Loading...
HomeMy WebLinkAbout0250 SUDBURY LANE�I I r Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 8/7/18 Brian Florence CBO Ui Oi^VG Town of Barnstable ' Building Division AUG p� 200 Main St. 17 Hyannis,MA 02601 t TOWN OF 6ARNSTAB,L RE: Insulation Permit B-18-2110 Dear Mr. Florence: This affidavit is to certify that all work completed for 250 Sudbury Lane;Hyanni?has been inspected by a third party Certified Building Perform cna a Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Town of Barnstable ey ., , ; wilding s�• Post=This-Card So,Thatrit�s Visible;From;the Street=ApprovedfPlans;`Must be;Retamed on Job andnthis Card Must.be Kept �AE!'15TA6LE. d .r.; 5`rv`yync.,.r rwz. rtsrar. .,;,t•,^"`".,rf S"kr aT„ >r y' Y„r n p "-+: s y £�""` T` MAS4 aa. „," � `. ' • U P.osted!Until Final Iris ectiorisHasBeena:Mde , " a � C+ # `5w p w- i +„mr ,a"'��r- :a „. +.-'fir e Gt,. 'r� p� . . r erlll ra tWhere°a,Certificate of,Occupancy�s Required;such,Bu�ldmg shall Not be Occupied until aFaFinal lnspect�on has been made Ra: .�?:vH1+ WAf".,,.+.rio.�.,;%v,d:.=ap^'z4 �:.. """,�-.w. 6wa.`.'n.,Ni:�S."$'s n....,.sd_3k.:..d,s{;ad+"."w+w.wtw«.,...mee:"4aA..-s...••.,:.uu4s+YT�;.."i.��.,., a¢.:,Ti"�'.�.0 y !Ws 3`e.` .nA Permit No.. B-18-2110 Applicant Name: William McCluskey .Approvals Date Issued: 07/20/2018 Current Use: structure' . . Permit Type: Building-Insulation-Residential Expiration Date: 01/20/2019 Foundation:•'. Location: 250 SUDBURY LANE, HYANNIS Map/Lot 270-312 Zoning District: : RB Sheathing: r �. Owner on Record: LACERDA,CRISTIANE C Contractor Name WILLIAM J MCCLUSKEY Framing: 1 U Address: 250 SUDBURY LANE Contractor License��CSSL-102776 2 r r _ nt �: HYANNIS,MA 02601 Est Protect Cost: $5,000.00 Chimney: � _ Description: Add R-30 cellulose,and R-38 fiberglass to thelattic�Add A 10 rigid Permit Fee: $85.00 insulation the basement.Air seal the attic Ala earid-basement Insulation, o to p n g _F.e,e Paid $85.00 with expanding foam. General weatherization ,� 4 Final: Date 7/20/2018 . t wii Project Review Req: � Plumbing/Gas, Rough Plumbing: r j Final Plumbing: Building Official X a Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit iscommenced within six months ait r issuance. Final Gas: . a a All work authorized by this permit shall conform to the approved application and the,approved construction docurnt tsj r which this permit has been granted. All construction,alterations and changes of use of any building and str'uctures shall be in compliance with the local zoning by taws and codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pu blic inspeciion for the entire duration of the work until the completion of the same. , a '� Service: ',`'� - 2 = The Certificate of Occupancy will not be issued until all applicable signatures by�the Building and Fire Officials are prouidetl on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final 2.Sheathing Inspection - - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation Health, 7.Final Inspection before Occupancy Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. S Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: ' a Town of Barnstable Building- 'b. Bul 'n Post;This'Card So That it�s ple FromNthe:Street Approved Plans Must=be Retained on Job and this Card Must be Kept Wt1tN8TABLE.. • ,...,, 3 .„,e.. gNh,xj,., M r Y .•� s ;,:,. ,duA:. NPuz :y^M .irn'p u' or4 'X.�.. ,o-r ,'7t" • _ Posted Until FinaPe" rml;Inspeclun,Has;Beer� Made. :• A ;.. , ,p !: �' sti., vur �w •; � ° Where_a Certificate of occupancy�s Required,auch Building shall,Not beGOccup�ed until aFina)Inspection has.been r3 w'—e�b'£d6..a...m� vam'4Yire'..ra,a¢i+b&ti.Y4..3s^+M u4n.,= '.rrvewwa�.as'v+-wA.—wnwra�.*enr�.L...aR',�b...A..�w�>'k e�rs4a w+'"�`amfnb,.Arn<.a`w"�" ..•Maw,dt'Ml.c',=roGun{g�ydC.c.�--&�+zYe..w,vrr�,uo-Ma4d.ut.M4m,.a::lu-.ta tRdmn+w-^6:mwL mM _:'�"v+•.F 4tw+An'w°� r,r�T„W@m+-�r++•;� :. Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT v � r� Yr £ f - ; a ,6 i 3 �. Pa w - m LL m i R h4 YIyt 31 it n C � p '. f Town of Barnstable109. REc`EiPT ' es 200 Main Street, Hyannis MA 02601 - 508-862-4038 Application for Building Permit Application No: TB-18-2110 Date Recieved: -6/29/2018 Job Location: 250 SUDBURY LANE,HYANNIS Permit For: Building-Insulation-Residential { Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776 1 Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398 (Home)Owner's Name: LACERDA,CRISTIANE C Phone: (508)510-1464 (Home)Owner's Address: 250 SUDBURY LANE, HYANNIS,MA 02601 Work Description: Add R-30 cellulose,and R-38 fiberglass to the attic. Add R-10 rigid insulation tojthe basemt.Areal the attic plane and basement with expanding foam. General weatherization. . W V W Cn f Total Value Of Work To Be Performed: $5,000.00 7 C m ` to - Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: William McCluskey 6/29/2018 (508)398-0398 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $5,000.00 Date Paid Amount Paid Cheek#or CC# { Pay Type Total Permit Fee: $85.00 6/29/2018 $35.00 I XXXX-XXXX-XXXX-3 Credit Card t 0299 I Total Permit Fee Paid: $85.00 6/29/2018 $50.00 XXXX XXXX-XXXX- Credit Card 0299 r TOWN OF BARNSTABLE 25884 PermitNo- --------------------------------- • Building Inspector Nuarrm Cash OCCUPANCY PERMIT Bond - --_---"-.- 1 _ Issued to c,, �cn-n RPZI, ,�1 Trust _ .Address Lot 49, 250 Sudbury Lanet• Hyanrims Wiring Inspector '� / !ate Inspection date Plumbing Inspect r/-I f `^ �" :�_/ Inspection date t/ Y"Gas Inspector � � „�.a, ..•"f o..., A Inspection date 3 A y P r 4, X Engineering Department s r_ ."--'--- . ._Inspection date 4rz,,,s - ✓- _ ID,,.G Board of.$ealth i" - 17 /W, Inspection date THIS PERMIT WILL NOT BE VALID, AND TIME 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. d .........._. ........ i ing�, ns P Buld I ector FROM :., TOWN OF BARNSTABLE BUILDING DEPARTMENT 'i M • Francis teirie Town Clerk a oJ!367 MAIN STREET . HYANNIS, NSA 02801 Phone: 775-1120 SUBJECT: FOLD HERE - r DATE - - �. - . MESSAGE _ t Work has 3� vanaieted y P �ni t 2584 (Capricornal ty„Trst r Please rWewe* dr—q -w:..1r.w C - T2-ED DATE - I REPLY \ SIGNED 3 Ne7•RMI 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. f Y• t. ,, .rr� x _ Y- s .......+='}j•i-"'r-�..,.^r'--r a i'.y s '��a ,.i t c I ` .,, " . 2 �..' s- x i x k :.'( �f.yti. r s i 13 No �J i +, q b t r,• CERTIFIED PLOT PLAN !.. ROE;+ERT 4n 'NEW CONSTRUCTION ONLY BRUCE "�, �� y"e� v. - ELDRE "' T=OP. OF FOUNDATION IS FEE IN �+I: POINT OF,: �►DJACENT :, r�r��, ABOVE . LOW ,a ROAD. p E.; "Y , $CAL- — 4`o DATE EF'L�R �GE EN61 JNG CO. .1 CERTIFY THAT THE F() y.✓G`4 7 .cl•� : CLIEN'P' , �.. AS INDICATED A --� SHOWN",ON. THIS PLAN IS LOCATED E®1$TERED REt31STERED JOB No. _ Old THE GROUNDN�► CIVIL I LAND CONFORMS TO THE ZONING LAW$ •'' ENGINEER �UitYEYOR ., ` DR;�Y� . OF' ARNSTABLE , ItfaA3 762 hr9A1N STREE of Ilk % E HYANRIS, MASSqK By w ' . SNIET..�,,.p13 ATE REo SAND SUR"V�YOR I � { Assessor's map and plot number �.9..... •t./ QyOF THE ST CONNECT: `b R Sewage Permit numlu ....................:TO:TOINN..S�N.E..R.... Z 33ARISTLBLE, i House number ......................... U....... . ..................... L>: 90o M6 a i 39. \000 ON a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..Construct Single Family Dwelling ........... ......... TYPE OF CONSTRUCTION ..........Woo. ... d Fra. . me .. .. .. ........................................................................................................ .Oc.tober. . . ...31. ..,......... 19 83 .... .. .... .. .. .. . . TO THE INSPECTOR OF BUILDINGS: �J The undersigned hereby applies for a permit according to the following information: Lot # 49 - Sudbury Lane, H annis MA Location ......................................................................................o....................... ....................................... ProposedUse ............................................................................................................................................................................. Zoning District R•B• ..Fire District Hyannis.r...MA.................•••............. Cricorn Realt Trust 765 Falmouth Road H a Name of Owner ....a ................................Y..............................Address ...............................................a......Y.. ? ?�. a... ... Name of Builder Franco Real Estate Rev.... CoAddress .7.65 Falmouth Road, Hyannis, MA Inc. ......................................................... ......... Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms Sly ..........................................Foundation P°C. ........................ .............................................................:................ Exterior „Clapboard and/or...shin les .,.Roofing ...Asphalt shingles„ Floors Carpet ........Interior Sheetrock .............................................................................. .................................................................................... Heating ..!Gast — F•W.A. . ..............................Plumbing .Two...-..9PP.hez................................................. Fireplace None .,,,..,..Approximate. Cost $40, 000. 00 .......... ..................................................:............ ........... ...................................................... Definitive Plan Approved by Planning Board -------------------_-----_-----19________. Area 1056:............sq..........ft.................. Diagram of Lot and Building with Dimensions Fee ............................ ........... . . C SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. c Name .... res. Construction Supervisor's License ......000...98...9 .. ................. � 5 ►/ CORN REALTY TRUST � � No ....5 8.8 4.. Permit for ..One Story F t Single Famil ...Dwelling............. Location Lot 49, 250 Sudbury Lane ................................................................ .< Hyannis ............................................................................... 1' Capricorn Realty• Trust Owners.......................... ., Frame ` TypeQf Construction .......................................... �' ......... -. .... ...................................................... • - - ' PlotC�....................... Lot ................................ Permit ranted .....:..DeC-...16.i....:......19 83 r Date of Inspection ........../.........................19 ' Date Completed 1.....7.................19 f 'i • • r N R I' V Town of Barnstable *Permit#: EX#1rs onths,�rokr issue date Regulatory Services Fee o v X.-PRESS PERMIT Thomas F.Geiler,Director Building Division JUL 2 U 2007 Tom Perry,CBO, Building Commissioner pUVN OF BARNSTf BLE 200 Main Street,Hyannis,MA 02601 �' www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 110 3 t Z Property Address 2.50 &D Bo L Q . c Residential Value of Work -' iVummu "e of$25.00 for work under$6000.00 Owner's Name&Address k Jf✓UYZL�I l'7��11.A 250 s3y5094 L I�.tN�s, " A Njool Contractor's Name .13A SbISS ��I�SI�Zl)CIl�►�l . LLc- Telephone Number 6o6. io. 321 1 Home Improvement Contractor License# (if applicable) 15-1 S Construction Supervisor's License# (if applicable) KWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name , C-1 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) Re-roof(stripping old shingles) All construction debris will be taken to AfA k c�& 12Eey GI W c�- 09_Ln15 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this pennit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. Home Improveemment Contractors License is required. r SIGNATURE Q:Forms:expmtrg Revise071405 The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02.111 www.massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �.F3 Oem l eKi�, cneN+ �C Address: PC. BOY, `39( , City/State/Zip: �4EWM9. "L 0263 A Phone #: 506. 61(0 Are you an employer?Check the appropriate box: Type of project (required): 1. 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.❑ 1 am a sole proprietor or partner- listed on the attached sheet. $ 7. ❑Remodeling ship and have no employees - These sub-contractors have 8. 0 Demolition working for me in any capacity. workers' comp. insurance. g. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its required:] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.[]Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4), and we have no 12.0 Roof repairs insurance required.] t 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 new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy lnformation. rrrr�.sx-a I am an employer that is providing warkers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: �N C l^l (o— 7 I—1(c Expiration Date: `Z. V1 , 0 e) Job Site Address: 250 OPMU2 UQF City/State/Zip: 1z)M& M S MAA 1q2�©I Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00,and/or one-year imprisonment,as well as c',-01 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 Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperfury that the informadon provided above is true and correct. Signatur „�����/� Date: Phone#: 11566• fto Official use only. Do not write in this area, to be completed by city or town official . i 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,`partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and.-including the.legat.representatives of a deceased employer, or the receiver or trustee of an individual, partnership,.association;or..other legal eritity, employing employees. However the owner of a dwelling house having not more than_three,apartments and who resides therein, or the occupant of the 1.dwelling house of another who employ's persons'to do-i amtenance -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 e table evidence of compliance with the insurance-coverage required." applicant who has not produced acceptable P , app P P Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the'insurance requirements of this.chapter have been presented to the contracting authority.' Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy 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'cit or town`that the a PP lication for.the.permit or.license.is..being..requested,-not_the.De y partment of � Industrial Accidents. Should you any questions regarding the law or if you are required to obtain a workers' compensation policy;'pl'ea'se'c'all'the-Department.at-the-number_listed-below—Self_insured-companies-should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid,.affidavit is on file for future permits or licenses. A new affidavit must be filled out each . year. Where a home owner or citizen is obtaining a license or permit not related to any'business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to'complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations,, 600 Washington Street Boston, MA 02111 -_ Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 611-727-7749 Revised 5-26-05 www.mass.gov/dia ` l 1L: a �_... ..., ,.,jx 3 Town of Barnstable r .. •: :; - a F.; r . Re lato Services 1Xi.',ls�u 1Thomas F Geilei'D1feCtOT 1 t 1i. tE , sCl l t= i?y4 1)=t ;'1i 7,, j 1.x i r1c ` 10 lrTSI JJ3c 'Q 17 =S`i :° 7 1r� lr" 1t rt y f TF 7 r z tl9w ti 3 5�r7�Ft �7 `i'Ydt SJJ7 2 C)t,1� 7! t Building Division 7 T )ii ✓ as ;! 3Sicli 1JCl.ii% CIS .rw t! :.,,,t't L.t:ir._: 01 <; ". (..,Tom Perry,.CBO Building Commissioner " ..200 Main Street; Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ty C om plete'and Sign T his Section If sing A Builder ,asOwnerofthe abIetpmpeity a{ 1 Ct `ti: t 7''` 1 J•�c (y` 'r�= 11tIh, .`}' �Y - 'u :i0�. C W R0 cAi(31j` LL to acton m S r1 aIlm`at t�rs'r tBie'tn wo�c au1h h26aby tf s b pent%%- Pkat bri fr�r n 250 Sopbo I►, P�&NQ S, IAA Qkeirl of Job) S#atiase of Q is D at1 PrntN an e .ai ti Q:FonTis:expmlrg Revise071405 BOARD OROUILDING,R . EG� - � UTATION$: iLiconii CONSTRUCTION SO.PER.VISOR �sYNumberr;CS`� 000674 } ' f8 a 109f` 7 r .j, 4 ,0 'q9! , '„tiTr nb�* 21395 3 RUSSELL sh 235.1.•MAINS UPO B 'E r.'BREWSTER,'MA 1 Board of Building Reguls:iops and Stapdards. HOME IMRROVEMENT,.CONTRACTOR.' Ro 1s t 0 1157.5 x rtan .2/?�/2007 r PEI i R.B..CONSTRUICI µ RUSSELL BASSFG = PO BOX 396/2351 MAGI ST , , ,tea✓ `; BREWSTER,MA 02631 Adpdpistrator J l I / I 1 , 4 O tv` /�reov ffi/xll 74- 64 ` c _ 7U:. 9o(o s,fi Assessor's office(1st Floor): Assessor's map and lot number (/ �` o*TN E Board of Health(3rd floor), �� ��pg Sewage Permit number `GG`�_L/1A `� MUMBLE Engineering Department(3rd,floor): rasa House number � �f ; °°..��i639- \e� Definitive Plan Approved by Planning Board 19 o ypr d APPLICATIONS PROCESSED 8:30-9:30 A.M.,and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR I APPLICATION FOR PERMIT TO Build Addition of Family'Room and bath and deck TYPE OF CONSTRUCTION wood construction July 21 19 q4 i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 250 Sudbury sane, Hyannis, MA 02601 Proposed Use Family Room J/ Zoning District �� . Fire District , r Name of Owner Dr. & Mrs. Lipworth Address 250 Sudbury Lane, Hyannis, MA Name of Builder Dream Developers of Cape Cod, IncAddress 451 Nathan Ellis Hiahwy, Mashpee, MA Name of Architect Prager and Polcari Address 74 Crescent Road, Needham, MA 02194 Number of Rooms 2 Foundation Exterior //�1 Roofing � L l Floors �i//9�� Interior �/ ►"� � Heating �/ Plumbing Fireplace NSA Approximate Cost $ 4.1,900.00 , VArea 384 s , ft. �,Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town-of Barnstable regar ing the above construction. -,r Name :— Construction Supervisor's Licen #047439 • LTPWORTH, DR & MRS a•' _54L- .}' f A Permit For BUILD ADDITION Location 250 Sudbury Lane 4 Hyannis Owner Dr & Mrs, Lipworth Type of Construction Plot Lot Permit Granted July 25, 19 94 Date of Inspection 19 4' Date Completed •19 ctl � Ejfj o w r CERTIFICATE OF INSURANCE 04/12/94___ T-PROMCEII""""" "---"TTAIS"CEftTIFICfiTE-I5-IS5(lEG"A5-H` fi T Trtl"OF i AFGRMATION �"Fi�D-CGF;FERS T I T. D. Moylan Insurance Agency 1 NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, I I Thomas D. Moylan W EXTEND OR ALTER THE COVERrGE AFFORDCD BY THC POLIC:LS D'CLOW. 1 IP. 0. Box 41 I—------------------------------------------------------------------------I 1 Southboro, MA I 1 01772-0411 1 COMPANIES AFFORDING COVERAGE W 1 PHONE508-481-1191 I I I---------------------------------------------------I---------------------------------------------------------------------------I I INSURED I COMPANY LETTER A MARYLAND CASUALTY 1 1-------—-------------------------------------------------------------------1 I COMPANY LETTER B LIBERTY MUTUAL INSURANCE CO I I DREAM DEVELOPERS OF CAPE COD I-----—------------------------------------•--------------------------------------I 1 151 BUILDING RTE 151 11-COMPANY LETTER C IMASHPEE, MA I--------------------------------------- -----------.------------------------------ I 102G49 I COMPANY LETTER D ' --------I I I COMr'ANY LETTER E --- - 1) COVERAGES (----------=----=------------=------------- ----- ---- ------------ ----------------------- I THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY I I PEERIOD INDICATED. NOTWITISTANDING ANY REQUIREMENT, TERM OR CONDITION Or ANY CONTRACT OR CRIER DOCUMENT 'WITH RESPECT -5 1 1 'WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TC I I ALL TERMS, EXCLUSIONS, AND CONDAi '.) OF SUCH rOLIC'IES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 I---------------------------------------------------------------------------------------------------------------------------------! I CO! TYPE OF INSURANCE I POLICY NUMBER I PONLIC`! EFF 1 POLICY :XP 1 ALL LINITS :W, TI WU Y{.1L I ILTRI _ - - - .L T Y I - ----------i-----DATE----i---- DATE----_I GENERAL 1 I GENERAL LIABILITY AGGREGATE I�000 I I I 1-----------! I AI O(] COl1MERCIAL GEN LIABILITY I EPAIG988376 OS/08/93 05/OS/94 1 P50DS-COMPTPS ASS. 12000 I ------------I-----------I I ! [ ] [ ] CLAIMS MADE X] OCC. I EPA1G98887G 05/08/94 : 5/08195 1 PERS. & ADVG. INJL'RYI1000 I I 1 I l ! I- --------------I-------- --) 1 I [ I OWNER'S & CONTRACTORS I (RENEWAL OF) I l ! EACIW OCCURRC'CE 1100------1 I i----------------•-- 1----- I 1 PROTECTIVE l ! j I FIRE DAMAGE 1 i ! I 1 (ANY ONE FIRE) 1 50 W I l 1 [ ] 1 I ! ?I�DICAL EXP'ENk I I I (ANY ONE PERSON) 1 5 I ----- ---- --------------1------- - ------------1----------- -----------I----------------- I---_ ------- I I AUTOMOBILE LIAII I I CrjL _-_---I_----------1 I1' I I--------------- I I [ ] ANY AUTO I I ; I B01,1:LY iW,'JURY W I I I ] ALL OWNED AUTOS I ! I (PER PERSON) I 1 I -------- I---------------------i--- . I i [ ] SCHEDULED AUTOS ! l [+ODIC'( INJURY I I I [ ]HIRED AUTOS I I 1 ' I I [ ] NON-OWNED AUTOS l I 1 I (PER ACCIDENT) 1 1 I [ ] GARAGE LIABILITY 1 I I--------------------- ----------- I PROPER,y ! I T 1 ! [ ] ' 1 EACH OCC 1 AGuREG;I I I ( EXCESS LIABILITY I I I I [ ] UMBRELLA FORM I 1 [ ] OTHER THAN UMBRELLA FORD I ' I---I --------- - ------------I-- -----------1-------------- II--------------------------------- ----------------------- ------ I STATUTORY I I I I BI WORKERS' COMP IWC13124G87930- ' /27.'` 4 02/27/95 I100 EACH ACC I I AND 1 I 1500 DISEASE-PCLiCY LIMIT. 1 i I EMPLOYERS' LIAB I I100 DiSEAS�-EACII EMPLOYEE( ----------------I ' -- ---------------------- -i- -------- - i OTHER =----- ---... .- ' , I----------------------------------------------------------- _----------- I DESCRIPTION OF OPERATIONS/LOCRTIONS/VEHICLES/SPECIAL ITE15 ; I RE: VARIOUS PROJECTS (MASH) ; 1 1 I I 1) CERTIFICATE HOLDER (_-=___=__=____--- ! SHG ;.' "+NY OF THE ABOVE DESCRIBED POLICIES [E CAW;C LLED LE FORE THE EX- W PII` DATE THEREOF THE iJJUiNG COl4PAi'Pf WILL EROEA'.'C3 TO MAIL 30 W TOWN OF' BARNSTABLE = DA x , .TEN NOTICE Tb THE CERTIFICATE HOLDER NAMED TO Tlic LEFT BUT I I IMPOSE { OBLIGATION' { r TT ' ! BUILDING .)DEpARTMENT = FA L,.L TO P?fl. SUCH NOTICE SHALL „DOSE v0 06L.�ATIO;+ OR ..A6I .,Y 0 1 If KIND (IP': "1 COMPAN"il ITS AGENTS 03 kErItESENTATi'JES. ! HYANNIS, MA 0260E ::------- -- --=-----=------ -------------------- - ----- --- A''''2RIZED REPRESENTATIVE ^ —1 --- IACORD 25-5 (3/88) --------- l.'l!IVII►V►UNVVLAILf UJCI I REGISTERED REAL -ESTATE ,SALESI ISSUES THIS.LICENSE TO EDWARD GOVONI 43 JAMES: CIRCLE' . MASHPEE MA 02649-4917 84078 091/22/94 285886 LICENSE NO. EXPIRATION DATE SERIAL HOME IMPROVEMENT CONTRACTOR �.. Registration 100464 "� . 3 Type — PRIVATE CORPORATION Expiration 06/18/94 �. Dream Dev61opers of Cape Cod, I Edward Govoni �" 1 tt ,n I"I The 151 Building, Route 151 Y"' ADMINISTRATOR Mashpee MA 02649 9. t COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY , � , VIPOF ONE ASHBORTON PLACE ; MASSACHUSETTS BOSTON,MA,02108 CAUTION . EXPIRATION DATE c;;:;.;:_;;t;; .. -' �I�'• FOR.PROTECTION AGAIN! I EFFECTIVE DATE LIC-NO. THEFT,PUT RIGHT THUNI RESTRICTIONS - ram_ �. 3 PRINT IN APPROPRIATE BOX ON LICENSE. K D BLASTING OQERAT. Z I;, r PO ;i , , �:. , .. �- ''MUS]'1NCLUb.E F Az PHOTO(BLASTING OPR ONLY) FEE: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I I HEIGHT: STAMPED•OR•SIGNATURE Of THE COMMISSIONER DOB: �� , • t` /' � SIGN NAME'IN FULL ABOVE SIGNATURE LINE',-.,• THIS DOCUMENT MUST BE � _TORE OF LICENSEE CARRIEOONTHE PERSON OF .�yq V 7• r THE HOLDER WHEN EN, ViJ "'"�"•"• COMMISSIONER OTHERS•RIGHT THUMB PRINT GAGED INTHMOCCUPATION. ...... Assessor's map and lot number ... A.9..................... THE ropy Sewage Permit number Z BAUSTADLE, i House number . S ' rasa ..........................:............,.........., 00p�i639• 9� `• 'F0 YPr a\ TOWN OF BARNSTABLE BUILDING INSPECTOR° APPLICATION FOR PERMIT TO ..Construct S""zragle Family Dwelling TYPE OF CONSTRUCTION ..........wood...Frame... ........................................................................................................... Octorer 31 , 19 £,3 ............................................ r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........Lot...#....4.9..................Sudbury...La.ne..........................................Hyannis....MA................................... ProposedUse ............................................................................................................................................................................. Zoning District �,.B•.............................................................Fire District Hyannis, hl�� ........... ...............................NA........................................... Name of OwnerCapYz•corn Rea1tY Trtzst••••...••••••Address 765 I:a1mou.th ROad� Hv.zinxi: s,...IfiA... ................................ ....................... Name of Builder Franco Real Estate Dev. Co Address .��?5.. lmauth Read, Hyannis, MA .................................................................... .i.nc. - Nameof Architect ..................................................................Address .................................................................................... Number of Rooms S11C.....................................................Foundation .....P•.C. ............. ..........,......................................................... . Exierior ..Clapboard and/or hznglcs ...Roofing ...asphalt shi.nql.es...................................... ...........................................,...................... .................. Floors Carpet..................................................................Interior �;hjetrock Heating G F .W.A. ................:..............................................Plumbing .71ao........Cot.�..p)e.r ................................................. Fireplace ..PdGii��.....................................................................Approximate. Cost ........ �AO,000.00................................. Definitive Plan Approved by Planning Board __________________________ 1056 .�q..ft ------19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee '. ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the,a.bove construction. Pres. Construction Supervisor's License ......0OC989............... CAPRICORN REALTY TRUST A=270-229 No . 5 8 8 4... Permit for ....One..S.tQXY......... a Sing.le..Family,,,,Dwe�.,1.�,ng,,,,,,,.,,, ... ......... Location Lot 49, 250 Sudbury Lade ........................ Hyannis ............................................................................... Owner •,Capricorn Realty...ZK.tst....„ ..................... Type of Construction ....Frame,,,,,,,,,,,,,,,,,,,,,,,,, ................................................................................ Plot ............................ Lot ................................ Permit Granted .,,, Dec. 16, 19 8 3 Date of Inspection ....................................19 Date Completed ......................................19 O 4� � w £4J(f a WE N — ( - ; yM►�LLEE ? + f ---- H i f , _ls ---T-------- - 1 ' v�LLtlll IEV 71 �i�rr rvLY,rli�nrrm� ,, - I V. JL li gic� �6 Titdp ,L Io ;2u,v , Vo W W hsgS \\ V "is,. a b.s«4 ;tom iwx S' 4 f_ i 7 .Qk- atr A ,< Qr OL -1 vw-L! t AL -" .--3 4Of T, .-. 4. • • Yam, ---- - - VtMT t--ii - - mumulmommomwu AF { � m �N, 70 _ tr- f i _ Y ------•� f% � ,