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HomeMy WebLinkAbout0051 WAYLAND ROAD�S/ �/V�Ar/9ND R R / �. - - - Il - - Town of Barnstable *Permit# 7, ®&V Expires 6 months from issue date ]regulatory Services Fee Z Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building CommissionerX� E PERMIT.... 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us JUN 13 .2006 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF �.ARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number i Property Address `+ nIn 1 S . esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Yl f J D II 1 R ► Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) "Or 's Compensation Insurance Check one: ❑ I am a sole proprietor ❑. the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Qp emplacement Windows. U-Value35— (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope er mast ign roperty Owner Letter of Permission. Ho a Im I= o ctors License is required. SIGNATURE: QTorms:expmtrg Revise071405 I -nuuucnH THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA,INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIt7E0 IN THE ATTN:BRENDA BOOKER (404)995-2594 POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE MAMA MCCLURE(404)995-3206 OR AFFO"oCe BY THE PouclF.s DESCRIBED HEREIN. ' TANI)ROUSE(404)995-3430 FAX(404)760-5663 3475 PIEDMONT ROAD,SUITE 1200 COflAPAAIIES AFFORDING COVERAGE ATLANTA,GA 30305 CCMPANY ;r,492 IPUSA-GWA-03/04 4 STEADFASiT INSURANCE COMP.-N\1" I COMPANY THD AT-HOME Z:2PVICES INC. ! 8 ZUR:CH AiMERICA.i&; URANCE CI `•?PAI�IY 06A THE HOME:.E°OTAT-HC:I,IE SERVICES,INC. - — — HOMEDE:'CTUS:=,.. 1NC. CCMFw. 2455 PACES-E*<.Y ROAD N',`! C ME4`• "AbIFSH!RE'N3 COMPANY BUILDING _ ATLANTA.GA 3C's?-) ZOVc"R:GES This certi .ate supersedes and replaces any pre%o,LISly issued c eriificate`cr the clicy` ti F• /R THE.�r .::rf below.: 3. TF11; S TO CERTIFY TFW. CLICIES OF MSi.RANGE DESCRIBED HEREIN"AVE BEEN ISSL£D TO THE iMa�saED NAME-1 HEAErN FOR THE PERIOD INGCA'E„NC-.VITHSTANDING ANY RE:UIREMENT.TERM OR CONDITION OF ANY CONTRACT Or:OTHER DOCUMENT WITH RESPECT TO WHICH THE'CERTIFICAT=.MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATF LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO .TR TYPE OF INSURANCE POLICY NUMRGA POLICY EFFECTIVE POLICY EXPIRATION DATE(MMIODIYY) .DATE(MMIDDrYY) LIMITS q GENERAL UABILITY IPR 3757 608-01 03/01/06 03/01/07 GENERAL AGGREGATE $_ 4,OOC1 OI X COMMERCIAL GENERAL LUIBILITY 'LIMITS OF POLICY ARE EXCESS' PRODUCTS AGGREGAT-COMP/OP E $ t CLAIMS MADE 0 OCCUR 'OF SIR:$1.000,000 PER OCC° _ PERSONAL 8 ADV WJURY $ OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE FIRE DAMAGE' An ono fire) $MED EXP(A one person) $3 AUTOMOBILE LIABILITY BAP 2938863-03 AOS 03/01/06 03/01- 7 X COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS t (Per person) HIRED AUTOS BODILY INJURY V NON-OWNED AUTOS BODILY INJURY $ X ELF-INSURED AUTO HYSICAL DAMAGE PROPERTY DAMAGE $ GARAGE UADIUTY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM $ WORKERS FLIA LIABILITY ANo 6610998(AZ,ID,MD,VA) 03/01/06 03/01/07 X ^ EMPLOYERS'LIABILITY 70RYLiMiTS ER _ 6610995(AOS) 03/01/06 03/01/07 EL EACH ACCIDENT $ 1,000,00 THE PROPRIETOR/ X INCL 6611326(ORJ 03/01/O6 03/01/07 EL DISEASE POLICY lmt1T $ 1.000,00 PaarNERSIEXECtmVE 6610999 NY,WI OFFICERS ARE: EXCL ( ) 63/01/06 03/01/07 EL DISEASE-EACH EMPLOYEE $ 1,000,001 0 H WORKERS s.4 COMPENSATION CONTINUED 6610997(FL) 03/01/06 03/01/07 6610996(CA) 03/01/06 03/01/07 1ESCRIPTION OF OPPRATIONSILOCATIONiM—HICLES/SPECIAL ITEMS ERTIFICA7ENt1LDEt$ M t h s '.yti S l H aTxr fG�PICEk.t,OTIQ[) sy ( SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELVED BEFORE THE EXPIRATION DATE TWAE01 THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL__3a DAYS WRITTEN NOTICE TO TH FOR INSURANCE PURPOSES ONLY CERTIFICATE HOLDER NAMED HER£1114 OUT FAILURE To MAIL SUCH NOTICE SHALL IMPOSE NO 09UOATIOH O • UAS LIY OF ANY KIND UPON THE INSURER AFFOROWG COVERAGE,ITS AGENTS OR REPRESENTATIVES,OR TH ISSUER OF THIS CERTPICATE. - MARSH USA INC. ev Walter GII4trap L� Cm Nd d .•f .. ....,.. r IApCud ENERGY PERFORMANCE RATINGS U-Factor(U.SJI-P) Solar Heat Gain Coefficient ADDITIONAL PERFORMANCE RATINGS Visible Transmittance %1_% Maw(aeOw3upwgiesthattheserdtlngsconf aappltca6leNFRCpmcedurasfordetertnlNngwhole product performance. ilc rallnps am debrmined bra flied set of emimmnerrW cwndidens and a swiffe product size.Consult manufacturers Iltemtura for other product perfomance Informatlon. www.nhcorg ., :f, Ur._C fmacgy �ta� • CHUf Ce1 J..• b'Jlith 1:�t1Y.l:di: sauces*rr.O •D Cli'dc'.'L !t: _' '.i ±ii5'_i; i..,,... 4-k:J U/�e {jammaa,uuea�l! o�'.,/�aaa�c%uaetld 66� L'gard of Burtdirlg Rc�ulatium alit(Si1nd ,il,. , HOME IMPROVEME-NT CON'rPACTC}it' Registration: 126893 Expiration: 813/2006 Type: Supplement rard I THE Home Depot At-Home Servic ! i RICHARD FALLONE 3'LGO CCBB GALLERIP•PKWY x20 ice: .. - •:r7t'''� ALTANTA,GA 30339 Admini�tratar f PvafTNe, �o Town of Barnstable Regulatory Services vMA Thomas F.Geiler,Director prfD �. Building Division. Tom Perry, Bwlding Commissioner 200 Main Street, liyannis,MA 02601 www.town.b arnstabl e.maxs ffice: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, 6 to ,as.Owner of the subject property hereby authorize �1�y-► .�_ to act on my behalf, in all matters relative to work authorized by this building permit application for. ON (Address of ) Signature of Owner Da Print Name Q:F0RMS:0WN1RPERMBS10N Department oflndustrial Accidents Office ofInvestigadons 600 Washington Street Boston, MA 02111 www.massgov/dia' Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lealbly Name Pudaesslorganizatioa/Individuq_ 1 0f. ,l Address: City/statolzip: 3D339PhMe M h,--g!'7 _xi—IS2 Are you an employer? Check the-appropriate boa; Type of project'(required): 1,❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (fall and/or part time)* have hired the sub-contractors Remodel 2.❑ I am a sole proprietor or patter- listed on the attached sheet t 7. ❑ g ship and have no employees 'These sub-contractors have & ❑ Demolition working for mein any capacity.. workers' comp,insurance, 9. ❑ Bu:ildlng addition [No workers'Comp,insarance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of eaemptioa per MGL ME] Pbambiag repairs or additions 3 elf.[No workers' comp, c. 152,§1(4), and we have no 12.[1Roof repairs insurance required.]t . eraployeca.[No workers' 13,❑ Other comp.insurance ragnired.j *Any applicant that cbedm box#1 mutt also fin out the section below ahowiag thtir worl=,oomp='Mtl a policyin£ormati t H=eownen wbo submit this affidavit indicating they art doing eM work andt'hen hire outride contractors saust submit a new affidavit iudicating such tctm tactm that check ibis boa must attached an additional sheet thawing the name of the nab-ecab&eWn sad their wor3 Me comp,poucy is formeation. ram an employer that is providing workers'compensation insurance for.my employees: Below is the policy and,fob site 'Information. Inki rl cd Company Name: 1 r----_ Policy Mar Swim.Lic.r Bay: lob Site Address: �y/sip: J Attach a copy of the workers' co enszdon policy declaration page(showing the policy number and expiration date). Fare to securc-coverage as required undei Section 25A of MGL c. 15.2 trmIead to the imposition of criminalpenalties of a fine up to$1,500,90 and/or one-year imprisonment;as well as cirZ penalties in the•forrn of a STOP WORK ORDER and a fine of tip to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby eerh;fy u r th p ns a e ties of perjury that the information provided above is true and correct i tine: Date: !� �-v ctafi�fi3i t7 $ £ t i we's,fe&'C I b'C4 8?*M x-id City or Town: Perndtfi,icrose# I Isssu g Authority (circle one): 1.Boprd of Health 2.Building Department 3.City/Town Clerk a.Electrical inspector 5.Plumbing Inspector j l b.Qther j Coa+�actPersov: Phone#: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map— . '_4 7 1 2� °Parcel Permit# �4ea Division , 2 Z� Z Z �— Date Issued G 0onservation Division. F 3, 54-iro:3 Application Fee 77 a- ollector 0 Permit fee �'O A 00 reasurer 9 0 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis A" zAA Project Street Address W A� WEI Village Hi *-*✓-)t S Owner I+F Nkl Address Telephone f Permit Request D E C"t- 20 �p c.�p . rr t_S t•-t-�S Square feet: 1st floor: existing 2_"7 00proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7 t 006 Construction Type Lot Size 1/ 3 C rt r Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. z F� Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure LO C." S Historic House: ❑Yes ro On Old Kin s'Hi hwa : Yes o Basement Type: Cull ❑Crawl ❑Walkout ❑Otherco C-11 Z Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2_ new Half: existing :pew co Number of Bedrooms: existing_ new Total Room Count(not including baths): existing Q/ new First Floor Room Count Heat Type and Fuel: )dGas ❑Oil ❑ Electric ❑Other Central Air: tUlYes ❑.No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:❑existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes ❑No If yes,site plan review# Current Use Proposed Use L� Co co BUILDER INFORMATION � va Name � CPA`) �"� L-4 Telephone Number �'o� " �� � -v r i> � r Address °-I w y L 20 License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE E� DATE 5�2�(03 ' FOR OFFICIAL USE ONLY a PERMIT NO. DATE ISSUED MAP J PARCEL•NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I Q _-- The Commonwealth of Massachusetts a Department of Industrial Accidents Office oflocest�gat�oos _ 600 Washington Sheet - Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name location: Li �.i�`l t- � �'✓, city k��,r/yJL S •/�n t9- phone# 3"•0�P- )).f �1`t j a� I am a homeowner performing all work myself. I am a sole rietor and have no one workii in ca achy rove workers c oensation fo rmyemployee s working on this job. ................................,.::::::::::::::::::.::.:::::,::::::::::::::..:�::::: :::.: :. ;: :.>;:.;;>}:.:.:.:;:<::::<:»::::«::<::<:>:<><::<>: •"8aei' ?<;i<;'.iyiiia:.<:%Yi2i?>i'Y2i':%:is>; >:`::'" :.: ::•, ,,,;i';j:'<:`:i. '?ii`'i i;?<;3i i;i;< ,::';:;•;::;;;:ii; S:::;:a;::;i':: com ::::.::.::.::::.:::.:::..:::•:.:..:.:.::..:::::.::.::.::.;:.::.w:;::.: .. one. X. "'`!#jat2%R` tGXX ` % <?' ai>'[t[ '22> i.......... ` >;<`'< « <'<<`: <':>>::;> `>>:,>::<>>11 < :> '? %.`''<`;:>::.;: ::Ql� ��risuran ❑ 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; . g ......................... :com an n .................................. ..............:......::::.:::.....;.;:.:...:.:....::.......... ................. .............................................................. ...................... ..:a•:.k•:..•:::: .........................:•v::::::::::::::::::::::::::::+.F:4i:i:4: ::::::.�:::::::. ..............................:::::::::v............v........................::::,:.:.::v.:................... N. iiY:L4}iiii:�iii?i:�iiiiii}i}i}}}:;:};:$•ii}ii'i: 'y••j:;:;:;;?;i{:::?jj};:....i:;: j{;:;:;i:;:y;:;isjii:iii`?$::iii:F:^:{vii:{::}}:{v j{is}:•i::;N}}::•?:•.}•.:}:•}}:{•i ::ii:••i?isi`v:i%:+i ?;}i+: i:{}:ii}ii:v:•:{•i?T:?:i::t:.+i::ii'i::.:v:}Ci:::::<?iiii:.....v: i.......iiii...i:S........:::.......:n;,:.:::{. ............................ ...::.:::::{{.., e,':iFv.:. city =<.�•::.;:.> �.. <> w�, hstlrance .......... adtiressr :.:...:: `on`h 0117111117111111111110111, i' LL` 1f 'riiaan FWhue to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal 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 Oice of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is trace and coded Signature �— (A— Date Print name tA^ 11 r,-ujvtT Phone# IN offidal use only do not write in this area to be completed by city or town ofddal city or town: permit/license# QBuIlding Department ❑Licensing Board MMM ❑duckif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; -' ❑Other artuad 9195 PUS r, 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 .=a 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 you have any questions regarding the'law"or if you ' policy, lease call the Department at the number listed below. are required to obtain a workers compensation po cy,p ep 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 permittlicense 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 UMco of lovesilgatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 P�ofTHE,°�,ti Town of Barnstable Regulatory Services saxxsTA8 , ' nr,�ss. Thomas F.Geller,Director MA'S � Building Division Tom Perry,Building Commissioner 200 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. Type.of Work: back C S((y L(&I S , boo Estimated Cost 7 r d o Address of Work: L1 ( tj #6,4. L AA a i) Owner's Name: f` Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 RBuilding 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 agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name ` The Town 0A Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 office: 508-862-4038 Fax: 508-790-6230 HOMMOVMR LICENSE EXEMPTION / Please Print DATE: S� 21�1 a JOB LOCATION: t{ W 6:!j L IttiD IL40 ��`� �`'✓`��S number street village "HOMEOWNER": /L`2 dti l-4Fwt 11— name home phone# •work phone# CURRENT MA-=G 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. c� 4'. Signature oi`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 respormbilities of a Supervisor. On the last page of this issue is a o� 10 /�11 d� u9 r--IA CZ (o 1���Ki � CPR02� op� CZ X/® Tor ST A - © �� O N o� �n u � y I u.)A4f�-' IOU qo S Town of Barnstable *Permit# v.P Expires 6 months from.issue date EAMAN ABLE s ©° Regulatory Services Fee 9Q� t6S 1op3 Thomas F.Geiler,Director ��gg�� Building Division !� B�R�S��'Tom Perry, Building CommissionerSo VVN OF 200 Main Street, Hyannis,MA 02601 A Office: 508-80038 Fax: 508-790-6230 l )WIV EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY 13M 37. Not Valid without Red&Press Imprint 8LF � Map/parcel Number - 2-212. 31 �'1 1rt y G n fL� N,1 W��5 �4 o z160 1 Property Address Value of WorkZ s�� Residential _ Owner's Name&Address i4 �_ S 4AAA- OS f}d ovI Contractor's Name Telephone Number 5 of^ -7 76 ` d Lcl.616 Home Improvement Contractor License#(if applicable) `5� 7 _i; - 02 Construction Supervisor's License#(if applicable) R � ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor (� I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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. U-Value (maximum.44) ❑ Other(specify) *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. Signature Q:Forms:expmtrg Revised121901 — 1 ,i �oF'ME rq Town of Barnsta a *Permit#_ Expires 6 months from is ue date y Regulatory Services Fee r • * BARNSTABLE, • 21 039. ,m.° Thomas F.Geiler,Director pIFD MA'i a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS Pr - Office: 508-862-4038 Fax: 508-790-6230 APR 1 1 LUU3 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint TOWN OF BARNS � ... ..... Map/parcel Number ] Z Property Address Residential Value of Work s, D 0 Owner's Name&Address "� N ti �"} Tele hone Number s�S'7 IS �Z429 k-ontractor's Name P tHome Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) e-roof stri in Id shin PP( g les) nstruction debris will be taken to e-roo ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *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. Signature y t,= Q:Forms:expmtrg Revised121901 Assessor's v..a and lot number . .� � w Sewage .Permit number .......! d� y� // Z 33A"STA.ELE, Housenumber ..... .(..../,w. .................................................. y NAea pp 1639. \e� MAY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... 3.2 T)W kl I %r,r TYPE OF CONSTRUCTION ...... 1!� ...o.d F.ram43... ....... ...................................................................................................... .........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location LOG _.......!.... �tti.tf �....z.... ......... ... :�................................... ProposedUse ............................................................................................................................................................................. Zoning District ..R.t.B!:...........................................................Fire District ...k:Vsi.XlnL 3 ................................................................... Name of Owner Capricorn RE'a1ty 2rU8 Address �?:_.T�?lmou;th Road,„Hyann s ............... ...... ........... :'X!! nco Read E0ta-�Q Dp:y C� "� F tl, i Name, of Buiader .............................................r......:...............Address mc��ya�l LTtranr,i Inc. • . . ......... . . . ......... ... „ ......................... Nameof Architect ................................... ..............................Address .................................................................................... Number of Rooms Sim .Foundation PA.C.m Exterior Clapboard and/or hinles Roofing Asphalt Shinzles ................I............................... ..................................................................................... Floors ......C...s....pet ie��x� C� . ......................................................................Interior................. ................................................... HeatingC". .... ...1. . .....................................................Plumbin .......i4 U..... CE�UU r . .."kit g Fireplace .......NPV ................................................................Approximate Cost ......s`�i�t(1�.( Q ................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ..146 SC'.......ft• ....... . ............... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH P l 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. .� G Name ..................................................... '7 3 � CAPRICORN REALTY TRUST A=271-231 24470 One Story No,.a.............. Permit for .................................... Single. Family Dwelling ........ ....................... All Location .Lot,., 2Q.,_ Wayland Road Hyannis ............................................................................... Owner .........Cpri.corn Realty Trust Type of Construction .,Frame ........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .......October 18, 19 82 Date of Inspection ....................................19 ' Date Completed ......................................19 t t „•'`”` TOWN OF BARNSTABLE Permit No. -------2447 _ Building Inspector NAWMA ■ Cash ----------------------- 1639 OCCUPANCY PERMIT Bond Issued to Caj ricom Realty Trust Address lot r20 41 Wayland Road, Hyami.s , Wiring Inspector Inspection date Plumbing Inspecto 4 /� `I _ Inspection date Gas Inspector Inspection date rt Engineering Department` t �� �"} �r r� �e<1 Inspection date/ vBoard of Health. �1� Inspection date /I 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. / ;2.3 �e l g -2- t.���Grs. ,�.. Building Inspector R A sessor's map, and lot number ..... . � 7/_�•:3 1i' �'.. �.� .....� 1 SEPTIC INSTALLED 5yyggTyyEya(�pMppUgi�`J`�� ��OFTNETO� .Sewage Permit number ...... ........ .. .......................:. WITH TITLE 5 t BABBSTABLE, House number ...... ENVIRONMENTAL COO soo.#i"�9 � p� t6 9 TOWN' OF BA-ANSTABLE l BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....,Construct Single„Family..Dwelling Wood Frame TYPEOF CONSTRUCTION ...................................... .. ....... .. ......................:......................................................... t / .............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...L�.t...#... ....114/ 1! .a4.- .. .....................................Hyannis.,... ................................... ProposedUse .....................................................:.............................................................................................I......................... Zoning District ..R.B.'............................................................Fire District ..Hy ann.is......................................................... Name of Owner Capricorn Realty Trust ••Address .Z§6 Falmouth Road H�rannis Name of BuilderFranco Real Estate Dev. Co•Address .26.5...�AIAO.Utb...13.oad"...Byp�imis.............. Inc. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ....SIX......................................................Foundation ...P.•C.................................................................. Exterior .Clapboard and�or ................Roofing ...Asphalt Shingle .................... s .... Floors Carpet Sheetrock ...................................................................................................................................Interior ................................. HeafingGas--�F .W...................... ................. ....... ..... ...Plumbing .:..."Two...-...c4P.Per... .:.......:.... Fireplace .......Npne.................................................................Approximate Cost ......W.,.Q 0.0................................... Definitive Plan Approved by Planning Board --------------------------------19________. Area 10•5.6••q ....ft•.•.._,••_. Diagram of Lot and Building with Dimensions P � g g Fee ..............�,.../.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OAJa ` v s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS- 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . . ..... . .. 6ev 2;-"104� CAPRICORN REALTY TRUST 41. 24470 One Story No" ................. Permit for .................................... . ......S, .i n.9.1 e...Fa.mi.ly Dwell .... .... ..... .... .. T............. ............... I�W—Wayland Road Location Jigt....#.ZQ.. ......... ........................ ................ .. .............................. .................. Capricorn Owner ... ..Realty Trust ....................................................................... Type of Cstruction ...)�r Construction .ame.......................... ................................................................................ Plot ............................. Lot ................................. Permit Granted ........................................October 18, 8219 Date of Inspection ....................................19 1 Date Completed ..... -- 20 ,j2 oAD v 00 co 00 1 nQ �- p F � Q m o, Q LoT 2 0 7 tz7- lj ; 9 11�OF O N CERTIFIED PLOT PLAN oo,��a�'o� L cn7 L — w/-VY LA r�D ZO A D 4ao su��y .NEW CONSTRUCTION ONLY $ IN TOP OF FOUNDATION , FEET ABOVE LOW POINT OF ADJACENT .� �� � � �1 • ROAD. SCALE, ( � _ DATE , io/isI82 L® GE ENGIN co.TN CLIENT I -�-- I CERTIFY THAT THE F �A-nol.► `� SHOWN ON THIS PLAN IS LOCATED EOISTERED REGISTERED JOB NO. 8�.� ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.BY, OF BARNSTA 1 , MISS. 712 MAI N 'STRE.E.T C ii.SYa ". I6 8rL H YA N R I S, MASS., SHEET .OF I dAtE G. LAND SURVEYOR