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HomeMy WebLinkAbout0060 SUNNY-WOOD DRIVE� ACTIVE I Town of Barnstable *Permitdco)l Fxp'es 6 mom rom issue tJe�. ERMIT Regulatory Services Fee + IMMSTABLE + Ar 2012 Thomas.F.Geiler,Director Building Division TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable:ma.us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number e-2 7 a ?I ��Qv1 v11 S . Property.Address I5C kj Iq C, , t a VResidential - Value of Work Minimum fee of$35.00 for work under$6000.00 : Owner's Name&Address rra 14 Contractor's Name e;,L(I A,(r Telephone Number Home Improvement Contractor License#(if applicable) ) 2- 674 c5 p Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: am a sole proprietor ❑.I am the Homeowner. ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. _Going over existing layers of roof) Re-side #of doors RIlReplacement Windows/doors/sliders.U-Value �/ (maximum.35)#of windows 47 } 0 Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *-**Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors,License&Construction Supervisors License is quired. SIGNATURE: Q:\WPFILES\FORMMuilding permit forms\EXPRF. SAO,; Revised 053012 i • - Jauolss!Maw, £60Z/l 1,/6 :uoliejid)(3 Z£9Z0 VN '31�1MA31.N30 y db NJISN3 38 1 HONJ.� O Qi`I`dH0 2i so :asuaolj asuaort aos!AjadnS u6l;onj;su0�) spal.pur.1S pin' suoi3i In a+� ��u!Ppn9 19 P n t�8. Clalrs �ilgnd.40�u�iul ir.dad -tia3�sny�i.stir.IN -a �'/ze -Pan7zo7.c:.ec�lC/ o�.:�aaatzc�auaei�`a Office of Consumer Affairs&B siness Regulation Licgryce,g r regfistration v�tid for indrvt#ul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration::y-�,112676 Type: ; Office of Consumer Affairs and Business Regulation C} Expiration 4/15/2013 DBA 10-Park Plaza=Suite 5170 Boston,MA 02116 Rh LYNCH HOME IMPROVEMENTS. RICHARD. LYNCH JR. 1 86 ENSIGN RD. CENTERVILLE, MA 02632 Undersecretary Not valid witho tore The Commonwealth ofMassachnsetts Department o,f lnnddustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 nmv.mas&gov1dia Workers' Compensation Insurance.Affiduvit:BmlderslConfractor5 l+ectricians/Phumbers Applicant Information I Please Print Legibly Name(Busiaess,'D pnizztim&&vidua0:�e� LV$4 c L 440 M Swr of CitylStatelzip: _ Da63,a Phone#: 8- ya8 9,3 9 Are you an employer?Check the appropriate box: T of project r �- I am a contractor and I Type p ] ( haired}: 1.❑ I am a employer with ❑ � 6- ❑New construction ,wployees(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 walking Ex the in any capacity- employees and have workers' 9. ❑Building addition [No workers' comp insurance comp-insurance, I required_] .5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I.am a homeovmer doing all wodr officers:have exercised their 11_❑Plumbing repairs or additions myself:.[No workers"camp- right of exemption per MGL 12.❑Roof repairs insurance required-)1 c.152,§1(4X and we have no employees-[No,workers' 13..�Other��, comp-insurance required.] •per apphc�t that checks box#1 mast also fill out the section below showing.their wuten'campensatinn pohry informatiao_ f�H,oaieaam�s who submait this affidind mutating they are doing all wa l and then hue outside contactors nest submit a new aff davit indicating such zoontt8.ctm that check-thisbox mast attached as additional sheet showing the mane of the sab-comhw-0 as and:state whether:ornot those entities have employees..If the anb-cowmctunlineemployee%they n=provide their workers'comp.policy timber. I am an employer that isproviding tuorkers'.compensation.insurance for my omptoyees. Below is the policy ant job.site. information. Insurance Company Name: Policy#or Self-ins-Lic.#:- Expiration Date: Job Site Address CityiStat&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.ihe 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 hTwarded to the Office of Investigations of-the DIA for insurance coverage verification. I do hereby cart r theparnsand ahfies f p ury that the informatam ptovi&4above is true and correct SiEmalure: 2 Hate: Phone#: t7f cial use only. Do not write in this.area,to be completed by city or town o,j,�rciat city or Town: PermitUcense Issuing Authority.(tdrele one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other. Contact Person: Phone it: 6 9�IIAIMSTM14 ' ,� Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, !ra 14 r e . ,66 U e 0 ; as Owner of the subject property hereby authorize R, c V Lh,.[c L. to act on my behalf, in all matters relative to work authorized by this building permit application for: l r J (Addy ss of Job) Signature of Owner Date Print Name If Property Owner is applying for permit, please complete the Homeowners,License Exemption Form on the reverse side. QAWPFILESTORMSUilding perm_ it forms\EXPRESS.doc Revised 051811 1HE 'Town of Barnstable 3 Regulatory Services BMWSTABM ' Thomas F. Geiler,Director 9 ➢A ib q m 3 A a Building Division g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state 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,provided 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 home 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 procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic 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 Supervisors); • provided that if the homeowner section Section 109.1.1-Licensin� of construction ), he rovisions of this sP P from t p ( g engages a person(s)for hire to do such work,that such Homeowner shall act as'supervisor." Many homeowners who use.this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) 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 homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her 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 t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit formS\EXPRESS.doc -vised 051811 I JL U W JI V 1 jD 4r s to ule *Permit#__ `7 P p Expires 6 months from Issue date Regulatory Services Fee 9cb 16 AM �0 Thomas F.Geiler;Director Building Division ®PRESS PEWq1T Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 J U L P, 6 200b �jOffice: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNS-AL,_:4 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wlthout Red X-Press Imprint Map/parcel Number J Ail Pro erty Ad•dress _ Oa r Residential Value of Work Minimum fee of.$25.00 for Work under$6000.00 Owner's Name&Address f word K bJ6 l l U Contractor's Name � � T � Telephone Number Home Improvement Contractor License#(if applicable) IWO Co traction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ am a sole proprietor ❑ am the HomeownerM' I have Worker's Compensation Insurance 'oell Insurance Company Name MAI 1'� �� 1 CL � ~ Workman's Comp.Policy# l Copy of Insurance Compliance Certificate'must be on file. . Permit Request(check box) �Re-roof(st%stripping. ing of/d shingles) All construction debris will be taken to � Re-roof noLgover❑ ( existing layers of roof). ���i ��S • ❑ Re-side C5 U , �Gl I/VoLtm ❑ Replacement Windows. U-Value (maximum.44) 'Where required: Issuance of this pem it 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 Iminrovement Contractors License is required. Signature Q:Fornu:expmtrg Revisc063004 CAPIZZI HOME IMPROVEMENT INC . v�6�3 SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF 1ASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, ✓�d1 �i_ ,/y D ci4o OWN THE PROPERTY LOCATED AT IN l �l"''�^' ' !� MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN A C RDANCE WI 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. LCS/ SIGNATURE OF OWNER: f� OWNER'S ADDRESS: 5u Lt,y �y C OWNER'S TELEPHONE: 7q o~ t®-7-3 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: katlzil � . APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635 APPLICANT'S TELEPHONE: 508/428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # J2n-06-06 03:57pm From-AIG 9T9418-6903 T-724 - N.UUZ/UUZ t-IYZ 7 , OT i. �1�,'r d�3•.�•{•''•• '•_ 'i, �•j,�. r�.,t�'•�r+�M�r ��r•�t i,: �,���y�• ��•/:x�, +, ' �.y„;� •� "`;i Rt C R�TtF'�CA '' Vf�lY�4'G.'. . ;t. ri V;.�,v 1. i•. r4 !'"lt}'� r.. �.' �r.M;_ ,i •.A �.'i �'I; },';h• y�W ;'' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Employers Ins Group Inc HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 261 Main titre t Sulte#1 ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW Fitchburg,MA 01420 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Resource Managements Inc 281 Main Street,Suite#6 Fhchburg,MA 01420 r ��;• /. .fib-. ,.L• •.i,r .$ii.. 1�".:'i ;'.r :•'r• •r r l NRi +:r( _ .7. •7 ^n• ., '! �•p. .p; ,i; •�L, I' THIS IS TO CERTIFY'THAT'iTFIE POLICIES OF INSURANCE USTED BELOW HAVE BEEN 15$UE0 TO THE INSURED NAMIW ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY RCQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUORCT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co JaL OF!JN RANCr- PO=NUMBEi . PDuC 9R*-CftI)ATZ POuCVwwwATm,v;a5 q AqDRKERS COMPEMATfoN o WPLOMV LIABILITY. - LIMITS vaoxr>Tate 4 AR �a JT1vEDf'FtM fF`A �M �•IK} t C♦G�•yrounp _ 12f2512004 _ 1 2!?5/Z005 .. : MITOW , • .._ : . :_ �S �1��'C�'r':I�•, ,k,.: ' - ' ' : �i. .fit„• . FG/lpptln=01utAOpaapom=Ord9. .�" r. • CHACCtDEN1' S 'to0,0 jasAss Poucv LIMIT S 500,0DO -$-J00.0DO Ir.CRIPTION OF OPF.RATio FIIGLNB/w">EGIAL IT'EI m RE:COVERS THE EMPLOYEES OF THE NAMED 1NSURM LEASED T Q CAP=HOME IMPROVEMENTS INC„1645 NEWTON RO/{p, COTUIT MA QZ635. . CERTIFICATE HOLDI_R ANCELLATION SHMAD ANY OF THE ABOVE DIMCM151M POLICIES N CANCTgUIh0 0SPORQ Tt1E C D(PIRATION DATE TmE zEOP,nm is UING COMPANYV RI MDrAVOR TO MA 12 _ '18 5 NEWTON ROAD ZZI HOME IMPROVEMENTS IN_ _COTl11T;MA 02838 -- --- �pA s wRrn EN NOticf To ME-c�rrFrra Ha> NnM®ro >�rgr,:eur ---- FAILURS70 MAIL SUCH NoTY a ALLIMrOMNO0IRMTIONORUMILVYOF ANY Kum UPON T}•IE COMPANY,ITS AgtE M OR REPRMNTATIVIM AUTHORIZED REPRESENTATIVE i Department of Industrial Accidents . Office of Investigations 600 Washington Street . .Boston,MA 02111 w wv massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ Please Print Le ibl Name (Business/Organization/Individual): Ail • I � � � r Address: City/State/Zip: Phone Ar ou an employer?.Chec a appropriate bog: ?: `Type of project(required): 1.. I am a employer wrth 4. ❑ I am a.general contractor and I. 6. ❑New construction employees{full and/or part-time).* have hired the sub-contractors -a' 2.❑ I am a sole proprietor or paitner- listed on the attached sheet#. [� Remodeling : ship'and have no'employees These sub-contractors have 8. [].Demolition ✓ working for me in any capacity, workers co insurance. , ? 9 EA Building addition [No workers'..con>P.-msurance_ ,5.. We are a corporation and its required] officers have.exercised their 10.[j Electrical iepa br-additions . 3•❑ I am a homeowner doing all work right of exemption per MGL 11. [❑ lambing repairs or myself[No workers' co ,mp <c. 152;�§1(4),�and.we:have no 12: Roof repairs insurance required] t erriployees`[No workers' . ;comp insurance required.] 13 0 Ether *Any applicant that checks box#1 must also fill out the section below showing then workers compensation policy infoiniation' t Homeowners who submit thus affi&v,it`indacatang they are doing all work and then-hire outside contractors mUst.subnvt a new affidavit indacahng:such , +Contractors that check this box must eitsched an additional sheet.showing the.name of.the subcontractors and their v oikers'cam:policy.infornieiion , I am an employer-that is providing workers'compensation msuraace for my employees. Below is tl:e policy and job site information. Insurance Company Name: (/l '' Policy#or Self-ins.Lie.#: - - E Date' xpuahon 3 Job Site Address City/state, LAttach a copy of the workers'compensatYo 'policy declaration page(showing the policy number and expiration`date).' =ailure to secure coverage:as.r _- eguired finder Section 25A of:MGL c..:152 can lead to the imposition of criminal'penaltaes of a:,, he up to$1,500.00 and/or one year impnsonment,:as well-as civil.penalties in the form of a.STOP.WORK ORDER-and'a fine rf up to$250.00 a day:against.the.volator. Be advised that a copy.of this statement maybe forwarded to the Office.Qf hvestigations of the PIA-for insurance.coverage verification. do hereby certify under the pains and, enalties 9 f perjury that the_inforniatiori provided above is true and correct i ature: Date: hone#: Offwial use only. Do not wrke in this arery to be completed by city or town official ~ City or Town: Permrt/License# ".Issuing-Authori circle one):­­.- - t3':( 1.Board of Health 2.Building Department 3.City/Town Clerk 4.`Electrical Inspector S.Plumbing Ins Spector 6.Other g p Contact Person: Phone#• zz 3 Board o7ruj'l?l nng ReguIa ons and Standards One Ashburton Place - Room 1301 t.3 Boston_ Mas�Aphusetts 02108 Home Improvement.4�,ogtr"actor Registration ` ° -• `• Registration: 100740 a• Type: Private Corporation Expiration: 6/23/2006 CAPI=I HOME IMPROVEMENT, INC. .` Thomas Capi=i, jr. 1645 Newton Rd. Cotuit, MA 02635 Update Address and return card—Mark reason for change. Address ❑ Renewal F1 Employment Ej Lost Card Board of Building Regulations and Standards License or registration valid for individul use only' HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . Board of Building Regulations and Standards Registration:. 100740 One Ashburton Place Rm 1301 I over, Expiration: 6123120D6 t Boston Ma.02108 Type: Private-Corporation CAPIZZI HOME IMPROVEMENT,1 %omas Capizzi,jr. 1645 Newton Rd. � ,,i Cotuit,MA 02635 Administrator Not valid without 'r • r ✓lie 't�omvnza�uue� o�',/�:rac/ucaeCtG R BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR a , Number CS 057032 Birthilate` 09126%1963 _ Expires 09&/2005 Tr.no: 7171.0 .Restricted 00 —'i'HOMAS-X�CAPIZZI JR -- w- ,---•—/ —__—"__._._ 1645 NEWTOWN RD COTUIT, MA 02635 Administrator _ Assessor's:map and lot number �... . � SEPT0C SYSTEM kq' i t, e A., X per, '1 � ... '�.��.. .... 4 �'�ii..�d k0'4Y..LFD'. ° '4iLZt° f0�'Qv yr1 I w...f tewage. Permit number ... r. �'aAa�THl CLE.• � �F Z BABB9TA.DLE, i .. - n .� rL House number .......... ..1... :......:. ,.;- - �5'i�P.�4jf,lx EN`TAL'� 'oo -Mb 9 �� 4,A ioff" ~,fir c .} L ,' ✓ ., �"' �... ._ •" MP TOWN, OF BARNSTABLE RUKDIN6 ,. IRSPECTOR ! APPLICATION FOR PERMIT TO COz13 rUC't...�ia]g].a--Family--Pwell��g TYPE OF'CONSTRUCTION ......Wpo,d•.Fram ' + Njvember 29e .1.g.8.44... 'TO -THE INSPECTOR OF BUILDINGS: The undersigned hereby°applies. for a permit according,to the following information: Locdtion S,at.. ...30.,....S.unny V11omd.. ...Hyaxu� .:.... ...... :. . ............................. ........................................... I ProposedUse ............. ... .. ............ ........ .. ........ ................................. .. Zoning. District R....B............... .. . ... . .... ...........Fire District, .Rya-ymi$: Name of OwneCap 3e© ys ........Addressx i 765... 9t}mouth. Road, Hyarnnig� Nt s's. Name of Bui9 rancp...Real.••.££�atrDeVwCe`+•�'�noV,Address .........•.SRIllg Name of Architect ..... .... Address ::.._.... ............................. .. Number, of Rooms ... .Foundation .............................. Exterior Clapbaarc� and/Or`••Sh-ingl'e8.... ...::......Roofing A'S hala ShiiigL�$ floors Interior .......... ..... .......... Cape t:................ Heating Plumbing ....... FireplaceNone............................................... ...... . ................Approx#nate Cost :. j1'©'•OD0-;-0-O......... Definitive Plan Approved by Planning Board __ _______________________19________. Area / Diagram of Lot and Building with Dimensions Fee ' / Z So..-! SUBJECT TO APPROVAL OF. BOARD OF HEALTH w 0. J i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above i construction. t Name ................... ;.. �i�16 n s ... .............. Construction Supervisor'' License 000989 4` APIORN REALTY TRUST r^ No ...28204' Permit for ...Oie„Stor Y. _ t , Single„Family..DFlel.l7,>ig.. N c' .................... l r Location ..... LQt...3Q.a.....6Q...Sukuny. klaa :.X)rive - f 7 Hyannis p" ........................................................ ........... Capricorn Realty Trust Owner .............. - h T~ a of Construct on Frame yp .................. ..................... ........................................................ h- i6c Al 'Plot ............................ Lot. ........ .... .......... r Permit Granted ....Au.gust...13................19 85 Date of Inspection .�f� j�....19` ;. . `Date Completed 19� 311 {. •b » t V .{ ,.'EiC/1 Assessor's map,and lot number ..... `.. ,f �Tite T ` � /► �t�� •'' Sewage%Permit number .. © d� � � d t jy b oB ARNSTA BaLE�. House number .......... ..... 1b ��� q. \ i I 0 YPy TOWN OF BARNSTABLE BUILDING INSPECTOR Construct Single Family Dwelling APPLICATION FOR PERMIT TO ..............................................................................:.:....:...................................... I Wood Frame TYPEOF CONSTRUCTION ......................................................................................I.......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Lot # aLocation . ....S1.j �t7...ti�1�t?.r?... 'J . .�..Hyarni........................................ i ProposedUse ........................................................................:.............................................................................. .................. R. Be Hyannis ZoningDistrict ........................................................................Fire District .........................................................I..................... Capricorn Realty Trust 5 Address76 . Falmouth Road, Hyannis, Mass. -Name of Owner ...:.................................................................. . Franco Real Est.Dev.Co. ,Inc. Same -Name of Builder .................................................................. Address .................................................................................... 4 Nameof. Architect ..................................................................Address .................................................................... Six Number of Rooms .................................................Foundation ....P...C' Clapboard and/or Shingles Asphalt Shingles Exier,or ..........................Roofing CarpetSheetrOCkFloors ......... .. .... Interior ...............:............... ................... ........... Gas - 'F.W.A. Heatin .Plumbing ...;;;••TWO — COpzer None $.40 Ooo.00 Fire p�ace )..................! ............................................ .. ....Approximate. Cost ........... .. .......... �.'2. . ......r •.... 140�;6�s f t.� Definitive Plan Approved by Planning Board ----------_----_---------------19________ Area-........... .... :.:............. Diagram of Lot and Building with Dimensions Fee ............................... . SUBJECT TO APPROVAL OF BOARD OF HEALTH t J \ o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Ba�nst`dble regarding the above construction. L� ' Name .. .......... ':.. X'e.$.t..... Construction Supervisor's License QC0.9:89...................... CAPRICIORN REALTY TRUST A=273-219 No ... Permit for. P��...��2DX.............. Single FamilyDwelling..................... Location ... .....§.qA!4any..Wood Drive ..................... ....................Hyannis................... ' .... ... ........................ Owner ........q.2p.r.i.corn...Req.l.txjpA§t.......... . . ........ ...... . . Type of Construction ...FK4M............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ....................August.....13,...............19 85 Datb of Inspection ....................................19 Date Completed ......................................19 C, M r _ f �tl 1 N (y) Q o tp Q 0 Q 0 06-478 0 N ti98 J Q o .00 �'�� SETE3dck S' 9 v+ G.o7 /cit���/T' 30. u � 31t2 z5.99 ¢2.8 REG,p /S. >� N 72 7 z < nt N e FRANPC T PL O T FL A N WHITING THE STRUCTURES SHO WN WERE Ao No. 28869 0 LOCATED ON THE GROUND ssi rF<<�T�Ooso�� IN ON MA S3. THIS SKETCH /S FOR R-0 T PL AN PURPOSES ONL r AND SHOULD - .— NOT BE USED FOR ANr OTHER PURPOSE. CAPE COD SURVEY 'ROFESS/ON.4L LAND SU vEroR CONSULTANTS 3261 MAIN ST/ROUTE 6A PRO✓ECT No o.3 - BARNSTABLE VILLAGE, MA 02630 16171362-8133 4 F. e � o� TOWN OF BARNSTABLE 2832© �e Permit No. ----------------------------- Building Inspector Cash -------------- ,e�a x n OCCUPANCY PERMIT Bond --------_----_-- Issued to Capricorn Realty Trust Address Lot #30, 60 Sunny Wood Drive, Hvannis Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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. ..........................._..................., i s....._ ..............................................................._....__.._.. ....__... � Building Inspector i to t ..� °•° TOWN OF BARNSTABLE BUILDING DEPARTMENT _ NaaiaT TOWN OFFICE BUILDING rua �°� '61q• �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: �� �i� ••� /9�L f An Occupancy Permit has been issued for the building authorized by BuildingPermit #........... z ................................................................................_.............................. �_v..v.......�.�.........o... issued to ! r .. l .. ` o. .._ Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A- m TL DnATA Ig �lea, ram, } t ( F:y 13 ..DATE, Z.:i ... . ADDRESS APPLICANT ' (CONTR'S LICENSE) ' (N0.) (STREET) tl .NUMBER OF w. 1' 61 DWELLING UNITS C (_) .- PERMIT TO NO STORY (PROPOSED USE) (TYPE OF IMPROVEMENT) ZONING rye S`r ou iljunu i+ liJ� ;}_3`a`r.' i•i .:'43.c3 DISTRICT AT (LOCATION) (STREET) e'~ AND (CROSS STREET) BETWEEN (CROSS STREET) ' LOT LOT BLOCK SIZE SUBDIVISION FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION J BUILDING IS TO BE FT. WIDE BY i BASEMENT WALLS OR FOUNDATION j TO TYPE USE GROUP (TYPE) 1111 REMARKS: a + 3 �iuytJf'�t PERMIT $ FEE ( i AREA OR �`• Y''S ESTIMATED COSTx VOLUME a (CUBIC/SQUARE FEET) rT.� OWNER _r v BUILDING DEPT. - r BY ADDRESS — THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PROP PROVEDEBY HE ILNG ST FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF;THIS RIOSACHMENT STREET ORNS ON CALLEYEGRADES ASSWELLFASADEPTHEAND LOCATION OF NOT TTPUBLLI�C SEWERS MAY BEUOBTBAINED i E� ;.THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. PERMITS ARE REQUIRED FOR MINIMUM OF THREE CALL APPROVED PLANS MUS :BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS SEEN ELECTRICAL, PLUMBING AND ALL CONSTRUCTION WORK: MADE. WHERE A CE.RTI ICATE OF OCCUPANCY IS RE- MECHANICAL STALLATIONS. 1. FOUNDATIONS OR FOOTINGS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING�HAC_LNOTBE OCCUPIED UNTILMEMBERS(READY TO LATH). FINAL INSPECTION HAS EN MADE. ; `se 3. FINAL INSPECTION BEFORE + OCCUPANCY. ! POST THIS CARD SO IT"is VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUM NG INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 0 o i HEATING INSPECTING APPROVALS REFRIGERATION INSPECTI(N APPROVALS 3 pF EALTH g d a,• va' 1 @B� 1ulp . I L 2 N „'HE4 RING I Alin vnln 3F-rnNSTRU.C-TJO _NS FECTIONS iNDICAT EO ON THIS C4 a[. a, :► TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel Permit# Health Division a Date Issued Conservation Division ZOD �,� Fee Tax Collector C. SEPTIC SYSTE1 7-0 s WST LLED IN COMPLI��a�C , Treasurer M WITH TITLE 5 Planning Dept. / Q ENV6DNEENTL CC" EAND Date Definitive Plan Approved by Planning Board TORN REGUWHOe Historic-OKH Preservation/Hyannis Project Street Address 1e a z3 n 6 cV �r o Village n 1 Owner 9 0 0 e_ Address Telephone Permit Request V eC L a Co o Y Square feet: 1 st floor: existing proposed d 2nd floor: existing proposed Total new Valuation q , K cDO Zoning District Flood Plain Groundwater Overlay Construction Type f�rcwvi e Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. 'Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure �JVLF-. Historic House: ❑Yes Po On Old King's Highway: ❑Yes XNo Basement Type: ®'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) 07� !�,®p 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: N Gas ❑Oil ❑ Electric ❑Other Central Air: N 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:'IS(existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes t5kNo If yes, site plan review# Current Use _ Proposed Use BUILDER INFORMATION Name i L� c—„y�lL11 Telephone Number ,�a 0 9 3 Address T t'1 r Bo)( 66 7 License# C S 0, 77 0 02 4 0 Home Improvement Contractor# �l 6 Worker's Compensation# l Jr® ®c Tel' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE IZ16 L FOR OFFICIAL USE ONLY t 'r RERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER- DATE OF INSPECTION:# FOUNDATION [.�Y FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH - FINAL PLUMBING: ROUGH ` y FINAL Y GAS: ROUGH : FINAL ' r x FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts - Department of Industrial Accidents Office 8f1okr85992085 . 600 Washington Street Boston,Mass. 02111 Workers' Co�ensation Insurance Affidavit name 1� L I-IQ i'm P 71'm !J , locatiorr to Qi 1 Q 1A h1 , city CeVJ-P_r t) t 1 1 V_ Via " phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one working m' capacity I am an employerproviding workers' compensation for my employees working.on this job. .::::.:..:::::..:::.::: ::.:::. ......................................::::::::::............... ;;«:>: >:`:':i is%:5::>:%c i::.................. is i:3 i:i> contnanv name A'f"t, I"' t t"Vd fir,_ c —T >rddress.. . < :: qq - phone# :: insurance olicv# :. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: corn anv name. address:. ..4. ..:.::.....::. ::r:;:: ; i::ri:;:......;.....:•;:::;:£: i:;:r:::::::`:::isY.:::S::.:::.:;.::.:::•::;::;;:::.::.>:::£%:::::%:i:::.:. :::ii:::::::::::2'::i::::: :::: :::i: : >. '' . . .................................. ...:::.:..:::.:.:.::,.:.... .::::.:.......:.::::.:;;;;.;:.;:. ...:::........v d :..: ... . . >> ........................::::::::::: :: :::.:<.;;;:.;:.;>:.;;:.;:.::..............:,......... olscv:# «: <: limb ::;. :...... .,. . anv name:. address; . ....::....:.. <;+:>;: li nr8nc 0 Fafims to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crbuhud penalties of a fine up to s1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do here th u and pe of p -the-information provided above is trw.and coned & tore ' Date c2 7 L _ Print name Phone# offidal use only do not write in this area to be completed by city or town official city or town: permitilicense# ❑Building Department ❑Licensing Board ❑check if lmmediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other &vuad 9195 PJIU A Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and t, or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the city apP being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you a workers' compensation policy,please call the Department at the number listed below. are required to obtain City or Towns 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. The affidavits may be retained to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance-for you 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 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 °F rMME ram, ti The Town of Barnstable 9� `eg Regulatory Services t 659. � Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ne r' Type of Work P n I C e- �l G K, Estimated Cos : t Address of Work: ('J® v-I j lc- Lf latere- Owner's Name: 1�-�Ca' l,�ArC� 22 1 H C� S , " e//a Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ob Under$1,000 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a o f owner;, J) Date D Contractor N Registration No. OR Date Owner's Name q:forms:Affidav:rev-070601 r Sov1a Et GO +A C- 14o ay � e1 LI a 1 I� 1 1 a . I �- �- CL- V a�aC r S N-o�5� Z(. Board of Building Regulations and Standar HOME IMPROVEMENT CONTRACTOR Registration: 112676 Expiration: 04/15/2003 Type: DBA RICK LYNCH HOME IMPROVEME RICHARD LYNCH JR. 86 ENSIGN RD. _ CENTERVILLE,MA 02632 ` --------.— Administrator Ti2�r.... ..e.._......... ... a..... _ _ /re na�ruieall� o��uaaaae/u BOARD OF BUILDING REGULATIONS '. License: CONSTRUCTION SUPERVISOR Nwnbw- CS 053837 Birdula tec 09/11/1954 Expires:09/11/2001 Tr.no: 5234 : Restricted To: 00 RICHARD C LYNCH PO BOX 657 HYANNIS, MA 02001 Administrator ` ..: ... ^..9'F:y. . W:,t'v+ac.z.rT4.a.:_aw�.�.e:.. ,... • ...,_ .577' a2' .00 A 0 • o " m of a 0 o " k0 8.4& �q8 to 6.07 ZO'�/�" " •�C— /. N SET$G Ck 3 Q Z•oa 0 % -1�W4>,V7- k N / - S/,off 31.i2 z5.99 2,8 is n REt�,4e !s, 0 72.72 N � N �``H OF M THE PRANK STRUCTURE PLOT PLAN S wHir�N�SHOWN WERE 0CA TED p No.-'a869 e N ON THE GROUND ss�F�fsrEa' /N 4t LAND H/S SKETCH /S FOR AL0 T`PL AN MASS. URPOSES ONL r AND SHOULD OT BE USED FOR '4N y - THE'R PURPOSE'. 'OFESS/ON4L LAND S[i v�-& -CAPE CCU n q�_ J