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0026 SUDBURY LANE
3R j204931595 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section I (property information) and the first paragraph of section 2(foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: NA Section-I —Property Information Property Address: 26 SUDBURY LANE BARNSTABLE 02630 Assessors Map#: F_981625_2703194 Parcel#: 271_213 Land area and description RESIDENTIAL Building(s) description and contents SINGLE FAMILY Occupied: x Occupant(s)(if borrowers so state and include name(s)) EDWARD ESTATE,J Phone: NA email: NA other: NA Vacant:- NA-- Date:---NA Anticipated-L-ength-of Vacancy: -NA----- Last occupant(s) )(if borrowers so state and include name(s)) NA Phone: NA email: NA other: NA Has possession been taken NA If so,please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2 —Foreclosing Party Information Foreclosing Party (full name/title) CALIBER HOME LOANS Foreclosure Case Court: LINK Docket# UNK 204931595 Date filed: UNK Current Status: ACTIVE FORECLOSURE Foreclosing Parry's representative(s) for property(entry, management,repair, etc.)(name,title,): kandyce.hughes@safeguardproperties.com Company(if different from foreclosing party): Address: 715 S Metropolitan AveOklahoma City,OK 73108 kapdyce.hughes@safeguardproperties.co Phone: 214-874-4174 emaT otWier: NA If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title,other: SAFEGUARD PROPERTIES Company(if different from foreclosing.party): PRESERVATION COMPANY Address: 7887 SAFEGUARD CIR.VALLEY VIEW OH 44125 CODECOMPLIANCE@SAFEGUARDPROPERTIES.COM Phone(s): 800-852-8306 email(s): other: Name,title, other: NA Company(if different from foreclosing party): NA Address: NA Phone: NA email: NA other: NA Attorney representing foreclosing party NA Firm name(if different from attorney's name): NA Address: NA hone(s): N.A. email N other: NA I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. rag:2=� - - Date: 0�• !�'{� Name: f C# I Z CJ Title: 204931595 I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable { � - - THE COMMONWEALTH OF MASSACHUSETTS ' DEPARTMENT OF EARLY"EDUCATION AND CARE oeval L. Patrick, Governor �.� �egularLicense4to Provide Fannily Child COreSeruices u Program.Number: 7029330 License Number: 9000420 In accordance with the provisions of Chapter 151) of the General laws;_and regulations established.by the Department of Early Education and Care, a license is hereby granted to: - Program Name: MORETTI, MARIA Address:° 26 SUDBURY.LN, HYANNIS, MA 02601-2463 Total Capacity: 10 floors/Rooms,:, ist Floor: Playroom, Living Room, Kitchen, 1 Bedroom Condition: Issue date: 3/1/2010 Expiration date: 3/1/2013 License printed on 3/2/2010 Licensor:5FO29 Sherri Ki//ins, Commissioner E y Please Post Conspicuously This License is Not Transferable i, YOU WISH TO OPEN A BUSINESS? r, For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL.,367. Main Street,Hyannis,MA 02601 (Town Hall) x� DATE: /I G M Fill in please: + APPLICANT'S YOUR NAME: M I.4 b • o2.e r T I BUSINESS YOUR HOME ADDRESS: acosubsoQu- - ozrso I TELEPHONE # Home Telephone Num r O .S NAME OF NEW BUSINESS— a O/ TYPE OF 13USINfcSS CIZ Aiti.l 11) IS THIS A HOME OCCUPATION `:YES NO Have you been Ivan a roval from the buildin bisio ? $ NO ' Y 9 . Pp. g. ADDRESS OF BUSINESS tJ ,2. _ Nam_ � � MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. !-.(corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM NER'S OFFICE This individu I h s Ve n infor clillpid f ny permit requirementathat pertain to this type of business. r�1 Auth iied Sighd 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of'business. Authorized Signature". COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: - Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division - v nsAM g Tom Perry,Building Commissioner 39. �°rFpy►,� 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 ADiproved: Fee: �.s Permit#: dU HOME OCCUPATION REGISTRATION Date: 01106 /O-7 Name: / 6/4 et M08(-7T—/ Phone#(6c)&-A;C�0 L"g-f Address: VJ Village: /41 t//V�s— Name of Business: M Cie cyyl— Type of Business: EL , a 7 Cs- Map/Lot: oZ / — aZ ( 3 E,;,=: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4.1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. a Such use occupies--no-mor-e-than 400-square feet of space. - • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic.will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. ° • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. ® If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. ® No person shall`be employed in the Customary Home Occupation who is.not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for myhome occupation I am registering. Applicant: . Date: /0 C, 4— Homeoc.doc Rev.5/30/03 f- Fes$ s� THE COMMONWEALTH OF MASSACHUSETTS 211 BOARD OF HEALTH {` Town --------------- -oF.........Barr;,stable Appli-ration for 14sp sal Works T. nstrurtion rrrmil �pr App System at:lication is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal .............. Hyanr� Capricorn Read' Aa`' ru t 6 Falmout ......................--...........--------- -y ......................................... ? ya 5... -•----- ---------h..Iko..... --H -arm' Owner V Steve Lebel Address l ...................7..........__.............__------'...__....__._.._._..._...._......_.......... ............................. 'I .................................................. � Installer •-•...---•-__....._ Address C Type of Building Size Lot_____________________ n l O ------- Dwelling No. of Bedrooms_-_-----_ j g �--------'----------••--•---=--._Expansion Attic ( ) Garbage Grin a Other—.Type of Building ranch - •>_ ............. No. of persons.................. Showers (2) — Cafeter a Other fixtures ...... -----•----------•-------. •-----. ........................................... _J Design Flow .......................................................... ..........gallons per perso �p ��day.. Tota4dajl��fiow..:_._..____33Q 11 -----... P_:. ons. WW WSeptic Tank—Liquid capacit 000 gallons Lengthg__ ______.. Width_______ _______ Diameter................ x Disposal Trench iNo. ................ ..•.Width.__..........._.._.. Total Length---__.___•---------- Total leaching area........... ft. Seepage Pit No_____________________ Diameter...6_...__.._..... Depth below inlet-_6_'..-_..-.-.-.P Total leaching area__:266..... ft. , � Other Distribution box ( ) Dosin�tank ( ) Percolation Test Results Performed by-----_-1------- tlg@ E219121Qe�`j 11_ _ 1 2.0 Date ' ... a Test Pit No..l�__.. ._. minutes per inch Depth of Test Pit...l _ .�_..._._ '-' --- per inch Depth of Test PitN-_A........... Depth to ground water_._± .a---_.___... e A+ ---------------------------- •----••------------ -- O - ----- - :lY Description of Soil -� ...2..._... �.5?...M_.&---tQ ,�D �. "NC 2 10 -----medium. ell_ow-_sand 10_. 12 med. white san traced of raye],,lno:_-wate ..at 12 ' . _ ---------------------9 V Nature of Repairs or Alterations—Answer when applicable............ .............................................................. .............--- --•-- Agreement: _ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE '5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. _. Application Approved /'... -------------Application Disapprovefollowing reasons:......... -. i Date ----- ..... a ....................................... ------.......................... ............................................................ • ••.... . 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': v1��H OFSy �a'j- i4 N "r �1 �ddQ ; ? t , ' , N OF M EXISTING SPOT ECEVT o N Ox0 ��,a+� gss9 CERTIFIED PLOT Pl,'AN EXI�"PIN® .CONTOUR - :PiNlSHEO ` 9P I ELEVATION n_ �� A s t?T : svL��`vrzy :Lef -FIN $HED :CONTOUR -- .0 U .SE 1-�y� /!//V1,� = s No 10951 TQ s APPRQVE,D s -BOARD OF HEALTH A�optGrs-f. �`' `4 w.... : A& DATE AGENT` ,1 tZE17/S�I /� : SCA1.E� / - 3 o- DATE I /./ l a., . .k, LD8ED6E EIVG/1VE�'R/lY� CCU !nl - C4.� NT �-n� .IF EGISTERE hEGIST ED 8 LzoS". I. CERTIFY THAT THE `PROPGSEp JOIS NO..:.._. l.' �_.. ®UILD.INO SHO:�IN ON THIS PLAN ClVI:L LAND CO(��ORM3: TO THE ZGNtINO `hMyYg { ENGINEER StdRVEY R ®R,SY=____�. O . ' P �ARN8TA: E, AS9. 7.1.2: MAi N STRE.ET CM. ®Y� `J' HYA► N.N I S,. MASS ! 6dk0 4 SHEET,/_ OF .,..,� A E a LAND 3UR.VEyOR`' , k-PRESS PERMIT Town of Barnstable *]Permit#,�20 0 MAY g l 2006 RegulatorySel�'v11Ce Expires 6 montrm issue date TAB�Tho S TOWN OF BARNS s mas F. Geiler,Director Fee Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red A--Press Imprint Map/parcel Number Property Address 'c?(j S D r �- -���a-dvN S Q �� 1 Residential Value of Work 000,00 Minimum fee of$25.00 for work under$6000.00 i Owner's Name&Address Contractor's Name Telephone Number ! Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name i Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ZRe-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 sign Property Owner Letter of Permission. Home Improve ent Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 ., `• � '� AI.Y �r�wr+,rww�wrvr.� , Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 y ' www mass gov/dia' Workers' Compensation Insurance Affidavit; Bnf.ders/Contractors/Electricians/Plumbers ' ' Applicant Information P lea se Print LegtbIy. Name(Buduess/organizauonandividap:— Ma/7/(,,9- 1*Au,,T-rt Address: 2 S U D (� (� Lv )-42,"€ City/State/Zip: • 1�NA)l s — 0 Z60 /' Phone#: Are you an employer? Check the-appropriate box; Type ofproject(required): 1,❑ I am a employer with 4. ❑I am a general contractor and I 6• El New construction employees (fall and/or part-time). art tie). have l dred the sub-contractors 7. Remodeling 2.❑ I am a sole proprietor or pataci- listed on the attached sheet $ g ship and have no erxiployees These sub-contractors have 8� ❑ Demolition worltmg for me in any capacity. workers' camp,insurance, 9. ❑ Building addition o workers' .insaraace 5, ❑We are a corporation and its P officers have exercised their 10.[]Electrical repairs or additions required.] 3. I am a homeowner do}ng all work right of exm;366m per MGL 11-❑ Plumbing repairs CY; additions aryself.[No workers' oomp, c. 152,§1(4),and we have no 12,[]Roof repairs insurance required,]t : employees.(No workers' 13S❑ O@ur camp,mst=cc nvired.] *Any apQlicant that chec]ca box#1 must also fin out the section below showing thaw world rs'ccrvensation polieyinforrnation: t Homeowners who submit this affdarh indicating they are doing all work and1hen lin outside coatraetars must submit anew affidavit indicating:each 1cm h ectura that check Ns box mast attached sn additional cheat showing the name of to sub-c muse!m cad their workers'comp,policy information. ram an employer that is providing workers'compensation insurance for.my employees Below!�the policy and,?ob site. Information• h7SIIriicd Company Name: Pam;or BdMai Lic.0E .dais: Job Site Address: City/State1*: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secore•coverage as required undet Section 25A of MGL c. 152 cirri lead to$ie imposition of crimbal penalties of a fineup to$1,500,90 and/or one-year i 4aisoumeat,as well as chrn;enalties 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 hereby certify under the pains and penalties of perjury that the information provided above is true and correct; Sr tore: Date: D S & Phone#; I offidlei u31 . Bta Ad OF&M,ft Ma,fe-o pre d 41 'OF .cW City or Town,. PermttlLicense# Bsuing Antharfty (circle one): 1.Ba2rd of He&,.h 2.Building Department 3.Cityri-owa Clerk a.Electrical inspector 5.Plumbing Inspector 6.Other Comet Person: Phone#: Information and Instructions Mossagbusetts General Laws chapter 152 requires all employers to provide workers' compensationfortbeu'employees. pursuant to this statute, an employee is defined as"...everyperson in the icrvice of another under any contract of hire, express or implied,.&0 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 aVloyer,dr the . receiver or trustee of an individual,partnership,association or other legal entity, employing employees. Howevc r the owner of a dwelling house having not more than three apartinents and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, eoastractionor-repair work=m—rh dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to-be an employer." t MGL chapter 152, 125C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or pennh to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, 125C(7)states'TTeither the commonwedltllh nor any of its political subdivisions shall enter into my contract for the performance of public walk until acceptable evidence of cam liance with the ins advace requk=erds of this chapter have been presented to the contracting authority," Applicants Please t m out the workers'compensation affidavit completely,by checking the boxes That apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificates)of insurance. Limited Liability Companies(LLC)or'Lzt�ted Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' com msation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for cmfiurmation of insurance coverage. Also be sure to sign and date the affidavit. The•affidavi t should be returned to The*or-town that the application for the permit or license is being requested,'not the Depar{ment of Industrial Accidents. Should you have airy questions regarding the law or if you are required to obtain a workers, campensatimpolicy,•please caU the Depmtmmt at the member Estgdbelow, Sclf-insured eompauies s+nrDeriheir _ self insurance license number on-the appropriate line. City or Town Ofi9dals . Please be sure that The affidavit is complete and printed legibly: The Department has provided a space at the bottom. •of t�.a Yi#.for ym to fill ou in tbn evet fhe Office of Investigations has to contact you regarding-the applicant - Please be sure to fM in the permni9cense anber which will be used as a reference number. In addition,am spplirzat thatmmst submit multiple pmmMicewa applications in any given year,need only submit one affidavit indicating cuorent policy information(if necessary)and under"Joh Site Address"the applicant should write"all locations in_-_(city or Town),"A copy of the affidavit that has been officially stamped or mmrkedby the city or town may be provided to the app'licaatas proof ftt•a valid affidavit is on file for future permits or licenses. Anew affidavit mustbe filled out each ' year.Where a home owner ai citizen is obtaining a license,or permit nptrelated to any business or commercial ventore dig Ecenie or pemzit to burn leaves etc.)said person is NOT required to complete this affidavit The Once 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 Npartment'a address,telephone and fax=Mber: The.Commonwealth of Massa setts Dewtment of IndustridAccidents (Yfice TALI 600 Washington Street Boston,MA 02111 Tel.ff 617-727-4900 ex-t 406 or 1 o77-MA.SSAF'E ' Fax#617-727-7749 Revised5-26-05 w—wvmass.gov/dia _ f Town of Barnstable *Permit#mod 5 Expires 6 months from issue date Regulatory Services Fee I P OO Thomas F.Geiler,Director X.Pq Building Division S PEW Tom Perry,CBO, Building Commissioner Nt 200 Main Street,Hyannis,MA 02601 TQ NOV 1 i 2005 www.town.barnstable.ma.us W Office: 508 862-4038 IV 01Z. �'� 790-6230 �LF EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint Map/parcel Number Property Address [Residential Value of Work 7`OW , w Minimum fee,of$25.00 for work under$6000.00 Owner's Name&Address ` i -s-MJ8o,1� v - 1,tv - Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) r ❑Workman's Compensation Insurance I Check one: ❑ I am a sole proprietor i RYI am the Homeowner , ❑ I have Worker's Compensation Insurance ' 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-roof(not stripping. Going over existing layers of roof) [3/Re-side ❑ Replacement Windows. U-Value (maximum.44) I '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. Home Improvement Contractors License is required. SIGNATURE: Q:Fttr=-.expmtrg Revise071405 Department of Iridustrial Accidents Office.of Investigations• 600 Washington Street ; Boston,MA 02111 i www.massgov/dia , Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Businessiorganization/Individual): MAGI, .b MD&cTT1 . Address: z City/State/Zip: r4 n1IV r'S 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/or part-time).* have hired the sub-contractors 6 El New'constraction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or.additions �equired,] officers have exercised their 3. I am a homeowner doing all work right of exemption per MGL 1.1-❑ Plumbing repairs or additions myself[No workers' comp. c. 152,§1(4),and we have no 12-❑ Roof repairs insurance required,]t employees.[No workers camp.insurance required.] •13. other.'. - *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: . t Homeowners who submit this affidavit indicating they an doing all work and then hire outside contractors must submit anew affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the 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 job site information. - Insurance.Company Name: 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 c. 152 can lead to the imposition of criminal penalties of a fine up to$.1,500,.00 and/or one-year imprisonment, as well as civil penalties in tfie form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t e pains andpenalties of perjury that the information provided above is true and correct. G Si afore: Date:* . Phone#: { Official use only. Do not write in this area,to be completed by city,or town offieiaL ' City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employee: -' Pursuant to this statute, an employee ` is defined as ...every person in the service of another under any contract of hire, express or implied, oral or written." "an Mdivi uaI,. artnMbip„association,Forporation or other legal entity,or any two or more r is defined a$ _ Sl .P oe - An employer , deceased employer,or the of the foregoing-engaged m a Joint enterprise,and including the legal representatives of z dece emp Y receiver or trustee of an individual,partnership, association or other legal entity,employing employees. Howcv.,er: e- owner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the to persons to do maintenance,construction or repair woiknn such dwelling house who , house of another employs P dwelling shall not because of such employment be deemed to be an employer. or on the grounds or building appurtenant thereto ter 152 25C(6)also states that"every state or local licensing agency shall withhold the issuance or MGL chap , § th for an a business or to construct buildings in the y permit to operate - „ 'cease or P renewal of a h P 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. Please fin 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 numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Deparfinent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' co Policy,olicy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bm of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicantli In additio an applicant, c number. n, aP • Please be sure to fill in the permit/hcense number which will be used as a referee e 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.feature 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 bum leaves etc.)said person is NOT required to complete this afrdavit. 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 o f Investigations f. 600 Washington Street . Boston,MA 02111 ' Tel.#617-727-4900 ext 40.6 or-1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 wNm.mass.gov/dia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION { p rn Ma Parcel 3 , ,, „ 'Permit# (� �y ,+� . . 1 BARNSTi BLE Health Division D47?/ 1} Date Issued` Conservation Division %—: I� ® ` `� •IL' 16 AM 8: 5$ Application Fee Tax Collector Permit Fee10 777 S O (3 -- Treasurer - 01;islot� Planning Dept.. awlsw Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address (a Su J b U OA U( Village GL h n Owner Ws a P �iS Address S u d C3nA - 1 Ouan o 1 S Telephone .5D 2_-S"D Permit Request (Ylco� �GIYCt_�� Qr� (�— , `��(J l CAL Le. i.) l4\- t ' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 19 $9, Historic House: ❑Yes &<O On Old King's Highway: ❑Yes 340 Basement Type: 2 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing '' new Half: existing new Number of Bedrooms: existing o), new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 27 Gas ❑Oil ❑Electric ❑Other Central Air: C4es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑l existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:dexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes iNo If yes,site plan review# Current Use ir2 id-c fn CQ . Proposed Use ce-atcfen C-0, BUILDER INFORMATION y Name_ LA Sa 1 QA_6k-'V\ C-AS Telephone Number ..,Address a_6 S t l d 6 L)N ' l Y-N License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -DATE K FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME & 1je 01 / j 0 �/71 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL h GAS: ROUGH FINAL ' FINAL BUILDING ��® DATE CLOSED OUT ASSOCIATION PLAN NO. c T The Comnw'nwealth of Massachusetts „ = Department of Industrial Accidents' ` � -- — •; • . Office eflarasd�sf/�s' 600'Washington Street -Y y Boston,Mass. 02111'. Workers' Com ensation.Insurance Affidavit-General Businesses •- • • �/g• .tF ,�/°ia.w• 1:•Ta:�/gs.�ml:�M�"a.,,•.. ._ „•a� � ��'.idb] nam2 �„ba��'�i..uJs' F+,i•- 'fl' { fsC��. L��i' t:/ fi +'� ,.• +• v�" . dress; �• i(1 irl.i state: zi �' hone work site location fall address : I am.a sole proprietor and have no one Btisiness Type: []Retail❑Restaurant%Bar/Eating Establishment working in any capacity. ❑ Office_El Sales Cmcluding.Real Estate,Autos etc.) ❑I am an em to er with employees• (full& art time. ❑ Other / /////%///// //%%/////%///%%%%//%%% I am employer providing vtorkers' compensation for my employees working on this job. an'•name: ' y{ ..S::.t}�i•.'1.` ..T:' - � '.<•i'ti {ti.. ��ti.y t. :-sn•n. ^k.Jtf••,r,.l .. hone insiirarice.cu;i '.q:..!" �;..4w`. .. ' :•:: .:.yf! '.: '.•::.• . , , ...:.' •.,,•.•:.:>:• ' .:..:.•::• •J•..:.'-n.a F- I am a sole proprietor and have hired the independent contractors listed below who have' following workers' compensation polices: F. eiidress:. •4 ' '++, ,y=` i'1.. .t.•• '=1^tie t;•.. •t.. FO'l1C :#�•' r.a�°kti•:, .i`:'+• `fi.:�:7. iristirsnce'co. =�"•' �r` .+ 171117111171,. coat aii• riaate:" - address:. > ... •11oIlE:#: .F, ?i�'ir :v:� i.e. . . _ .'.k:• ;.!',','. •!:• •:b�.•' :iir� :ai..': .ate -O iCy:tr'i'.'"•• - insuranceso Failure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition of criminalpenalttes of a fine up to sl,500.00 and/or_ one years'imprisonment as well as civilpenalties in the foim of a STOP WORK ORDER and a rme of$100.00 it day against me. I understand that s copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under thepains andpenalties ofperjury that the inform ation provided above is true and correct Date c1 1k 0 ' Signature r h l�S Phone# Z3 l� Print name J official use only do not write is this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Liceming Board ❑-checkif immediate response is required ❑Selectmen's Office ❑HealthDepartment contact person phone#; ❑Other (revised Sept 2003) Inforniation and Instructions Massachusetts General Laws chapter�152 section 25 requires all employers to provide workers' compensation for their. employees: As quoted from the law', an employee is.defined as every person in the service'of her 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 mare of the foregoing engaged in a�joint enterprise, and including the legal representatives of a deceased,employer, or the receiver or association or other legal entity, employing employees. However the owner of a trustee of an individual,partnership,. dwelling house haviag'not more than three apartments and-who resides therein, or he.occupant of the dwelling house of another who emplbyspersms to do.maintenance, construction or repair work on such dwelling house 6r on the grounds or bufiding appurtenant thereto shall not because of such employment.be deemed to be an employer. MGL chapter 152 section 25 also*states that*6e'ry state'or local licensing agency shall withhold the issuance or renewal of a license or pernut.to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements,of this chapter have been presented to the contracting . authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation.:Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted tion of insurance coverage. Also�be sufe to sign and date the is-for confirma g . to the Department of Industrial Ac cidents affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being epartment of Industrial Accideuts. Should you have any questions regarding the"laV'or if you are requested, not the D required to obtain a workers'.compensation policy,please call the Departrilent at the number listed below. City or Towns . Please be. sure that the affidavit is cbmplete andprinted 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 fain the perrrnt/license number.which will be used as a reference number. The.affidavits:may-be.returned to the Departmentby,r9afl or FAX unless other'arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have airy 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 f3 n"of Wffistlpfigns 600 Washington Street Boston,Ma. 02111 fag#: (617)727-7749 phone#: (617) 7274900 exL 406 y�pWE rO��Y Town of Barnstable . Regulatory Services 1 13 SUB i ThomuT.Geiler,Director Bull ng 1XV1810I1 , I Tom Perry,Building Commissioner ' ' 200 Main Street; Hyannis,MA 02601 Office: 508-862-4038 Fax; 508-790-6230 • Yermzt;no. Data ' AI+'�DAYIT XCOME n0ROYEMENT CONTRACTORLAW SURPLEIYIENT TO PZIUY 'x APPLICATION MGL 0,142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •in¢provement,removal,demolition,or construction of an addition to any pre-existing ov Aer-occupied building containing at least one but not more than four dwelling units or-to structures which are adj scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements, of Work: 0( �'Gt CQ/I�f�-�'� I Lstimatecl Cost Type , address of Work: S tk d bU to l s Owner's Name; �1 S Gl. F-1 A V41S Date of Application• . 1 I hereby certify that: Registration is not required for the following reason(s); []Work excluded bylaw []Job Under$1,000 ' []Building not ovmer-occupied luOwner pulling own permit , Notice is hereby given that: OyMRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRA•CTORS FOR APPI1T04,DEHOME-IMPROVEMENT WORKDO NOT 903 ACCESS TO THE AMITP kTION PRO GRAM OR GUARANTY YUND UNDER MGL c.142A, SIGNED UNDER?BNALTIES OF PERJURY Ihereby apply foi aperrnit as the agent of the ow4er; Data Contractor Name Regisfr€tionNo. • � Ste- � • � ��i�-�'t/l t� � Owner's Name I M CMR Appaida! # Table J31.1b(continued) Prescriptive Packages for due and Two-Family Residential Buildings Hated with Fossil Fuels MAJ(IMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'(%) U.value= R-value' R-value4 R value° wall Pentueter Equipmem Et"tcienw? Package I R vaitu° R-value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 1 19 10 6 Nomud R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A NIA Normal U 15% 0.46 38 19 19 10 6 I Normal V 15% 0.44 38 13 25 N/A NIA 85 AFUE w 15% 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 N/A N/A Nomud Y 19% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18'/a 0.50 30 19 1 19 10 6 90 AFUE I. ADDRESS OF PROPERTY: Y\ImS M PC- o-C��1 i 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ` 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): C Y NOTE: OTHER MORE INVOLVED METHODS OF DETERMININ RG REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. x . BUILDING INSPECTOR APPROVAL: YES: NO: ! r q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: -` Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft2 of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. 3 The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation,thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. . Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example, an R-19 requirement could be met EITHER plus R-6 insulating by R-19 cavity insulation OR R-13 cavity insulation p g sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. S The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. an and sliding glass doors of conditioned basements must be included with the other glazing. Basement;doors must meet the door U-value requirement d,-scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the.door. One door may be excluded from this requirement(i.e.,may have.a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE s $100.00 Building s g Residential Addition $ 50.00 4.Alterations/Renovations Building Permit Amendment $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE, square feet x$64/sq.foot= x.0041= ® 0 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) . Permit Fee V d M I'I Projcost Rev:063004 1 4 S THE Town of Barnstable �pft �� 1 regulatory Services &U NSTABM : Thomas F.Geiler,Director KAM .0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma:us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION j��I ,` Please Print DATE: f ztq 1 f O `'1 k JOB LOCATION: - 6 _5 Lt b o n4 (An � (, nw S E number street U village"HOMEOWNER": Lr so, A P�cJa n rh S. S-0& -)71-8-Z'S 0 rDQ'Z E 0 name home phone# work phone# CA CURRENT MAILING ADDRESS: to S� -- )L) L4 n n city/0,11state 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 t 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. ignature of Homeowner t 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 act 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 care t amend and adopt such a form/certification for use in your community. :forms:homeexe t d u N �� x iL SIt c R i �� ..i 4 s t C 2. CA o � Q c � e ' c � � t .�V 21 t �`" ` {�" t• j�� �.� '=3, _ 1 (1"�e /' x �r�f t �. �-.�,. _ _ `'�' �`� `�4, a - � ' .......-....e ... 4 F .°'�, I �t � �.�.. �. 4 � f, � 1 � `11�- �It{ .. ��,�. �' i �_.- S �^J �� �ti.� �. ..�� of r _ li® '+y i r X f. C ,.. • TOWN OF BARNSTABLE Permit No. -2 6 85--_----------- Building Inspector cash u" ` t OCCUPANCY PERMIT Bond -------_� Issued to Capricorn Realty Trust Address Lot 27, 26 Sudbury Lane, Hyannis Wiring Inspector" � Inspection date , Plumbing Inspector ��� (� '� �_ Inspection date �- Gas Inspector Inspection date A + XEngineering Department%Z �� �,� �� 1 Inspection date.- Board of Health � �s- — Inspection date/ZX /:`f 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. ' a ............................... 19_.... _ ............................Buildin`g...Irispector .. ... .. _ . 1 i.r 61NY LA . - �. f It `li' �� �':'�` � ± \ ) \ ... `\ • 7 ° 218z3 W 3 t L Icoo'w�Dr4 cFaL CERTIFIED PLOT PLAN of N4 �y v T 2 7 NEW CDNSTRUCTION ONLY s H IN TOP Of. FoiJNDATI®� IS..2: FEE .� �4 �1► MA =.`ABOVE.-:LOW POINT OF ADJACENT , Q.Su SCALE: / DATE� I CERTIFY THAT THE Fcit'r/; MM&IiVt� d CLIENT T SHOWN ON THIS PLAN IS LOCATED Y p! TE D REGliTERED , , ' VN THE GROUND AS INDICATED AND O i t Jo's NI � ZANSI.N G LAWS VIL LAND CONFORMS TO THE E1 SARN; f LE�ENGINISER U9 -OF: ASS , r` as Y&N.A I e RA AS.-5 �e�a tr°+! P' DAT ®, LAND SURVEYOR Assessor's map and lot number ....... .. 1... ....... ..... ��, y0F7HEt0� Q Sewage PeSmit number .......... ......................A House number . INSTALLED-rN CC3M` �CB aa9Tsnr,s, ............ ............................................... WITH TITr<.Ey�r��goo,"6 q. �®r /+ fVIRONMENTAL iy".,1�+,-�FEMPYTOWN OF ,B AN SATBL N fGULATIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...:...Construct Single•,.Family, Dwelling,,,,,,,,,,,,,, TYPE OF CONSTRUCTION ....Wood...Frame..................................................................................................... J. . � ..................19........ TO THE INSPECTOR OF BUILDINGS: . ' The undersigned hereby applies fornna permit according to the following information: Location Lot # a7.... . . .. ..�.................... ProposedUse ..........................................................................::....................:..:...............................................I......................... Zoning District ...R B.'...........................................................Fire District ....HyaY1n1S Name of Owner .Capricorn Realtor Trust ...Address .2� 5 Falmouth Road, Hyannis Name of Builder Franco Real Estate Dev. CoAddress ..765 Falmouth Road, Hyannis ........................... .........i Co Address ............. Name of Architect: . ........... '.....................Address. .:.................... ' Number of Rooms Six .............Foundation c�...................................................................... Exterior .............. Asphalt shingles ..... .. Roofing ........................ Floors Carpet .Interior Sheetrock ..................................................................................... .................................................................................... Gas-- .-F.W.A - _ "`Heating Plumbing — _ Fireplace None ........Approximate Cost 1I0 t 000.00 Definitive Plan .A roved b Planning Board ______________________________19________. Area C� S . f t PP Y g .•....q..................... �o Diagram of Lot and Building with Dimensions Fee ..... '� SUBJECT TO APPROVAL OF BOARD OF HEALTH Dd A-) 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 .......... . . .. . 000 R_ CAPRICORN REALTY TRUST 'N� ,/' 685 One Story � a2,4 .... Permit for .................................... Single Family Dwelling ............................................................................... Location ...Lot...#.2.7......2.6...S.ud.b.ury...L.ane .. ..... .. . .. . .. .. .. .... .. .... . .. ..... Hyannis ..............................................................s................ Capricorn Realty -Trust Owner .................... Type of Construction .......Frame........................... ....... ................................................................................. Plot ............................ Lot ................................. December. i . ....30,0, 82 Permit Granted ... .... .. ....... .... . .......19 Date of Inspect' .... .. Date Completed - ............. ..........19 �'"a +fs'�.� ,,t ✓yam t •.,.* ! ,' /,� Assessor's map and lot number �... f.... ... ................. . = THE •- Sewage Per nit number ~�` `......r......:.............................,........ • = EAHBSTADLE, i House number .....:�.....::.. n.................................................. ro rasa pow 039. \0� 'Fp Yif TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......Construct Single Family Dwel-Tin ........................................ "u d TYPE OF CONSTRUCTION .......qo...........Frame................................................................................................................... ........... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . O t.......... �..... `,,. '4:'.. . -.% !.:.... .:...: .....................xV.:nn ........ ................................... ProposedUse .....................................° ..................................................................................................................................... Zoning District ...R•B."."..........................Fire District ...HVar331I 8............................................................................. .. .. r i Name of Owner Capricorn Realty .-"St gddress .765..)FP, D1Auth Road, Hyannis •� Name of Builder-r r.`�a.neo Real Estate Dev,. COAddress .765 Falmouth Road, Hyannis .. ...... YI U ................................................................ t Nameof Architect ..................................................................Address .................................................................................... ? N �. Numberof Rooms Six Foundation P!.C.!...................................I................................ .................................................... Clapboard and/or shingles Asphalt shingles Exierior ............:..........................................................................Roofing .................................................................................... 5�' CarnetSheetroek. .............................................Floors .......:.......................................................................Interior ................................. ..... Heating _ .`.. ....;4.A-. - — ;;, Plumbing ... ."ttiO..."' (3UE '............................................. ...............................................:..... Fireplace None A roximate PP Cost ....w40. .....s a.00.....oo ..... .. .... .......................................... Definitive Plan Approved by Planning Board ---------------____-----------19_ . Area ...�.©rj ...s.q...... 't -Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r. ti 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 '0r l .s''f/� `!J!I... ...-. — 4NPRICORN REALTY TRUST A=271-213 � v— 2, ' 2 t85 One Story No`...... .... Permit for .................................... Single Family Dwelling ............. ................................................................. Location Lot #27, 26 Sudbury Lane ................................................................ Hyannis ...................A......................................................... Owner ...Ca. pricorn. . . ...Realty. . ......Trust... ....... .. .... ..... ....... .... .. ....... ....... Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted .......December 30, 19 82 ; ..................... Date of Inspection ....................................19 Date Completed ......................................19 �st }