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HomeMy WebLinkAbout0074 WAYLAND ROAD l �A.��QnC.� �G�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map °`'�1 Parcel I I Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee I Date Definitive Plan Approved by Planning Board -e- rh PP Oft. Historic - OKH _ Preservation/ Hyannis Np,iC J Project Street Address LJ f;UP 160 n f Village Owner ken 1�U Tn-t Address 7 q Gc)A,! arnd Telephone -7 9- 1 ZSy 5-yi Permit Request 6 ab) g a uffil ,y /G c& r rAA&a t;o) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation / D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing Enew . Number of Bedrooms: existing _new - Total Room Count (not including baths): existing new First Floor Doom Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/"oal stover, ❑Y, s ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review,# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name K)ovoLL-icS Conan tCr��klff�LAZ Telephone Number S'4g- ? ai C 9-1) Address License # d W 0 �� la -,S.�7 Home Improvement Contractor# 182d £�� S''24'17 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 10 ' 14 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE I' OWNER f a DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachuselts Deparhnent of Industrial Accidents Office of Investigations IF 600 Washington.Street Boston,MA 02111 ivivtu amass govldia Workers'Compensation Insurance affidavit:Builders/Contractors/BlectriciausiPlumbei-s ARplicant Information .Please:Print Le 'blv Name(Fat>siaesslOrganizatiau�7ndidQa1} f il7 Co(l c Ch r e S (�oco c/L Address: Mp O LA> tA3-2s'F 1a City/Statetbp: 0 -C-�24;VJDL) o 1 S 3te Phone Are you an employer?Check the appropriate box: Type.of project(required): 1.0 I am a employer with 4. 0 I am a general contractor and employees(full.and/or part-Lime). s have hired the sub-contractors 6_ �New.construction 2._21am a sole proprietor orpartner- listed on the attached sheet. 7. 0 Remodeling . ship and have no employees These sub-contractors have S_ Q Demolition working for me in any capacity: employees and have workers 9. Building addition (NoivorlcesF comp:insurance comp.tnsurance:- 1Q.❑Electrical r or additions requiredA 5. 0 We are a corporation and its repairs 3.[1 I am a homeowner doing all work officers have exercised their 1.1 C]Plumbing repairs or additions myself o workeo' _ right of exemption per NLGL insurance �d I c. 152,§1(4),andwehaveno 12,❑Roofrepairs ins employees.[No workers' 13.0 Other comp.insurance required_] 'Any applic=that checks bu M.must also fill am the section below showing their waiters'compensatica polio information. I Homeotvmers wbo submit this af5da it indicating they are doing all-Work end then hoe owe contractors must submit anew atlydseit indicating sail- �Cantiacmrs that check this boa must attached an additional sheet showing the.n2ma of the sub-connmctars and sure whether or not those entities have empe�toytes�.It the sablowmaors bxm employ-eq th"must provide their workers'cotap policy number_ I ant an employer that is providing workers'contpensatiott ittsttrance forniy eniplojiees� Below is the policy and jolt site infot'nfatiolt. Insurance Company Name; Policy r or Self-ins..Lie. Expiration Date Job Site Address: City/State/Zip.. Attach a copy of the workers'compensation policy declaration page.(showing the policy number and expiration date). Failure to secure coverage as require 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 sae-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be.forwarded to the-Office.of Investigations of the DIA for insurance coverage verification. I do hereby a@rti ni�apa and:penalties of perjury that the in forneation provided above is trite and correct Si ture:: Date: hVr-01 16 2o)Lo Phone>z Gffl d use only. {Do not ivrite in this area,to be completed by city or imm official, City or Town: Permittl icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector ra.Plumbing Inspector 6.Other Contact Person: Phone#: Of iNE BARrMABM MAM 1 �,0 Town of Barnstable Regulatory Services Richard V.Scali,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 1, VP—r\ fEl1�, , as Owner of the subject property hereby authorize 0-'k A rI MA l 2 .Dr to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) �Iu Signature ner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 U Massachusetts-Department of Public Safety Board of Building Regulations and Standards ,1.1111\LI U1:111111 JU ILt1 v11111 License: CS-040836 tik.Tl'.4 - CHARLES F AD ,,.. 116 OLD WESTBOR� ¢ N GRAFTONAl Mtf Ol rb Expiration Commissioner 05/15/2017 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of Gll4-110sed space. Failure to possess a current edition of1he Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS f ,t� �e�panvmorccueal,C�a�� /�Cze�aefivaeG�a , �\ Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration: 182084 Type: Expiration`= Individual � 1 CHARLES ADCOCiE-_?" CHARLES ADCOC L7 116 OLD WESTBOROt • N GRAFTON,-MA 01536 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 �'— Not valid without signature i 137 ' fit I L 26 1'j 36 33 24 , „ _ ,.76�� ,. _.. 26 15 3 `21 it 3 6' ER1 3 W3333BU7r WA2433L' N A WR3615BU7i B21 R E - w 14 ~ o FIT C.0 EG)=, w o � { o oq w corn O p C O - m N bZAAHS l0 D w A A W - E£LZM ICU 4 CZ MA w 9 6 Z- lic 119 r , s a � �J z a tY'u � t� as� r s' /�ff�1•"`r'T s� �`a,,s w x sty�Yet >r.6F �.� y 'k... r �3 J" �.. ..rw�� :'4Ad' �"'�..�' a: '�§�� .�c� �+ror �" ,E i. ��� �, "�:"� ,� �� •r�e�`1��:+ Ji' I :. �, : lhi �I�'iu7 fly Tu s ���_, .I _ •�, •'�.,'•� �: P '� � t �x �,, !� �;;� a- r ,+ .., r".: h;, :; �, k t ' ��h,, ,�F2 jf : '� i .: . �Yaks t�• tw ,r� u , � - �` s -Y t-.>t �, Fx s e�� - r WJ �' f 4 1��h �Fa:;�a rw.. � .r ✓{a�7.'� �7 t'�b � £ v �;:.s 4 ._! d , ��� .,.E 1,,g 1 } � ti ;Y d 4, � " sym � .w.-�`'�`"�,Na• ` "`Fr`+�i.�+ ('�1 � ,� o�� g I �"ru>r, �'�" � r �� � �,.�. � ,•.. � '�9�� '��'� r�' � r �`..�r ° `�k�raary N� ,� `ry�i,�"'" ,1 ' M } a➢h ;: • u�, r A� � .t• r ��u' m y�i � �.�us�a' P � .° t�.i I fs �,www""'' •�" d',u.,;�,yv nn;.. ����� �, t ,yw $ 'a� °#+' .wrt� Y C. ° h 7F k�,� cm�f �>;K• 7 3 vw�"»� '. �t � .:}.. ¢ x d i Py{. Nis"#:� ,`, do q �sr�,i;:w .• '�° ,,'�:�"F '�+,'g" s" ��AFsa� a '� t>eya ��ls >< •° ",r�:'� ;',�'� rya AI"k''4F Py it '�"�„ �: -^^,;.w�f t :.-.. �J v" ,*�..� ��,��^ >n �'& � ��.wr".�a.,,�',t x a:$, �"��rq .•�'�c.:, .Sa� ;"�"'�r,�.�"�^', �' ".,:;. "�°�"'n u. ". .� �.,.. .l �� r,K � ?�.l•.. `' TO � OF BAP,NS,AZ INSULATION OR 16 AM, 2 ' FIYOY OIAlS- S[AMlLSl foYAf FOAM lYSI[NDSD TARS DIFRSYS WSU[AFIDN GIVING$ - 1-800-696-6611 DTVj . Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 r Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did.this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BP-I) inspector..All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village, Mallet fiellNrcC BDuAk- 7`l 11�14^II( ; M/Almlf Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings X) Slopes lRry/A� (K) _ ( ) ° ... ( i9 ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ;OV Sincerely He ty I✓ Cas y Jr, President C:• e Cod I 1 ulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel vV Application #_c4?®/360 Of Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Stree Address ' Village � Owner ) ��( Address Telephone Permit Request "k kn kwa � — edeal . e If Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a�' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including'bath,): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No..= v Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ ing ❑ ew S2e_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: `n Zoning Board of Appeals Au orization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # .� __. Current-Use __ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) N m �%a� I Tele hone NumberO?'� 7 Z a e _f p q f� AddresDs 3 "gad v�e-, LicenseAtnwu Home Improvement Contractor#W/ Worker's Compensation # �� Z 5�90 j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WI BE TAKEN TO SIGNATURE DATE /7ih tr - fi !> FOR OFFICIAL USE ONLY C 'r APPLICATION# DATE ISSUED MAP/PARCEL NO. F ADDRESS VILLAGE OWNER { DATE OF INSPECTION: r _ FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 1 r FINAL BUILDING Yp DATE CLOSED OUT ASSOCIATION PLAN NO. 1 • s Massachusetts- Department of Public Safety Board of BuiRling Regulations and Standards', Construction Supervisor License Licen . CSo 100988 rs. . ENRY CASSIDY . 8 SHED ROW WEST 1¢ARMOUTH, MA 02673 c Expiration: 11/11/2013 P ('u uuu is�iuocr Tr#: 7620 .� CJ��recv2� znz� C�AK67j4aCXwj' e1' - �� Office of Consumer Affairs and Business Regulation --- - 10 Park Plaza - Suite 5170 w _Saae Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2t14 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE ---- -- - — -- - -- SO. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. Address Renewal F Employment L_l Lost Card SCA 1 ej 20M-05111 C s er Affairs Business Regulation ccse� License or registration valid for individul use only�.\. Office of Consumer Affairs& Business 12egulation g Y OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 153567 Type: Office of Consumer Affairs and Business Regulation xpiration: 1211`5/2014 Private Corporation 10 Park Plaza-,Suite 5170 �U> t',, Boston,MA 02116 CAPE COD INSULATION INC HENRY CASSIDY 18 REARDON CIRCLE S0.YARMOUTH,MA 02664 Undersecretary f Val* witho t t/re PrintForrn The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 6 Q Address: ICY &Moic tit ICU�j City/State/Zip: (4vatulMA' Phone #: J✓D�- 7 fZ I Are you an employer? Check t e appropriate box: Type of project(required): l. I am a employer with M 4. 1 am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ t am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling . ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance. 9. Building addition required.] 5. We are a corporation and its 10.[:1 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof ree/a'hrs � Tl insurance required.] T c. 152, §1(4), and we have no 13. Other V`�ea �Z( O employees. [No workers' KI comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not 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: koh, Policy#or Self-ins. Lic. #: WGA O0,55 2&.5 q 0 1 Expiration Date: Job Site Address: fit City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer �n`�#er the ains nd enalties of er'ury that the in ormation provided above is true and correct. Signature: Date: Z 1 Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 0 U') I'. CllentiF:4597 CCINSUL ACORD., CERTIFICATE OF LJ BILITY INSURANCE DA,Etmn„lt„Y;,Y;. - THIS CERTI1=Ic,AIk: 13 Imo;-UE0 An A MATTER OF IN FORMA]ILIN UNLY AND CONFERS NO RIGHT�u UPONTIiG CERTIFICATE HOLDER. CERTIFICATE DOES NO-I'AHFIRMATIVELY 014 NEGATIVELY AIVI3.ND,EXTEND OR ALTER'rHE COVLRAGE AFFORDED UY TI-lL POLICIES ktkLOW,-11-II6 CERI'IFICATL OF INSURANCE DOES NOT CONS I a tE ACONTRACT BETWEEN]'HE lv*lW1N(a INSURE;R(5),AUTt1GRI4LD REPRE,kVNI-A'I'I VF_' OR PRODUCER, AND THE CERTIFICATE IIQLL);R, IPo'.PORTANT Ir fho L:ertlf(Cato hulLtar ie an AbOITIONAL INaUtil O.Ihr(,uliCy(ieS 1IIIUSI be enclorS ci.II'IG SUF]ROGATIQN 1:1 WAIVED Sulllut:l Ic IIIIJ 4111CI Lt11llUUQII`J, Ur tiic poll Cy,Corwin pollclea play luyni�.�,ull gl1(IDrptllllgllL.A Fit,JOLIIel11 011 trlI,CL�II11'IL:U(f` ro IIL,t',r Ilul CUI,ICI (IUIIIS lu Illc I:ul.tlllc�la 1141L1Ler ill In`U (II tiU4t1 CIIC1UI94'I11CIlI(9}, ':u I uu c 1.a ..-•-• ----- Rutilta:i & Car;ty In:i. -Su. Unrnits 7N�AMFMz,r434 ROL(W I3-'t Jul.ltil Uunnlc:, MA 11;?GGU'1liU'I bull 3`JIJ-19{0 INGUNk NO)AFrURRIN4 CUVERA(W. uJSWVENA; eGflcSs It1511f6111C9 - - --- _.......... ----- __. Cape Cod (clt;ulatlnrl 1110 INSURER a:Evann)10-11 Insurance C urr31);3fly - l 's Y:irivloulh Rood wsurcRc:Atl4intic Charier Insur4incr. Ilvkll,llitj, MA 02001 '� IN9l1RFND: Qr111110f1"O lntiUfi111CC C�L1111f.1111 - - • 1 3Qj54 IIV9UIREti E: C LKI It 1C AI k NUMBER' RC.VISION NUMI.-IL-1t. Ilil iti Ic) (I ft11!\II II iJOI lc Ir Ur WT —T� RANI t LIST ro uu.;Iv HAVE LIEEN ISSUED To I lit INSURED NAMCD AL-IOVE I-OR THE i c)LILI PLtt10l, 't'It.• It:I; I`lc)1WI11 S)I'ANDINu ikNY Rl_QUIRCNRtNT, TEJ fkj OR CONI:n'lOrI OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPl_CT Ta WHICH Ilia IrKIIhIGAIG. MAYESL I;SO(;D OR MAY PERTAIN, T'HE INSURANCE to r01fOk0 aY THE P01-ICICS DESCRIBED HEREIN IS SUL)JECT ro At..t. 111E c:'LCtl/SIGNS AND CONDIVIONS OF SUCH POLICIES. LIMITS SHpwN I,'I,n1'N,iVa PEEN REDUCED BY PAID CLAIMS. Yr;OF NyUHAWGtAyO wO) POLICrr NUn+�H1 —PQ ICY EFF GLNEIvI,LNcl .;r' MMIDDJYYYI CP9263083A101120'12 2M511201� _. EAal OCCURRIENCE h•1 (100 000 xl(;t1mM11L'Nl U1L Gl_NtrIAL LIABILITY brzekl`'r1 Er1lea l6- rina,r,� a1-_ 8:'I lll.l Illlll L:LAIM5�A4ADr �_xl occur; NIEo F.ht°(Any onto ua aural h 0 1 0 .._._.._.___------ PFRBUrIAI.6 AUV INIUhY vi 000 UUU • ...__._____—._...._._._.._._.___ c1En�1:ALAc+l:3ac;ciAlh �2,000,UUa 1-l'L AIA�IILUAIL:L.IM11 APPLI4ILI PPH: ---^_ -_ ..----'--'---..-- PRODUCTS AG y1 aUll 1111t1 Vol ICY LOG 'l2MM8CKVN;n 410 I 2o12 Ua1011:101. OhIIJI EDSINGLCIJkIIlT -- I 000UU0 -- Na r nU I V DODILY IIJJURI'(Pcr L.:,,.,,,1 ;1, rill UW U Nt nulUJ tA AINJURYtr'a,nON-OYVNel.l -.--X rticlku Au'lL }( U F05 NROPEfLT1'LlAN1AL11, 1lyLuwaqutUL ____ .. r1 _.. cacrure XONJr153h l.� 41U'112U12 U4/U9120'1'• cncu DcculURkNcr 000 QOU MLh4p I TAU CLANIS�NIAOL - 1 J' UOU I)UU —... ._ L nIL XIn4IrrJnurlLIpUUO__-_ - .--- _.__ wuHntlx tAl onlrtNnA I IUN _......_...-- C Ar,urml+LiltEtLs Llnpulry WQAQQ5291U1 613U12012 0@3U/209r wcs'T�IH—I--j��olrl �ANYIROI4R1l L1 IA,y' L 1.1:.1-14ll1.5,L... - UFFIC: mt 411 N)I`I t/..';I C UTIVK Y I N 1 k � t�Cl`. n-�"h �(ti NIA C.L,CA00 ACC-10r;NT _. 1 UUU1000_ Ihimu,ub,ry,it Nrl) 4 C M— '1 I UUU U(I�) it:ry�,,IaoenUu wxlo, .. C.L.DISCA: ..IA G IPLOYLE-__,�'-_ ._.._..._. ._L—_..-_..._.__ I dial'NIP rtON OF C?PL]P 11QNS hcluw _ G.L.Dls�Ase•noucy Llhlrr y1 000 UUQ UrO�:flli'IIUN UI'0PI.-l(AI10N:i l LOCATIONS I VV RICLES(ALI-1,ACORU,11,,AdJitlnn,l ii�ina,lc ti�hV�ultl,II P1PItl 11PNCU lb(tl(Illli tlll) Workers COlnp Infurrrlaliurl Illcl(I/1Ucl Otflce"O pr PrPprleturs CunlrlCate tluldul is inClUd4d tlx an additional insurad undUI'L;unUral LiaOility wtloll rCJ(Iulred t)y written cuntratia or agreement, CEi't1lFICATE I101.- CANCELLATION Capra Cud IIl�ulatiu3l,inc SHOULD ANY OFTHEAaOVEQEWRIdI�QPALICIkiuE4ANGFhL1:PGl;I'()RL THE EXPIRATION DATE THEREOF, NOTICE WILL dE Ur1L1VEkE0 IN - ACCORDANCE WITH THE POLICY PROVI:310N:3. AUtMORULD RENRESL'NIATIVE q 1t10 2Din ACORD CORPORATION,All d9ll(U raaarvvl(. el,ltu ('-U1UIV5) 'I of'I I he ACORD R'.ililtl land IOUQ aril roalstorud marks of ACORD ff�H3d�i4J1Mt)38gt1 MkY 1 ��Wiest N_2L S-tmtt us Ii �4 j� rn7�,NiA 02601-,M98 Assist ce ` T �508) i 1-5400 F( 08)1 7.4 g� =on- 32Iaes _ (J�` o k at i o vJrn��dsa7�caa�xxcaL trrA HOME OWNER WEATHERi2ATlO i L OP.K PERT fIT&,FUEL RELEASE. PL ASE=OUT'-AND SIGN'I=-EOPI IF YOU ARE THE APPLICANT HOME OWNEL I Q `:t ¢ e", {z fw' s hereby consent to and agree that wc2therization.work may be done by the WeathmIIzation Program of Housing Ass��ncP Corporatton (herein after re card as ' `Agency') on the property located an act The weataerization work done will.be based on programmatic pziouties and avail-.12i y of faudiwg and it may include all or some of the following mea_snres_ Weather-stiipping&,cauilaag of windows anti doors,imndaiioa oz attics,'-sidewalls &-'basements,attic and other ventilation measures and.possibl`q replacement of badly deteiioz-ated wandows_In cons?deration of the vFeaiherization workto be done aty home I agree to The feawina 1_ I give pex=szon to the."_Agency"its.agents and exopiopees to travel onto or across said property with such egorpmenL and materials as may be necessary to perfouu with i ation work on said property_ 2._ The Housing Assistance Corporation reserves the fight to inspect the fuel or utility bill for the weatherized Twit on an ongoing basis for no more than five (5)-Ye�irs after the wea:ffici z.ation work is completed - I have read the provisions of this agreement as listed and freely give consent 112- Home Owner= (Signature) Agent. (signaxnre) Date ol.'�— � �•••• ' - _. H/3 C Q proved�W f-2tht-iza-tian Company: l L--Ua "'`� Cauber Buildiag&Rem6del� (!ECIod�Iuad Cape save'. Creswell Constracdca FrontierEaer�y S_olufi s Loh Sons Teter Smith ResoludonEn y— Rock Solid Cowfmcdon* All Ca 7nsvlafion I Assessor's map aridrlot number ; �� !�. ...... `,,, ,,.,, FT NET .......:.. Quo o� Sewage Permit number ....�A._.A.y1 .mot ................................. I = BA"STABLE, i House number .................:.........................................'.............. ' !p MASIL t p 1639. \00� ,Fi UP a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .,.Construct Sinale Famxl.v Dwellin ....................................................................... TYPE OF CONSTRUCTION ...WAAd,, Frame....................................................................................................... ..............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to 1he following information: Location Lbt J .......... S .......................e ..... ....... ProposedUse ............................................................................................................................................................................. Zoning District ..........R....B......................................................Fire District ..Hvann1S Name of Owner Ca.,ori corn Realtv,•Tru.st Address ...7Fa..5..?,..2,n�V R,na :c srr xtn.i__ Name of BuilderFr Franco Real Estate Devo Co.address ...�f��..F`��11?OUth ROad HVantl1,s L IYi s ............... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms "�]}C Foundation A P`C• Exterior Clapboard and/ar shingles ...Roofing Asphalt sh ngles Floors Carp.gt Interior ........SheetrQck ` ..................................................................... .......................................................................... r Heating C N .. F.W.A. Plumbing ......`'Nil...:'��a??t�€�Y'............................................... ............... .. ........................................ Fireplace NDno...............................................................Approximate Cost $40*©b0.QO .. ......................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .... ..1C ��... .::....ft s..... ..... I ,f Diagram of Lot and Building with Dimensions Fee J� SUBJECT TO APPROVAL OF BOARD OF HEALTH l !a s 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS *I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above - construction. Name2�,,. . . 1�kaod qg A=271-197 CAPRICORN REALTY TRUST - ) q q 24560 No ................. Permit for One..............St...o....r Y............. Single.FamilX„Dwelling,,.,,,,,,,. Location.....Lot,...#A5.c......: ..Way,land,,,Road .................. Y.annis............................................ Owner ....Ca. .r.ic.o.rn...Realt.....T.rust ........ .. ..... .... .... . .. ....... Type of Construction .... ?.fie......................... ................................................................................ Plot ............................ Lot ................................ f Permit Granted .......November 16 82 ................................19 Date of Inspection ....................................19 Date Completed ......................................19 '$r 0 /4 kN - - - ' Assessor's map and lot number .........:..... _ Sewage Permit number .... .......................:...... INSTALLED C'��*af: Pp � `�. d`�Pyo �~� Y �v 7� i : BARNSTLELE, i 1� lDI OM EA !t Housd number . 9 :!'� 1 �dQ n TITLE voo MENTAL CODE b a`...... .......................... iiT� TOWN OF' BARNSA • � f,� DUILDIHG:�r`INSPECTOR f APPLICATION FOR PERMIT TO . Construct Single. Family Dwelling „ TYPE OF CONSTRUCTION Woo.d..Frame................:.. 11 a�..............19........ A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies/for/a permit according to a following informption: Location ...Lot..#....�c��............. � ....... ..... . . -:--------Hyannis.,... ........ ..................................... ProposedUse .......................................:...................................................................................................... .B Zoning District ..........R ..........................................................Fire District Afyanni.s.......................................................... Name of owner Capricorn Realty...Trust Address ....7.6 F411Q1,1 ,,, ,Qad,,,, ya' a,s.,,, , Name of Builder Franco Real Estate Dev. Co Address ....7. Falmouth Roads Hyannis.,,..,,.,.,. Nameof Architect ..........................:.......................................Address .................................................................................... Number of Rooms 1X ................Foundation P C...................................................................... Exterior Cl...a .b.oard..and/ in . .... .....R' ........... ...... •.... ...... 00fn A ha- tshinz e.:s ...............:......................... , Floors Car .et......................................................... Interior ........SheetXQkq .....................................:............. Hea'fing �. Gas - ':UV.fl:-r - .............. .. .... ..... .....:.....................Plumbing .......` N!R...-. O�Px ..:........................................... Fireplace ............None '"'-,Approximate Cost $1•I'0 000.00 Definitive Plan Approved by Planning Board ________________________________19________. Area .......1.05.6..:sq..... Diagram of Lot and Building with_Dimensions Fee "'® A1 SUBJECT TO APPROVAL OF BOARD OF HEALTH C� Jv b� y 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 . .......... �yQ. CAPRICORN REALTY TRUST 24560 One Story ' a ............. Permit for ................................Single .... Family...Dwelling. i.ng................. .. ..... ....... .. .... ..... Location jtqt...#5 2......7.4..ny.land Rd. ...................... .................Hyannis............................................ .... .... .. .... Owner ....Capricorn Realty. .............................. ... Type of Construction ....Frame......................... .. .... .. . ................................................................................ Plot ........................... Lot ................................ 17 Permit Granted .. November 16,......................................19 82 "Date of InspefOn-'.......... 4X ..........19 .k Date Completl ...z..s:v ................19 I . "t � 1 1,3;531 S:F OR I D. )oo' w►OJT}-� 4� � ~�' -fir+ �c�1. 2o' Fool gk 4, — - A 40'1!ViA �ItO s CERTIFIED PLOT PLAN Lcs-r- 51L WA-tILA"D A-D i NEW CONSTRUCTION ONLY s . IN . TOP OF FOUNDATION IS.5-L FEE �018�a�0 � ��.��,,� � ��.�• ABOVE LOW POINT OF ADJACENT % suR� o ROAD. SCALE` ►" 3®' DATEt 19'Ael. D OG ENGI t"E' l I CERTIFY THAT THE CLIENT SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED em4, s ON THE GROUND AS INDICATED AND CIVIL LAND JO® NO. _......-.-- ,�,�,E, CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR-RY' OF BARNSTAB E , MOS. 7I2 MAIN STREET CM..oYl 2�.. .- r/09 ,4 N YA N I�I S, MASS. SHEET.. OF_!_. DATE LAND SURVEYOR ,1 p I Q/F= �-1 A L7-L.E ( —_ ----- /00.00 Lo r s 2 13537 Sa, FT TioT i G �i�•ie Rcru� 01\ �Xo rrkel.P,r �9 /-01' 57 24'± Of ssq 9 sc✓nc,nti•� to + o Rai �+ 1 ELUS n BDP-,A. 1_9 .p�No.29874�Q � _ I c�-. o:�� �.r� � Fro. ��= �oo•5 + �co ------ 99.0 • I � v Xo P �- IA�l£ .-i^(SPA c-Q 7?= S4O DO � :� j '�� p, i;.4 , E Lti iooi o WAYLAND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION Ox0 ���H.of:n,�;` EXISTING CONTOUR --- 0 ---- � FINISHED SPOT ELEVATION �� At � LOT FINISHED CONTOUR 0 0RSE No.10951 p IN APPROVED , BOARD OF HEALTH ��`�c P� ONAL AL DATE AGENT ENT SCALE, J ' - 30' DATE fLDREDGE ENGINEERING CQ IN CLIENT I CERTIFY THAT THE PROPOSED 'REGISTER'E REGISTL4tED JOB N0. 9 2o.s BUILDING SHORN ON THIS PLAN CIVIL LAND DR.BY+ CONFORMS TO THE ZONING LAWS ENGINEE�t S-URVEY R of BARNSTAS E , ASS. 712 MAI N .STREET CH. By '7 H Y A N N i S MASS. -� -- --- -----------._.._.- ' SHEETL OF 2. A E RE(3. LAND SURVEYOR /YOTE /F EI THER T//E S=PT/G ;A,1/K OrZ 20 FT- M//y. -1 ' E,4G/-1/nr, PIT ARE MORE TH.q, / /2' BELOI /O p M/N. J,-RA OE� A 24 'O/AM ET.ER CO/VCRE , T'E CO YER 4'PYC P/PE SHALL BF BROUGHT T GONCRCTE M�B/No FPITFCTH NEAYY CA ST IRO/, -G o iEI? Sy.43: C. S SE-: IEL Io S ✓E WAY i ir jA. • a I 44 2-LAYER I``{.: -0�A3T _ I ! •:; IRON P/PE b� M I Al.olrG+l GAL. • 1 • d • • • • • + 1 o e o I Rom -r.. SrEPT/C TAAO'X D/ST. ° • .6 e • d • • • • • • 1 • , ; WA SHED 57--.VIE I'.?•; BOX :.: • e 1 1 •EFfECI'/VC r� ` • � 3j 4- - � �2" Q • • e r • • p�TN • • 1 • o o WASHED STJ,,YE l!�_:[:i ••ee 1 1 • • • • • I r 4D v 4-1 I PREC,45 T SEEPAG E INNP/ST &LEVA774ONS 78. 5 x I, o 78 C�i D ° ► ' • • • • • + -P/7 CR EQU/v. /n/YERT AT Ol//LD//vG �t-1-S FT. 6 FT D/,4M. EL= `�o.S P(TCAPACtT'K E49 6/D I/YLET SEPTIC TANK q-7.3 FT, �• (U FT O/�41+f. CCSEETABUL...4T/O,V, OUTLET SEPTIC TANK 9-• 1 F� /N,(ET D/STR/BLT/GN BOX 9 --9 FT. GROUND W,47-Z R TABL E SECT/ON_OF I,1, TD/STR h"Va .ON BOX 9 . SEWAGE VISPaS'A 4 SYSTEM INLET LEACHING f-/T `���•� T - TABULATION L EACH1.,I G -=/T SCALE % _ /= D' DIMENSION A 3 FT. DES/GN CR/TER/�+4 D/ ►fE/vs/oN 8 FT, NUMBER OF BEDROOMS D/HENS/ON C 4 FT. MIIJ GARBAGE-D/SPO.SAL UNIT ��� SOIL LOG TOTAL E1T//+?ATED FLOW 3-3� GAL.1,DAY SOIL TEST #/ SO/L 7ES7-*2 SD/L. TEST NUMBER QF LfAC YI VG A/TS_ I EL AY. n S/DELG'ACH//NG PER P/T 18a f /c EL�y O/�TE OF SOIL TESTPK^ILL 2�, 1982 SQ, FT. LoAM RESULTS yv/T/VESSED BY_ jP /�I�1�� .30TTOM LF4CH/ivc- PER , 78 $Q, FT• d_iL/ &I PL`/�COLAT/O/V ,IATE= LDS TOTAL LEACH/NG AREA 2(a� SP. FT. -roF 'L AEhCOLAT/O/V RAT,=A&2 -fHAt4 RESER►�ELEAC'.'//NGAREA 2�� SQ. FT. jr 2,0 OF yr% 1. `iCt� i �E li sqc �` j: 2 - IS � i.!D Lc�T S L - WA`(LAr,i b L)c�A-D o JO N A 'r ^- - e „AAVV" S y � N}ORSE v�i Na 29874 C .o ,p No. 10951�O,y r �� EL OREDGE ENG/NEEIP/NG CO /NG. /STgE�yp? yO�Csc' cL, „p 7/2 1H,q/N Sr • HYAic1NLS, MASS, do SURVE' S�OVAL- ® CVO O/TOUNJ YNi4TEft E/V000/V7-EREp CL/ENT: r tt1Co DATE ID/14 /�j�� Q GM O UNC YvA TE.P A T EL.5v _ 11010 ND,' 8I I'=>>5 SH EET'�OF '�. •' ' TOWN OF BARNSTABLE Permit No� : ----- - 24560 ' --------------------------- i Building Inspector w:.•. Cash --------------------- OCCUPANCY PERMIT Bond --------------------_-- Issued to Capricorn Realty TrUSt: Address y»� lot #52 74 Wayland Road, 11tyannis R - Wiring Inspector Inspection date Plumbing Inspector/ /I�/'` �l Inspection date Gas Inspector '' '� n ��'s �/ J Inspection date T © Engineering Department—. lIInspection date Board of Health. �� L:t,� r-' c.r Inspection date ( ;2 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. ....................................................... 19:1 ............................................. ....._........................._._.� Building,Inspector