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0008 SQUARE RIGGER LANE
s s����-R ,��er ��e f � � _ Ir R s -7 Town of Barnstable *Permit# FW Tres 6 months from issue o� Regulatory Services Fe j e Richard V.Scali,Director 1639. ♦ -11'�4 Building Division ^�� Paul Roma,Building Commissioner r'/'y�AIV 200 Main Street,Hyannis,MA 02601 014y 1 �ZQ 'ow) www.town.barnstable.ma.us !/� Office: 508-862-4038 x. Fax:5 �,6230 EXPRESS PERMIT APPLICATION. RESIDENTIAL ONLY `I- �t Valid without Red X--Press Imprint Map/parcel Number 7 2 ^ b d 7 ® ) Property Address m`?i ('`vq'�` , fr✓iA�f� " /� w`� �'Y�� �o M Residential Value of Work$ Q Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �(� 4 U l•�w 1 C j?U ye- � `� O_ Contractor's Name '� � ��t' Telephone Number �-� Home Improvement Contractor License#(if applicable) ® i _ Email:COyi CAC Frp,91L- Construction Supervisor's License# if applicable) q<NF G 9 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name -o 'r. a Workman's Comp.Policy#WC Soo i'C71 G 1 L-13." aO 1 4.,N- } 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) 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 Im rovement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\bu ding pe t fonns\EXPRESS.doC 06/20/16 " . 27m ConmompeaM gfMawadrvsetts Deparbueut oflud-ush iat Accidefrts Off"00".W5*ations. 600 WashfiWimi Shrzt 1 - , Boston#MA.02111 -- 1vIvttt.atas&gov/ilia Wcwkers' Campensatean Insm-ance Affidavit:Bmldet-dCuntractctrsJE w&kian hunters Applicant Tnfwmi atian Please Print f+ Y -Na> e�Ilasiaess�0�gan, m, ,� _ s 1-er--Iy�c��,t� Addr � City/Slat Z*-Ce"*t A 3 L Phone -�,23VV Are YOU an employer?:f heck the appropriatebox: T of project r I am a �eral confiactar and I IPc p 7 { e�uired} 1.0 I am a employer with d E] t 6- [:]New crostrucEi� employees(fud andfor part-time),* have hired the sub-comtactan 2.El I am a sole prvpzietor orpart w- listed on.tine attached sheet. 7. ❑Remodeling r , ship and have no employees These sub-c=ftactars have g- E]Demolition wotidng forme in ang sty- enTloyees;andbave woods' 9..Q Build addifiog LQ Comp-insure m e cc'nP- anratm+I rr ] 5_ We are a coapomfi an and its 10L Q Electrical repairs or additions officers have exercised Their 3.❑ I am.a hQmeovE*ner doing all v�ark I❑Plutabrag repairs or arlclitions my-self[No worlmrs'comp_ riot of emmption per MGL U❑EDofrepairs inmga=erequired-]i c-1 ,§1{4�aadwe have Mo employees-[Nowosos' 13-E Other cam-msuance required. �Any appfio=batcbeftbasitmastalsoMoittfiesectianb9awstww=Ztheawadeie=peesad upaRgri�ML l Ekmseuwuerswba sab=d Phis sTudaen in&brztmg trey armdam.-mUsra&anddLmhits aatsiderratxctnrs— submit anewaf&daeit iadiriding surb ICamtmcft sfWchestthisboxmustatt r'h =addiffmal sheet sbomsagthenameofthesub-canuzaD aadstrifewhetha:araatfmsee eshaM emplayees.Ifthesdt-cm�bar:eempleyees,they 'pmvidethieIr xadmss'a=p.pa}icya m lam au enipl*w fliat isproviding workers'cougmisidiati hwzraucsfbrmyjwrp&jem Beloty is ifie policy Paul job sets. inf razadon, , Insurance Compaq Name: A. Poficy or Self-ins Lim `W CG ��i 00-�O�fo1�-l3--a®�b R 1piration Date: c2 -2ICZ _ Job Site Address:�y�Y'e✓��?l�'� 1—W vu� C' l5 i�wnwS /1ll A ©2.f3.0 AtUch a-wpf of the workers'compensafionpolicy declaration page(showing the poficy number and expiration date). Fang=to serum coverage as re4uireri under Section 25A of MM m M can lead to f he imposition of criminal penalties of a fine up to$L50D.0a andtor one yearimpt isoumek as well as cif pen affies is the fazm of a STOP WORK ORDER and a Erne of up to$250.00 a dap against the violator- Be adidsed fiat a copy of this sbhment maybe forwarded to the Office of Investigataans ofthe DIAL for iusumace coverage vezi .on_ I da lffr4z ry c tltspairzs aced ihatfhe irafbrma&aprmtdrdabm a is titre and cwrrect Si ore:' I Date- ji'7 Phone A- OfiWat usa o9j, Do not write in this area fir be conpWod by dfp ar town o,f acrat My or Town: Permhff&ense;g Issuing Anflmrity[drck one): L Board of Higth :d. Depaz-fineat 3.CitpTow.clerk 4 Electrical rngnctior S.Pimmbmg Inspector *Other Cox"&Person: Phone 9- t 6 ormation and lastractions Mmsachmeff4 Gc=9 Laws chapter M nq=m all employers to provide W0IIX S'compensation fartheir employees. p ffi:iS sty,as WVIoyre is defined as=e y person in fiie scavice of another under my cantact ofhim, `es MW or implied oral or wrft E Azz Moyer is defined as ran inTivuhA pmrtmmhV,amcieflc n corporation or other legal eddy,or arty two or more of the;foregoing=gaged in 9-joint=tcrpase,aadi aclndmg the legal rPeseutaiives Of EL deceased employer,or fl= receiver or trastee of an mdtvid*pMtIMsbrp,association or ofherlegal entity,employing errtployees. However fhe owner of a.dwelling house having not mare than tbree aparbnm±s and who resides lhmtmu or the occupant of the - dWeIIing house of ano$zer who=:plays pms=to do mainteaaace,cansfrrlc on or repay work a a such dwelling house or on the grounds or building appm-LEnant$=rein sball not becanse of sack employment be deemed tD be an employe" MC3L chapter 152,§25C(6)also sfate;s that"every sfafE or local Iicen�n g agency shall withhold flie issuance or renewal of a license or permit to operate a business or to construct bwldings im the commonwealth for any applicant who has not produced acceptable evidence of compliance with the hLwxance.coveXage regairect" Additionally,M GI.chap _i�r 152,§25C(7)states¢1�m i m the nor wry ofits political subdivisions shall en info any contract forth=p=rfl aace ofpublic woricunI acceptable evidence of complia:amwith the msar nc,6, rexpm=erts of this chapter have beta pressed to the confiactmg anihority" Applicants Please fill out the worla'rs' compensation affidavit completely,by chug the boxes that apply to your sitnaiion and',if necessary.supply sob-contractor(s)name(s), ad&mss(es)and phone nmaber(s)aIongwitiZtheir=tcacst*)of mmnance_ LimitedLiabdityCompames(LLC)orLmritedLiabs-EityParinersbips(LI.P)wiffino employees other than the members or partners,are not rbq mid to carry workers'crmpensation iasnra-r,ce- If an TLC or LZP does have empIoyees,apolicyisrupked. Be advisedtbk this affidayk maybe sobmttiedtotheDepadmeutof Iudastrial Accidents for confsmation of m ar =coverage. Also be sure to sign and date the affidavit The affidavit should be mtrmied to ffie city or town that the application for the pe mit or lic=nse is being retlacsted,not the D ep arEmenf of : adLstrial Accidents, Should you have any gn=dons regardmg the law or ifyon sire regazedin obtain a workers' compensation poky please call the Department at the number listed below. Self-i nsra ed companies shonId enter their self-;T,sura ce license nmnber on the appropdai-�line. City or Town Of acials f . Please be saae that the affidavit is complete and priatedlegffily. TheDepaitmeatlm pmvided a space atthe botbom. of the affidavit for you to fill out in the event the,Office ofInvestigaiinnshos in cozr<ac-'tyouregardmg the applicant Please be sure to f M is the permit/Iicense number which will be used as a refermce number. In-addition,an applicant that must submit multiple P=tImen r,applitmiions m any giv=a year,need only submit one affidavit indicating cnn'ent policy fi fanrration.(if necessary)and TMA `Job Site Address"the applicant should write"all locations>n (may or. town)-"A copy of the affidavit that has beer officially stamped or madCed by the city or town maybe provided to fhe applicant as-rmofthat a valid affidavit is on file for b3fM: permits or licenses Anew affidavitmnst be filled ok 6ach year.Where a home owner or citiz=is obtaining a license or permit not rm aired in any businesss or commercial vdntnm (ie_a dog license orpennit to bum leaves etc_)saidpmrson is NOT req�z$dffi complete Ibis a$davif: The Of of Tnvesfigsfims would hkc to thank you in advance for you:cocpe-ation and should you.have any gaestions, please do not hes.>fate to give us a call The DepartmenfS ad&mss,telephone and fax ft Of Massarlh Departnmt cfIn a]Ants . �tOe of�fio� �Akan t • . �Os�11�l�11F Fay#617 727 7M Revised 4-24-07 - . .gam ALM. Mutual AIM Mutual Insurance Company Massachusetts-Employers Insurance Company New Hampshire Employers Insurance Company INSURANCE COMPANIES Associated Employers Insurance Company NOTICE OF REINSTATEMENT OR WITHDRAWAL OF CANCELLATION Conrad wing Jeff Conrad 11115/2016 535 Phinney's Lane Centerville,MA 02632 Effective Date of Cancellation: 11/2412016 - - : insured: Jeff Conrad Policy Number. WCC-500-5016143 2016A Policy Term: 612412016. to.6/24/2017 y The Notice of Cancellation which we issued on the above date is hereby withdrawn.The policy listed above remains in full force. If you have any.questions regarding this procedure,please call Patricia Deviller.at(781)270-8716. Sincenety, RobertR. Celia Vice President-Operations Placing Office 500-115-2 , 54:Third Avenue. P.D.°86x 4070•Burlington,NIA 01803-0970•Tel:781.221:1600 1 800876 2765-Pax:781.270.5599 BRIDGEWATER,•BURLINGI`ON•CONCORD,NH•HOLYOKE•MARLBOROUGH VantvWbyAWdWeq1nd&WMes s Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-00985-7 Construction Supervisor JEFFREY M CONRAD 535 PHINNEYS LN CENTERVILLE MA 02632 °{ _Xo?ratlon: Commissioner 12/23/2017 ee ry/JU/JZQ7tclleClLG/e a aC/1ajeff4 ._._...._..._-- Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration on TYPE• g valid for individual use e Individual only i xp before the expiration date. If found return to: V.Rebistration Expiration Office of C 924074? 05/08/2019 Consumer Affairs and Business Regulation ,r _ r 10 Park Plaza-Suite 5170 JEFFERY M.CONRAi7 Boston,MA 02116 D/B/A CONRAD REMODELING, JEFFREY M.CONRAD = 535 PHINNEYS;N .. � C� CENTERVILLE,MA 02832~ NOt V811d WlthOut Sionat,,. Undersecretary , �ZFIE r�,,I � BARN6TABLE. � 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 Fax: 508-790.-6230 Property Owner Must Complete and.Sign This Section. If Using A Builder I, CA AL 1 T 7,49Di ;as Ownet of the subject property hereby'authotize .J ��^/1 Y tC7/✓ !/ to;act on my behalf, in all matters relative to woik.authotized by this building permit application for: (Address of Job) C-n '4 1 /1 Signature of Owner Date Print Name If Property Owner is applying for permit,.please complete the Homeowners License Exemption Form on the reverse side.- `.; Q VIPP LESTORW building permit fo=lWMS.dop Revised 040215 t1•t oFat, S PERMIT' Town of Barnstable *Permit# ti Regulatory Services Fee D- rgv>�usue date 1 ` ARNSTABLE Thomas F. Geiler,Director n / Building Division Tom Perry,C130, Building Commissioner 200 Main Street,-Hyannis, MA 02601 wwrv.town.barnstab le.ma.us Office: 508-862-4038 Fax: 508-790-E230 EXPRESS PERMIT APPLICATION - RESIDENTLAL ONLY Not Yalit1 will.out Red X Press Imprint Map/parcel Number 1 Lo)!�Z�- 0 Property Address ��� �14WH yin-yu vt F Residential Value of Wor �{. 9S-0 — Minimum fee of S35.00 for work under 56000.00 Owner's Name &Address/77(l jq't Contractor's Telephone Number �4��Zi�C'� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 7 ❑Workrnan's Compensation Insurance Check one: I am a sole ro ietor Pr P. _ Iamt e h Homeowner I have Workers Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must'accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(riot stripping. Going over existing layers of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders.'U=Value ' o (maximum .44)#of windows ,!Where required:-Lssuance 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.. IGNATURE': YI D 1 lI ' i lassachusttts- Department of Public Siifel Board of Buil11 Rc��ul,ttit�ns and Standards` Construction Supervisor License , License: CS 9857 f Restricted to: 00 y�z JEFFREY M CONRAD 535 PHINNEYS:LN CENTERVILLE,MA:02632 � -� Ex iration: 12123> . . /2011 h "('t}rriritis.1n.otwr Tr#! 15805 Y 72, Office of ousumerAtirs B smess eguladon. License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,s.:.124074 Type: Office of Consumer Affairs and Business Regulation Expiration: �666013`"' DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 Conrad..Remodelifi `= Jeffrey-:Conrad 535 PHINNEYS N j _}` CENTERVILLE,MA 02632 r, ? Underseeretai /' Y of valid without signature l r o Town of Barnstable Regulatory Services 9�A g Thomas F.Geller,Director aim Building Division Tom Perry,Building commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862--403 8 Fax: 508-790-6230 Property Owner'Must Complete and Sign This Section If Using ABuilder I7 64L 4 l 7RT 190 ,as Owner of the subject property hereby authorize J � Cor�/��7� to act on my behalf, in all matters relative to work authorized by this binding permit application for: .(Address of Job) Signature of Owner i3ate Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form.on the reverse side. n.an n•�r_ntt n,rt n oro��7r n7nw7 . ra The Commonvealth;ofMassachusetts Depdriment of Industrial.Aceidents t d Office'of Investigations 600 Washingfon Street Boston;M4 02111 wwiv.rriass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizaiion/Individua])' s YV�t,Vck Address: �j'L t'U r VN S � S =�. City/State/Zip( �iUF N\{�,�,.0 Phone Are you an employer?Check the appropriate box Type.of project(required): I'. ❑ I am'a em ]o er with 4• I am a general contractor and I p y = 6 _ Ncw 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. t- ? .� Remodeling ship and,have.no employees These 'sub I-cobtfactors have 8'�0 Demolition ` workingforme in an ca act workers'comp. insurance. g" Buildin addition ` y p 5:p[]. We area co oration'and its Electrical ; [No workers'comp. insurance rP ❑ a officers have exercised their IO � 1 rep additions required:] x 3. 1 am a homeowner doing all work right ofezeinption per MGL ]l.0'Plumbing,repairs or'additions myself. [No workers' aornp e: 152,. 14 ,and we have nog s'. " § { ) 12.❑.Roof repairs insurance required] t employees [No workers'. 13,0 Other comp. insurance required:) *Any applicant that checks bbk#l.musf'.also`fill out the section below showing their workers'compensation policy,information 4 t Homeowners who submit affidivitindicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. . lCon tractors that check this box must attached an additional sheet showing the name•ofthe sub-contractors and their workers'comp.policy information... I am an employer that is providing workers'compensation insurance for'my employees•Below is"the policy and jab site information. a Insurance Company Name . Policy#or Self-ins Lia# Expiration Date Job Site Address:' `� ° City/State/Zip:` 'Attach a copy ofahe w'orkers'compensation policy declaration page (showing the pohcy'''umber;and expiration date)' ;R 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-yeai�imprisonment, as well as civil penalties in the forrn 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 forwarde. to the Office of investigations of the•DIA for insurance coverage verification .` I do,hereby certi .`u der.the pains and pena1h of perjury that the information provided above is true and correct Si atu e. Date: Phone Official use.only Do not write to this`area,to be completed;by city,or town official City or Town 'Perm it/License Issuing Authority(circle one).: 1. Board of Health I Buildin"g'Department 3. Ciiy/T, n Clerk 4:Electrical Inspector 5. Plumbing'Inspeetor 6. Other ' 4 `f 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 onto 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-contractor(s)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 isTequired. 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 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. # 61 7-727-4900 ext 406 or 1-877-MASSAFE Fax 4 617-727-7749 Assessor's offioe !It floor): 7 _ �' �° oFTNEto Assessor's ;map`°and lot number .... ./.. .. ..ola...o.. Board of Health Ord floor}: XT CONNECT TO TOWN SEW R S tiage Permit number �.�.. ..^ Y g `}� 47.6, I P�7 ...... �j( ........�.i.. ....OK. �.T' ©��(Q/VL/ �/ t B9Sd"a Z. i Engineering Department (3rd floor): �'1— R - l �" House number ..,.....................................(................................. "U ✓� tf�� / �l�L o MAY a�® APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only I 7 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ,..construct a_..single family dwelling TYPE OF CONSTRUCTION .....wood frame ............................................................................................................................. ---....March....... 1..............19....8 8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......Lot...1.1.0.....................S.qua.xe....Riggex...Laze......................................Uya.T?ni.-q.....MA....................... ProposedUse ............................................................................................................................................................................. R•B ..................Fire District .......Hyannis Zoning District •............................... ............................................................. ....................... Name of Owner Capricorn Realty...Trus.t............Address ...765 Falmouth Road, Hyannis, MA Name of Builder .F.ranco. R...E...._.Dev,.Co..Inc.........Address ...7.65 Falmouth Road, „Hyannis , MA Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........Eight...........................................Foundation ..........P.C. .................................................................. Exlerior .Clapboard.,and(or...s.hinglPs.................Roofing ........Asphalt Shingles.................... . .. Floors Car e..t..................................... .......................Interior ........Shee.tro.e.k .................................................... Heating G - F.W.A. .......................... ................. ..............Plumbing ......TC ............................................... Yes ...........................................A Approximate Cost .....$.50, 000. 00 Fireplace ....................................... pp ................................I...................... 117 8... Definitive Plan Approved by Planning Board ________________________________19________ . Area s.q.•....f.t............�....... ate' Diagram of Lot and Building with Dimensions Fee v UBJECT TO APPROVAL OF BOARD OF HEALTH P " 1 IV A: 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. Name ... ... ..........J.... ::!f ... 0..0989 Construction Supervisor's License `CAPRICORN REALTY TRUST Permit for .7 ... kRx ............... Location ..Lo.t...#11.Q.,....8...S.quaxe..Ri.gger Lane ' .................11yaI IS..................................I......... Owner ....C.s px.J.CA.ru..Rea.l.ty...T.r.ust.... Type of'Construction ....Frame.............. .. ............................................................................... Plot .............................. Lot ................................ November T Permit Granted ..............................�.►......19 8 8 Date of Inspection ...............nn....................19 Date;-�-Completecl �6..."-. . }` p► � t. w yr. CV` ;. 3 P _ N - f _ 1 Assessor's,offioe (1st floor): � •: -^� THE Assessor's map and lot number ......a.../.�...,.�.... ......... Board ,oft Health (3rd'floor): �` r S'iw.age Permit number ...... �.- .... ,,` ............... )Ql C 1 �QQ�C _1 BasasTAkE `< C?K' :7' G��nM-tn�y rasa I,, Engineering Department (3rd floor): U ` o ,6 9. ° House number ................,,......................................... .......,.... . "(/' ���� /�/ o�aOR aye APPLICATIONS PROCESSED 8:30-9:30 AM, and 1:00-2:00.P,M. only TOWN OF BARNSTABLE BUILDING INSRECTOR APPLICATION FOR PERMIT TO ..,construct a single familyddwelling TYPE OF CONSTRUCTION .....wood am ...fr...........e....................................................................................................... .......March...........1..............19....88 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot 11Q......................ScruareR algcter...Lane......................................Hvanni.s.....MA....................... ................... ProposedUse .........................................................................................................................................................:................... Zoning District .............R.t.B.....................................................Fire District .......Hyannis ................................ ................................... Name of Owner Capricorn Realty Trust : ....Add Address ...76.5..Falmouth Road, Hyannis, MA Name of Builder ,Franco R.E. Dev.Co:. Inc. •,.._Address ...7.65 Falmouth Road, Hyannis, MA r ............................................................... Nameof Architect ..................................................................Address .................................................................................... } Number of Rooms .........Eight...........................................Foundation ..........P.C........................................................... Exterior Clapboard and/or shingles Roofing ........Asphalt Shin 1Ps `` g ........................................ *_ Floors Carpet Interior ........Sheetrock .......... ...................................................................... ....................................................t "....... Heating ..Gas — F.W.A. g Two— Copper Plumbing ............................................................................ Yes $50, 000w.. 0"0 Fireplace ..................................................................................Approximate Cost ................................................. Definitive Plan Approved by Planning Board _______________________________19--------, V Area—,.11.8 sq. ft. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH L 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and :Regulations of the Town of Barnsto'Gle regarding the above construction. Name� ....... 1.......... .. Construction 8u ervisor's License V 000989 �1 CAPRICORN REALTY TRUST A-272--004-015 ` 32408 1 w No Permit for .�....l.z...Story.......... ...... P ngle Family„Dwelling,,,,,,,.,, Location .Lot...#1,10.„.8.,Square_„R gg.er Lane ...............Hy,anni.S............................................. Owner Capricorn..Rea.lty..T.K.ga........ Type of Construction .....k'.r.aMe........................ ............................................................................... E Plot ............................. Lot ................................ November 3 8E Permit Granted ................................l.......19 Date of Inspection ....................................19 I Date Completed ......................................19 j ' TOWN OF BARNSTABLE 32408 .Permit No. . BUILDING DEPARTMENT {' I TOWN OFFICE BUILDING Cash .619. 1 HYANNIS,MASS.02601 Bond ,,�., . r CERTIFICATE OF USE AND OCCUPANCY Issued to Capricorn Realty Trust Address Lot. #110, 8 Square Rigger Lane Hyannis, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE. OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. May. ?!... ... 19....89........ Build' g Inspector THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A- 7 �C&n- -IL DATA L41%AA kliJ j, /A'rC DATE 19 PERMIT NO. 13 PPLICANT ADDRESS (STREET) (CONTR'S LICENSE. PERMIT TO STORY NUMBER OF (Tyrr. ()I IMPROVIMLNI) NO. nWFl I ING HNITS (PROPOSED USE) AT (LOCATION) ZONING (NOj DISTRICT (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT_BLOCK-SIZE BUILDING IS TO BE FT, WIDE By- FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCT! TO TYPE USE GROUP -BASEMENT WALLS OR FOUNDATION TYPE) REMARKS: AREA OR VOLUME ESTIMATED COST $ PERMIT (CUBIC/SOUARE FEET) FEE $ OWNER ADDRESS BUILDING DEPT. 4 BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY C PERMANENTLY, ENCROACHMENTS ON PUBLIC PROPERTY NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES BE Ai A PROPERTY, AS WELL AS DEPTH TH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ;�,SUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. CONDITIOr MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: ::",KEPT POSTED UNTIL FINAL INSPE S BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. ER E..' CERTIFICATE OF 0 ELECTR A MBING AND 2. PRIOR TO COVERING STIR TIC IS RE- ME CHA LLATIONS. MEMBERS(READY TO LATlk. U;," R, LUING SHALL NOT 8 W" 3. FINAL INSPECTION BEFORE- AL INS H-AS BEEN.MADE. NTIL OCCUPANCY. POS IS A IT IS VISI_ IS W N PE _ M 17 E I L OM STR, BUILDING j ..I�PPROVALS ECTION APPROVALS ELECTRICAL INS APPROVALS 4 7 A 2 2 2 wi. HEATING APPROVALS so ENGINEERINCr l TMENT OTHER 04 BOARD OF HEALTH o' WORK SHALl -NOT PROCEED UNTIl IHI_ 114SPLC PERMIT ',V!LL BECOME NULL AND VOID IF: CONSTRUCTION INSPLCI IONS INDICATED ON THIS CARD CAN I- TOR HAS APPROVED THE VARIOUUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OFCONSTRUCTION ETHE ARRANGED FOR BY TELEPHONE OR WRITTE' CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION, DAI CONT I',UAT 10 OF RO .D F,OND BUILDING PERMIT The undersigned owner/contractor hereby agree to maintain their road bond in force until the following work items are completed to the satisfaction of the Engineering Section of the Department of Public Works. loam and see shoulders as soon as weather permits. v other (explain) Z:Z) LOCATION L07 IlD Y SIGNED Owner/Contractor NGINEE NG AUTHORIZA ION I i "J"o 1-7 I r g247 0 4 a 1>S0a `L o r p ti i 4o7 //p 03 ! i N Gooc. 2 FDN, J-O 7- 1Og a B, s © I 4 1 i 41 J �t Aj ,p O/ j � RI• ate: _ w ,I I d I i r I I �ZH Of{{ i C. yG, o FRANK j WHITING y I n N o. 29869 TOWN OF BARMSTABLa ZONING BY-LAMS DATED SEPT 14 1967 /0171,o� ZONE: RC--'1 j } SETBACKS : COPE 0 SPRC E) i FRONT 20' f SIDE - 7.5' I REAR == 7 5' I i ! ` I PROPERTY LINES SHOWN HEREON WERE COMPILED I FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3.3035.20 AN ACTUAL SURVEY ,ON THE GROUND 1 SHE STRUCTURE,DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND 'BY SURVEY ON OCT 6 1988` in ti � E AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. S�$,RN5-J'ASL� MASS . 6 THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND � SCALE: 1" - 20 OCT 7 14988 � SHOULD NOT BE USED FOR ANY OTHER PURPOSE. THE 8SC GROUP--CAPE COD INC ' $ _ _ ✓-- ._._. � . t HOUTE 2 8 MADAKET PLACE 812rATT�E" _r PROFESSIONAL LHD 64v YO._R. � MASHPEE, MA 02649 (508) 477--2525 � f