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0034 SUDBURY LANE
341Su �su�r Town of Barnstable Building [Post This Card So"That it is Visible From the Street Approved Plans Must be Retained on Joli`and-this Card Must be Kept "'^S& $ !Posted Until Final Inspection Has Been�Macle. �� '�Fo► " Where a Certificate of Occupancy is Required,such Building shall Notbe Occupied until a Final Inspection has been made. ..w,..,,+.-wx.o.....�rrw.crv�«ir..r..�+c,+,w•, .sa+..,..h+a.i......._. ..-4,..,r..n.�v.,..wn.....w...«a•r..,...wvr.,w...,..»a .—.rvh.KAn4.•...r�.�w..,. — .rs+ti..w.,..we�aw+.mwz.wMe4+ �'+."+,.,...r........xwm..'sa:b'.—,..+.5ar..« �.4. Permit NO. $-19-3347 Applicant Name: Ronald Silvia Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 05/13/2020 Foundation: Location: 34 SUDBURY LANE, HYANNIS. Map/Lot: 271=212 Zoning District: RB Sheathing: Owner on Record: BAROKAS,TERESA Contractor Name:` ° ISAKSEN SOLAR LLC Framing: 1 Address: 34 SUDBURY LANE Contractor License; 189428 2 HYANNIS, MA 02601 6'.p Est. Project Cost: $24,000.00 Chimney: �. Description: Install 39, rooftop mounted, USA made solar,panels for a total of Permit Fee: $ 172.40 12.09kW. t i Insulation: Fee Paid:" $ 172.40 Final: Project Review Req: .. Date + ' 11/13/2019 Plumbing/Gas Rough Plumbing: i .. .R _ ui in icia This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six,months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Build ing.and Tire.Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:' G � 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue limn is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons ting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: " Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of BarnstableBuilding �Post�This-GardfSo-That+t'�is V�sibleFromxthe Street A ro�edl Plans;Must be=:Retained on Jo,b andthis,Gard Must;;be�Kept , BABN$CABLE Permit '�" �Postecl�Until�Final Inspection Has B�een�Made� � `� � 3 � '� � " � �� �� R Where a°Certificate of Occu,ane. sxRe ured,such�Buldmg-shall Not be Occu„„pied=until a F,nal:,lnspect�on has�been made Permit NO. B-19-2586 Applicant Name: Abraham Lemotte Approvals Date Issued: 09/10/2019 ' Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 03/10/2020 Foundation: Location: 34 SUDBURY LANE, HYANNIS Map/Lot: 271 212 Zoning District: RB Sheathing: Owner on Record: BAKER,ANDREW D. .. Contractor Narne ABRAHAM LEMOTTE Framing: 1 Address: 34 SUDBURY LANE, Contractor License: CS 109986 2 yu`ipK HYANNIS, MA 02601 Est Project Cost: $37,712:00 Chimney: Description: To install a 9.36 kW DC roof-mounted solar mstallati n using 26 , ermit Fee: $242.33 Insulation: solar PV panels(at 360 KW DC per solar panel) with integrated . ry & 'Fee5Paid ' $242.33 9 micro-inverters. S Date 9/10/2019 Final: j Review Req:Project � _ umbing/Ga .. . PI s sR I, - Rough Plumbing: K y Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months fter,.issuance. All work authorized by this permit shall conform to the approved application andahe approved construction documents-for which.this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning;byflaws and codes.' ' This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pu�bl'ic i5spectio for the entire duration of the Final Gas: a 111 0 work until the completion of the same. , ;` Electrical The Certificate of Occupancy will not be issued until all applicable signatures la the Buildingand Fire Off icials ra a prouided�on'this permit. �• Service: Minimum of Five Call Inspections Required for All Construction Work:, 1.Foundation or Footing ', ky 2.Sheathing Inspection ` $ Rough: 211 �.', Mw 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspectionsto be completed priorto Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pers s contra ' g with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). 'K--K' Fire Department Building plans are to be available on site \ All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Building Post-.This�:Card So�That rt is Visible;From-.the Street-:A roued�PlansnMust,be�Retamedr.on�Job and this Card Musbe'Ke, t � � - i639 �M"� �'. Posted Unt�il'Finaln"spection Has�Been Madex F,r.: ',� � � Permit R Where a Certificate of Occu anc :is-.Re uired�such Buildin �sh'all Not be.:Occu red until a Final�lns ection hasbeen,made� •' , Permit No. B-19-2947 Applicant Name: HOMEOWNER IS APPLICANT Approvals Date Issued: 09/10/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/10/2020 Foundation: Location: 5 SUNNY-.WOOD DRIVE,HYANNIS Map/Lot: 273-236. Zoning District: RC-1 Sheathing: Owner on Record: HURNEY,SANDRA E ESTATE OF z Contractor Name& HOMEOWNER IS APPLICANT Framing:, .1 Address: 270 COMMUNICATIONS WAY STE 2H ContractorLicense EXEMPT 2 HYANNIS, MA 02601 : Est JProlect Cost: $2,500.00 Chimney: Description: 16 Windows and 3 Doors ' F € Permit Fee: $35.00 p Insulation: Project Review Req: F�eePaid. $35.00- J Date 9/10/2019 Final: - � um i s Rough Plumbing: s � � `Building Official Final Plumbing: ,This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within six onths afterissuance. All work authorized by this permit shall conform to the approved application and the approved construction document for whichAis permit has been granted. Rough Gas: . All construction,alterations and changes of use of any building and struct6res shalEbe in compliance with the local zoning by I&s,a`nd codes. This permit shall be displayed in a location clearly visible from access stredt or=road.and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. I' Electrical The Certificate of Occupancy will not be issued until all applicable signl"tures by the Building and F,re Off itialls are prouideft this permit. Minimum of Five Call Inspections Required for All Construction Work:, Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: " ersons contrac ' g with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department .� Building plans are to be available on site c� Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT t l Application er" SlaFee ............i ............. ............................... NAMSEP Q Building Inspectors Initials...........:... Ak TOWN N (k Date Issued......................../.................................. Map/Parcel.............. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION:* ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 51J iU l QY\(A 1- NUMBER STREET VILL GE, Owner's Name: Phone Number 57M Email Address: .CQrhY Cell Phone Number �t Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR . Owner Signature: Date: 2,0 l 4 TYPE OF WORK c„ 4 Q Siding -Windows (no header change)#�l S�0 Insulation/Weatherization % Doors(no header change)# 3 Commercial Doors require an inspector's review 0 Roof(not applying more than 1-layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 1N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. i r+ APPLICATION NUMBER............................................................. r. *For Tents Only* Date Tent(s)will be erected Removed on number of tents total n Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No i Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. . f , . 1 If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. 4 Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: 30 S z,�y\ �— Telephone Number SDR 3(4D b_0_0 Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature l Date Zo1Ci i APPLICANT'S SIGNATURE Signature Date CO) IQi i All permit app ' ations are subject to a building official's approval prior to issuance. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street . Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly . Name (Business/Organization/Individual): �>Dy�j, l LS Address: -�� rnVv�.�ti.► City/State/Zip: LAJk 02�po 1 Phone#: -:6)1�J6 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. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7..` 1 Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.�Pbjq I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: i 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$1,506.00 and/or one-year imprisonment,as well as civil penalties iri 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 g Signature: � Date: axi iQ Phone#: U 300 - C61 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Y Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." i An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who'resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable'evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants f Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom .of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number; The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigation: s 600 Washington,Street Boston,MA 02111 Tel.#617-727-4400 ext 406 or, 1-977-MASSAFE Fax#61.7-727-7749 Revised 4-24-07 www.mass.gov/dia Cape Save Inc. Town OF 0 ARNSTABtE 7-D Huntington Avenue South Yarmouth, MA 026642012 Q u I e A11 It: o Tel: 508-398-0398 Fax: 508-398-0399 #IT_ 1E3 06/12/12 I Town of Barnstable Thomas Perry CBO -Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 34 Sudbury Lane,Hyannis has been inspected by a certified Building Performance Institute(BPI) Inspector. Ceiling: R-30 celluose All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map f61- 4- 1 Parcel al Application Health Division Date Issued \ t Z Conservation Division Application Fee Planning Dept. Permit Fee �J Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 34 Sw.96 r v Uo-at Village _H vannis Owner 1 �rCsk p�col�. Address Telephone 50%- 1� 15 Permit Request 4 &A3 !�' 3o cd\Nlase e_rLUc. G -h' CoAc, wi'-Vn g4l± yeA-6. d - 30 c s to 4 m f e2��in N'r e @ + LA k Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 15,000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suppbp ing doclxPnen lion. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure PL Historic House: ❑Yes ❑ No On Old King's Hiigf way: ❑'Yes -No F Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other w Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) .� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ® Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ® No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ® No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION % (BUILDER OR HOMEOWNER) p 50� 9 8 Name ' Ilti A@ r n Tele hone Number �3Q$ Address '3-_D 4mffi�ra-6n 1v License # Home Improvement Contractor# �-1 3S Q Worker's Compensation #_ W C 33 U 8� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO _1 yt(�RO�A�'I► SIGNATURE DATE I 'r 1 L f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. t r a ADDRESS VILLAGE Y OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE L ELECTRICAL: ROUGH FINAL E , PLUMBING: ROUGH FINAL 4 ? GAS: ROUGH ' FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. r .� r 40-West Street O US•I lIyis; 02601-3b98 ssi stance T}�508)77.1-54 W T j508)715-7434) 3�on aIl fines _ ' r o rat ion nmr��br orica ecad oi�v ' HOME OWNER WEATHERIZATION wopK PI=PmFr&FUEL RELEASE PIXASE Fly fll AND,.SICN T T YOU ARE THE A.PHICANT HOB OWNS a ao� � hereby,consent to and agree that weatha nation work maybe done by the'Weathexizatiou Program.of Housing Corporation. (herein after referred as ' `Agency") on the property located at 3 � The weatherization work done will be based on programmatic priorities`and availability of funding and it may indude all or same of the following measures:' , weather-st ippMg &ca�lZi�g of windows and doors, insulation of attics;sid'ewalls 8&basements,attic. and other ventilation measures and,possibly replacement of badly deteriorated windows_k cons, of the weatbezization work to be done at niyhome I wee to the following 1_ I give permission to the `'. -('aacyf its.agents and employees to travel onto or acxoss said properly with such equipment and materials as maybe necessarp.to perform weatherizanon work on said pro-Periy, ; 2- The Housing Assistance Corporation reserFes the right to ixispect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than:five (S)years after.the weatherizatzorr. work is completed I have read the provisions of eemeut as listed and freely give my consent- - Home Own-rx- (Signatare)�d�d[/ Date Agent: (signature) Io Date--^' ILIkC approved Weat.fi, 2ation Co�pau-T: ',. Cali -zr B�ilc�iing&Rernodeing Cane Cad Iasulaiio Cape Sav Caesw .11 Constucaoaz Frortti :Fner(7 S'olifions ' - Lahr Sons . I'etter Sm'ith Resolution:Ea, 1 Rock Solid Cowtrictzorr., .All-Ca �'e 7nfiaTaiioaF Tlie Coinnionlvealth ofl47assacltusetts Department of Indtistrial Accidents Office of Investigations r - 600 R'ashington Street i Boston, A4 02111 ww1U mass.g ov/dig Workers' Compensation Insurance_Affidavit: Builders/Contractors/Electricians/Plumbers* Applicant Information Please Print Legibly Name(Business/Organization/Individual): S n G Address: D HN,A' laO-on Nve11W,G . City/State/Zip:50ct�, yaarmaw k mA 0?U4 Phone#: 508" 3 9 $ - O 3 9 $ Are you an employer?Check the.appropriate boa: _ Type of project(required): 1.9 I am a employer with t b •4. ❑ I am a general contractor and I~ have hired the sub-contractors 6. ❑New construction employees(full and/or part-time).* • 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling shipand have no-employees These sub-contractors have ; 8. �Demolition , working for me in,any .capacity. `,employees and have workers' 9. ❑ Building addition.. [No workers'comp. insurance comp.insurance: , required.] 5. ❑ We are a corporation and its - 10.❑ Electrical repairs or additions" 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself.[No workers'comp. . right of exemption per MGL 12.❑ Roof repairs insurance required.].t C. 152,§1(4),and we have no 13. Other �' 1 ��pn employees.[No workers' n S U. 0. r comp.insurance required.] *Any applicant that checks box R1 must also fill out the section below showing their workers'compensation policy information. yHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. •Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my eiployees. Below is the policy'and job site information. 1 Insurance Company Name: _T eo�n o 1 o ��S v�.�an cC C ek M - Y i Polic Nor Self-ins.Lie.>=: T C 3 3 $ •V Expiration Date: Job Site Address: 34 4 wrq L-to - City/State/Zip: 1 S�� #, Attach a copy of the workers'compensation policy declaration page(showing the policy numb r and expiration date). Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investieations of the DIA for insurance coverage verification. I do hereby ceilifi-under the pains and penalties of perjun}that the inforination provided above is true and correct Siartature: s Date: . 'Phone 4 Official use oizh� Do not write in.this area,to be completed by cit}l or town offrcjaz City or Town: Permit/License 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 f: DATE(MMIDDIYYYY) Aco CERTIFICATE OF 'LIABILITY INSURANCE 10/22/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER-THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pol(cy()es)must be.endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ti NA cT Shannon Sperrazza Risk Strategies Company PHONE , (781)986-4400 FWC.AX.EmNo):(781)963-4420 15 Pacella Park Drive a owe :ssperrazza@risk-strategies.com Spite 240 f c_ INSU S AFFORDING COVERAGE NAIC# Randolph MA 02368 '* INSUReRA:Selective Insurance INSURED INSURER B.Safety Insurance Company 3618 Cape Save, Inc INSURER C-Technology Insurance Company 7 D Huntington Ave ° INSURER D INSURER E- South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER�L12102253933. REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MMOIUC E IM DAD UMW EXP LTR GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY . +- D (Ea oc ENT 100,000 PREMISESSRENTED wrrence S A CLAIMS MADE a OCCUR 199448001 a 0/16/2012 0/16/2013 MED EXP(Any one per on) S 10,000 PERSONAL&ADV INJURY S 1,000,000 ' GENERAL AGGREGATE S 2,000,000 nGEN'L AGGREGATE LIMIT APPLIES PER ~• PRODUCTS-COMROP AGG S 2,000,000 X POLICY PRO-ECT LOCr a. 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S 1 .000 000 B ANY AUTO BODILY INJURY(Per person) S ALL OWNED r_v_1 SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S P . X HIRED AUTOS X AUTOS - Underinsured motorist Bl rrt S 100,000 X UMBRELLA AB OCCUR EACH OCCURRENCE . S 1,000,000 A EXCESS LIAR CLAIMS-MADE r AGGREGATE S 1,000,000 DED RETENTIONS S199448001 0/16/2012 0/16/2013 S C WORKERS COMPENSATION fficers excluded WC STATU OTH- AND EMPLOYERS LIABILITYYIN f , ANY PROPRIETORIPARTNERIEXECUTWE 0 N 1 A rOID Coverage 1 E.L.EACH ACCIDENT . S 500,000 OFFICERIMEMBER EXCLUDED? C3318007 /9/2012 /9/2013. E (Mandatory In NH) L DISEASE-EA EMPLOYEd S 500,000 If yes•describe under ' DESCRIPTION OF OPERATIONS below I r E.L.DISEASE-POLICY LIMIT S 500,000 ,+ '`... ,, • ; l - a i' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,N more space Is required) Issued as. evidence of insurance. .Issued as evidence of insurance. Thielsch Engineering, .Inc. is listed as additional insured as respects General Liability as 'required by written contract. CERTIFICATE HOLDER - ' CANCELLATION msong@ cape1ightc9mpact.org, 'SHOULD ANY OF THE ABOVE DESCRIBED-POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED. IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact Attn: Margaret Song PO Box 427/SCH AUTHORIZED REPRESENTATIVE 3195 Main Street , Barnstable MA 02630 Michael Christian/SMS ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025nMnmmni Thn ARnpn namn anA 1 v^erm ranic+amA marlea of ACnon " • •' • - -' Y' r' • ' III �Ia..achusctt - Delta l-tin t:nt of Public `at•ctN - Beard of Building ReuFulations and Stand.1r(i'1' -. ' Construction Supervisor Specialty License ' License: CS SL 102776 + ` Restricted to: IC r WILLIAM MC CLUSKY .~ , 37 NAU SET ROAD ` WEST YARMOUTH, MA 02673 c�G_may/ Expiration: 6/28/2013 — C'„nnu�..i,nur. Tr: 102776 N 677-2 Office of Consumer Affairs and usiness Regulation' 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 ' . •' _ Home Improvement Contractor Registration �• ' . Registration: 171380 Type: Corporation , Expiration: 3114/2014 Tr# 222184 CAPE SAVE INC:. - s _ _ WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH; MA 02664 Update Address and return card.Mark reason for change. _ 4 - l=l Address �1 Renewal Employment Lost Card PS•CA1 is 50M-W04-G101216 - �,• ✓lrea�r'vnea�zc�eal!/r.'a��tlauar/udet�i * t License or re stration valid for individul use onl Office of Consumer Affairs&Business Regulation y' HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration' 171380 Type: Office of Consumer Affairs and Business Regulation �� r Expiration 3/14/2014 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. C WILLIAM MCCLUSKE-- 7-D HUNTINGTON AVENUE t SOUTH YARMOUTH,MA 03t64` Undersecretary Not valid witUbt signs Assessor's map and lot number., . . o� //"*7 ;?'*'Z CF 7 E Sewage Permit number - �b EPu Us. 0 VS T INSTALLED IN COO 2�;E'N AA . ' ""a' House�number' ..................................:.....................................' ENVIRONMENTAL pp e�Csj l`i� TITLE ?oo 2639. �00� A'd �IrA �Wtlltq q�TAl CC} D.YAY A`' TOWN OF -RAR.NSTAB'vLJF!-:.GUi-ATI( ""., l BUILDING,. 1.,NSPECTOR APPLICATION FOR PERMIT TO .... �`! .. . I t• � �................................................................. TYPE OF CONSTRUCTION ...... f!l►' . .,. .......................................................................... .......1 A./Z6�/ ............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: JA&: , r L_ Location ...t.,..G- ........... ...... � lC ...) ...... ,.r................................................................................. ProposedUse ...................................................................................................................................................I......................... Zoning District ....... ............... .Fire District ..�� �^ nn.e s. Name of Owner ....a4. •rL-C--40—C ... �.4..� ',y.� lr�'d ss .... Cz.. ..!` Sn�..C') ... ........ r Name of Builder' ..F ir: C G... G�zr�..... 1 .f 444.0 r. Address ..... T ..4i �.! .k..�l-'...:. ( 5.r'c...................... Nameof Architect ................. .1..... I.G....................Address .................................................................................... Numberof Rooms ..........1......................................................Foundation ........�a..°, .:a...................................................... Exterior e!Roofing r!✓�4 -. .4; .�.C� , .. .5.. .4- ..� .... ......................................... n J Floors ......1..�� ............Interior ..... Heating .�... JJ�! .lr'v.G..P..........................................Plumbing ' 1.// Fireplace ........ .. .. ..�^�?- ....=... .................................Approximate Cost .... . . . ........................................ Definitive Plan Approved by Planning Board ____________________________,__19--------. Area �. .La.. . . �... Diagram of Lot and Building with Dimensions Fee ..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH VF I \ p • �o,o 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 21:�cf`� l�dll��� • oa�9�9 =�I / ~~^^ ^~^~~~~ ^.~.LT^ TRUST v ~ ' ' 24592 ADDITION ' No ............. Permit for .................................... ' . �� � _'_.S.i� �����..I7aod'Iy_Dvvel.l ' ____. Location —.Lot_#3.8�_S ..��oq_.. , ^ i— / ------.---—. -------------- Owner ioc`ro Trust � --.:`------.���.���------- � Type of Construction —�..��g��--------.. � | . .................................................... ' � - . plot ............................ Lot ................................ . ` ' 8� ' Permit Granted lg . � �����c~~ lg --- of --,ectio �—.--- _----.— ~ ' ^, Date Completed —.. &�,�t�~---'-1g~—^ � - - ' ~ ` ' . . ` ' ' . ' ^ ` ' . . . . ( ' ` . < ' ' ^ ^ ` U ' u , . -4- Assessor's map and lot number ............. THE ............. Sewage Permit number ....... ........ BARNSTABLE, Hal number ............................................................ VAGL A 1639* a MA-1 A,. TOWN OF BARNSTABLE BUILDING INSPECTOR ................................... ............................... APPLICATION FOR PERMIT TO ... ........ "Y TYPE OF CONSTRUCTION ......R.,�Xjr-9..... .......................................................................... ...... ....... .............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......................... ............ .................. .... .................................................................................... ProposedUse ....................................................................................................................................................................... t ...... Zoning District ...... ..............................................................Fire Distric ..... ........�!...................................... Name of Owner s .... ............. .............. ........................................Addtes 7K51G�,(.nz-t............................. j .... .. .... .. . . Name of Builder' ........... i;�,��-�iAcl d ress ..... C-n-n.�........... .............................. Name of Architect ..................... ........ .. . ........ ....i......................Address .................................................................................... Numberof Rooms .......... .......................................................Foundation ........ ................................................. Exierior C. ... ........ .... ... ......... .... .... ........Roofing .....4.5..... ................................................................. Floors ...... .. ... ... ... .........................................................Interior ................................. ......!;.z.................................... Heating ......... ........ ......................................... ..Plumbing .............................................. Fireplace ...... -ost 10, .................... ............................................Approximate I. ...........i.0. ........................................ I C1 6, 5-� P 4- Definitive Plan Approved by Planning Board --------------------------------19--------- Area ......f......w ............ 0 i ............ Diagram of Lot and Building with Dimensions F ee ........-- ..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH S25 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name J-7 CAPRICORN REALTY TRUST A=271-212 t 24592 ADDITION No ........ Mermit for .................................... Single Family Dwelling ....... .... .. .. .. .... ..................Lo.t...#.2.8. qS.udb.ur.y...L.A.ne... Location ................................................................ Hyannis ............................................................................... Owner ...C.apr.ic.o.rn...Realty Trust .. ....... .... .. ..... ...................................... Type of Construction Frame .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..No.ve.mbe.r....3.0.........19 82 ..... .... ....... .. Date of Inspection .....................................19 Date Completed ......................................19 .As sor's map and lot number .. . ..... �,.`. � 1 OF TH E p0� SEPTIC SYSTEM MUST BE Sewage Permit number ..... .. INSTALLED IN COMPL.AN� = B�BasTenLE, WITH e � ` House number ...........................?�..:?...(......:.........:.......:.........: �951�8'� TITLE 9O MAea p� TOWN OF BARNJT IRLE ^k BUILDING INSPECTOR APPLICATION FOR PERMIT TO Construst Single Family Dwelling .................... .. ........ .. .. .. ........ TYPE OF, CONSTRUCTION ...Woo... .........................................................„ me . . ............................................................ ...................... ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fo a permit according to the following information: -z'� - Location ................ ..................X..........��..'..... .................................................:..............:.................................... ProposedUse .......................................................................... .................................................................................................. Zoning District ..... ..........................................................Fire District JHYaPni.s.......................................................... Name of Owner Capricorn. Realtor.. rust ,,,,Address .76 ..Falmouth Road,...Hyannis ...... .... ..... Name of BuilderFranco Real Estate Dev. ••CO.Address .765.. Falmouth Road, Hyannis Inc . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......S, iX......................................................Foundation ..p. C.r.................................................................. Ekierior .... ,a,pbpax .,a d/..Q. ...Ski•i? zlq.�;..............Roofing A.Sp.hp t...S.h n 1pe i......................................... Floors ......QPX.P.Q.t................................................................Interior .Sale.et...r.O.C.1......................................................... Heating .Gas... ..................................................Plumbing .lW.Q..........0ApPD ............................................ Fireplace .Nan.e......................................................................Approximate Cost ...... .................................... Definitive Plan Approved by Planning Board ________________________________19_______ . Area 1.0.56..sq......ft.............. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH h. / I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name . .............. ..... . ... ........ ....... N4 ...............:. Permit for .................................... ............................................................................... Location .....:............................................... .......... _ y • ............................................................................... Owner ......................................................::.......... Type of Construction .............................`........... _ v r Plot ........................ Lot .. Permit Granted ........................................19 Date of Inspection....................................19 Date Completed .....:................................19 t - '.PERMIT REFUSED f ........ ............s................................ 19 f- ....... " c r 7. 47 ...............................:'............................................... ............................................................................... i .. ............................................................. d, 'kAsjsor's map and lot number ./! THE *.. i' B pi Sewage Permit number .....,��..�"'..�.�.�.�.......................... 1 BA"STADLE, i House number '> `f................................ ro rasa �3G p t639. \00 0 TOWN 'OF BARNSTABLE BUILDING INSPECTOR, APPLICATION FOR PERMIT TO ...Construgt. Single Family Dwelling TYPEOF CONSTRUCTION ...WgAd... 'V;9....................................................................................................... ........... .L.4.L.� .........19��`.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . ... .... ... . "...........................................:........:.. ProposedUse .... ........................ .................................. . .............................................................................................. Zoning District ....R.`. .•.................... ...................................Fire DistrictIya11n�S......................................................... Name of Owner Capricorn. Realty.. Prust...........Address 765..Falmouth,.Road,..,Hvannis.............. ............ .......... .. ........... .. ........ ... ........ .... ........ ........... ... ............. Name of Builder�'rancA„Real Estate Dev. Co Address .745 :Falmouth Road, Hyannis ................. ................. - Ins. , - Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .....Si.x......................................................Foundation ...p.+.Ca................................................................. Exterior .... axsd./(?r...ah.3_nFIess - ........Roofing ,A.qzthA ah,in,r 1-A ......................................... Floors ......�-!arnP...................................................................Interior .F.b0n—t...rnn.k......................................................... Heating S* .... F'.o.y .A..... ........ .........Plumbing . F!un ....... `nr'l ?r......... ......... Fireplace "eNT)A ............................................Approximate Cost .......!k4!A.0PQ. .aQ.................................... Definitive Plan Approved by Planning Board ________________________________T9'_______. Area ............ Diagram of Lot,and Building with Dimensions Fee .......... . ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH E t q �v I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ar ./'l /c�.ta� r'�.r .✓ Name . :.........:..... .,..,. ,... .....•..... ....,.... .....'....... , N�................... Purmh for - ---------------------.----- � ' � Location -----------.-----._---' � ----.---------------------- ^ � - ' Owner -------_______________ � Type of Construction -------'r----- ' -----^--------------------' � Plot ............................. Lot ................................ ' . � - Permit Granted ---'----.---.—.]g - Date of Inspection .r--------...--lV ` � - ' x Date Completed ----------'--lg > . ^ ~ ' � ~ - . . - PERMIT REFUSED --------.—..—.�--..-----... lg � ' ' � --------.------------------ . ' . . ---'--'~'~---'--------------' ' � .................... -. - � -------`'------'^^`~—'^—'^^---^'' � � . ` ^ Appr-oved .................................................. 19 ` . - ' i -------''—'----'-------~—'---^ ----------~---------~~^'^'—'- ' | TOWN OF BARNSTABLE P 24387 • u Pe No. -------- --------------- 1 Building Inspector Cash 2039. OCCUPANCY PERMIT Bond Issued to Capricorn Realty Trust ,,Address lot #28 34 Sudbury Tiane, llyanni.s / !,1 Wiring Inspector ! # Inspection date Plumbing Inspector/�� Inspection date �'— 4 Gas Inspector � n 8t', �_..�, Inspection date-L�1�6> z Engineering Department Inspection date Board of Health—'�' Inspection date / -1. > 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. t ........................................... ..... .. .. = Building _. 4. LoT Z7 �- /347a ji w r N L-OT 28 s.F f U u � G N d �A� Q 4-7 RI 1 Z f. 98 oT, W i Lrr--4 = loco/ Go awe CERTIFIED PLOT PLAN $� H y� AIwI s NEW CONSTRUCTION ONLY TOP OF FOUNDATION IS-7,:.1 FEET IN ABOVE LOW POINT OF ADJACENT �,�,��� ����.�a. iAII�1•� • LOAD. SCALE, / "_3o DATE, V/1% z_ LQR4_PGE ENGANLr PI,�Ne CA./N CLi'aT I<5Mw-r-o I CERTIFY THAT THE FUyY62A rUII EOISTERED REGISTER � SHOWN ON THIS PLAN IS LOCATED JO4+.0O;. � ON THE GROUND AS INDICATED AND _ CIVIL `AND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.OY� OF BARNSTA LE, ASS. • 712 MAI N 'STRE.ET �' � G O H YA N R I S, MASS.: SNEETj.OF Air` G. LAND SURVEYOR - -- ------------ - — _ _,.._ -�� 2 � 91XIA, t Assessors map and lot number ...c ,'7,�..�.... /,. ....,, c �jrC �b Z F rwE T Sewage Permit number ..... :.� ��, ♦� SEPTIC SYSTEM MUST STU House number .. ... . ..........:...... . ........:.. r. INSTALLED IN CC3R1 PLI � MABa LE' ..... !! WIT11H TITLE 5 i639 9� TOWN OF " BAlN DUILDIG- INSPECTOR APPLICATION FOR PERMIT TO ..`Construct;,Single„Family„Dweling„ f TYPE OF CONSTRUCTION ...Wood„Frame...................................................................................................... t ..... ...... ........... .................19........ -TO -THE ANSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location ...L�.t ................... .r . ..,r..............Hyannis. .............................................. ProposedUse ..................................................................................................'.................................................. ..................... Zoning District ..........R.•..B........................................................Fire District Ay mi.............................................................. Name of Ownep... . Corn Realty..Trust..............Address 27 5. Falmouth Road,, Hyannis. .......... .... ............ Name of BuilderFranco Real Estate Dev. Co Address 76S Falmouth Road, ,Hyannis,,,,,,,,,,,,,,, , ... ........ ...........Trio.• Nameof Architect ..................................................................Address .................................................................................... 0 Number of Rooms �i.X.................................................Foundation P•........... .............................................................................. Exterior ..Clapboard andlor shingles ................Roofing Asphalt...shin.gIes,,,,,,,,,, Floors ...CarP.et .........Interior ........;�he.etrQck.............:. Gas F.W.A. Heating - Plumbing TWo — Copper Fireplace ..None................................................................................Approximate Cost $40,000 .00 -Definitive Plan Approved by Planning Board _______________________________19______. Area 105`6 Sq, ft. Diagram of Lot and Building with Dimensions Fee 4� °........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 40 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 .... .... ��c 000 1 jj CAPRICORN REALTY TRUST fit.. 2438t 7-" One Story TM o ................. Permit for .......................... 1 fit` �"> Single Family Dwelling O_ T `i Location ..Lot #2 8 34 Sudbury Lane = Y r( Hyannis . Capricorn Realty Trust j < Owner .................................................................. a. ;1 Type of Construction Frame ......................... .................................................. y sPlot ............................ Lot ................................ t September 21, 82 r, , Permit Granted ........................................19 � 1 ,t Date of inspection ...... ..... ,.......19� — Date Completed . .. ZT....P..............' - 19 zt -0 e Assessors map and lot number !7ff:, `•: Y>� },K /"3,4>L c ', THE. Sewage Permit number - /��..._..:`.. e�P y� ,.-...�.-....�." Z BoAwBB9TA BLE. He se number ... j} : . Mass . ... . . . ...a` . ° ............ O i t63q. \0� MAY k' �y TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...Gn rtg try r t sra 7>t>1,r?„F Mtn� l ... )ufr€a3 3,ti nf' ................................... TYPE OF CONSTRUCTION ...AgAd...Frame .................................................................................................................. /'rt 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies applies for a,permit according to the following information: IrA t C, f_ / ,r>.+ •� ,.. HSt ami s,, M, Location - ...............:...:;.,.......................... ,......�,,............................................................................................... ProposedUse ............................................................................................................................................................................. Zoning District ..........ReB.'....................................................Fire District .,HV- aX1T�;1.�..................................................... Name of Owner0plp igorn„Rea.l'1;;y Trust Address ��i�a,,k'���I1�3L1�h RAd�: �VdX��1 ................. ........................... Name of BuilderPra^nu.0. Real...Estate DeV. CO Address ' 65..FalMoUth Road. Hyannis ............................. d ...................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .........SX................................................Foundation ... ................................................................. Exierior C1apbpar.d...and./pr...F� Anae. s.................Roofing AgpA� a...� aInfff�g.......:............... .. ....... .... ... ....1l .....:................. Floors Parpet...................................................................Interior ........1�pe:trn 'Y. ................. ..........................................................:................ Heating .Ga'e........F.......A g .................":...........:...........:...................................... ' Plumbin 'I'WO COpper . Fireplace None......................................................................Approximate Cost" $.40...,.000. ....... ..........00................................. Definitive Plan Approved by Planning Board -----------_-------------------19________. Area 10 5 sq•. f ? Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 V - ti f i 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 CAPRICORN REALTY TRUST A=271-212 .. 24387'" y _ One Story No ............f' Permit for .................................... Single Family Dwelling n '= ............................................................................... Location ...Lot #28 34 Sudbury Lane e._ N ............................................................. u 1. �1 Hy.annis. . 4 3 .... ....... .. ............................................. Owner Cap.ricorn. . . ...Realty. . ....Trust. . .... ....... .... .. .... .. ..... .... .... .... .. .... +, Type of Construction ,Frame C. t c: ... ......................................................................... r C, z Plot ............................ Lot ................................ C, Permit Granted ,,., ept. 21, 19 82 a S p Date of Inspection ....................................19 - Date Completed :19 l � Ya ff r r C 0 Assessor's office (1st floor): �— a2 j r,2 �F'THE ro Assessor's map and lot number ..... .............. r...,..,:,_..... Q� �♦ Board of Health (3rd floor): mac: _�G � C-Tr- � ; �. Sewage Permit number ...........................................F........... 2 BABH9TADLE S Engineering Department (3rd floor): 3� ,s 'w rb 9. Housenumber ........................................................................ �Fo yav APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLF BUILDING INSPECTOR t APPLICATION FOR PERMIT TO r7:`.......'��'. .............. ....... ..................,..............`fin.......... TYPEOF CONSTRUCTION ................................................�. ....................................................................... 1 r .................... _...... . .-.-..19._ � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 14 Location —� I............. ..................... `.. ............................................................................ Proposed Use ...... .............................................. ........................... .................................................... ZoningDistrict ........................................................................Fire District .............................................................................. G� -rv2s.cJ��"Z.. .........Address / -�r Name of Owner ..�..>�. ..� ..�.....�.............s........... ..........::....:................................................................... C � rZ Pt4 A,v� (S Name of Builder ... J) !tT. ... �c 1.�..al.L i l Address ...... .. .........U....�.......�`.....: Name.of Architect .......... .. . .............................................Address ........�.—..—..-.� ,................................................................. .. Number of Rooms .........................I........................................Foundation �"� v.geP? �6,s c, ceps J-L- ..J ..................... . Exlerior Ni f� •� i ...............Roofing N .iA Floors Z ( .1 ..........................� � � f' - .Interior �� K^1 Heating � .... .. � ...................Plumbing .................�.................: ....................................................... Fi replace .I. ..................................................Approximate Cost k . t�� �........ Definitive Plan Approved by Planning Board ---------------------_----------19______ . Area ...... . ...................... ot-5 Diagram of Lot and Building with Dimensions Fee ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH - /QO \• I ` � 1UdZ a: .15 s . 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. / a--a+_- 'L"'s Name . .. w ........................... ..... . .. ... .... ............ —,) � �Construction Supervisor's License ................................. GURWTTZ;,;=ARVEY A=271-212 No 30051 Permit for ...ADDITION .................... Single Family Dwelling .......... ........................................................... Location .......34 Sudbury Lane ........................Hyannis....................................... Owner .......Harvey Gurwitz ................................ Type of Construction .....Frame... ....................... ............................................................................... Plot ............................ Lot .... ..................... Permit Granted October 17, 19 86 Date of Inspection ....................................19 Date Completed ......................................19 i i 1 i �A4oe 111?1-7 Assessor's office (1st floor): 7 /-�./o� SEPTIC SYSTEM Assessor's map and lot number ............................................ 6f�STALLED IN CO r oard of Health (3rd floor): 7� WITH TITL Sewage Permit ,number ........:.........:................... �.:: asasTnnas, i iEngineering Department (3rd floor): �$' EN #e � � �fIROPIAAEWTI�L House number 3 !'• TOWN REGUL�► a� ...... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 -P.M. only TOWN OF- BARNSTABLE BUILDING. INSPECTOR APPLICATION FOR PERMIT TO .. .... ...............`........... .... . TYPEOF CONSTRUCTION ......... '.................:...................�.1n.7....................................I......................... ........ Lt L!.....19.. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . � v ....... -. . � T tea.r).. Location .............. 7.... ........� . ............. ........ ProposedUse ..... .1.. 1 P.-Q{ .........................................................................................:.............................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ..........Address ..........� ?'4 .(L!!�....�1J.1. b ....Address ........4 .....'.�!bl'LL�N. Name of Builder ..... ••••••••• ••••• Nameof Architect .........1".[A................I..............................Address .................................................................. Number of Rooms ......................................Foundation ..... 1✓.�-'�.... ............................ .... Exterior ................tOA .O� ........�/. ...............Roofing ............ �........................................ Floors ..........Zx...i.D......... .�a..�l..<��r? -.................Interior ..........� .z.......6. 2� 1.16.yv l...'........................... Heating .................... .. .1 O(.................. .....Plumbing ..........N.-. .'.:........................................................ ... ' �.. '...�....�....�.........Fireplace. .4..................................................Approximate Cost . Definitive Plan Approved by Planning Board --------------------------------19--------. Area .�1 5.................. Diagram of Lot and Building with Dimensions Fee ........ j�............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH gl /fir till OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all,the Rules and Regulations of the Town of arnstable regarding the above construction. Name . .. .. . ...'/1'.'�� ................. Const ion Supervisor's License ..o... ... .L4 . GURWITZ, HARVEY No 30051- Permit for - _ µ I ADDITION ' .................................... _ Single Family Dwelling ................................................................ Location 3. ... 4 Sudbu. .r Lane. . .�............... .. . . ........ .y.... . .... ........... ................. .......................................... f -, Owner Harvey Gurwitz ............ Type of Construction .!..,,,Frame ................................................._;.: ......................... w Plot. ............ Lot Permit Gronted . October -179 19 86 r - Date of_'Inspection .`.......f'`. L.............19 Date Completed ....................... 19 t � AA}}� ��}}' If � �V' _.• • - '* �. R ..: �- ' - art.� g 5. k,� T} s iY ti.