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Home My WebLink About0321 OLD STRAWBERRY HILL ROAD �a 1 Nd S+r&w ber, Mill , `' tl 4w� 7 *IRE) Town of Barnstable ern, to`�S`7U Expires 6 nronNrsJronr issue date YSrAB Regulatory Services Fee �BAMN6¢ 1�$ Thomas F. Geiler, Director pTFD MA'I� Building Division Tom Perry, CBO, Build ing.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 Property Address ki Residential Value of Work 40C)0 Minimum fee of$25.00 for work urider.$6000.00 CALOwner's Name&Address 4A-V—U- l LP-01� Contractor's Name �t � �� Telephone Numb er `b50q 4 b EL Home Improvement Contractor License 9 (if applicable) Construction Supervisor's License 4(if applicable) F-lW.orkman's Compensation Insurance � PERMITPRESS Check one: ❑ I am a sole proprietor ❑ I am the Homeowner . S E P 2 5 2009 [-?"I have Worker's Compensation Insurance TOWN OF BARNSTABI E Insurance Company Name. Workman's Comp. Policy# WC—'.' 5I5 T,% 04 0 2 - Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2/Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must si n Pr t Owner Letter of Permission. P Y g Y Home Improvement Contr tors is n & Construct Supervisors.License is required. SIGNATUR Q:\WPFILESTORMS\Express\EXPRESSPERMIT.DOC RP��Pnr;nana i� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information (J Please Print Le 'bl Name(Business/Or 'on/lndividual): '� �-•�� . Address: L 4 City/State/Zip_ -tV,, :SVL Phone.#: A.re u an employer?Check the appropriate box: Type of protect(required): . 1.L�J I am a employer with '� 4. lam a general contractor and I b. 0 New construction employees(full and/or part-time).* have hired the sub-contractors 2:(] I am a sole proprietor or partner-' listed on the attached sheet 7. .[1 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.t required.] 5. E] 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.g'foof 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#1 must also fin out the section below showing their workers'compa►sation 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. SContractors 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-contractor;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 the policy and job site information. Insurance Company Name: M - Policy#or Self-ins.Lic.#: C.`�.. . �J'J �{ Expiration Date: Z'�. 0 Job Site Address: 321 � -�--� lu_ City/State/Zip: n}o5 pro, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).- Failure fo secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fiat;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 hereb a nder the pains-and peMtedury that the information provided above is a and co ecL Si e 1 Date: Phone#• S0�6 �50!a '-kb D' 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): 4 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �r icllo.cits:= 1)L parmtent iit•Pu,� Board(if.Buililin!,) gggulafiuun and-Stand.+.r ti 4' I:icense: CS SL 95161 ReAtricted to RF V13.. OLIVER KELLY 9 PEREGRINE LANE`. r: SOUTH YARMOUTH{.MA 02664 _ Expiraticn,,.9I28/2011 � . T : 99167 J f'��nnni�.iuncr Boar ui mg egu lagons an an ar s One Ashburton Place - Room 1301 , Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: . 128957 Type: Individual Expiration: 6/14/2011 Tr# 284841 Oliver Kelly - Oliver Kelly 9 Peregrine lane S. Yarmouth, MA 02664 Update Address and return card.Mark reason for change. Address [ Renewal Employment Lost Card DPS-CA1 ej 40rA-08/08•D&SUF0�RRMM��C��A108212008 Boa i ofBuifdi g o `antan a License or registration valid for individul use only. HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 128957 One Ashburton Place Rm 1301 Expiration:. 6/14/2011 Tr# 284841 Boston,Ma.02108 lug Type Individual Oliver Kelly Oliver Kelly 9 Peregrine lane South Yarmouth,MA 02664=- Administrator Not valid without signature F zr Town of Barnstable ti Regulatory Services 9hEM iUs. $, Thomas F.Geiler,Director 161g6 a�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 wow.tow n.b arnstab l e.m a.u s Office: 508-862-4038 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby authorize �,,;i . u� to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) I� q .2Lt -oj Signature of Owner Date 44 CL r- 0 2,0 Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RMS:O WNERPERMISSION Town of Barnstable tHME Regulatory Services Thomas F.Geiler,Director Mess. prfD �.m� Building Division Tom Perry,Building Commissioner _... ._ 200 Main=-Street,—Hyamnis;.MA 02601 _.._. . . _._....._... .. WWW.town.b arnstable-ma.us Office:'508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER.,: name home phone# work phone# CURRENT MAILING ADDRESS: cityhown . state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION 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 permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. Y The undersigned."homeowner"certifies that-he/she understands the.Tpwn of Banpstable,Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note:.Three-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 homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall 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 Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns.You may can t amend and adopt such a fonrdcertifmcation.for use in your community. Q:forrns:homcexempt =3� QED 14.26 F 1 508 176 12ISS DtiI.Pi & 0''�' II� I D01�001 1/14/2009 9: � PAGZ 0021002 LMG l libibem utuai Group - F.O.BOX 9090 Ali Dater,XH W,8 i-9090 T cicpbonc(SMS3-7W F=(609)-243-S330. " .:..quay 14,2fi09 T OF F9L'afOLillm is•)7-;�I��.fy�AL'/L`SQUARE - w�� t 2540- '- :: �:�al9cate 0P�vorkax Cnmpet�tt�n Btsttruica - ••• =red: 0714'EI B=- Y 9 PE MRIINE LANs+_ SOU,af YARWOUTl�L MA OZ664 :giVumber: WC2-31S 33880�-C�28 Eic�cti I2/1f3J2AQ$ Etpimion: .12/28/2009 --' ��r: a afforded under 1X�orkets Cor ae:ccztian Iaw of tze fo awir_g St-I - ,t1 & lease�si�bilitvim�t�1• ..�:= •- �� ••. c�ic? ri r!�-rtnc C,nvrr�nt�ter--ao�• s in;usy By Accideatr 100;000 Rw-. a oc d=t �. T'he workee compcmeon .t p&y does net provide,;:tnl�oy by Dssuxs $I00AU0, Parson imago for ;,�Y=t?'us3'by Diacaso s mo,= peilctiy Lirnits Os.r,M"I*t r-zt y = °:leis dx the ak a-refmr-Ced policyholder is insured by Liberty Mu-,uL;Fire tnsurasce Co 1uL policy lisud above. :;:nauraace aiTotded by the listed policy is subject to all the seams,esr-4usion,and Con iitioas;rnd is not -timd bC nnp rsquitoment;term or ,conditior:of:try 0-other documents with sespbct to which this :ft:ate may be issae�-. «rdficaie is issued as SLautuc Of infosx=tion only and oonf--s 210 rkg t upon you4 the+antificate ::ir_. 77is CeC04ekto is net,en inramnea pcJicy and does not a esmend, nmd,of silter the covevW x. ;-3 by the policy libIcd abo ra ,:-policy is cancdled before the stud ejsp atian dsta Libetr�'_ViuWd aill end eavm to notify you of ...__._._ . ,: ?3LrlHORYLF(?REPP,ESF.>sMATNZ - UIERTti M=,%L n'-wWCE GROUP :C'l7•m=a ex-=d trI ERTY-An ALDSmo.tas GRou w eve==hi SL It1 �im1000i1L�. 5 I.-M ER I r r.Y SA.NOPIPP i-RNSMANCA AGM CY INC ; r . >ETZEGTvNE L aNE 12 8N"CERPIZLrE ROAD . :;:i f,-M YARM0UM,-WA 02664 HYAl\TA1 b, MA 0260! �� ~� | Axueuo�/* n�up on6 �* num6a, -.'+��'��.�/' -^/._�x..-~ ' ' | - " T E ' ! Sew4e Permit number �9 ----��.-`.�.�. --------- ' �) House� num6ar. ..............!2 ........� ........................................ | �� ]� � � ��' |"� �_�� ^��]�� P� �� ]� �� ]�� | ` �� 0NN N 0 �� INSPECTOR �� . -- _ - --~- - -- ~~ ~ ~~ ~~ ~ �~~~ ~ ~~ ~~ . APPLICATION FOR ��IK TO �� ^ -----------..r��.�.:`:�.:��x..�:rc�......rzr_--.._.-^--.' ! TYPE OF CONSTRUCTION ......VUood. ________________.___.___.__________ ........ �-l......---.]9.!A9., � | TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for o permit according to the following information: Location ......�m�_��..7.l_�_OId_8trawber�y`..Hill..Bd��___ ......&bA_______________. ProposedUse ---------..--------------.-----------------.----.................................. ZoningDistrict -R.*.]@ ............................................................Fire District -. ........................................................ i Nome of Owner � Real Trust . .. ..............Address A5. Falmouth B��d� . ' .. ----. .=~ Nome of Builder-Fra.neo-�e�0��'ICs1tate.�De�� 6,es .��5' ..BoadK.. -.�--.. Inc. Nome of Architect --------'..-------------A6Jres --------------------------__ � ' Number of Rooms ..§A?�........................................................Foundation ...]p��"--------------------__ ` � � Exieho, � 'ouzq/�qr'm __��__'Roo�ng ....� _____________ � ` � � � Floors --'��a��P�.�--------------------.|n�e,ior '--��.��....--_______________ � . ' Heating 'G��-�-f;�N/��......................................................Plum ~- i g.........Tmfo-�' ---.-----_____ � Fireplace .....Nonr.3 .............................................................................Approximate Cost __c_�)«Q.o&�.0Q_.. ! Definitive Plan Approved-6v Planning Board lV--_-. Area -77�k9 �N.!-.ft........ ' Diagram of Lot and Building with Dimensions Fee .....,��Y -�-..................... SUBJECT TO APPROVAL OF BOARD Of HEALTH ` � � ' � ` ` � l i] | , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 41 `-_--� Noma ./�y /^ -.`..P r PU^ UOC9O9 | l CAPRICORN REALTY TRUST A=251-193 �61 ` I No ,2 4 8 6 2 permit for One Story ................................... Sinile. Family. . . ...Dwelli. . .ng.. .. .. ....... .. .... .. ............... Location Lot 71, 321 Old Strawberry Hill Rd. ................................................................ Hyannis ............................................................................... Owner ...Capricorn Realty Trust ..................................... Type of Construction ...F'.ram.e F.ram...e.......................... ................................................................................. i f Plot ............................ Lot ................................ Permit Granted .....March 21, 83 Date of Inspection 19 Date Completed ......................................19 G ce IS �LcoFl , ssessor's map and lot number / - Bpi TME.T�� - wQ O Sewage Permit number .............8j.1-1..7...................... ....... . d -- 1C a�"3TEM MUST Howe number .aa.:�. . ......... ...... .. ��! I i � sr � �� , ',BaaM a L .............. .............. 0 •O 3 4`ffCODE AND TOWN i®F U q R i = BUILDING 111,4PE C T 0 R f APPLICATION FOR, PERMIT TO .......Construct Single. Family Dwelling .. ��.. TYPE OF CONSTRUCTION .......V�god Frame , ................................................................................................................... .G.kt... ...................... .$ .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to' the following information: Location .....,Lot �1 - Old Strawberry Hill..Rd...t..........Hyannis.j..JNA••.•...••.•.' .... ......... ..... ................................. ProposedUse ................................................................................::......................................................................... .............. �...Zoning District ... .'.B'.............:..............................................Fire District ...HyanrilS............................•..................:......... Name of Owner Capricorn Realty Trust •Address 17 5 Falmouth Road, Hyannis .................. .......... ................................................................... Name of BuilderFranco Real Estate Dev. CoAddress 765 Falmouth Road, Hyannis .................... ric. ........ ...... . Nameof Architect ..............:...........................:.......................Address .................................................................................... Numberof Rooms ..SIX. •.Foundation ...P.:C..... ........................................................... ................................................................ Exterior Clapboard and/or shingles Roofing Asphalt shingles ............................................................ ................................................................. Floors Caret . :Sheetrock Interior .................................................................................... „Heating GaS - F`.ud.A.. Plumbing ..................-......op�er........................................... TWO C Fireplace ....None Approximate Cost .:.... 9,000.00 .................................................................. o Definitive Plan Approved by Planning Board -------------------------------19--------• Area !:..ft....... Diagram'of Lot and Building with. Dimensions Fee � � SUBJECT TO APPROVAL OF BOARD OF HEALTH • f 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. s Name .......... 000989 CAPRICO RN REALTY TRUST 0 2486-2.. Permit for ..O.n.e.....Story.ry............... ..7A. Single Family Dwelling .......... .................................................................. Location 7.1 321 Old Strawberry Hill Rd. ................................................ Hyannis ................................................................................ Owner ...Capricorn Realty -Trust ...................................... ............ Type of Construction ...Frame . .................................. ................................. ............................................ Plot ............................ Lot ................................. March -21, 83 Permit Granted ........t...............................19 Date of lnspectiorfv Date Completed ...tct/ .........19 fT TOWN OF BARNSTABLE 2 4 S 6 ti Permit No. - ---------- - - s �n Building Inspector • Cash ------------- ------- - OCCUPANCY PERMIT Bond --__-----__�-------- i Issued to Capr1cor17 Realty TkuSt Address Lot '71, .321 Old. Strawberry Hill Rd. , Hyannis Wiring Inspector Inspection Inspection date Plumbing Inspector% f` �t.'� Inspection date Gas Inspector � ! . �` } Inspection date 3 T", i �:�"n a-Yam__,.. ... y_.n..4�-,ate_ ✓] 1963 Engineering Department `',y'', // Inspection dates (� Board of Health 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. .�e,; ..ff.G' 19 i,' ..fry.. /64, 1/, .... Building Inspector i_'c7T . �y9 P !� L oT -7 2 v L oT (o S `t oT '/ ��.�,� ti of 3 •�� 9, 3.7 - . r L nn - i 2 �+ (� 2 , i45, w(urN �y�N°F I , CERTIFIED PLOT PLAN LaT 7/ S TR xr w/r3 e 1/ c IN AgAS fASLAiNA SSIG SCALE, ` .3 p ' DATE, 3l► 74-3 ® fA6JNffff1N4 ML89 FrtAnlw 1 CERTIFY THAT THE FvyivyA �w�i C`I�OT,._,.._,...._ SHOWN ON THIS PLAN IS LOCATED E®ISTERED REGISTERS N0. $w :30v 7 ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS TO THE ZONING LAIIIS ENGINEER BUtdVEYOR OR-BY' OF SARNSTA11 E SS. 712 MAIN STREET C&Dyl ... ....- 03Il•�3 -- `} _._.. r�' _ %',_� H YA N A I S, MASS. 81I119T./ OF.../ DATE R LAND SURVEYOR