage verification. I do hereh cetti under the pains and penalties of perjury that the information provided above is true and correct Signature Date DC o Print nine L L Phone# 50 - 7 ZS_ ® SCE S official use only do not write in this area to be completed by city or town official city or town: permtt/license# ❑Building Department ❑Licensing Board ❑check if Immediate response is required ❑Selectmen's OMce ❑Health Department contact person: phone# ❑Other - (tevued 9/95 PIA) 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 contra 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 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 c: 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 renew. of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha. 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 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 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. 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 may be returned io 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 Inves"gatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 The Town of Barnstable NAM :leg Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 WE= 509-790-=7 Ralph Crosses Fax: 508.790-030 Building Commission: For ofTice use only 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..21ong with other requirements. Type of Work: y l pr� Pe 01&c-e m-e ),N' Est.Cost'D Address of Work• Lp e C Owner's Name ' *4 k e) V\ heI t-y m Date of Permit Application: I hereby certify that: Registration is not required for the following renson(s): Work excluded by law _Job under S1,000. _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,RB1TRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIG,NM UNDER PENALTIES OF PERJURY I hereby apply for a.permi as nt of the own e /Ia674 Contractor Registration No. Date OR Date Owners Name 61 Assessor's map,and lot number .....R�.7 ;. ...,. .QQ ;,;, -� o&w T1� '6014•2)p�PEgg/r-�. roc� w: mecT Sewage Permitti number ........= 0 TOWN-SEW.................................. oF THE roe . 9BBSTOD' B LE, i House number ........................i..:..............9.... ........................ '. li so MAO& A s639- `g0 a'• TOWN OF BARNSTABLE BUILDING 111SPECTOR APPLICATION FOR PERMIT TO .......:Cons,truc c Sing�,� �;a j��,y ]�yy��,�� g .... ............ ......... i TYPE: OF CONSTRUCTION Wood -Frame ° w June...25.. ................19..8 4. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:. Location ...........Lo.t...t 7.,............Lai:ra:1?u... .Y.e,..,. : ..,...Hjranni ,..al2as�................................... ..........Proposed Use' ............................................................................................................................................................ Zoning District H. B. ..............Fire District .........HyaY1111.s.................................................. Name of Owner t......,....Address ........765...F.almo.u-.th..Rd....,...Hyanni.s.......Mass . Name of Builder .......................... Sama....................................... Nameof Architect ...................................................................Address •.....................:....:........................................................ Number- of Rooms .............SlX,...........................................Foundation' :......1.:..Ci................................................................. Exierior Clapboard andfRx...S.��. g1ss..................Roofing ............:Azphal:L...Shingl.es............................. Floors XX AX.............C.ar:pet...........................:.......Interior. .............She.eta'.ock,............................................... HeatingG:as...-. .,A.,......`..........,...............................:..Plumbing...........awO........Go-ppe.r........................................ Fireplace .......None........ Approximate."Cost ....�?�0.,.(?.0�.,.OQ..........:...... Definitive Plan Approved by Planning Board ______________________________19'_______ . Area. ... .. ,......... Diagram of Lot and. Building with Dimensions Fee —'............ ...O 0.............. SUBJECT TO APPROVAL. OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED- FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations ahe Town of Barnstable regarding the above construction. . C Name .. .. Z+.�l......FX eS.,.... Construction Supervisor's License .0,009.Q.9................... "C-Wricorn Realty Trust -2 one story ... ... .................................... Permit for single family dwelling L ......................................................... 98, LaFrance Avenue Location ................................................................. Hyannis ............................................................................ Capricorn Realty Trust 0 wher ............................................................. " Type-:bf Construction' ..................frame..:.......... .A .................... ................................ ........................ Lot ..........#7.................. July.,2 85 pe� Granted ..........................................19 Date Inspection ................................... Date C'mpieted ..................Z'9. ..........19 ,P6- 6a .. i ... .... -..t. -'.0 '. - a Assessor's map and lot number, 1. . �. .�'K'.. i ©'�C ?/r'`�8l1/L D� PE,2/�°!/7" NEEDLED TO ,tINE� d.� 2• �- �/i L�6` �/ l��♦ THE Sewage Permit- number ........: .................................:............. Z y�,, /1 Z SAR358TABLE, i 6IQUSe number ...................................:...................;................. 90 9 4 039 '♦ 0 MAY of, y ~ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........Construct S. azgia: VT..DWell inz TYPE OF CONSTRUCTION Wood . came ............................... Jung 2 S.c... 19..8 . ........................... ............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........I!9.t...i#7...............LaFx ce...�u .a. . ..k. a,s.�...Kva.n.n.. nRa,c��................................................... L �' ProposedUse ............................................................................................................................................................................. Zoning District ........................Bt...........................................Fire District .........H�T3T1T11............. Name of Owner .Ccip7C 7 1...R..P,9, t.y....aT'.Laaz..........Address ...... 765...FA1,.XI'1ala t...R.�...�. .H5... .�.�aSS Name of Builder F;a49Q...ReAI.B6aJ?e-.V.v.P.O.,..p.7.rA-d0ress ....................................9a me....................................... -Name of Architect ..................................................................Address .................................................................................... Numberof Rooms ..............Six..............................................Foundation .......EPA................................................................ Exierior Clapboard... ??alQ '... k� .x1 I.e.6..................Roofin A,,sx_b.a.iIt... i ............................. Floors §?l .X..............C, D.et..................................Interior .............S he.Atx.o.(.-............................................... HeatingGaS......�A' W,A.4.............................................. ...Plumbing ........ F!jp! . ..... C*^ ...................................... Fireplace .......Apn@ �010 n0 d p .....................................................................Approximate Cost .....,.. �.1.. ... ...�......................7,�5.............. Definitive Plan Approved by Planning Board __________________________ °*�b•:,Sp s ........ ------19--------. Area ............ Qiagram of Lot and Building with Dimensions Fee :L.,,[[.7/`.% SUBJECT TO APPROVAL OF BOARD OF HEALTH r�C��..} , t J l r i l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations o the Town of Barnstable regarding the above construction. f Name i / ... Pr e.... Construction Supervisor's License .0P.gq _q �p Capricorn Realty Trust A=269-255 No . ....2!13 `4Vermit for ....... ne.. 2XY......... } single family dwelling .......... ...... ....................................................... 98 T aFrance Avenue - Location ..................?............................................. Hyannis Capricorn Realty Trust Owner frame7 Type of Construction ' ............................................. - #.7 Plot ............................ Lot ................................ Permit Granted ..:;.,.,.,July 2 ` 9 85 Date of Inspection ....................................19 Date Completed .................19 " . oo TOWN OFBARNSTABLE', ­ 28135 Permit No. - - =----- -------- { Building InspectorNAMITAU cash NASIL ,eSo• a I' OCCUPANCY PERMIT Bond- -----------------_ _—_ Issued to Capricorn Realty Trust Address 98 La.France Avenue, Hyannis Wiring Inspector Plumbing Inspect Inspection date �-_2 - . or Inspection date ,G Gas Inspector "n�n o i-,.� �"�_o���,� Inspection date�� S O Di-., r' XEngineering Department Inspection date i T 1* !e .,_ Board-of-Health/17Ql �jj,)����� � Inspection. date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED. UNTIL , `SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS.AND IN ACCORDANCE WITH SECTION.119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ................................................. 19......�._ v................................................................................. ............................_ Building Inspector TOWN OF BARNSTABLE r BUILDING DEPARTMENT Z seaasr : TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 i4 MEMO TO: Town Clerk FROM: Building Deepantmeut DATE: ` m f101 An Occupancy Permit has been issued.for the buildinj authoiized by /.3 Building.Permit #.»... ....» »...».. ».»...._.... .:.,.j /...... �....»................ . ....».................. issued .to ..............................».. »1 .........»........ ».......»_.._. ..................... ..1.-/......... .............»»_... Please release the performance bond. if°hiiy �f t ! 8 f7 -V,.I...-"-4 ) • t t t ( j .: r,.. ;,.r,. r t �4 e•. 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'CY a,. a. ° O ' .�.,' ! +.7iy• Ph'U7'EC7-/G2/)/ /-'t;-r .� ('�T`. L.u;' . F N sG c7M Cr. %O t.✓N dyr x z S t : N 69 /S%!..1 WS } #e _ :t t : . 1 i3 f i l Ar .A .. t '; r - I. , ,- , ' ;of CERTIFIED PLOT PLAN , �t a ;e ROBBF, s A f� / �] 4_ V .. �j x r s, No i937 �, p� A IN z�Ir' -apt , . �l_Lt` t S yy 7 , � ' - SCALES "/."=. 40 ' {DATE 7, I/ems ,)t .- , al - ., //GO F'yu,NysF-rry/✓ ' n 1 CERTIFY THAT THE G .� NT"` SHOWN ON THIS PLAN 19 LOCATED. „ `} iINTERD ROISTERED ,.,f1_ ..,.,�,.,...._... ;I ,x CIVIL � . LANO: �14i M4E2-. ,. OM THE 4w0UNt� A9 1NOICATEO ANO 4 6 a 'a CONFORMS `TO .THE ZONING l.AwB fi" -";h ENGINEER SURVEYOR1pY�: '� ' Q�► OARNSTAi E//0 MA,B` � ° 12':MAI Id 8TEdEE4 <<> CH SX�' �: � � � v I. III 1. ^ __— } r}, ' :HYANRISI MASS,' .,: BNEET.LOR DATE RE®. ' LAND SURVEYOR .- _�