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Home My WebLink About0253 SUDBURY LANE -7 �- Town of Barnstable *Permit# r -7 O Expires 6 months from tssae date �► .e • Regulatory Services Fee �-. . swxt�srest,E. • � MAM Thomas F.Geller,Director �ED tM't�10 Building Division Tom Perry, Building Commissioner 200 Main Street,_Hyannis,MA 02601 T ✓(��2 Office: 508-862-4038 O�?VpF 4 "005 ®� Fax: 508-790-6230 EXPRESS PERMIT APPLICATION- jRErSIDENTIAL ONLY '9RlrjST� �I Not Valid without Red X P p e�F Map/parcel Number L:)-7 0 � � Property Address 075- 'SveR byrzAA (-4, Residential Value of Work S00 Minimum fee of•$25.00 for work under$6000.00 Owner's Name&Address rat_-�.G.3Z U t21 Vl/ i4 f 1,S Telephone Number �0 Contractor'-s-Name Qe e..�. --- ----- ---- —-- --— —. Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) (MWorkmaes Compensation Insurance Check one:. ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance �� . Insurance Company Name 7`�zr��1rTGZ O Workman's Comp.Policy# f O Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 91PRe-roof( PPS stri old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) -Where regained Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: erty Owner must sign Property Owner Letter of Permission. Ho tr ors License is required. Signature Q:Forms:expmtrg - Revise063004 #'q e � ' '� pabie rn�ned�ately upon completion 1vo 1viONEY DOWN- NO Payment at the start or part way thru Payments accepted are: CASH - CHECK - MASTERCARD - VISA- AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1 W/o for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof,.we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per panel including -Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$45.00 per hour, plus materials, plus 20%overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 10 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100%for the first 5 years, and then on a pro rated basis for 30 years total if the shingles become defective. CERTAINTEED Warranties the shingles to be ALGAE resistant for a full 10 years. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our. control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work. ((� DATE OF ACCEPTANCE: Gam' C SUBMITTED BY: Homeowner ra tion 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): lt Cam- Cr, Address: !7/ TM a� C /z City/State/Zip: Cc l Phone#:� — �g Are you an employer?Check the appropriate box: Type of project(required): 1.K I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet $ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 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.❑ 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 a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy infornmation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. C� Insurance Company Name: - Policy#or Self-ins.Lic. #: 29 VY 6 / 07 /O Y Expiration Date: O Job Site Address: S .50W•6'^:t2 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in 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 ce n er a � n hies of perjury that the information provided above is true and correct Si atare: Date: a �� Phone#:_ 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): I.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 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 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 bum 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#617-727-7749 Revised 5-26-05 www.mass.gov/dia M qp +f t Licei Re ulations,and Standards �\ Board of Building g befo) � 9 HOME IM OVEMENT CONTRA CTOR Boar One Re Istraore: 12536 Bost 2007 lug FRASER CONS DEAN FRp SER" _ 71 TARRAGON CIR Administrator * a COTUIT.MA 02635 # fl"- f I i A gyp-u 2 . 'x ''Tp 71 C3i7 { Assessor's map and lot number i...:..,.,.....:.:.r..........-:��.:...�.�� C.2,,. F THE . ?1� 3 011 . !1-116 7; 0eleh-1j r N EDwo 1-6 ` Sewage Permit number ................. .1.................................. Housenumbers �� / c MABa............................i........................................`...... 9 p 1639. \0� DNA a' TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..Construct. incf1e..Famil„y,. Dwelling ..... "" TYPE OF CONSTRUCTION .......Wood...Frame ................................................................................................................ Se ot.a....26. ....................19...8 TO THE INSPECTOR OF BUILDINGS: V The undersigned hereby applies for a permit according to the following information: Location....Lot...1C....18........ '...........Sudbury Lane,..........................................Hyannis, , .a.. kjA................................ ti ProposedUse ...................................................................................................................................................I......................... Zoning District ....R......B... ...........................................................Fire District .. i t ............................................. Name of Owner .Capricorn Realty Trust Address .765 Falmouth„Road:, Hyannis ........................................................ ............................................ Name of Builder Franco Real Estate Dev,,. CaAddress .76,5 Falmouth Road, Hyannis, MA ......... ..... .................................................................... 1nG. Nameof,,Architect ..................................................................Address ...................................................................................: Si Number of Rooms ..........x ........................................................Foundation PM_Cs.............................................................. Exterior Clapboard and/or shingles Asphalt shingles................................... ....... .....................................Roofing ................. ,. Floors Cax7iaet .Interior Shee-t.rock :..:.......................................................................... ................................................................................ Heating ..Gas....— F•f�'*A• Plumbing Two �� CoDDer ............................................................... ................................................................................... Fireplace None pp r 000.00 Approximate Cost .........$40....................£ ,G.......... �...I........... 4V-- Definitive Plan Approved by Planning Board ---------------_---------------19_______. Area ............... .......................... Diagram of Lot and Building with Dimensions =`, Fee ........f—.... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _ r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name.............. . .. .;....�,.�L...., .� ......................... Pres. 000989 . Construction Supervisor's License .................................... CAPRICORN REALTY T/�t, A=270-�9- -70 No 27138 Per tory Singe Family Dwelling ............................................................................... Location ...L,t .18, ..253. ...Sudbury..Lane. ......... .... . ............... .. ...... Hyannis ..............................................:................................ Owner ...Capricorn..Realty. ...Trust .................. .... ........ ........... Type of Construction ...Frame .............................................................:.................. Plot ............................ Lot ......I......................... t Permit Granted ....October 23, 19 84 Date of Inspection ....................................19 Date Completed ......................................19 ter, Z 7o - 2,K6 d e /9 z) g 3 As sor's map and t number/° ..,or O?*2o „a O '9b�-soliD, tot T/U T1D CONNW&r Zvoj/aAn/d �Q�pfTYEtp�O g ...MUSTUNN CT T T N SEWER Sewage Permit number ..F� d p �� BASBSTAMLL i House number ............ J ..... P :...... vo MAII• .................... 163 SEPTIC SYSTEM MUS �-0YPra� TOWN OF BARNSaT�AIN I ® L'A C ENVIRO eMEENT L CODE � BUILDING INSPECTOR . _. ... APPLICATION FOR PERMIT TO .,Construct .Sinq.le Family Dwellincr ...... ............. ........ ...... ............. ............... .. TYPE OF CONSTRUCTION .......Wood Frame ` ......................................:........................................................................... .......Sent. ..26 c..................19...83 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..Lot...... ....18........-.:.........Sudbury..Lane.......:...................................Hyannis,. .. ................................ ProposedUse ............................................... ............. ............................:................................... Zoning District .... T R B.. nnls YIA..'... ................................ Hyy .............Fire District Name of Owner Capricorn Rea.. Trust„ ....Address .7! ,5 Falmouth„Road e Hyannis Name of Builder Franco Real Estate Dev. COAddress 765„ Falmouth Road, Hyannis e„n ...... ................... Inc. ........ Nameof Architect ..................................................................Address .....................................:.............................................. Number of Rooms .. ...Foundation Exterior Clapboard and/or shingles ,.,•.Roofing ......Asphalt shinnies ....................................................... ........................................... Floors Caret .Interior ....Sheetrock "Heating Gas....- F.W.A,e . "_ . Plumbing .......T o — Copi?or....................:...................... ............................................................ ....... Fireplace .,None .,.....,,,.,Approximate. Cost . 000.00 ........................................................... ..a?. s ...... Definitive Plan Approved by Planning Board ________________________________19_______. Area .......................................... ' •'" � and Diagram of Lot and Building with Dimensions Fee .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH • lfi 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. Nam ......................... Pres. Construction Supervisor's License 00 ...........0989............ E CAPRICORN REALTY TRUST "-/No 27138 Permit for 1 z..St°r�................... tj Single Family Dwelling .................................................................... Location Lot 18, 253 Sudbury Lane t ................................................................ ti ...................Hyannis.......... .................................. Owner . Capricorn Realty Tr fr••••••• •••,• - P i Type of Construction .....F'K's .............:............ d _ • F .._ .... R ►k Plot,'._,............................ Lot ................................ a Peri,iit"-Granted ....OctOber..23.c ............19 84 Cc�� 1 Date OInspection ...................................19 t rrs ' Datempleted�f .< ... . ..19 t N �� r - f 16 yy Zz p�oPo /V 3 ssev'i N.' Sri 46 T /3 eV 0 1-7 67 a" --pat✓ CERTIF1.10 PLOT PLAN R ESI E R 0. W i3RUCE ELDRE IN $A A S fA1914MASS' SCALE, 1 "� ekO ' DATES eE ENe' V-CERTIFY THAT THE ,"2u1VVA-Tf0A1 M.0 OW ,THIS . PLAN 13 LOCATED RGIVERE E191ST91 WN W 3 ItED *y'- u C I VL LAND Vll;' . HE' GROUND A3 WDICATED AND , ING INEER SURVEYOR .CONFORMS TO THE. ZONING. LAWS akeyv OF kRNSTABLElWA ss 712-' M Al N ' Chi.ay;"� RY.AN.91S, .:MAS N A E REG" . LAND SURVEYOR _ .. - .;:..' -'�,:"-� ,- ::•.;,i �. it",. y_ I• • H4. •FF _+,-z. e. y:.: Y•`' .'�`^J r i .. ..r"� TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING ajr t63q. HYANNIS, MASS. 02601 MEMO TO: Town Clerk ` FROM: . Building Department , + } DATE: An Occupancy Permit has been issued for the building authorized by Building Permit issued to Please release the performance bond. TOWN BARN STABLE 2713$- � ye Permit No. _____- Building Vu.n..+ Cash 9 ,670• OCCUPANCY PERMIT Bond __----- ------------------- Issued to C.a.nricorn Realty Trust Address Lot 18, 253 Sudbury Lane, Hyannis Wiring Inspector -. i,� fl .� Inspection date Plumbing Inspector ! Inspection date Gas Inspector -tJo "i. =} p� G Inspection date � ' a )Engineering Department `- Inspection date f4 -�`� Board-of Health �� A", � �� Inspection date y�"'�j ales THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ? A'.....f.3........., 19.. � � � .................................y.............a...........................«........«......«........».» Building Inspector