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Home My WebLink About0125 SUDBURY LANE Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 06/12/12 Town of Barnstable Thomas Perry CBO Building Commissioner ° 200 Main St. Hyannis,MA 02601 :m RE: Building Permits ' F.) 03 Dear Mr. Perry, This affidavit is to certify that all work completed for 125 Sudbury Lane,Hyannis has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-19 cellulose Walls: house attic parting walls R-7 Thermax All work performed meets or exceeds Federal and State Requirements. E Sincerel Y ,¢ William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION b Map a � O Parcel ,�. Application W 7/ D Health Division Date Issued 1 Conservation Division Application Fee Planning Dept. DMS' , , Permit Fee A a Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Villageygn^rS Owner e t+ � ;R Address c5o1:M Telephone 0$ �' V N 1 Permit Request old R' �9 celWdse -t-e (r ' I CA 4 I �— Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 0 0 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 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ 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 —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) ' Name W��tit 6 NOW I' � c Telephone Number Address r o rL License # Ic 0k r, �'� S• l Home Improvement Contractor# Worker's Compensation # Ci 5 a Q(o b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y ,rrh I WT SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# 'c DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 'r DATE OF INSPECTION: FRAME _ - w INSULATION,, FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r: FINAL BUILDING t DATE CLOSED OUT r ASSOCIATION PLAN NO. 1 i E. f Housing Assistance -Corporation Cape Cod HOME OWNER W EATHERIZATION WORK PERMIT &•FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. It*J hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation (herein after referred as"Agency") on the property located at: o. The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping &caulking of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. in consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to the'Agency"-its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature) Date: Agent: (signature) t . Date: + 1 ` HAC approved Weatherization Company : All Cape Energy Cape Cod lnsulatio Cape,Sav fficient Buildings,LLC Frontier Energy Solutions., Loh--&Sons Resolution Energy A N The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of In tSyr I Congress Street, Suite 100 Boston MA 02114-2017 vID` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lep-ibly Name (Business/Organization/Individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓❑ 1 am a employer with_�� 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' y9. ❑ Building addition comp. insurance.* [No workers comp. insurance � . required.] 5. ❑ We are a corporation and its 10.E Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their M.❑ Plumbing repairs or additions myself. [No workers' comp. ritn ght of exemption per MGL 12.❑Roof repairs insurance required.] ; c. 152, �1(4), and we have no employees. [No workers' 13.� Other Insulation comp. insurance required.] *Any applicant that checks box 91 must also till 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 um an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Technology Insurance Company V Policy#or Self-iris. Lic. #: TWC3353968 .. Expiration Date: 04/09/2014 1 Job Site Address: l�S S� N Lco e City/State/Zip: a ll t ti. �v 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 c..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 forth 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. 1 do hereby certifv under the ains and penalties of er' that the in ormation provided above is true and correct. Si atnre: Date ' 1 Phone#: 508-398-0398 Offtcial use only. Do not write in this area, to he 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#: DATE(MMIDDNYYY) ACo CERTIFICATE® TIFICATE 4F LIABILITY INSURANCE 10/22 0 13 UPON THE CERTIFICATE LDER THIS AND CO AFERS N PO DED THIS CERTIFICATE IS ISSUED AS A MATTEOR NEGATIVELY AMEND,rEXTEND OR ALTERRTHETCOVEISSUING SU NG NSURERB), AUTHORIZED CERTIFICATE DOES NOT THE POLICIES AFFIRMATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN REPRESENTATIVE OR PROto DUCER,AND THE CERTIFICATE HOLDER. doiso IMPORTANT: If the certificate holde 11 r I 11 s an ADDITIONAL INSB RE an endorsement. A statement on his certifie policy(lies) must ,e all dols cOate does not confer-ON IDri9hts to the the terms and conditions of the policy,certain policies may quire certificate holder In lieu of such endorsements. Colleen Crowley NAME: FAX (7S1�g63-4420 4400 PRODUCER PHONE (781)986— AIC No Risk strategies COOPaay 15 Pacella Park Drive NAIC0 INSURERS AFFORDING COVERAGE Suite 240 01P America gandolph LdA 02368 INsuRERA Selective Ins. , 3616 INsuRERB:Safet Insurance c as INSURED INSURERC:Techn010 Insurance an Cape Save, Inc ,NSURERD: 7 D Huntington Ave ENSURER E I� 02664 INSURERF: South Yarmouth REVISION NUMBER: COVERAGES CERTIFICATE NU MBER:CL131022I_ODD 68490E FOR THE K THIS IS TO CERTIFY THAT THE PANY REQOF UIREMENTNTERM OR LISTED CONDDITION OF ANY CONTRACT ORD To EOTHER DOCUMENT WITH R INSURED NAMED ABOV ESP CT TOLIWHICHRTHIS INDICATED. NOTWITHSTANDINGDESCRIBED CERTIFICATE MAY BE ISSUED OR MAY SUCH POLICIES.LIMITS SHOWN MAY FORDEDAVE B REDUCED BY PAID CLAIMS.. HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF ISOucY EFF POLICY EXP LIMITS S POLICY NUMBER MMIDD MMIDD 1,000,000 �IS TYPE OF INSURANCE EACH OCCURRENCE $ D 0,000 GENERAL LIABILITY AG $ 10 PREM SES Ea ocwrrence 01000 X COMMERCIAL GENERAL LIABILITY 0/16/2013 0/16/2014 MED ExP(Any one person) $ A CLAIMS-MADE FX-1 OCCUR 1994480 1,000,000 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 21000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY X PRO X LOC L I 1 000 000 C M W Ea accident AUTOMOBILE LIABILITY BODILY INJURY(Per person) $ B ANY AUTO 208200 1/6/2013 1/6/2014 BODILY INJURY(Per accident) $ ALL OWNED X SCHEDULED PROPERTY DAMAGE $ AUTOS AUTOS Peraccident X HIREDA.UTOS X AUT SNOWO�� $ EACH OCCURRENCE $ 1,000,000 X UMBRELLA LIAR X OCCUR AGGREGATE $ 1,000,000 A EXCESSLIAB CLAIMS-MADE RETENTION 0/16/2013 0/16/2014 $ ®_ 1994480 X WC STATU OTH- DED Y C WORKERSCoMPENSATION fficers Included for _Llt AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500 000 7PARTNERIEXECUTIVE YIN V9r3CJe ANY PROPRIETOR OFRCER/MEMBEREXCLUDED? � NIA 3353968 /9/2013 /9/2014 E.L.DISEASE-EA EMPLOY $ 500 000 (Mandatory In NH) If yes,describe under E.L.DISEASE-POLICY LIMfr $ 500 000 DESCRIPTION OF OPERATIONS below a DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (AttachACORD 101,Additional Remarks Schedule,if more space is required) Weatherization Specialists GL: Blnkt AI, Blnkt PNC, Blnkt WOS, Per Proj Agg, Per Loc Agg / GL Exclusions: Snow & Ice Removal/OCIP/Wrap Ups r + CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE chael Christian/CLC �! ACORD 25(2010105) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005)01 The ACORD name and logo are registered marks of ACORD t r' 9 . Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super1 isor Specialty License: CSSL-102776 WILLL M J MC C-LUSKEY,�,. 37 NAUSET ROAD West Yarmouth MA 02673 f a -7 rxpiratior) - Commissioner 06/28/2015 - 0 jV Office of Consumer Affairs and usiness Regulation 5 10 Park Plaza - Suite 5170 "v Boston, Massachusetts 02116 Home Improvement C-onti'actor Registration Registration: 171380 Type: Corporation Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. =1' WILLIAM McCLUSKEY t: 7=D HUNTINGTON AVENUE f SOUTH YARMOUTH, MA 02664 -m Update Address and return card.Mark reason for change. - ' 1 Address !—( Renewal Employment Lost Card )PS-CA1 0 50M-04/04-G101216 Ll\ Office of Consumer Affairs&Bdsiness Regulation License or registration valid for individul use only n- 10 ,HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r `=f Office of Consumer Affairs and Business Regulation ,� _- Registration: 171380 Type: g ^lmy 9 10 Park Plaza-Suite 5170 Expiration 3/14/2014 Corporation Boston,MA 02116 CAPE SAVE INC. - WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE- SOUTH YARMOUTH MA 02664 Undersecretary Not valid wit o sig na TOWN OF BARNSTABLE BUILDIN%PERMIT` PARCEL ID 270 294 GEOBASE ID 17929 ADDRESS 125 SUDBURY LANE PHONE HYANNIS ZIP LOT 31 PLAN BLOCK - LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT. 47828 DESCRIPTION ROOF AND WINDOWALLS OVER EXISTING DECK PERMIT TYPE BROOF TITLE BUILDING PERMIT ROOFING CONTRACTORS: PROPERTY OWNER Department of Health, Safety_ ARCHITECTS: and Environmental Services -TOTAL FEES:, $31.00 BOND $,00 . CONSTRUCTION COSTS $10,000.00 . .753 MISC. NOT CODED ELSEWHERE 1 PRIVATE PI # ER1.BARMABLE, MASS. 039. A�O� µ BUILDING I 1UN �= BY ..�. DATE ISSUED 08/01/2000 EXPIRATION DATE i " TOE`,.V.[,`�)AR.YSp6+t4B«;E BUIIajjNGJERMIT PARCEL ID 270 294 fi � G: OBASE ID 11619 7 z ADDRESS '125 SUDBURY LANE PRONE HY'ANNIS ZIP - LOT 31 PLAN ' BLOCK14'{ `` ILOT ' 1ZE DBA tEVELOPKENT , ` DISTRICT HY PERMIT 47828 DESCRIP `ION 'ROOF AND WINDOWAllig OVER EXISTING DECK PERMIT TYPE BROOF TITLE BUILDING PERMIT ROOFING CONTRACTORS N PROPERTY OWMER, k„ Department of Health, Safety ARCHITECTS and Environmental Services: TOTAL FEES- 31.00 INE BOND 4�}O CONSTRUCTION C0ST.E.; $10,000.00 753 MISC.. NOT, CODED ELSEWHERE I PRIVATE P:t `STABLE, +' MASS. 039. BUILDING DIVISION BY , ` DATE ISSUED 08/01/2000 EXPIRATION DATE p THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS:THE ISSUANCE OF THIS- PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL,INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH d OTHER: SITE PLAN REVIEW APPROVAL cs-NuVe WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING . PER-MIT TOWN OF BARNSTABLE'BUILDING PERMIT APPLICATION Map 27b Parcel "��u S -� _ Permit# 47 8' -Realth Division Date Issued Conservation Division U _ Fee Tax Collector r ANT OBT W A SEWER Treasurer GI Q pgPAIT AtON 1HF " .. 08 To Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Z� ��x� i A 311 Village Owner 5R�:, Address Telephone q7T ' 47!�2_:— , Permit Request ck— i F` f F n F Square feet: l ,. st floor: existing proposed 2nd floor: existing proposed Total new Valuation /iU,ar�a Zoning District Flood Plain Groundwater Overlay+ " Construction Type Lot Size 13 Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ' Two Family ❑ Multi-Family(#units) Age of Existing Structure 0 Historic House: ❑Yes No On Old King's Highway: ❑Yes XNo Basement Type: 'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z 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 w 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 v Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE` 2,71, 0® 0 3. FOR OFFICIAL USE ONLY '4 • 3 PERMIT NO. DATE ISSUED MAP/PARCEL'NO. , ` r ADDRESS ' VILLAGE — .... OWNER-- DATE OF INSPECTIOI f FOUNDATION. r FRAME , INSULATION r - FIREPLACE ' k. ELECTRICAL: ROUGHcl ri 7? FINAL s , PLUMBING: ROUGH '"`a FINAL ` ^ GAS: ROUGH- FINAL t' _ FINAL BUILDING f• DATE CLOSED OUT ASSOCIATION PLANNO. G r r. - to 0. 0 F 5.5 VY �. 46 ,zz9 Ci N 34it c r -h. �8, n IS 11 tom+ NhbE FJ�ti-h^ElJr TZ= 2303 .A. 9. R k✓ O G Lc� S Oto SS 3 - !. N0.29874 _ a _E to' - F .---CERTIFIED PLOT PLAN � A SCALES DATE, NEE /N8 r v. V CERTIFY.THAT THE. �u u^' �"DAWSE ENCLIENT`S GISTERE REGISTERED SHOWN ON THIS PLAN 18 LOCATED JOS NO.cVZ4. ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS TO THE ZONING LAWS . ENVINEER suavaYOR ON.SYt '4 OF ."SARNSTA LE', MASS. E' ..: :...'' 7I2' MAI N ST.REET H YA N A I S, M AS:S. 9NEET:, DATE t G. LAND SURVEYOR r ¢�7�mC0 ESTIMA TED PROJECT COST WORfCSHE�T Value LIVING SPACE (high end construction) square feet.X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH _ square feet X$20/sq. foot= DECK square feet X$15/sq. foot= . � X s . foot OTHER -G � J square feet q ToftlEsftated Project Cost ;�vsr�sr r e Town of Barnstable 9�°r ��' Department of Health Safety and Environmental Services Budding Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 • Ralph Crosses Fax: 508-790-6230 Building Commiss: Permit no. Date-' AFFIDAVIT HOME M11PROVEMENT CONTRACTOR LAW SUPPLEMENt TO PERMIT APPLICATION MGL c. 142A requires that the"rectm=ction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to say pre-existing owner-occupied building containing at least one but not more than font dwelling emits onto stnwtares which are adjacent to such residence or building be done by registered contectors,with certain exceptions,along with other requirements. Type of Work: r".S-1 � - °.J wi a LD RL� Estimated Cost 10 O Address of Work o A Owner's Name: 61',b.0!t-? Date of Application: C� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law yam; (3Job Under S1,000 x QBuilding not ownm ooccupied Downer pulling own permit Notice is hereby given that: OWNERS PULLING THEM OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR-GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Connector Name Registration No. / \ OR ry 7-7 ZooO Date V V - Owner's N q:forms:AMdav Department of Health Safety and Environmental Services Building Division T 367 Main Street,Hyannis MA 02601 K iM� o EOMAi► Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: LL JOB LOCATION: I27 �+� icy '�`��1 �►�NsS nu.1mber+ street village "HOMEOWNER":S,•y�.1 � 911r:7r4 aj name home phone# work phone# CURRENT MAILING ADDRESS: 114 citiftown sate 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, row vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one horse 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 pr dures and requiremen n (j Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 abic 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 w do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption ate unaware that they ate assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 1.15) 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 honvowner acting as Supavisoris ultimately responsible. r To ensure that the homeowner is fully aware of hi"ff 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 to arnend and adopt such a forzn/catification for use in your community. 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'•:tiff: sddresr w'• ` .........-.. ............ .:.,,.:.:.......... :7:::;Nv!N....:e^y. .... vYN'>'•'k'�''•`'r ':},•'::::.::};•:.a;??,?:v:::i;:vi::�::: '�}%,;.•�,J7h�•.'.,�'{7;{:�:��',',wvv iC.:vuv}}.::2iii'�': ::.;::•>;;..•:>i:r::•Y;_,:?•,}.:?"•N4,::`•:w:o:tc;>fiJx``'r,: ''av"��r0:?�t.. 1111 tmder6 2sAot1KQ.24as1udiedw oi�SzlP Otadne4ptOS2�40.Ootbata tzmst me• I that a Femme to seeorc sorera�as� OBflF.Ba�atb�ofS10QA0 a dq a nsotsntsst za wrII ze t#rII peezitlss fat6a ion of s S'!OP CBS �� P7 of this statement=z1 b _ cart � / j° °� �ar is � I do hereby certiy uda tkrpats�pmata ojpej� "� � Date �.. �t 113mC do not write in this U=to be b7�7°stO �� Depastmrst 0 otlhjal use only - ' �BttIIdiug Pam° ❑Licensing Board ❑Selectn en's 01nCe city or town: response is required ❑Health----- check if itttin Ot}tero� " phone t!: $ contact tenon: Milli Information and Instructions ._.._...::.... ... • Tom T�� Z section 25 requires all employ to provide workers' comp�aIIOn _ Ntassachuse,Is General Laws chapter 15 errs Io ee is def aed as eraY Peron is the service of another uncle:and• cc=—- �mpioFees. As quoted from the `law ,as P Y or Vie, --,-press or implied, oral or tvrittea- orzrtiom or other legal or,auk-two or nor_ . defined as as individual,parmershiP, association, cmP of a deceased ems Pl �•er, or the sec.• -kn emplo}�er is inciucliag caged in a joint enterprise, and g employees. Hoaeter the oR•ner o:a e foregoing ea_ partnership association or other legal.cuum house c: testes of an individual, p aran =ad who�dW�ia,:or occupant of the dwelling - house having not more than three ap wow oa such dvMj ing house or on the gou:__�- z�•eiling ersans to do maiateaanCe� CO��°r�another Who employs p be deemedt�abe as employer• building appurtenant thereto shall not of of such employ a shall withhold the issuaoce 2 section 25 also states that every state or local�ceasin.aheaeY \riGL chapter 15 lathe commonwealth for any appiiczat wnc :- permit to operate a business or to d �d�i�',n.-�:r tn.P of a license or p _ table evidence of compliance With the p of public work u�.== not produced acceptable entet�anycaja=f oc s~aI subdivissoas shall. eared w the cow r ��P - oftbiscbave hem pros cotamon�teslih no �Y ,. ..:- - acceptable evidence of ins ti null?ority. ;/ •" 4 - - //��i:i; ';.,... - MM PP • is checiaaglha boatbat app . fees m your •cam ensat o�af�da� y ' as all arc• auras•b _ P1.ase fill is address: phame numb— w>�a to supplying company names for df �Se• Alsobe sure sic D arttaent of IndnstaalAceia� �P�or iicease L � submnted to theme be to orb s the "law"or date the affida of Industrial AcaaeMM-kbould poa =Y listed below. e quested,not the Departsaeat D attha member ° ems' coQapPoY, roll T. required to obtain.a '" Ia a� %... 21601161111wall City or Towns -at the bottom o:=` . M D �p a space offdavitis complete and p the applic= P'e:se __ - •' Please b..sure that eveatthe 0$ux of basso.ea�actYou afdav=mad,be.� T" asudavit for you to fiT1 oat lathe wfilba asodas amber. 'lase . be sure to fill lathe pie � ��hNw beeamadL • by ma�I or FAX unless ��T� 7.7 the Dena..+.'___ have any gr_=0=s and should you • would like to thank you m advance 0r.1—a cooperation a me Office of des �us a call. pi�. se do not , ,�,;,. ..,:::i„•, %;< WE /%�. _ OwN tdcph -and fax muabcz: t Tne Deparnneat's address, • The Commonwealth Of Massachusetts Department of Industrial Accidents Oiflce of IMsU9290113 600 Washington Street Boston,Ma- O2111 fez#: (617) 727-7749 406, 409 or 375 i� r' 6 N S N 1,G y � fit► L L � s A i F"4_• �` i /Z v' d � L d ..G N ny 1 � cl rc ;Lot r� - - - FROM �— —� TOWN 1W SARNSTAI E mr. Francis Laht�eine Y BUILDING DEPARTMENT t_ � k me a.m w+f*«a. a�er♦r�+w.a€�-a w�e4. lbw Clerk MAIN STREET HYANNIS, MA 02MI Phone: 775-1120 SUBJECT: FOLDHERE - DATE Feb. 91 1984 NIESSAGE .Turk has I _. 1e Y . rt ., t 2 40 (CW# ? RealtY.Trust) sq,5e�.+,. v.m6<su.3R<.e . a,.xa•g n.M-ai r•$•4•^w4"s es= I Please rel *Borxi:y > .x, -. elt DATE, fL •+...-a•-. WEPLY t fb' t✓ e '.SIGNED Ne7-Rml RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY" , PRINTED IN U.S.A. �� SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH.CARBON INTACT. • TOWN OF BARNSTABLE 254�85 �,. Permit No. ---------— ----------------- RUM S Building Inspedtor cash OCCUPANCY PERMIT Bond ___ __ 40 Issued to Capricorn Realty Trust Address 11 lot 1131 125 Sudbury Lane, Hyannis Wiring Inspector Inspection date r_ .. L.r- .,��-`rives-_.-• Plumbing Inspector; d.= �.. w ��, Inspection date Gas Inspector + Inspection date 4 3 Engineering Department ' Inspection date,) c- ;`w "`�.,. "Board of Health r + { t l.,r�� L �- Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. _, 19a z .................................... Building Inspector Assessor's map l/.M /L.. .....r J�..-c.� Q� +C��(,� CT SEWER Q��ENE Tp�� nW j11Vt Sewage Permit number ........................................... ... .....Iw � � Z BAUSTADLE, i House number ....... ........�.. ... .. rasa Y Q iC Y r 9 i639. 0� 0.€ �0 MAY t TOWN OF '15'ARNSTABLE f BUILDING INSPECTOR APPLICATION .FOR PERMIT TO ...Construct Single Family Dwelling ; TYPE OF CONSTRUCTION .......11o,o d...F.ram. ............. e .., .. ....... .. ...................................................................................... ................. ..........19s3... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...Lot Sudbury Lane - Hyannis 9 P�„02601 ....... ......... ...................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ..... .........................................................Fire District ..HyanT11S.......................................................... Name of Owner Capricorn Realty Trust Address 765 Falmouth Road, Hyannis Name of BuilderFranco Real Estate Dev. Co Address .765 Falmouth Road, Hyannis I2 iC. Nameof Architect ..................................................................Address ................................................................._................... (dumber of Rooms SlX ,,,,,,,,,,,,,,,,,,,Foundation ...P...c............................. Exterior shingles Roofing Asphalt shingles Floors ...Ca. et................................................................,,,Interior 'Shee.tro.ck ........................................................... Heating Gas....-...F.W.A. . ..............Plumbing ....Two = Copper Fireplace ....NO11e :..Approximate Cost ... 40,000.00 .......................... ...................................r,6............ Definitive Plan Approved by Planning Board -----------_------_-----------19-------- . Area .....1056 sq. ft. Diagram of Lot and Building with Dimensions Fee 1........... . ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of BarnstablZrre ding the above construction. Nearn .... ..Pres..... 000989 APRICORN REALTY TRUST 0 ...2.5.4,8.5.. Permit for ...One Story ................................. Single Family Dwelling ................................................................ ............ Location .Lot 31, 125- Sudb.............................................0 .U Lane .. Hyannis ................................................................ 0 M r ....CaRri.c.or.n...Re a Trust .... .. .... .. .... .. .. ....... .. Ty of Construction ...Fr.ame........................... .. .. ....... ...................................................................... Pit............. ............ Lot ................................ Peft Granted ..Augus.t...3.0...............19 83 Date of-Inspection .....................................19 Date Complet d .....................1 qp"/ _... J . _ - J,,.i�.✓'pY..r tit - i. G G S' ' - - .. _- [ Uri 0 L) F, 1 -� 31, . 14, a- ss I 7-7 t . d S4' L1 I� V1 N rUL&,mAhE 3 ' � _• SS Y v � 1N of M DO j2 S z_ s � S c 5S' �3 awo (J 29874 Q � F 4 0 W �STrllk S URv y ad i Ian' NiLi _; CERTIFIED PLOT PLAN IN r SCALE, /"_. 40 ' DATES NEE RING l �t.>rcv` I CERTIFY THAT THE ��'w^�� '''° cLIENT_.__. r._.: SHOWN ON THIS PLAN IS LOCATED ®lBTERED REGISTER E0 ON . THE GROUND AS INDICATED N CIVIL LAN O J011 Mo EINiN�tR iUR Y DR,®Y= ,��, CONFORMS TO THE 20NIN8 LAWS OF ®ARNSTA LE, MAS8. 112, M A.I N S T.R E.ET HYANRIS, MASS; DATE �,REG. LAND SURVEYOR Y \ ' _;, � nu(; /• as • 51� a• i�d d . LC) " ° � � hN ElesE'ucNT\ m oRcoos�c enn Owb•a �l }q' gen e� (° . N ' FNo � 44:5 N , o0 40, s l r L f A�S883 �e,oe 3 . r9.,vA 4re�w� si I66!Sa- ,LIN ' l PAnrenca _ °3 7 ' -� �V_ j'v p i3 111�?Ji,—`' ,5'£kJ�h w �•"�I" '•" � - 3 t 1 O Q C?C] 5. F. tiff✓/sr ,/N STR<..l>C"� „w" � ��` ., : v i F, 'S, 9 t-EVi4Toa.ld3 (�RS�O c�+.J of C= V-0 3 LEGEND .L EXISTING SPOT ELEVATION ;.OxO j' CERTIFIED PLOT PLAN 'EXI STINW'�CONTOUR - =:0 �14 aF • .'FINISHED SPOT ELEVATION,'.' c L� r 3/ S vai3v��/ c �✓e C2 yG FINISHED' CONTOUR 0 ,:: --- -- APPROVED BOARD OF HEALTH iy ¢Ha4�or N IN 07 Su- AGENT .- .' �!;, SCALES /"= 4o'. DATE : 6 . / � 3. R €€ EDGE ENWNEMAIG.CO'lN CLIENT__+,,___ I CERTIFY THAT THE PROPOSED ` EG16TER.E REGISTERED' � �? �qf. ®UILDINQ .SHOWN ON THIS PLAN JOS NO ` } t "CIVIL :. LAND CONFORMS TO .THE ZONING LAWS ` } . ENGINEER SURVEYOR DR.BYt OF ®ARNSTAS E , MASS. , f $' 712 M110"N ST'RE`ET CH 3Y J,� . '' N Y-A w i t I S,- M"A':S S ° mom- - r » SHEET OF S A R- LAND SURVEYOR L nn Ln/ v Assessor's ma and lot number, .....�`.�� .y(7.1..:. .� � ' p .. . . . . SEPTIC SYSTEM MUST THE tp�y n INSTALLED Sewage Permit number d+".... ... .. .... .... IPLIA House number .......'�.� ....... ..... ....... .... N"ROAlME �� SAL CODE A t EaEB9T0IiL MARL TOW, REGULATIONS 'b79 �e 0 ypY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Addition -Garage/Dining Room . ........................................................................................................ TYPE OF CONSTRUCTION ............................ 4.15..................................................... ................. .......... . .....................19... ? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......125 Sudbury , Hyannist Mass. .... ....................................................................................................... Proposeduse ..........Garage.�...1Dini.....................................................o .............................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ...S d...Plotkin ....................................Address 12 Sudbury Tane, Hyannis......Ma,,,,,,. Name of BuilderR,Qbert„Numb~v.- QX!.t 'y...B.10.r.,.Address ..Z.a:..111.Qr.th... .............. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....Qne .Rj;t ] and,:Q9ra9e Foundation .....�.11...F.QU.r.9d....lQ?7G.Z:Q.te.......................... ExteriorWhlt.e...C.ed,ar Sh nglEs.,.7./.1. "SjerSa....Roofing .....As.phalt........................................................ Floors 2Y1Q........5/�"....Fly„wood.................................Interior.. ...... .... Heating TRAas........................................ Plumbing ...1Ton e.................................................................... ..... Fireplace ......NOn.e.................................................................Approximate. Cost ..18,000.................................................. Definitive Plan Approved by Planning Board ________________________________19_______. Area .......4.7.6...S.q... t,,,,..,.„.. �a Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �a 40 V � 3 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 ... ..... .. Construction Supervisor's License ...ram 3J7 ....... tiA PLOTKIN, SID Permit for Addition................. .......Sin ejamily .. ......... ..Dwelling........................ Location ....1.2.5...Sudb.ury.jt��p!�.......................... . . . ........ .... . Ar .........................HYM11M....................................... Owner ............Sid Plotkin ...................................................... Type of Construction ............FrAme................... ................................................................................ Plot ............................ Lot ................................ December 10, 85 Permit Grant ...........................Granted .... .........19 Date of lnspectiCn). . ................../2 Z7.1 gi Date Completed /......... 19 ..J14 -07 20 kA Jr r) CO �v -ay LEIS/ Assessor's map and lot number ..........`.................... ............ cF THE to Sewage Permit number .............. .. .............. d �C/f� Z EAUSTADLE, i House number .......................................:..:J.............. MAO& 9 0 Op i639. \00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........Addition -Garage/Dining Room ................. .................................................................................. TYPEOF CONSTRUCTION ...........................................1:.P.-.;>.......................................................................... ..........sec...9.........................19... 8� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......12.5.. Sudbury Hyannis? Mass. .................... ....................................................................................................... Proposed Use .........Garage.a...Dining...Room................................................................ .................................................. .Zoning District ........................................................Fire District ............................ .................................................................. Name of Owner ..Sid. Plotkin Address 12 Sudbury bane, Hyannis,,,l�a� Name of BuilderRQjaQ.r..t..Mp.rpby..-,,3ent.ry...B.IC.r.D.Address ...7-a..N.Qx.1Jh...St..,...NETanxitIS.,....Ma............... Nameof Architect ..................................................................Address ...................................................................... ............. Number of,Rooms ....Qne.....RQ0t7i and. ('�:!? g, $" pAii.T 5 ...Colio .etQ..............::.............. '� 4'............Foundation .......... .......... E;ierior'dM.te...Ceda//r... h n les.,.7./..18'�.yersa....Roofng ......A phal ............................................................ Floors 2X10........511 1.1...Fly gp!d.................................Interior ... (rgxAge„ HeatingFHA/Gas Plumbing �TQX? ............................................................................................ ... . .............................................. Fireplace ......NQTde.................................................................Approximate Cost .1a,Q0.0.................................................. Definitive Plan Approved by Planning Board ________________________________19________. Area .......4.7..6... q...Ft........... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 36 3 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 ... �� G '�.�/� ••• `i Construction Supervisor's License ....20-..... PLOTKIN, SID A=270-294 - 28748 Addition No ................. Permit for ........................ ........... Single Family Dwelling ...................................................... ......... ............. Location 125 Sudbury La Hyannis ................................................... Owner .......Sid Plotkin ........................................................... s Type of Construction Frame Plot ............................ Lot ................................ December 10, 85 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ........ .............................19 f Assessor's map and lot number ....:..F.......... r ' � Sewage Permit number .............................................:... ..... d w /r Z EAR3STADLE. Housenumber ................ ....1...':......`...:..��.............. 1639............. y . � Op t 6}q TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Construct. S nle FamSly U�'re�l ixz ................................... TYPE OF CONSTRUCTION ...... (?od Frame .................................................................................................. ..................June...;�! n.........19 a.?.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...Lot.....`.3 ............Sudbury Lane.......................................Hyannisr...1:?A...0,2FC}1.............................. ProposedUse .............................................................................................................................................................................. z Zoning District ........ Fire District ... :. Arm.i Name of Owner G�� }�'iCt rn Realty Trust Address 1§5..f`almouth Road, Hyaimis ............ ... ... ............. ..................... ........ ........................ Name of BuilderPranco Real Estate DeV'R.._CoAddress .765..Falmouth Roads HyaY'llds ........1.Yiti ..................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms SIX Foundation p`C' Exterior Clapboard and/or shims es Roofing . shalt shingles ..................................... ................ ......................................... Floors Cad pet...................................................................Interior .�heetrock ....... ................................................................... Heating Ga...s......w....F........W.....A.. •...................................................Plumbing ....TW Cop- er ......... ................................................... r Fireplace .... lOZle ....Approximate Cost. !'p00 00 r ........'............................................ Definitive Plan Approved by Planning Board --------------------------------19,�L-------- Area .....1.056 sq.' ft. ....... . ...... JI Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH .v t 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 .... .. ............................................. 000989 027%?9y CAPRICORN REALTY TRUST A=270-229 No 25485 Permit for ,,,One Story Single Family Dwelling ...................... Location Lot 3l, 125 Sudbury Lane .............................................. .................Hanni s................... ......................... Owner ... Cap ricorn Realty Trust ...................................... Type of Construction ,Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted .,,.,,August 36 19 83 Date of Inspection ....................................19 Date Completed ......................................19 d °�.70 R41- F