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HomeMy WebLinkAbout0016 SUDBURY LANEis �oFt,,E r Town of Barnstable *Permit# L Expires 6 months from issue date Regulatory Services Fee ' O aaxNsraste, _ Thomas F. Geller, Director �S b 9 -,�$ Building Division (� - pr�b �a I D !— Tam Perry, CBO, Building Commissioner u 200 Main Street, Hyannis, MA 02601 www.to wn.b arnstab l e.ma.us Office: 508-862-4038 Fax: 5087790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Nor 11'alid without Red_X-Press Imprint Map/parcel Number Property Address Xalsiden6al Value of Work ' 0,Mn, c)0 Minirnurn fee of$2S.00 for work under$6000.00 Owner's Name & Address C-MN moo_ c t 'G,A d I LV ` - \--,n &mo i Contractor's Name � Telephone Number Home Improvement Contractor License#(if applicable) _ 1 � ❑Workman's Ompensation Insurance X-PRESS PERMIT Che eone: I am a sole proprietor OCT 2 2OD8 ❑ [ am the Homeowner ❑ I have Worker's Compensation Insurance 0WN OF BARN. TA : , Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-r f(not stepping: Going over existing layers of roof) Re-side ' ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,^Conservation,etc. ***Note: : Property 0'wner must sign Property Owner Letter of Permission. A copy of the Rome Improvement Contractors License is required. SIGNATURE: _U Q:\WPFILES\F0PMS\bdilding permit forms\EXPPESS.doc Revisc020108 - ff The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bostort, AL4 02111 �- www.mass.gav/diu • Workers' Compensation Tnsrirance,Affidavit: Builclers/Contractors/Electricialis/Plumbers Applicant T�nformafion Please Print Leitb� NaaEaf1.(BasinessJ a niz&Eon/IndMilaal): Address: Mx- &15 1 City/State/Zip: CS � Q�� I Phone.#: q O � J Are you an employ Check the appropriate boat: r6. ype oL4 ,, ject(regnired): 1.❑ I am a employer with. 4. I am a general contractor and I ❑ nstructionoyces(full and/or part-timL).* have hired the shb-contractors2. I am a'sole proprietor or partner- listed on the attached sheet ❑ odeling ship andhavcno employees `These sub-contsactars have g, 0 Demolition employee cis s and have work ' working far me in any capacity. 9. ❑Building addition [N ne o workers' camp.n» e cord.in uranr,0 5. [] We are a corporation and its 10.0 Electrical repairs or additions rtginred.j officers have exercised their 11.0 Plumbing repairs or additions 3.❑ I am a homeowner doing all work right of exemption per 1vICrL comp. 12 rcpam myself [No work ers ins ranco L t c. I52, §1(4), and we 1 avc no �i employees. [No workers' 13.9 6ther comp_incnrance re:t Cd.j `Any applicant that chxls box#1 roust also fM out the section blow rhowing their workers'cornpcnsafion policy infoanation. t HmT=wocn who submit this af5davitMcafmg they are doing al!work and than hire outside contractors mastrubmit anew zEdavitindicating such XCant mctsis that cbcak Ha this box ut attathcd as additionaI sheet showing the name of the sub---anft—Uns and state whether or not thosd cnti6a have crylayers. If the sub{-onhactars have employers,they must provi&their workm-;,camp.policy number. I aman employer that is providing workers'compensa.iott insurance for my employees. $'claw i.s the paltry and jab site information. Inoar=cz Company Nn-m Policy ff or Self--ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy nnmber and ezpiration date). Failure to secure covemge as required undzr Section 25A of MGL c. 152 can lcaA to the imposition of crimiial pcnaltics of a finL up to S 1,50D.00 and/or one-year imprisonmznt, as well as civil penalties in the form of a STOP WORK ORDER and a fi of lip to S250.00 a day against the violator. Be advised that a copy of this statcmcrit may be forwarded to the Office of Investigations of the b r insur=r,coverer c verification. I do h eby c u der a pa' and enalties of perjury that the information provided ab ve u (e and correct Si c: Date: O _ phone# —002 use only. Do not write in this area, tb be completed by city or town ofTx L City or Town: Permit/License# Iso ng Authority(circle one): 1.Eoard of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspectur 6. Other Phone 4: oFZKEr Town of Barnstable Regulatory Services �BA"STABte.$ Thomas F. Geiler,Director rfo,u,�a 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 A Builder as Owner of the subject property hereby authorize v� `erg '" to act on my behalf, in altmatters relative to work authorized by this building permit application for: (Ad e s of Job) atu o Owner Date G-V g)a C Onal�! Print e If Property Owner is applying for permit please complete the Homeowners License Exemption Form on tEc reverse side. Town of Barnstable �pf SHE rp�� Regulatory Services • Thomas F. Geiler, Director BARNS &BLE, v MASS. 16.9. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4039 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town 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. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable 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 persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption ait unaware that they are assuming the responsibilities of a supervisor(ice 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, w that the homeowner certify that he/she understands the responsbilitics of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/ccRification for use in your community. Town of Barnstable' *Permit#26t ) -7070 Expires 6 months from issue date Regulatory Services Thomas F.Geller,Director Building.Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable,ma.us Office:, 508-862-4038 Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION - ,RESIDENTUL ONLY Not Valid without Red X-Press Imprint Map/parcel Number -T Property Address [Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address e o— D `u-1 Contractor's Name V Lam- Telephone Number q o' � Home Improvement Contractor License#(if applicable) I -1 (0 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Ch one: tit,x [ PI am a sole proprietor ❑ lain the Homeowner N 0 V 0 2007 ❑ I have Worker's Compensation,Insurance Insurance Company Name Worl man's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(checkbox) [t/Re-roof(stripping old shingles) Alf construction debris will be taken to clu ) kfl ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement.Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department ngut]ations,i.e.Histpnc,Conservation,etc. ***Note: Prope Owner must sign Property Owner Letter of Permission. A p f e Improvement Contractors License is required,. SIGNATURE: Q:Forms:expmtrg Revise06UO6 The Commonwealth ofMassachusetis Department of IndustrialAecidents' 14 Office afInvestigations 600 Washington Street Boston,AM 02111 www.rn ass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le 'bl Name(Business/Organization/Individual):. Address: X City/State/Zip: 0 10iS �� 0gQ0j phone.#: Are you an employer? Check the appropriate box:_ -Type of project(required) 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/orpart;time).*,. have hired the sub-contractors 6 ❑New construction . 2. I am a•sole proprietor or partner- listed on the-attached sheet. 7,E]Remodeling These sub-contractors have ship and have no employees � 8. ❑Demolition working for me in any capacity. employees and have workers' co insurance.t' 9. []Building addition [No workers comp.insurance comp. ' required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their '3.❑ I am a homeowner doing all work'* 11.❑Plumbing repairs or additions anysel£ [No workers' comp. right of exemption per MGL 12.[vRoof 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 fill out the section below showing their workers'cornpmsation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. .iContractors that check this box must attached an additionalsheet showing the name of the sub-contracters and'state whether ornot those entities have employees. If the sub-contractors have employees,they must pruridt their vroAcers'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 blame:, Policy#or Self-ins,Lic.#: Expiration'Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),.. Failure.to secure coverage as required under'Section 25A of MGL 6. 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 maybe forwarded to the Office of Investigations of the bIA for insurance coverage verification; I do hereby certify:rnd th pal s•a penalties ofperjuty that the information provided ahniiv .is ue and correct. SiMature: Date: Phone #: Q -- Official use only. Do not write in this area,Yo be completed by ctty or town ofpciaL City or Town: Permit/License# Issuing Authority(circle one); 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other ' Contact Person: Phone#: 7.' tiofIHE,, : Town of JBarnstalblp— Regulatory Services i SARNSPABLE, sass $ Thomas F. Geller,Director 4''°lfo;p�A,Po Building Division Tom Perry, Building Commissioner 200 Main Street, HYannis,Mk 02601 wvtw.town.b arnstable.ma.us office: 508-862-4038 Fax:',508-790-6230 , a Property Owner Must Complete and Sign This Section if Using ABuilder b' as Owner of the su• sect property Oherebyautho ' e .5 to act on m behalf Y in all-matters relative to work authorized bythis building permit application for F (Ad of Job) . Signature&wner Date dul� V)CSC. 1)McLd , Print e a. Q:FOR.M S:O W NERP ERMIS S ION �'lae<�amzmo�ueaCU oyO�/ Zaoaclzuaeaa { Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration :1-24310 Board of Building Regulations and Standards Ex iraton One Ashburton Place Rm 1301 P 6/1/2009 Tr# 130873 Boston,Ma.02108 Type Individual James Curley James Curley, _ 287 Fuller Rd. Centerville,MA 02632 Administrator Not valid without ure ��� ������� �� 1 i �..',�.ii a- ,� ' , �'� .�,� f t �. :�.� l,,.l.� i,i,.,���1 ,� �, �� .I�r �' 0 2 0 3 G 0 1 9 0 3 4 ' tLtatCrU°s'h- l ; F WE rp� The Town of Barnstable BAMS'"BU Department of Health Safety and Environmental Services 9`bA 16 9. �•� Building Division TEO MA'S 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE Pe 7�a SOLID FUEL STOVE PERMIT Date: 7�� Owner: ��G��T} .1) i arnY�rC(� �� 1`� Phone: Address: , S � ,ry n Village: U Ll�h�115 Map/Parcel: Date: Stove A. E;�/Used B. Type: Radiant/Circulating C. Manufacturer: e r 2 Lab. No. D. Model No.: Chimney A. New/ xistin If existing,please note date of last cleaning) la•n�C�,�iny� B. Flue Size C. Are other appliances attached to Flue? n� D: Pre-fab Type and Manufacturer E. Masonry:\-ycic.K Lined/Unlined Hearth A. Materials: c' B. Sub Floor Construction: Installer Name: r�� �J U - Address: 9S Co Phone: Location of Installation: APPROVED BY: S 2Qo Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc � x 1: 11 ,1 "41 1 ! Q wee Gas&Wood Burning Stoves-Glass Doors&Acc :f t DeliveryInstallationService 3 Large }' Showrooms JOSH WEBB 95 Corporation Sire et Hyannis, MA 02601 Y 11 �. �c b t 1 I a �.I € s �_�.*m.-.a�+ �"��r,, s'd`` .�n +s`�v¢'"ru. �*r•*°�cA�u+wn..'�Ps ,�+,:+0+-K.A.a. a 3y ��� - 'u � ? 11 _ t INN t n-- " 1 e - N CL 6A4TMUSA Lpnxi t ` . • 1 o r ' r I C H I M N E Y O P T J O N S Horizontal lengths of chimney pipe must have floor protection beneath and ' Our decorative and functional warming extending 2" on either side. The chimney must, at minimum, be a Type HT or shelves add character and extra charm to conform to CAN/ULC-S692M. Masonry chimneys must meet National Fire your stove. You'll also want the shelf brack- Protection Association (NFPA) Code 211. Refer to installation manual for com- ets and mitten rods, available in.24 carat plete details. We recommend using a minimum system height of 12', mea- gold f sured from the stove flue collar to the top of the chimney, not including the chimney cap. When using a single wall connector(stovepipe), it must be at least 24 gauge mild steel or 26 gauge blue steel. WS3-2 S3PGR-2 Matte Black Finish reen Porcelain NOTE: never install. more than one appliance to any chimney. WS-PBK-2 ws3PI Black Porcelain Blue Porcelain CremeWS3P Porcelain PR 6 S � � Creme Porcelain The Cape Cod must be installed on a noncombustible floor, or have a 4-I0'D' rtS - noncombustible floor covering that extends 16" in front of the stove and 8" on either side of the stove. The minumum size for floor protection 111 WSB2G-2 WSB2-2 is 37 1/2"W X 40"D. Gold Bracket& Black Bracket& Mitten Rod Mitten Rod S 1 '"• 7 Ov UNIVERSAL BLOWER/FAN KIT 160 cfm fan kit helps circulate warmed air into the room. lUP,� CCOAK Outside air kit,for use in mobile homes and N 0 T_ E where required by code. t. Product design,specifications,color availability and hue are subject to change without notice. Btu CCFS I99 rating is to be used as guideline only,and does not imply a guarantee of the heating capacity of the Firescreen,allows safe operation and improved unit. Factors affecting the heating capabilities and burn time of this unit include:climate,building viewing while burning with doors open. construction and condition,amount of insulation,location of the unit and air movement in the room.Heat output also depends on the condition of the venting system used in the installation.The photographs,drawings and descriptions in this brochure are to be used for assistance in product selection only. Refer to the installation and operation manual for complete details.Contact your local building or fire code official about restrictions and installation requirements. A V A I L A B L E F R O M DevRE. � I Website:www.aladdinhearth.com j 1 DOVRE is a registered trademark of Aladdin Hearth Products. Specifications and options are subject to change. 1 i t 8994460 9/99 Y The Dovre Cape Cod...Far and away the best wood r k' burning stove we have ever created. Precision cast and hand assembled, Cape Cod combines the beauty of Dovre cast iron with the incomparable wood burn- 1 ing technology pioneered and patented by Aladdin - Hearth Products. Providingy efficient, clean and abundant warmth, Cape Cod includes a generous list of outstanding standard features and also offers a number of desirable options to fit your personal taste and lifestyle. CCPBIc a>- ccPCR Puritan Black s Jersey Porcelain eme -- _ I Porcelain , CI CCPBC Bavarian Green French Blue Porcelain Porcelain STANDARD FEATURES ■ Durable cast iron body, finished in matte black metallic paint ■ Controlled combustion system means maximum fuel efficiency, and meets all EPA Phase 11 requirements ■ Firebrick lined to enhance heat,output 27" 26 1/2" 22 1/2" ■ Adjustable start up and primary air intake for r-16 1/4" superior heat control ■ Ceramic glass doors with airwash system for clean, clear viewingY ■ Ash lip to protect floor , 29" ■ Large ash pan and door for convenient ash __ 29 3/4" removal ■ Can be vented from top or rear of stove U ■ Limited lifetime warranty 8 1/4" ■ Tested and safety listed by Omni Test Laboratories for installation in the U.S.A. and 271/2" — 24 1/4" Canada ■ Manufactured home approved Figure 1 I M I N I M LI M P--R Al) III C T C LEA RAN - E S P R O D UC T S P E C I F 1 C A T I O N S The following minimum clearances from the outer metal to com- Heating Capacity* bustibles must be maintained when installing this product(see Figure Up to 2100 square feet 2). If further reductions in clearances are needed, please check local Maximum Heat Output* I building codes for requirements for construction of a wall protector, Up to 55,000 Btu/hr and for allowable reductions of listed clearances. Make precise mea Heat Output Range(EPA) surements for clearances before installation, and if an existing chim- =11,400 to 43,000 Btu/hr -- ney is not used, allow free passage of a factory-built chimney. Consult Bum time the installation manual for complete clearance requirements and spec- Up to 12 hours hours on low ifications. _ Log length 19" maximum ' Clearances using a single wall connector(stovepipe) Weight Y 385 pounds 16" Materials - Cast iron, steel, firebrick and ceramic glass Standard Color Floor Metallic black •- - Protector 1 g s: 1s° s, . Clearance to Combustible Materials `12"to 16" from back of stove depending on type of stovepipe used. 22" from side of stove Floor protection Clearances using a double wall connector(stovepipe) :37 1/z"W x 40"D Flue Size: 6" diameter Safety Listing s, 17 Omni Test Laboratories for USA and Canada 5'� _ � Floor � EPA Listing Protector 12" Meets EPA Phase II particulate emmissions stan- * Heating capacity rating is to be used as a guideline only and may differ due to the condition Back wall and ceiling clearances Back wall and ceiling clearances a type of wood burned as fuel, along with the with top flue connection using a with rear flue connection using a and—and and type of chimney system used in the double wall connector(stovepipe) double wall connector(stovepipe) installation. . 55" 18" 41„ 12°" 26 5/8" i = - '6"when using rear wall shield Flgure 2 Engineering Dept. (3rd floor) Map 2 =Parcel 2 C Permit# House# Date Issued 7 Board of Health(3rd floor)(8:15 -9-30/1:00-4:3611?'Wt4<,� 94+ Fee �/• o tl Conservation Office.(4th floor)(8:30- 9:30/1:00-2:00) ,. SEPTIC.�,. , YS T BE Bung-Board S 1,.' 19 ,,INSTALLED CE W II®N AEI® TOWN OF BARNSTAB ® ! REGULATIONS Building Permit Application V, 7Projiectreetress I b Sub RUgV u lir D� 40 7`, A� 02eo Village �hj W n I6' Owner as 1)l6 LY1 nP , 8AaAo Dd ry_ 1C�_Address c' P Telephone 3,q(� Permit Request irel-1 Ao � /D �X/y��iP �2 �X•iS'�iY� Z®2 Cry' TD i�s'T/�� �ffl��_•�5� First Floor / dT )/TTo�square feet Second Floor square feet Construction Type IfW11-701,/ Estimated Project Cost $ Zoning District 1(71-3 Flood Plain �`% Water Protection Lot Size I ZY f X /DQ "' Grandfathered ❑Yes ❑No Dwelling Type: Single Family e, Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes f�io On Old King's Highway ❑Yes ❑No Basement Type: bfull ❑ rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing / New Half: Existing / New A101q No.of Bedrooms: Existing ',,g New Total Room Count(not including baths): Existing �S New First Floor Room Count (54M6— Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes b o Fireplaces: Existing / New Existing wood/coal stove ❑Yes wo - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) 1,*zl X as ❑Barn(size) 0 ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name l 1 1 J Telephone Number 1-172— 74T Address // License# LPx 7�f f &if5/L Home Improvement Contractor# Worker's Compensation# �i(�C�O�•--�/��,�f� '� 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 r SIGNATURE/ ' DATE BUILDING PE IT NIED FOR THE FOLLOWING REASON(S) A � `' FOR OFFICIAL USE ONLY , PERMIT NO. . - DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE a »- S OWNER DATE OF INSPECTION: FOUNDA N, FRAME -' 2-9 7 .:INSULATION .._FIREPLACE ; ELECTRICAL- RQUGH , FINAL rn PLUMBING:, t UGH: FINAL t " GAS: FINAL , FINAL BUILDING p x s V1 ell, , DATE CLOSED OI c,_•. ASSOCIATION PLWO. ..'_ f b'(.,Z-lU�•'l� ,���-=ems/ _ /n OP c'P_ '1I E t 10 J� • II 9E ioc { L.or 2G /0 003 sQ FT .'P ..l c 1 . 00 o r,, 14•-.9 fro,-,= 9. (�',A 10'lfJ'LN P ri MIN , 1000• Q 6Al ' 10• O00 `.: F. . Li9rSnC 41 1 0 0• 14,11 i • /�, to I u C 9 �2.s3 l Q wA,eGi,"c A1gV4� n o JOHN l 1 t LANE v�IQ� � RS� SB u y _ LEGEND .►""-111 ,.• OFJg4-! CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO EXISTING CONTOUR -- r 0 --- a;; _ FINISHED SPOT ELEVh r ION X �!,h• °:'JRSE rv,. LoT26 SuDL�UR` NE NYArIl�'1 FINISHED CONTOUR 0 0 . 10951 .4 I APPROVED , BOARD OF HEALTH �90� Is1 DATE AGENT SCALE, / " DATE 10't 14` 'a, r'�"L REDGE ENGINEERING CQ IN CLIENT Froncv I CERTIFY THAT THE PROPOSED EGISTERE FtEGISTt=f3ED jpg 11p, jZ1go5 BUILDING SHOWN ON' THIS PLAN CIVIL LAND CONFC;7�9S TQ THE ZONING LAWS ENGINEER SURVEYOR DIR•BYI J'P.E OF SARNSTAB E , MASS. 712 MAIN STREET CH• e �t.A � ti^ ?� .___� H Y A N N I S, MASS. .. Iy�i S 0 i� .-" �.�=--�_• �._ -__..- -- SHEET! OF 2- DATE , . �q'EG. LAND SURVEYOR // —/G x/U LI . ream The 151 Building t. 751,. Mashpee, MA 22644 �\ evelopers 10, SCALE: = / APPROVED BY DRAWN BY,��—'—Z DATE /j or i k b d Z G a tr �XiST�uG � ��ipcil 1 ra P &Mat/.1U)Ai-L Poo r GIaRi9GE cv�N�a� if�yJ� Grr p�c.c. s use lee. /y�cu Cav�ri4�s�17/a'� f l I i i i i i zXG' i6" ETC \ yX � 2X rm MEW sru E��tatl4� �r�na ORO emom Nt GIBE Cob ���°'"•° 4b1 b Elul la IRS ADMUSrRArOR OY6419 I COMMONWEALTH OF MASSACHUSETTS IN REAL ESTATE REGISTERED REAL ESTATE SAL ISSUES THIS LICENSE TO EDWARD GOVbNI , -, 43 JAMES CIRCLE MASHPEE MA 02649-491 84078 09/22/96 774057 �\ DEPARTMENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nus5er; Expires' ; Restricted To: 00 'A EDYARD M GOVONI 19 JAMES CIRCLE �. MASNPEE, MA 02W 1� Restricted To: 00 00 - None lA - Masonry only 1G - I b 2 Falily N , : . The Town of Barnstable 9e� WACO 39�- Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office 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,along with other req�ui^re// ents. Type of Work: (2Est.Cost 1 /D O?f Address of Worck-ea Owner's NameN 9- Date of Permit Application:_ —oZ I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. 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 ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a t of the owner: , Date Contractor Name Registration No. OR Date Owner's Name .:.:: . .......:;, .. R® [ `:' DATE(MM/DD/YY) - - _rM �� �F� � F 06 11 96 PRODUCER - THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Tuttle & Traina Insurance Agen ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 44 Main Street „ COMPANIES AFFORDING COVERAGE Post Office Box 4,89 COMPANY Sterling, MA 01564_ A Maryland Casualt ' Insurance Co. INSURED- — COMPANY Dream Developers of Cape Cod B : The 151 Building COMPANY Route C 151 Mashpee, MA 02649 COMPANY D OVER AGES e ....::....:... __. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR - DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY - ,,. -' .. GENERAL AGGREGATE $2, 000, 000 X i COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2, 000, 000 CLAIMS MADE [X I OCCUR PERSONAL&ADV INJURY $1, 000, 000 A OWNERS&CONTRACTOR'SPROT EPA16988876 05/08/96 05/08/97 EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one fire) s50, 000 IVIED EXP(Any one person) S 5, 000 AUTOMOBILE LIABILITY --- ti COMBINED SINGLE LIMIT- $ ANY AUTO ' ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS I (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ - ---— -- PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY - EACH OCCURRENCE $ UMBRELLA FORM _ AGGREGATE $ OTHER THAN UMBRELLA FORM $ WOPLOYERS'LIABILITY RKERS COMPENSATION AND - WC STATU- OTH- - - TORY LIMITS ER EM - - - - ". EL EACH ACCIDENT $ * THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE --_ OFFICERS ARE. EXCL EL DISEASE-EA EMPLOYEE $ OTHER *Per revised rules of the Work rs Compe sation Plan of Massachusetts, a jcertificate of Workers Compensation has been requeste from the carrier and * twill be forwarde within seven days ,,f DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL.ITEMS f •. ..:::r.,.. ...::; . ..:.. :..:.:::: :... .I ATE HOLD!^R C ANCt"to 10i >CCT...I: .0 ..... ..... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Building Department DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 367 Main .Street BUT FAILyIRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Barnstable MA 02601 OF AN/ KIND UP THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTH RE SE TI E ACQRD 25 S ;1/95 .. »::;>:::>:�z3 irt713 arOliPOI€ 110,4,1 �........a..... ....................._....... maCommonwea& o1 )Va3jac1:use113 c) _U.�arint.nl o/�7n�ul�ria��cti�onl! E 600 VVal/tinylnn S1 ..l .;amen J Camobeil &ton, Ma!lacl ul.11! 02111 Commrssroner Workers' Compensation Insurance Affidavit with a principal place of business at: (Ury/Su ) do hereby certify under the pains and penalties of perjury, that: () 1 am an employer providing workers' compensation coverage for my employees working on this job. _`�V 2— 1 R41 R. Insurance C mpany Policy Number --" () 1 am a sole proprietor and have no one working for me in any capacity. 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number :.ontractor Insurance Company/Policy Number ;) I am a homeowner performing all the work myself. undersund that a copy of this sutement will bt forwarded to the Office of Investitations of the DIA for coverage verification and that failure to secure overate is reouired under Section 25A of MG1. 152 can lead to the imposition of criminal penalties eonsistin`of a fine of up to S 1,500.00 and/or one tams• imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fist of S 100.00 a day apinst me. signed this day of , 19 icen ee/Permittee Building Department Licensing Board Selectmens Office Health Department "O VERiFY COVERAGE INFORMATION CALL: 6f 7-727-4900 X403, 404, 405, 409, 375 • TOWN _OF B�.RNSTA LE ------24G$7 � Permit No. _____________ } Building inspector VAU Cash ----------------- a PERMIT Bond _______ -- 4i Issued to Capricorn Realty Trust Address Falmouth Road., Hyannis lot #26 16 Sudbury Lane, Hyannis Wiring Inspector j;✓� �' /yr-,� Inspection date Plumbing Inspector Inspection date Gas Inspector ��� ��� �r� s2)C. '. Inspection date IkVoV 8 2.. - '1 � Engineering Department � � ��e-z— Inspection date°d "� /7 Board of Health ' r , Inspection date j/i a`71Y — THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .....� .... y 19 ��--- Bullding Inspector i } 3 77 T Co r� L 2 Sl�z 6 1 � �d 0 01' M , + 3 B�' y-o, • �� M Z n ZL Of r I o©' w i 20' F. �•, H ,. ►� S � s 14 CERTIFIED PLOT / PLAN NEW CONSTRUCTION ONLY 14 /'//1// r 5 TOP OF .FOUNDATION I1s IN F ABOVE LOW POINT OF :;�DJ�CEa� ►J1191h fAip L J4 Id A . + f ROAD. SCALE: / „_ 30 ` DATE, ;� '—.s7/F, o/ fwA/ r b /"_0: �':/. .J'•} / S) CLMTI CERTIFY THAT THE E6ISTEREO ;. tEGIST' R sfill- CONFORMSSHOWN ON THIS PLAN IS LOCATED CIVIL A II►�IA " N THE GROUND AS INDICATED AND ,} TO E Z NINO LAWS ENGINEER SUSVETO � `- �• � OI' EARNSTAB s M J$S. r ':?I2 M14 1 N4,3T.REET : J.. •E io e2 c Sys 2s H YA NA1.Sr M:R�a�&� ,, s: ?< $!'IFFY-.,� Of DATE R .VVVV LAND SURVEYOR _ AN _ 1 a Cl. 212 E 02. , t - tol • r7l 3 I .s S U�c LOT Co 9 9 Lor zG •/0,003 So FT c'1 nn L oT 2-5 1�t�asE d L o r .2 7 6APASE STD .3G'¢ �4CO a} 9 0 0bweLu 0& N � FN5 EL: loo.00 q"Q3 iry 3 0 14.0 11. 12 + G,x 10'(•FPCN p R\M I N c 1000• YF. GAL EPrI loa' v/ID"t-rl r � -? In! F, ,B. DST. y/J, - MIN xTl 41, ��►OFv �1 r SC.SBUR,Y ANE m v 1" $ y — �: ---- t 29 74 0 <e/8TR��p� SuR��'y LEGEND EXISTING SPOT ELEVATION Ox0 v .�� ,� qd CERTIFIED PLAT PLAN EXISTING CONTOUR —. -- O FINISHED SPOT ELEVATION 1�• `;i; r LoT2G FINISHED CONTOUR 0 � oRSE. - No.10951,.. � �C � 1 N .w APPROVED , BOARD OF HEALTHAiNASSONA DATE AGENT SCALES DATE10,1 /4`` '82 r L k-EDGE ENGINEERING Ca IN CLIENT I CERTIFY THAT THE PROPOSED EGISTERE LRE1STERED JOB NO. ►,20 ®UILDINa SH04iPld ORI THt3 PLAN CIVIL LAND CONFO.IMS TO THE ZONING LAWS ENGINEER VEY R DR.B�I+ JP,E' OF SARNSTAI3 E ,IASS- I 712 Mal rJ STREET CH. ®Ys A.A.M. 3c I J H YA N N I S MASS. ' SHEET OF DATE . LAND SURVEYOR .� m o o `' c o44 COAI � a 0 s n o 0 ,, � 1 R sinsOo � yO y .2Zy � 2 � o cx tv OD 0co � r m Ila .04 .�` Jis.• J t �o 1 o � r Cl) V1 ° o m o tP Z r y � Jul otj ly 0 0 Of CA CA T NO � oaf �, 3 � 3 '� _ . . � . _ ' _ _ •` . . � � o � � � Z r1 Z y 0 Vj RI T o ti 3 � 0 ;F >- y . soo: . . , .� 1Q Dm r V1 . � �0 g p o • . • � r �5 ' .. { z D N L y t1� o In 0 Al y f. a I� r� n ZZ �- O t, � � is map and lot number ......... . Sewage Permit number ...0.......... ... ..............................:......:' u I INSTALLED IN C®N":P ANCE t BAW �sTLE, Hobse number ..............f..(o.................................................... WITH TITLE ro rasa -ENVIRONMENTAL CU�) . TOWN .. OF BARN1STmXBLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Construct Single Family Dwelling TYPE OF CONSTRUCTION ......BOA.d...F ame.................................................................................................... `...........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according /to the following information: Location ......Lot..# a �,CX � l L�..' MA ? ' ...Hyannis.r....................................................... ProposedUse .................................................................................................................................. ............................... Zoning District ... ...B ..........................................................Fire District ...H,Sra......iS......................................................... Name of Owner Ca�r�corn Realty Trust i Address ....76 Falmouth Road, Hyannis ...... ........... ................................ Name of Builder' .Franco Real Estate Dev CRddress ....76 Falmouth RoadR „H�rannis .................................In*c. Name of Architect ........................Address .................................................................................... Number of Rooms SIX...........................................Foundation ...P.C.................................................................. Exterior Clapboard and/or shingles .Roofing ..•,• Asphalt shingles . ................................................................................. ..................................................................... Floors Car et Sheetrock .................................. Interior ......... ...................................................................... .— Heating=G.o- ;. --F.K.:A.'.........r....-.:............:.. Plumbing .......Two.... Cod? ?er........................................... Fireplace None ............Approximate Cost40 000.00 t....................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area 1056 sq. f t. .................... Diagram of Lot and' Building with Dimensions Fee Cxj .................... ... ................... . n SUBJECT TO APPROVAL OF BOARD OF HEALTH 100 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 .... ....... . ... ����-0 - -- ----- - ---r-- - " � CAPRICORN REALTY TRUST . ' ' ' Single Family Dwelli —'---''��le------'�+-----.��l�---. Location ....I^ot—#36.,__.IG_Su.dbu.ry_I^aoe - ' -------^u/^a^^^`+/a------------- ' . . Capricorn Realty Trust Owner ------_____.__________.. Frame Type-of Construction ........................................... � � ---~---.--..------_--------- . . Plot ---------. Lot ----------'` ~� ` _ Permit Gnznx=] --, —��x—.lp 83 Date of Inspection ---. � 19 ' ' \ ' ua,= Completed x��^x ^ � / ' . . . . ' ~ / ~ ^7 � . . . ^ � ' �~ . r � 17 ^ -�7 Assessor's map and lot number ................ Iv. %,TN E Se ge Permit number 5A...... ................................ 'Of I 11AUST L E, House number .............1.. 11..................................................... 1639- mxf TOWN OF BARNSTABLE BUILDING INSPECTOR Construct Single Family APPLICATION FOR PERMIT TO ...................................................................Dwel 1 ing .......................................................... TYPE OF CONSTRUCTION .....AO.fld...F me .............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ...... .(�........S7.�-e.S- ..-L..C / ---N.��e, j� nnis ---—---- ........... ................................... ProposedUse ............................................................................................................................................................................. Zoning District ..R.@.B.*.............................................................Fire District ..4-yannis ........................................................................ Name of Owner CaDr&corn..Real ty Trust............Address ...7�5..Talmouth Road, Hyannis ........................ ...............v................. .................................................................... Name of Builder- ...Real Estate...Dey:t�_. C%dclress 765 Falmouth Road, Hyannis ............................. ........ ............................................................................... Nameof Architect ......................................... ........................Address .................................................................................... Numberof Rooms ..............S i.X............................................Foundation J!��.q.!.................................................................. Clapboard and/or shingles Asphalt shingifs Exierior ....................................................................................Roofing .................................................................................... Floors ......Ca.rpe.t.................................................................Interior ........�he.et.r.onk.................................................... .... ....... .. ..... .... .. . .. .. Gas - F.W.A. Heating ...................................................................................Plumbing ......... ............................................ �Fireplace ....��.one....................................................................Approximate Cost ...$.4o..,..00.o...o.o....................................... ....... .. .... .... .. . .. .. I—, Definitive Plan Approved by Planning Board --------------------------------19--------- Area .....1.0.56...s.q......f.t......... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO ArPROVAL OF BOARD OF HEALTH .N1 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 .... ........ .. ...... -;Z� -,2 . ..... ...... ..... .... CAPRICORN REALTY T ST A=271-214 24487 One Story No . ' :;�.>.. Permit fo ................................... Single Family Dwelling . ............................................................................... Location „Lot #2 6, 16 Sudbury Lane Hyannis z ............................................................................... Owner „Caprico.rn Realty Trust .... ............................................. r Type of Construction Frame Plot ............................ Lot ................................ ' f Permit Granted .......Q.Gtobe ....26.......19 82 Date of Inspection ....................................19 Date Completed ......................................19 j r