HomeMy WebLinkAbout0113 SUNNY-WOOD DRIVE J
own of Barnstable *Permit# oc)
U LUU j Expires 6 months from issue date
NOVRegulatory Services Fee
TOWN OF BARNSTANhgmas F.Geiler,Director
Building' ion
g s
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable,ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X--Press Lnprint
Map/parcel Number f J
Property Address ZZAfl.(f�?Z'G� ��� it r a,viv,
Residential Value of Work Z171 Minimum fee of$25.00 for work under$6000.00
1 ,
Owner's Name&Address
Sc)
Contractor's Name 16l &/,l i D� �UL�7�tS ��/ �� /2�1 Telephone Number S�Jf��7 J�U 1-26
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) 0?l 5�
❑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# JAJ C `1 6
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 `
❑ Re-roof(not stripping. Going over.existing layers of roof)
❑ Re-side
Replacement Windows/doors/sliders: 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 Owner must sign Property Owner Letter of Permission.
A c y of the o improvement Contractors License is required.
SIGNATURE:
Q:Fonns:expmtrg
Nilt
ANui Ong egu at�ons'and tandards License or registration valid for individul use only
)ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Board of Building Regulations and Standards
tegistration ,,145832 One Ashburton Place Rm 1301
Expiration 314_/,2009 Tr# 127455. Boston;Ma.Q2108
7f a
Type =DBA
s C1 "
OME IMPROVEMENT
REN>JR }
t DR '« Not valid withou ure
RT,lmkve5,-Y Administrator
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GRANITE STATE INSURANCE COMPANY 92252-0000 WC 24o-69-91
13102 ---------------------------------------------
013-66-0507-00
. •.-• PENNSYLVAN I A
WALTER R WARREN JR. Member
40 ALEXANDER DR Companies of
YARMOUTHPORT, MA 02675-0000 101M American International Group
EXECUTIVE OFFICES:
70 PINE STREET, NEW YORK, N.Y. 10270
SEE NAME AND ADDRESS SCHEDULE - WC990610
I.D# MA UI ••. ..-
HUB INTERNATIONAL NEW ENGLAND LLC
WORKERS COMPENSATION AND EMPLOYERS 437 STATION AVE
LIABILITY POLICY INFORMATION PAGE SOUTH YARMOUTH, MA 02664-0000
INSURED IS PREVIOUS POLICY NUMBER
INDIVIDUAL ]RENEWAL 008745223
OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME AND ADDRESS SCHEDULE - wc9go6lo
ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the insured's
mailing address FROM: 05/1 9/07 TO 05/19/08
ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed
here:
MA
B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A.
The limits of our liability under Part Two are:
Bodily Injury by Accident $ 100,000 each accident
Bodily Injury by Disease $ 500,000 policy limit
Bodily Injury by Disease $ 100,000 each employee
C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here:
SfE ENDORSEMENT - WC200306A
ITEM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans.
All information required below is subject to verification and change by audit.
Estimated Total Rate Per Estimated
Remuneration Premium
Classifications Code Number $100 OF Ri:-
Annual❑3 Year munerat ion Annual 3 Year
SEE EXTENSION OF INFORMATION PAGE - WC7754
TAXES/ASSESSMENTS/SURCHARGES $23
EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $284 MA
MINIMUM PREMIUM $500 MA TOTAL ESTIMATED PREMIUM $828
'If indicated below, interim adjustments of premium shall be made:
ElSemi-Annually Quarterly Monthly DEPOSIT PREMIUM
ENDORSEMENTS IFORMNUMBER) SEE ATTACHED FORM SCHEDULE - WC990612
05/15/07 ASSIGNED RISK 66
Issue Date Issuing Office Authorized Representlaive wC 00 00 01
39967
' The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
_ d ' 600 Washington Street
Boston;MA 02111'
www.mass:gov/dig '
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le gib
Name(Business/Organization/Individual):/t/C /1 S/Ve
Address•_
City/State/Zip: lLa�# 46?/ G Phone.
u an employer?Check the appropriate bog: :Type of project(required):.
4. I am a general contractor and I
17 am a employer with ❑ 6. New construction .
employees(full and/ part-time have hired the sub-contractors
2.El am a'sole propriet er listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees. These sub-contractors have g• ❑Demolition
'*orkin for me in an capacity. employee$ and have workers'
g Y P t3'• $. 9. ❑Building addition
[No workers' comp.insurance comp.insurance.
required.) 5. ❑ We are a corporation and its 10.❑•Electrical repairs or additions
3.❑ I am a homeowner doing all work . officers have exercised their l l.❑Plumbing repairs or additions '
myself.[No workers' comp. right bf exemption per MGL 12.❑Roof repairs
insurance.required.]t c. 152, §1(4),and we have no
employees.[No workers' 13. 9th
comp,insurance required.]
*My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners•who submit this sTidavit indicating they are doing all work and then hire outside contractors mutt submit a new affidavit indicating'such.
tContractors that check this box mutt attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have
employees. If the sub-contractors have employees,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
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: '!d�U Expiration Date: / O
lob Site Address. V 't'-7 k6 City/State/Zip:
Attach a copy of the workers' compensation policy declaration page'(showing the policy num er and expiration date).
Failure•to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine lip 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$250.00 a day against thq violator. Be advised that a copy of this statement maybe forwarded to the Office of'
Investigations of the DIA for insurance coverage verification. '
I do hereby ce fy and r the par grid penalties of perjury that the information provided above u true an'd correct.
Si afore Dafe 6 _
Phone#: �� 7 v
Official use only. Do not write in this area, tb be completed by.city or towmoffciat
City or Town: ' Permit/License#
Issuing Authority(circle one):
:1.Board of$ealth 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
°p1HEr Town of Barnstable .
Regulatory Services
• anIwsTABLE,
y MASS. �, Thomas F.Geiler,Director
�p i639. �0
rfn,,,o+a 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 Must
Complete and Sign This Section
g
If Using A Builder
I, AIVAJ �U 55� as Owner of th p subject Prop er
�l.��1 l p tY
hereby authorize � I N1.5 V. l/� �1W11) 4* to act on my behalf,
in all matters relative to work authorized by this building permit application for:
Sciti �� V
(Address of Job)
J,
Signature of Owner ate
41VAJ
Print Name
If Property Owner is applying for permit please complete the Homeowners License
Exemption Form on the reverse side.
Q:FORMS:OWNERPERMISSION
SHE Town of Barnstable
pp Tp�
Regulatory Services
` F a Thoms F.Geiler,Director
BARNSTABLE, � �
MASS.
1639. A,0 Building Division
lEn � 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 from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire 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:for ms:homeexempt
Engineering Dept.(3rd floor) Map 2 73 Parcel .Z.2 Permit# -2
House# /J3 Dated
Board of Health(3rd floor)(8:15 -9:30/1:00-*10) 1 %D�>���'� Fe8•�1' �
Caiservation Office(4th floor)(8:30- 9:30/1:00=2:00) `(� EN�B�® �'�� ��� ' ; � 1�
Planning Dept.(1st floor/School Admin. Bldg.)
Definitive Plan Approved by Planning Board 19
BARMA
NSTAA�'B;
TOWN OF BARNSTABLE
Building Permit Application
Project Str Stress 1 f 3 S u miu(w oo p oe 1 fi- '
Village C�N7E(ZV t 1� E
Owner A 12-3 H ut. C R'i YA h o Address 113 Su,v &._, U vf u f l)c
.Telephone '777-7 00 2-
Permit Request I J, w Foe Ch pry h2oi 1 o`E` Hy USA lyJ R Ro®if Z NG/ ilvc sx-10
16 `X 2 s
First Floor l 50 o 5 a - square feet Second Floor /Vow square feet
_ q q �
Construction Type W o 0 0 F 2 O M L
Estimated Project Cost $ OU O
Zoning District Flood Plain Water Protection
Lot Size /5C Gov S a• Grandfathered ❑Yes ❑No
Dwelling Type: Single Family U Two Family ❑ Multi-Family(#units)
Age of Existing Structure i,�, JA5 Historic House ❑Yes 3-go On Old King's Highway ❑Yes 3-N5
Basement Type: UrFull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) / v 0 S6
Number of Baths: Full: Existing 'L New Half- Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing_ New First Floor Room Count
r Heat Type and Fuel: 316as ❑Oil ❑Electric ❑Other
Central Air 3—f'es ❑No Fireplaces: Existing &-� New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
Attached(size) ❑Barn(size)
LJ None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes S NNo If yes, site plan review#
Current Use IZ ES10F/N C f�_ Proposed Use 514mG
Builder Information
Name Telephone Number :2'7 5- 9 3 7 V
Address t) 0 License# ()9 �J q
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
Coo oc,Ttoy, ` Z_
SIGNATURE AL4J, DATE
BUILDING PERMIT 4NIED FOR E FOLL WING REASON(S)
L �<
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED ,y
.- r r• r , ' "'ate
MAP/PARCEL NO.
B i
ADDRESS VILLAGE
OWNER
DATE OF:INSPECTION: _ a
r
FOUNDATION ,
0
FRAME eb
INSULATION r t
FIREPLACE ,
ELECTRICAL: ROUGH FINAL
PLUMBING: :., ,ROUGH FINAL
GAS:`" �, ROUGH FINAL
FINAL BUILDING--,. h
t
DATE CLOSED OUT '
ASSOCIATION PLAN NO.
r
,
t i
�ra�\
�s The Commonwealth of Massachusetts
= 0! Department of Industriirl Accidents
ad
:=: Olhce oll��estigalioAs
' 600 Washington Street
Boston,Mass.. 02111
«.
Workers' Compensation Insurance Affidavit
name l e7 k}�I l_WL AA
location: ' 13 5 v✓i'w L-ob 0 0,9—
city u,, T2yMr, w A phone# 77 I_22 ya
® I am a homeowner performing all work myself.
a I am a sole proprietor and have no one working in any capacav
❑ I am an employer providing workers' compensation for my employees working on this job.
com any name:
address:
city phone#:_
insurance co. policv#
❑ 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:
:...........
company name:
address•
phone#-
city
insurance cn galim#
cam anv name-
address:
city- phone#•
insurance co:
///
Failure to secure coverage as required under Section 25A of NIGL 152 can lad to the imposition of criminal penalties of a fine up to S1.500.00 and/or
one yap'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Otllce of Investigations of the DIA for coverage verification.
I do hereby certify under the pains and p�*evjury that the information provided above is true and correct
Signature Date 21le 21 q h _
Print name )Ra4 g✓ ` Phone# 7 7
Ech�ffimznediate
usely do not write in this area to be completed by city or town official
town: permit/license 0 Mudding Department
QLicensing Board
rnponse b required ❑Selectmen's Ofnee
❑Health Department
n: phone M ❑Other
clowum 9195 P1A)
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 cotzttac
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.
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
three apartments and who resides therein, or the occupant of the dwelling house of
dwelling house having not more than thr p grounds o.
,,.�.e...4—o"nin�rc nsb—ans to do maintenance , construction or,repair work on such dwelling house or on the
another tTA&V w..=.�V�./rV�rV�...
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 renew
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
P P the performance of public work
1 enter into an contract for p P .
. •cal sub
divisions shall .Y
commonwealth nor any of its political rt�nv
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contra _
authority. Rgnro
FIX
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 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�� e you
�anYent�the listed below.arding the w„or if you
are required to obtain a workers' compensation p .,please
Mom
City or Towns
Please be sure that the affidavit is complete and primed 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 permivUcense number which will be used as a reference number. The affidavits may be returned io
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) 7274900 eat. 406, 409 or 375
I
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DEPARTMENT OF PUBLIC SAFETY
CONSTRUCY�ON SUPERVISOR LICENSE :
Number .F.ti Expires;
f. L Restricted To: 00
6p GR,HAM;'
�7 691`Ol�`STRAI�BERRY HILL R
CENTERVIILE, NA 02632
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HOME IMPROVEMENT CONTRACTOR
i Registration 123659
k Type - INDIVIDUAL
Expiration . 03/25/99
Gary C. Graham '
G� � 5.t�W Old Strawberry Hill Road
ADMINISTRATOR Centerville MA 02632
t
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1
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The Town of Barnstable
�$ Department of Health Safety and Environmental Services
Building Division
367 Main Stray,Hyannis MA 0601
Raiph Cr=cn
Office: 308-790.6ZZ7 Building Commissic:u
Fax: 308-790-MO
For ottice use only
Permit no/ /
Date �C�I��
AFFIDAvrr
BOME I PROVEMENTCONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, rznovation, repair, modernization.
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
lenst one but not more d=
our dwaing units
owner occupiedbuilding
re as apt two such �idence or building be done by `registered contractors, wi b
r to
structures W}ItCh are
certain exceptions,along with other requirements.
Type of Work:
C Est.CostV"l
Address of Work: �^ L rvT(Cle yr f tr, �+
Owner's Name f
Oata of Permit Appllcation: L r�, —
I hereby certify that:
Registration is not required for the following renson(s):
Work excluded by law
_
_ ob under S1.00L
_Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS .PULLING THEIR OWN PERMIT OR DEALING WITH UNREGTSa=
CONTRACTORS FOR APPLICABLE 1101►IE IMPROVEMENT WORK DO NOT HAVE
ACCESS TO T13E ARBITRATION PROGRAM OR GUARAMN FUND UNDER MGL c 142A
SIG,NM UNDER PENALTIES OF PERJURY
I apply fora.permit as the agent of the owner.
Contractor a �on No.
Dam
OR
Owner's Name
Date
d1f. lqldel-
A'ssessor's map and lot number
CF TN E TO
... SEPTIC SYSTEM '
Sewage Permit number .......... _
INSTALLED IN CO _ aaasTenLE •
jHouse number .............. ... /1�.3.............................. WITH TITLE vo M ae9
r O b 9�
TOWN OF B.ARNST B-LE
BUILDING . INSPECTOR
APPLICATION FOR.PERMIT TO ......Construct Single Family„Dwelling„
TYPE OF CONSTRUCTION ..............Wo.Q(1..,FrAiD9............................................................................................
.....Jasauar..y....51................19....8 S
J
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
,r
Location .....Lot # 40 Su? nU..Wo o d Dr. H.tanni s
.................... . ........... ...........................................
ProposedUse .............................................................................................................................................................................
Zoning District •$• Fire District .......Hyannis
..................... .. .`...�.... .............................. ...
Name of Owner gapric,orn.. e.at ., ut. ..Address .7.6 .. , lmouth Rd. Hyannis
,,,,,,;;
L
Name of BuilderFranco.. Real. Estate. DeV... o.Address .....Same
....................................................................
Nameof Architect ..................................................................Address ....................................................................................
`c
1 Number of Rooms ...........Six..............................................Foundation .....p..0•...................................................................
Exierior ...Clapboard... nd/or..Shingjlgg..............Roofing Asphalt..Shirlgl.Q.s.........................................
et
Floors ...........C..a...r P..................................................................Interior ...S.kleatZQ.GX.........................................................
g Gas-F .W.A:�' ...................Plumbing-..1Wa-.CQPPer....................................................
Heating ............................................................
lFireplace ......NQn.e.................................................................Approximate. Cost .....$...6Q.,.QQD...0.O.................................
f ?7��
Definitive Plan Approved by Planning Board --------------------------------19--------. Area ...... q.....F.t....
Diagram of Lot and Building with Dimensions Fee �. ...... . ..
SUBJECT TO APPROVAL OF BOARD OF HEALTH C.9
•
1/11 Xt
� G
G �
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of.Bornstable regarding the above
construction.
Name ..r. ....... .......... .....t...... �J
Construction Supervisor's License ..vf.........
1 I
CAPRICORN REALTY TRUST
X�o ..... Permit for ....ql��.A�IRKY.............
. ......... .....................
Location ...Lot 40...... 113...Sunny,,Wood._Drive
....................gymalli.s............................................
Owner .......Capricorn Realty..TKjj�s.t..........
........................
Type,of Construction ...FXAA9............................
I........... ...........................................................
Plot ............................ Lot ................................
Permit Granted .....March 26,....................................19 86
Date of Inspection ....................................19
Date Compi 7 ted,-170.,..A.......-1?............19010
Assessor's map and lot number ....... :`'.-...... *� �^
�PpFTNE
-7 l tp�o
Sewage Permit number .......... .................................1. d
(House number ................f...................................................... yO M"&
1i C r O,p�t639• \0
C MA j p
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......Construct..S.ingie••Fam ly Dwell.ink.............................. ...
TYPE OF CONSTRUCTION Wood 'rame............................................................................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....Lot 4.0 umiy Wood Dr. Hya.nnis ......................:...........................................................
ProposedUse .....................................................................,.......................................................................................................
Zoning District R.B. arinis ,........................................................................Fire District ........H..Y.....,...........................................................
Name of Owner Capriaorri Realty Trust .Address 7...5 i;almouth Rd. IivanniIS
..... .. .... ...... ........... .... .............c.................... ...........
it
Name of Builders'ranco Real Estate„Dev. �O.Address .....S .................. ......
ame ...........................................
.
Nameof Architect ..................................................................Address .........................................:..........................................
Number of Rooms SiX ..................................Foundation .....Ps...................................................................
Exlerior Clapboard, and/ar„ShinKles...............Roofing �1sjha!:L;khifJ_jRs.....
.................. ....................................
Floors .............a.rpe.t ..............................Interior ...%kkE' f;X'o, k.........................................................
C... ...................................... ..
Heating ...u�........i.. .A. ......................Plumbing ...
Fireplace ......I`a0X ......................Approximate. Cost 4>...6.0.,,0.0.0,...0.0..................................
Definitive Plan Approved by Planning Board ________________________________19--------• Area .........11 ;56::. 1,�...a.'.t.o..
Diagram of Lot and Building with Dimensions Fee . ..
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...... I..�/
Construction Supervisor's License
CAPRICORN REALTY TRUST
,JA==273-22S,
No ...2.9.091... Permit for ......One Story
Single Family Dwelling
.............................................................
Location Lot 340, 113 Sunnyr..-Wood Dr.
............................................. . ................
.................... ..................................................
Owner ..................................................................
Type of Construction .....F:r.a1n...........................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ....... ...
March 26, 19 86
.......... .... .
Date of Inspection ....................................19
Date Completed ......................................19
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efTHE
♦ - TOWN OF BARNSTABLE Permit No. . 2?.'
a BUILDING DEPARTMENT.
TOWN OFFICE BUILDING Cash
.. `..
HYANNIS,MASS.02601 Bond ..
�`{ (((
CERTIFICATE OF USE AND OCCUPANCY
Issued to Capricorn Reslty Trust
Address Lot #40, 113 Sunny Wood Drive
Hyannis, ,Lassachusetts
USE GROUP FIRE GRADING OCCUPANCY LOAD
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.
November 4, 19.....$6........ —
................
Building Inspector
s
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
TOWN OFFICE BUILDING
out
HYANNIS, MASS. 02601
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MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
BuildingPermit $k....e?.. ...®2y....................................... .....................�.......�' ..................................._......_ . ...
r issued to e"m,D/"/L��rr�.. /... . .......... 1 .....
i r
Please release the performance bond. �f
it
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- TOWN OF BAE, N1
RNSTABLASSA..,. PERM11
r-f73-'.G
JOB WEATHER CARD
DATE 19 PERMIT NO
APPLICANT " " `'°+" "'" ADDRESS
' (NO ) (STREET) (CONTR'S LICENSE)
I
PERMIT TO a.ita. _ �!. (-LI ) STORY j l2y;,x �,t <i,rt? l; 'DWEBLLIINGF
(TYPE OF IMPROVEMENT) - NO. (PROPOSED USE)
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AT (LOCATION)_ ,,. •fir' .�n �I 1.JC.
t. � •�{[Z$(`�'
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BETWEEN x SAND Y
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;tic -M �t y LOT
SUBD3 LOT ,° BLOCK SIZE 6 r
� BU 11W G-1— BE FT. 7 FT LONG BY y may[ FT. IN HEIGHT AND SHALL CON 'IN. NSTRUCTION
rtYP Z> USE GROU >`. BASEMENTWAY S OR FOUNDATION
(TYPE
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AREA OR Y v ¢s > • t n t�13>v:.f;
VOLUME }c} ESTIMATED COST; '. FEEMIT
* (CUBIC/SQUARE FEET)x -' 4
f L y OWNER. �aaBU LDI &'DEPT
�.ADDRES'S �•
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fHl'S PERMIT COA, YS NO RIGHT TO OCCUPY ANY ET, ALLEY
# PERMANENTLY E,C'ROACHMENTS ON PUBLIC PROP -5 NOT SPECI.
PROVED BY THE JURISDICTION. STREET OR ALLEY ES AS WEL '
FROM THEDEPART' Ni
OF PUBLIC WORKS. .THE ISSU •-E OF THIS PE
-OF APY;APPLICABC; SUBDIVISION RESTRICTIONS. ,,t\
:MINIMUM OF THRE ,`CALL APPROVED PLAIy,'',�MUST BE RETAINED ON',JQ AND THIS WHERE' APPLICABLE SEPARATE
INSPECTIONS REQUIRE FOR CARD KEPT POS A UNTIL FINAL INSPECT,10 AS BEENPERMITS ALfL` CONSTRUCTION WRK: ELECTRICAL, PLUMBING AND
R�,.
1 tFOUNDATIONS OR F TINGS. MADE. WHERE; ' RTiFICATE OF OCCUPA Y IS RE- MECHANICAL INSTALLATIONS.
2 ,PW( R;,T0 C0VERING TRUCTUR'AL QUIRED,SUCH B ' ING°SHALL NOT BE:OCCUPIED{UNTIL
,.MEMBERS(READY TO LtATH).. r. -J 3F,INAL'TINSPECTION BE;bRE FINAL INSPEC I AS BEEN MADE..
,b POST HIS CARS IT. IS VISIBLE Rf�M. STREET
BUfLDING INSPECTION APPROVALS , PLUM .INSPECTION APPROVALS '' ELECTRICAL INSPECTION APP LS
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9 fi:
�. 3 d. n ty *`k H�EAT{,Nf dSPECTING APPROVALS ', .'EFRIG E RATION INSPECTION APPROVALS
O'. HER
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'WCP' 'nA.LL NCT PROCEED UNTIL THE PERMIT WILL BECOME.NULL AND VOt.p_IF_CONSTRUCTION ; 'ECTI' - i H!S CAR:
a4OVE - 0's v'(Fk .; r c ,::2 kf'.I+IV S 7 .1')II''NS :)I �.4 f: T I(: N'' '3F _I EPHONE
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TOWN OF BARNSTABLE ZONING
BA4 JV.4 /L /N PhI, E' ?'ir?EE BY-LAWS DATED FEB 1985
C'`U Lo T %34 ZONE: RC-- 1
�L.rE'V. fo 8. 8 O •N.G;1/. 4 SETBACKS
FRONT = 30'
SIDE 15'
REAR = 15'
PROPERTY LINES SHOWN HEREON WERE COMPILED
FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1446-08
AN ACTUAL SURVEY ON THE GROUND. ----- - ----- -
THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN
ON THE GROUND BY SURVEY ON MAR 22 1986 1 n
AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS .
THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1" = 20' MARCH 22 1986
SHOULD NOT BE USED FOR ANY OTHER PURPOSE.
BSC / CAPE COD SURVEY CONSULTANTS
3261 MAIN STREET
D TE POWES'(S'�IONAAO VEYOR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133
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OF M4s�q�ti
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RYLL
�J No. 32448 Q
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TOWN OF BARNSTABLE ZONING
23/4 IV.4 /L /IV Plt le -r,42EE BY-LAWS DATED FEB 1985
ZONE: RC- 1
�L74S V Co a- a O ./V.G:v o SETBACKS
FRONT = 30'
SIDE = 15'
REAR = 15'
PROPERTY LINES SHOWN HEREON WERE COMPILED
FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1446-08
AN ACTUAL SURVEY ON THE GROUND. --- -THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN
ON THE GROUND BY SURVEY ON MAR 22 1986 in
AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS .
THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1" = 20' MARCH .22 1986
SHOULD NOT BE USED FOR ANY OTHER PURPOSE. -. ,ec✓ �'zs-�`
BSC / CAPE COD SURVEY CONSULTANTS
3261 MAIN STREET
DATE PRO ESSIONAL LAND VEYOR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133 ,
i