The URL can be used to link to this page

Home My WebLink About0037 SUNNY-WOOD DRIVE 4 �� ,� l i �..- i OF ILE CAPE C D NSULATIQN, _2 F€ 2 5 i c7] + FIBER GLASS SEA MIESS SPRATTOAM SUSVENDED.y _. a. .a't"+��.^'---- I BATTS BUTTERS INSULATION CEIEINO6i `i 1-800-696-6611 ' ° • 1 . +, T Town of Barnstable Regulatory Services W Building Division ' 200 Main St Hyannis, MA 02601 Ilt Date: Dear Building Inspector is Please accept this Affidavit as documentation.that Cape Cod Insulation, Inc. performed& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village 37 Sojw%fwO&J -W 4 dtoQts Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) . . ( x) 40Y ) (x) Slopes ( ) ( ) ( ) ( )• ( ) Floors )' `. Walls I Sin erely H Ca id Jr, resident Y C pe Cod Insulation, Inc. I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 70.� ( C(D- - I Health Division Date Issued �: Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH _Preservation / Hyannis Project Street Address Y 7 Sv Q 6,v w 0eS �(�• Village Y�iA • C��-(03 yc�nh S Owner & _up,r'c _ �?y6NO, Address Telephone Permit Request �,e�-e ms 2�4- `0►-� Ce;t�v )AAt 1 r..> e� �1J �•t�2�A�C I�er Sir,p ollC'S ll`Ser9-I�- i C Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �/000 Construction Type Lot Size Grandfathered: U Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family '.;q 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'`' f Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ' ' .3 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: O=LLYes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ re_iv size_ Attached garage: ❑ existing 0 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 `fie a c� (BUILDER OR HOMEOWNER) y� C,9-Ss r = Name C"e co cQ Telephone Number C-O%—?7 S"1 y Address `i S S License# O eJ 14�jn�r i s Wl r4 C&L I Home Improvement Contractor# I s 3 S 7 Worker's Compensation # yi C f� 0 0 S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE DATE `"' XO — r r ' FOR OFFICIAL USE ONLY APPLICATION# DATE_ISSUED F �y MAP/PARCEL NO. s - r ADDRESS VILLAGE - 4 OWNER DATE OF INSPECTION: r FOUNDATION-=[. 3 FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: r' ROUGH FINAL "'FRINAL BUILDING =k i r• - 4 f . .DATE.CLOSED OUT r , ASSOCIATION PLAN NO. The Commonwealth ofMassacliusetts Department of Industrial Accid-enfs l Office of Investigations 600 Washington Street t F Boston, MA 02111 yy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/El lectricians/Plumbers Applicant Information Please Print lJe>rib Name (Business/Organization/Individual): � � _T�/l1 Sl1 (A Address: ✓� City/State/Zip: Phone #: so o/ 7 7 Are you an employer? Check th appropriate box: Type of project(required): 1. I am a employer with ZQ_ 4. ❑ 1 am a general contractor and 1 6 ❑New construction eiriployees'(full and/or patt-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 working for mein any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp,insurance: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a bomeowner,doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance re uired. t c. 152, §I(4), and we have no q ] employees. [No workers' 13.❑ Otber 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 sub-contractors and state whether or riot those enti ties have employees. If the sub-contractors have cmployecs,they must provide their workers'comp.policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job-site informatioiz Insurance Company Name: Policy# or Self-ins. Lic.#: k)(A WrZ-5-9 O( Expiration Date: C>D-6-3 Job Site Address: S D Ad ti�is=&U Q C�c- City/State/Zip: C 2n ety� e tMVsr 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. Ldo hereby certify tit e pa' acid penalties cf perjury that the information provided above is trice an/d correct. Si nature: Date: Phone#: S 0 / ?S 'y' Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): . 1. Board of Bealth 2. Building Department 3. Cit,/Town Clerk 4. Electrical Inspector- S. Plumbing Inspector 6. Other Contact Person: Phone#: xacJers a Gray' In: L'aye: UO2 ¢ Client#: 4597 CCINSUL INSURANCECEMRTIFICATE OF LIABILITY DATE(14-1'201YVYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE1R.1 HISO CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If fha celiificat.e holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION VS WAIVED,subject to tile teirns and Conditions of tile policy, curtain policies May require an endorsement.A statement on this certificate does not confei cenirir-ale holder'in liarl of such endorsement(s)- tights to he PRUUUCLi? Rogers&Gray Ins. -So, Dennis coNTACT NamE;__ Margaret Young 434 Route 134 NArC.No✓yxL 508-760 4602 FnX - __..._.__..-.__-._.._..__._......._...... P.0. Box 1601 ADDRESS: South Dennis, MA 02660-1601 __.__..._--..._.._ CUSTO&TER IU a: INSURER'S)AFFORUING COVERAGE NAIC lr Cape Cod Insulation Inc wsuRERA:Peerless Insurance ____---..... -- —- ._.... 455 Yarmouth Road INSURER Ohio Casualty Insurance Com nn P� y Hyannis, MA 02601 INSURER C:Atlantic Charter Insurance -- INSURERo:Commerce Insurance Company 34754 INSURER E: COVERAGES INSURER F: --•—____—., CERTIFICATE NUMBER: FIN IS CER1lr1' I HAT I'FIL-' POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVREVISE FOR THE POLICY PERIOD [.N011;VITHii I-ANDING ANY RE.QUIRL'-'.MENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'WITH RESPECT TO WI-IIChI THIS yl'E MAY HE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMSNV,AND CONDITION,;OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED Bl'PAIDCLAIMS. TYPE OF IN5URANCE NSR VD POLICY NUI418ER OLICY EFFLCAL•LIA8ILIIY MINrOD/YYVY IVIMrOD/YYYY LIMITS CBP8263063 410112010 04)0112011 EACHOCCURRenICE NlNlI HCiiU.GrNl:k(AL tIAL)ILIIY DAMAGE TO N1E..1 PREMISES 6a... rrom:a $100,000 �CI AINIS NV11JI`. L"I CICi:Uh .-- MEO EXP(Any one parson) $5,000 PERSONAL 1C ADV INJl1RY $1,000,O00� GFNIERAL.AOGREGA'fE $2 UOO,OOO — UI Ni"";Hl(;Al I I Mil I'APFL11.5 1'(_R -----------•---.____L_-___.,.__._.._.._.._... PUI 0.;i I INN `— PRODUCTS-COMP/OP AGG $2,000,000 D AUIONIU8ILELL"iLIrY $ 10MMBCKVMK 04101/2010 04/01/2011 COINBwkD SINGLE UNu'r Miv,+ulv 'Ea arudanl) $1,000000 Al (WVN1'1)Alll(a5 BOUILY INJURY(1''arpersal) $ St:ul ui)1 rI),(int1;; L10DII,Y IN.IURY(Per.Icrule+u) $ ...X PROPIER1YDAINAGE $ (Per accinaN) .X IVUN'.1'ddlVl�l.I AUIUS � $ B Ufr18RELLA LIAR X cu;CUH MEYAPP397725 06117/2010 04/0112011 EACH OCCURRENCE 1-0 UU,UUO E.XCL'SS LIAR ul:uu.:l lea F AGGREGATE. $1 000 UUU C woRlwRs COMPENSATION _ $ AND Er1PLOYERJ LIALIILITY WCA00525901 6/3012010 06l30l2011 X INC S AI'UI 011-I Vtv I h01'R L IOh I i1R11V1-WEXt I:UI IVE.Y I N L-.h...... .._... UI I d I.QI,.if N1111 H 1 XCI.UDFD'7 N N/A EL EACH ACCIDL.N 1 $50U,000 0ADIdalm y at NIT) 11 yw,,dua011)u❑miul E L.DISEASE-EA EMPI.Cl'EI= $500.000 �_.---------..--...._. _...__..._. i)l"$l;H II'I TUN Oh'l II'F RA I ION S below - I f.L.DI`,;k:Ali-PC.)LICYLIMIT' $500,000 DESCRIF nUN Ui'OI'EHAI"IONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional ROnlarks Schadulu,R nlore sputa is required) Workers Comp Information — Included Officers or Proprietors (See Attached Descriptions) "ERTIF-ICATE HOLDER CANCELLATION 10 Days for Nan-P8 nlent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION.All rights reserved. ,CORD 25(2009ro9) 1 of 2 The ACORD name and logo are registered marks of ACORD AS548141MS3353 M EY 460 West Main Stt;eet O US I G Hyannis., MA 02601-3 s98 7 ENER:aY HOME REP A-IR (A Sp 5 � i7I-5400 E (SITS);90-2425 �).. ..�.T10N TTY on all line HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I r.'14,A' .ey, ) l 6 , F L a, LIZ hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping &caulking of windows and doors,insulation of attics, sidewalls &basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows.In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this a$,reement as listed and freely give my consent. Home Owner: (Signature) !�•.vr : �/ .. '_i � .., �-_'. Date: Agent: (signature) Date: RAC approved Weatherization Company: �— Caliber Building&Remodeling (!p:e:CodCape Save Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy Rock Solid Construction All Cape Insulation 1`dEi-SS.f,'-?b�`.i�_"i!l'Sh U;i_iL•�,��0!'�i pG'_Tl'z1T ntkisr di:,,i)C { v �lI1Cmf 10 Park Plaza - Surte 5170 ' Boston, Massachusetts 0211.6 Home Improvement Contractor Registration Registration: 153567 __..,,.=..,f_ Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC r HENRY CASSIDY 455 YARMOUTH RD. ,. -------- ------------ --_ ----- ----- HYANNIS, MA 02601 Update Address and return card.Mark reason for change. L� Address U Renewal L� Employment Lj Lost Card CA1 is 5OM-04/04-6101216 Office o mer Affairs u'��s�n/e�ReguI tion License or registration valid for irdividO use on.!y HOM� �%' ��' before the expiration date. If found return to: ` Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 1,2/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 OD INSULATION, INC..., 1ENRY CASSIDY *5 YARMOUTH RD;" r `AtW' .1YANNIS,MA 02601 tureUndersecretary ith t si - -- ' �lassachusett. Depurtnlrrtt iif Public �":tfcth Board trr Builtlim� ' t�c��ul;ttion� a1r(1 Stan(lurd, Construction Supervisor License License: CS 100988 Restricted to: 00 n i x x HENRY CASSIDY hit lsyz` $S11Et)ROW 2,7723� � WEST YARMOUTH, MA 02673 Expiration: 11/11/2011 (unuuis.i ner Tr#: 100988 Town of Barnstable *Permit# 0 60 �C Expires 6 months from iss ate Regulatory Services Fee )(.PRESS PERhomas F.Geiler,Director �. Building Division M AY O 3 2006 Tom Perry,CBO, Building Commissioner OF BARNSTASM Main Street,Hyannis,MA 02601 TOWN www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNNIIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number !?,n'7 11 AA -- - Property Address W C �- A. Residential Value of Worork_Q b� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ��Av 1 Contractor's Name i") -ems Telephone Number StSF- �AQZ 31'C<-Iti' Home Improvement Contractor License#(if applicable) ,4 a Construction Supervisor's License#(if applicable) 0-3�S 0 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ��j have Worker's Compensation Insurance Insurance Company NameS F1'-t,an � � ,, � � Workman's Comp.Policy# 'SG d8 -.)-d C`3 6) Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) V�-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property 9Wner must sign Property Owner Letter of Permission. Home p ve ent L-ac��ise ittrequired. SIGNATURE: Q:Fomvs:expmtrg Revise071405 r � 2 ✓ Board of Building Regulations and Standards License or registration valid for individul use only HOME I�ARF,OVEMENT CONTRACTOR before the expiration date. If found return to: `t' Board of Building Regulations and Standards - Ru�str-atrorr32149 g g m attQn= II��28/2006 One Ashburton Place Rm 1301 iv dual Boston,Ma.02108 p = DEAN F.STANL�.Y,� DEAN STANLEY ) 6 t 359 CAPT.LIJAH Rp"+� CENTE V R ILLE,MA 02632 Administrator Not valid withou signature t8E .110E "009 6g :191& 01ZE112 :14- ew ovraw B99'90 VW'SNV3ltl0 0 OQ d ammo al-U i xvd 99t, Z4( 09) ' drva Z£9Z0 b'IN 3l1ln831N30 '01:1 Hvrn'idt/O 65£ 8WYNIN00'JNIawa T 8 8 9 sW -£s A31NVIS A NV3t3 The Commonwealth of Massachusetts Department of Industrial Accidents :r Office of Investigations 600 Washington Street Boston, MA 02111 VJ www.mas&gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aimplicant Information Please Print Le 'bl Name(Business/Organization/Individual): Q 1N Address: City/State/Zip: � i \` Phone#: 6 a his �• � ' Are you an employer? Check the-appropriate bog: Type of project(required): 1.I J�am a employer with 5— 4. ❑ I am a general contractor and I 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 t Remodeling ship and have no employees These sub-contractors have & ❑ 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 I LEJ 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' 131-1 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinformation' t Homeowners who submit this affidavit indicating they are doing all work andtheu hire outside contractors crust submit anew affidavit indicating such tContractm that check this box must attached an additional sheet showing the name ofthe sub-contractors and their workers'comp.policy informution. ram an employer that Is providing workers'compensatdon Insurance for my employees. Below is.the policy and job site information. ^� Imsurance Company Name ��J� �. u (X� Policy#or Self-ins.Lie. ®Co 4',A Expiration Date: - 't4> Job Site Address: 16 o �1 City/State/Zip: . Qc(v \ Attach a copy of the workers' compens 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$1,50Q.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 DLk for insurance coverage verification. I do hereby c i under t ' s nd p allies o e ' the information providfg above is tru and come Signature: Date: 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): 1.Board of Health 2.Building Department 3.Ctty/T1 own Cleric 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' W Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oial 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 cornrn ealth 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-contractors)name(s),address(es)and phone mmlber(s)along with their certificates) 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 retiuned 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 comrrpamiies 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 pmm it/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. Anew 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 hone and fax number: ep telephone 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 Revised 5-26-05 Fax# 617-727-7749 WANrw.Ma.ss.C,oVI&'a I °FINE ro Town of Barnstable Regulatory Services t S v MAC �, Thomas F.Geller,Director �'ApeD �A10 Building]Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner bust Complete and Sign This Section If Using ABuilder I, (Nil, d� ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (N'k (Address £Job) Signature of Owner Date Print Name Q TORM&O WNERPERMISSION F�r',�-�.`rs..vv:-;7�-,x•"�deY-"r`r'��r c' -,-c:s:- '' v:?-ui.. .:.4+�,: f._ t...-�,-:s+ t�i, •¢-`tR�fra,i��':...-. "�'#:'�:a ..- ,.+r. -:axe a-x..:.-.„.,��,c - _yr�':.:+�. TOWN OF BARNSTABLE`" Permit No 28149 `r. Building Inspector sauvr Cash - --- ------ °°"' OCCUPANCY , PERMIT 'Bond �____- Issued'to. Capricorn Realty `Trust Address_ f Lot #45, .37 Sunny Wood Drive. Hva ;r, Wiring Inspector /` °` Inspection date Plumbing Inspector Inspection date ..: ._, Gas Inspector #� "- Inspection date xEngineering Department` �� A CInspection date, Board of Health CW�n p `:� 1!'�f1 } tlYl r, Inspection, date THIS PERMIT'WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED- BY THE BUILDINGryJNSPECTOR UPON`, SATISFACTORY COMPLIANCE WITH TOWN i REQUIREMENTS AND`IN ACCORDANOE'-W1TH%`SECTION 119.0'.OF.THE"MASSACHUSETTS STATE ' BUILDING CODE. _. �/ Building Inspector `' i U►1 �� ;1 TOWN OF BARNSTABLE BUILDING DEPARTMENT . Z seaasr : TOWN OFFICE BUILDING rua 7� t639. �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk ��GG FROM: Building Department/-'y� DATE1/ - �• An Occupancy Permit has been issued 'for the building authorized by Building Permit #..... /--�....... ...........................,........................ .................................. ....._.................. ».................._....._.......... issuedt ................................. ..._l, F.......... ..........1.... ....�..�... Please release the performance. bond. —BIN— �y Assessor's': ma and lot'number ... SV -. p� FTNFT y i Q Q Y/ j'; III �. t vt;sc'R Sewbge Permit number ........ . ........C7. ..... ...... ........ M- t >a LE ! i d 6pp� t 4 H T CL.G Z' 339HB9TAXLE, i I House num r •"' EN,,v pp p 9... ....... i...... ... /r�✓ +i+�4'Gt§+s 1r3Z'ai �6 T F� � :,B�A� n ,OWN y0 ,�.. RNSTABLE RUItDIHAG , INSAPECTOR � APPLICATION 'FOR.PERMIT TOCOnetruCt...... 1: Fai�.a, ,3%.•Aw�l3.in� ' t TYPE OF CONSTRUCTION ...wOQd Frain@ t .. s ................. . November" 2 ¢19.94 , ....... 9 TO::THE INSPECTOR OF 'BUILDINGS: . ::a The: undersigned hereby applies. for a permit"according to the following information: Lot . .. 5, .Sunn.y 'Wood! , Hyannis .Location ...........II::.. ......... ...... ProposedUse ............... .................................. ... ... ................................. .................................. Zoning Distract R:'...B.'......................................... ........: .:Fire.District ..... ia2�XL�. I............. I{ Name of OwneQPiPr.1c.QY`a—Real Trz ust..... .`........Address (.. F-almo•Lit •• 48CZ s 7 5 I yanni- -Ff,•.•M8$'r Name. of Bui& gO..,Re ,...zit Dev..XO:..y.I21Qr..Address $ 1@. ........., Name of Architect .:..............:.... ..::....: :....k... Address :....... ........ Number of'Rooms ...5,, x ................... ......... ......... ........Foundation .....p.�.Q� . ....... ...::.... ...:............................... t I Exle,nor .......p...Q.Axd,..and/.or...Shingles........ .....:: Roofing ..........Aep)ia-1-t...gh ::... .:...... Cla b Floors Lya Q.�r.. ...:.. .................. ........ ... Interior ......... �28 O ..:... .............. • etm HeatingG�$ ..* ..,.. .t.KR ,.:.. Plumbing ........ 'yYfl.. :.:......{�BpP�Y. .:..,.. .......:.:.. FireplaceN9P@.............................. . .......: .. .................. . ... .Approximate Cost' 00400-w0Q •• Definitive Plan Approved by Planning Board __ ___ ___:________19 ___, . Area �... .�............. Diagram of Lot and .Building.with Dimensions LL Fee y ... .. SUBJECT TO APPROVAL' OF BOARD ,OF HEALTH (' I w 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 ... 4it j Construction Supervisor's License00o 8 g... rp 1CORN REALTY TRUST �� 28149 1z Story ............. Permit for ...................... ........... Siu le .Famil Dwell n ......Y............. �................. ion . Lot 45 37 Su Lo�bt �.................?��ly:'WORd..�r_iue ........HYannis...... ; Owner S:apricorn Realty...T? .S.t............... Ty. Fram -.• ,, _ -. pe of Construction .......... .e.......................... Plot ............................ Lot ................... - Permit Granted July 3, ..... 19 85 " ..... ..................... Date of Inspection . ..yl...l �-19�S ' . omplet .. .....7%Date ........1 a �" ✓ i, Cy r I`�i'.:vrr,�;t .. ,- ,; .i'. :.r,..v �•�:�.•-..:�.., .�t�..•w„t. .�`3i`�� vT'��t� •R,.c:3�+�r y-, -„t.'��.r't",�+,�� •'�'/�!� 1��t/J�y"� '.•'t'�''..s,r�`�,:`„1� Assessor's maynd lot number ......... ......... Q Sewdge MmiL number ........................Lt .. 'v y. .........Of li - y t y Z BARNSTADLE. i House number. .................: . ..... <j / rnsa e.............. ......................... 9 t, J �p 039. \0� L- I O MpY a• TOWN OF .BARNS�TABLE BUILDING INSPECTOR I Construct Single Family Dwellin APPLICATION FOR PERMIT TO ..::..::::::......:. TYPE OF CONSTRUCTION .........Wood Frame......... ................................................................................ ...... IfII TO THE INSPECTOR OF BUILDINGS: i i The undersigned hereby applies-for a permit according to the following information: � i Location Lot # 45, Sunni Wodd La i HVa zn s,,,,,,,,,,:. .................................. ............................................................................ ProposedUse .............:..............................................................................:.......................................... R. B. annis ZoningDistrict ....:...................................................................Fire District .....Hy...................................::::.:........................... Name of OwnePapricorn Realty. Trust....... Address76� Falmouth Road,,,;�ya��s,,...Ma8s.. Name of BuAer ranco Real Est.Dev.Co. i Inc* Address ....... . S2Il@ ........................................... ..................... . . ;....Name of Architect ..................................................................Address ....................................................:............................... Six %Number of Rooms ......:...........................................................Foundation ` Clapboard and/or Shin les A a Exterior e ........................................................�.........................Roofing, .............5.�?�1...�..�...��1a.27:g�.E.B.................. Floors Carp@t ........................................Interior 5he.QtX'.Q C, ......................:........................... Heating Gas y F.W.A. Plumbing........:`'.YYO. . `iA.�j�.E3r......................................................... :n...... ................................... None F1"eplace ..............:_....�.........:............................. .......................APProximate Cost ... 40 0.00....00 ....................... ................ Definitive Plan Approved by Planning Board ________________________________19________. Area Q ...SQ,...ft.,............. _ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH, � a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS j I hereby 'agree to conform to all the Rules and Regulations of the Town of-Barnstable regarding the above construction. Name /��G' (! °� f-`-�� ...L' @$• W , { Construction Supervisor's License040989...................... �a CAPRICORN REALTY TRUST A=273-234 No.....2�8149... Permit for ....1 . Story............... Single„Family...Dwelling..................... L4tion .... Lot 45, 37...Sunny. ..Wood. ...Dr. . .... ... ...... .... .... . ... Hyannis + ............................................................................... Owner C.apricron Rea.lty. . Trust. . ................ . . ...... . ...... c Type of Construction Frame .................................... # ........................................................................ Plot ............................ Lot ................................ Permit Granted July...3.......................19 85 Date of Inspection ..19 Date Completed ......................................19 1/ I t 5 h I 3 � L,G• N 3S , L a 7- ,4S m 4' a i oNO• .g�Lrz /5.� m N EB 7-097 , 2 G.G 8 40 /saa N 23.g5 �` N S/2a S7 /IV 71- fiy,4� PLOT PLAN THE STRUCTURES SHOWN WERE OCA TED ON THE GROUND %%F1 Of IN ON i WHITING y ,9�A T7;LA,tq ASS. THIS SKE rCH /S FOR PLO r PL AIV 2sass /pJo J ;GISTER�� a� PURPOSES ONLY .AND SHOULD or BE USED FOR ANY rHER PUR 0 SE. y Cie CAPE COD SURVEY ROFE S/ONAL LAND SU VE YOR � CONSULTANTS 3261 MAIN ST/ROUTE 6A ROJECr No 03 - _i�q�- �7 BARNSTABLE VILLAGE, MA 02630 (617) 362-8133