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HomeMy WebLinkAbout0014 WELLESLEY CIRCLE IL4 Wa- 11 LOS1L" P oFtxe roit,o Town of Barnstable *Permit# ao Regulatory Services J Expires 6monthsfrom issue date * STABLE, • f S p MASS. 1639. & Thomas F.Geiler,Director TED MA'I Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barustable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERIVIIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number_ Property Address JAZ C,Ne S keA Y t✓ sidential Value'of Work i- Minimum fee of$25.00 for work under$6000:00 Owner's Name&Address C _ Contractor's NameL-�a U b q Telephone Number �-� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) --PR US PER IT Lworkuian's Compensation Insurance - Check one: NOV 1 0 2009 ❑ I am a sole proprietor ❑ I am the Homeowner' TOWN OF BARNSTAE3LE OUL ve Worker's Compensation Insurance n Insurance Company Name f- �. 12 . Workman's Comp.Policy# ( _. Copy of Insurance Compliance Certificate must accompany each permit. 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) e,aide Replacement" indows doors_/sliders.U=Value i #of doors (maximum.44)#of windows _ *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation.etc. ***Note: Pr erty Own must sign Property Owner Letter of Permission. opy of me Improvement Contractors License-&Construction Supervisors License is re uire SIGNATURE: QAWPFILESTORMS uiicling permi fo \EXPRESS.doc Revised 090809 Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT I_(� 14 p 1 -pal•P y IN �MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: �- OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd.,Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: 1/7 �. Board of Building Regulations and Standards License or registration valid for individ.ul.use only HOME IMPROVEMENT CONTRACTOR before the expiration date. ff found return to: Board of Building Regulations and Standards Reglstrtjop; 100740 One Ashburton Place Rm 1301 23/2010 , I� 7) Boston,Ma.02108 I°C pplement Card t _ (:� CAPIZZI HOME ll Mj111'� NARY GUSTAFA SW"Z� REP, // 1645 Newton Rd. � ,,�Q1 Cotuit, MA 02635 {. - - --- Administrator No vali itho � r nature low=. N1a%s.tettusctty- DVI)AI-01"At of isx►i lk Sidel1 -- -- . Bmird of Buildi:n ftc;ut.►tit��t. z113t{ Standards ` Construction Supervisor License License: CS 74640 r a F t WERestrkcted..to: 00 ,� . GARY,.GUSTAFSONrh 8 SHORT V1fAY t SANDWICH', MA 02563 a aiL- �yi` Expiration: 1 1 129/20 1 0 Z Try: 7755 Department'of-industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 wwwanass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Piumbers Applicant Information Please Print Lezibly Nalnt;(Business/Organization/Individual): . Address: o _ City/State/Zip: u Phone.#: , o t - ,Are ou an employer? Check the ap r priate box: Type of project(required):. 1. a employer with 4. C7 I am a general contractor and I employees(full and/or p -time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees;and have workers' [No workers' comp,insurance comp.insurance.$. 9. ❑Building addition required.] 5. 0 We are a corporation and its' 10.0 Electrical repairs or additions 3.El I am a homeowner doingall work officers have exercised their 11.[]Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12 ❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees.[No workers' 13.g0ther__j�0 j comp.insurance required.] *Any applicant that checks box#1 must also fill out the section Below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and.Aen 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. t Insurance Company Name:_ �v , Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: lil_I�,) I r f 5 t`f `� — City/State/Zip: 2 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 tip 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'mawance covers e verification. I do herby certif�J - de tk ins a Bnaltia�*paxju-xµ-that-the-iafo-zmation-prvvided-abave—is-true-and`-carr-ect Signature. Date: Phone Official use only. Do not write in this area,tb 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#• PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O.Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Dennis, MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual Insurance Co. Capizzi Home Improvement,Inc. INsuRERB: NATIONAL UNION FIRE INS. Capizzi Enterprises, Inc. INSURER C: 1645 Newtown Road INSURER D: COtuit,MA 02635 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD DATE MM/DD LIMITS A GENERAL LIABILITY MPB1075H 06/08/09 06/08M 0 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $500 OOO CLAIMS MADE X OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000. POLICY X Ca f LOC A AUTOMOBILE LIABILITY BPOI0786 06/08/09 06/08/1 O COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $500,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS ` (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY CUB1076H 06/08/09 06/08/10 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE $5 000 000 $ DEDUCTIBLE X RETENTION $10000 $ B WORKERS COMPENSATION AND WC006957000 12/25/08 12/25/09 X WC SLTATUfMrr OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 1 5 El.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below El.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL I n DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601• IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. -AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S43470/M43449 KW © ACORD CORPORATION 1988 EVE Town of Barnstable *Peer t# P�' p Expires 6 ni hs rom issue date Regulatory Services ' Fee r 1 • anxxs SS. 9c� 1639.'MASS. ,m Thomas F.Geiler,Director Building Division Tom Perry;CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number t9 Property Address 1 A. -C,11 e S P_j(j j Yc- 44 sidential Value of Work '5'0 i 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �2 Q --� r Contractor's Name U Telephone Number'" Home Improvement Contractor License#(if applicable)T� " Construction Supervisor's License#(if applicable) 4Worlkunan's Compensation Insurance P ESS PERMIT Check one: ❑ I am a sole proprietor NOV — 9 2009 ❑ I am the Homeowner rJUave Worker's Compensation lnsurance TOWN OF BARNSTABLE Insurance Company Name �� � lJ 9 'ns • Workman's Comp.Policy# W Copy of Insurance Compliance Certificate must accompany each permit. 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) Rcaide Y ' 7 - #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pr perty Own must sign Property Owner Letter of Permission. opy of t me Improvement Contractors License&Construction Supervisors License is re uire SIGNATURE: Q:\WPFILES\FORMS\building pemil fo \EXPRESS.doc Revised 090809 f i t Page 7 of 7 CAPIZZI HOME EMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS I LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I' C) T'v OWN THE PROPERTY LOCATED AT 14 tee -�C 1��=i Y— IN -S,MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: �- OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd.,Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: j � F q a fie -COo�rvmoaz�uea/.l� o�./vlaatczc�uee� L. Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: f'i"" . Board of Building Regulations and Standards RegistXAtj:Q,�; 100740. One Ashburton Place Rm 1301 pI{ra @23/2010 Boston,Ma.02108 i lement Card CAPIZZI HOME'I, F2iU, M` lll tARY GUSTAFSOty=; 1645 Newton Rd. Cotuit, MA 02635 Administrator lYo vali itho.Y nature Dt-paltmcr+t of Public 5.tictA -- - — Boal-d of Buildill'# l eoulation viral 4tatidartls Construction Supervisor License f License: CS 74640 Re.stricted.to:. 00 GARY-GUSTAFSON R+ ` 8 SHORT WAY SANDWICH MA 62663 `Rw f EApiratir,w 11/29/2010 t,nuttni> iuwrl rrv: 7755 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . Lax ��7�j -� i v 1������./�— Address: altl2Y1 ✓S ��� City/State/Zip: Phone.#: ,cjnt - 9 ' �f S l Ay re an employer? Check the ap r priate box: 4. I am a general contractor and I Type of project(required):. 1, a employer with ❑ employees(full and/or p -time).* have hired the sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' o workers' co comp.insurance.$ 9• ❑Building addition [N comp.insurance P• required.] 5. ❑ We are a corporation and its' 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof rep irs insurance required.] t c. 152, §1(4),and we have no _ employees. [No workers' 13.gOther comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing-their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and:.then hire outside contractors must submit a new affidavit indicating such. $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, 1 Insurance Company Name: 66 Policy#or Self-ins. Lic.#:—.V4 G 6 G ) Expiration Date: Job Site Address:/ � '�S l` 'r (' City/State/Zip: Z 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 Invesdizations of the DIA for'insurance covera e verification. I-do hereby certify - der,-th ins aid- enalties afp xju-r-y-that-the--itzf-or-mation-prouided-aboue-is tr-ue-and-cor-r-ect. Si mature: Date: Phone#: FJ1 use only. Do not write in this area,to be completed by city or town official Town: Permit/License# Authority(circle one): d of Health 2.Building Department 3.City/Tpwn Clerk 4.Electrical Inspector 5.Plumbing Inspector Person: Phone#: ACORD- CERTIFICATE OF 51071 LIABILITY INSURANCE M/DD/YYIY) 05/07/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rbgers&Gray Ins.-So.Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O.Box 1601 4 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED " INSURER A: National Grange Mutual Insurance Co. Capizzi Home Improvement, Inc. INSURER e: NATIONAL UNION FIRE INS. Capizzi Enterprises, Inc. INSURER C: 1645 Newtown Road Cotuit, MA 02635 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. n INSR ADD1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD DATE MM/DD LIMITS A GENERAL LIABILITY MPB1075H 06/08/09 06108/1 O EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $500 000 CLAIMS MADE 51 OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1 000000 GENERAL AGGREGATE $2 000 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000. POLICY 7X PRO-JECT LOC " A AUTOMOBILE LIABILITY BPOI0786 06/08/09 06108/1 O COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $500,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN e AUTO ONLY: AGG $ A JEXCESSIUMBRELLA LIABILITY CUB1076H 06/08/69 06/08/10 EACH OCCURRENCE $5 00O 000 OCCUR CLAIMS MADE AGGREGATE $5 OOO OOO $ RDEDUCTIBLE $ X RETENTION $10000 $ T. B WORKERS COMPENSATION AND WC006957000 12/25/08 12/25/09 X WC STATU-EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE , OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1 000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL IQ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA,02601" IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S43470/M43449 KW, O ACORD CORPORATION 1988 a f Assessor's map and lot number ..a?.Q,"Lag. �- MUST CONNECT TO TOWN SEWER E Sewage Permit number ..... ................................................... Z BJHBSTODLE, i House! number ....................... .0 . ............................ 1639* �o rasa f o G m _ TOWN OF BARNSTABLE r1 y BUILDING INSPECTOR APPLICATION FOR PERMIT TO ,Construct Single Family Dwelling. TYPE OF CONSTRUCTION .........�`,`Tood Frame } October 3.1, 19.....83 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......Lot.." 22...............9.0 b.1AKy....LAT.1e.1.....................................................Hyannis.,...i`. ......................... ProposedUse .................................................................................................. .............................................I......................... Zoning District ...R.B.............................................................Fire District ........H.yann sd..n......................................... Name of Owner Capricorn Realty .Trust Address 765 Falmouth Road, Hyannis, MA Name of 'Builder Franco Real Estate Dev. CoAddress .7,65 Falmouth Road, Hyannis, MA ....... Inc. ............ ... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms six.....................................................Foundation ........P.C. ............ .................................................................... Exierior Clapboard and/or•••shingles Roofing ......Asphalt shingles ..... ................ FloorsCarpet ......................Interior .Sheetrock.................................................................................................................... — - Heating Gas........F.W.A...........................................................Plumbing .Two....... ................Fireplace None ••••_„•„,,,,,,,,,•,•,•••,•Approximate. Cost $ !000. 00 ..............`,1 ................ Definitive Plan Approved by Planning Board ________________________________19________. Area ..........................' .......... ... Diagram of Lot and Building with Dimensions Fee ........ .. .....a e . ............ 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. C Name .............P,;rQs. Construction Supervisor's License•.......00098.9............. CAPRICORN REALTY TRUST • Y i, 2 5 0-74 8 One St -14 ' y 0 Permit for .................................... .......Single..Family ly D�we ..l..i n ­. e6 e * ' G4 y Location ...LW;...;Uf Z n e ..................Hy.mmi S...... ............. ..................OvAmr .....Cap.ri.c.or.n...Realty...Trust. .... ....... .... .. .... .. ..... .... ..... .. .... .... Typcgof Construction Frame...................:........... .. ....... C> .................................................................... Plof2.......................... Lot ................................ January 5, 84 Per Granted ........................................19 Da.fVDf Inspection .....................................19 M Dafdz Completed ..........19 101, , iI - .�. k. ' R .w 1 {t ' .f v r. C 1 8 f - _ r is _ r { y j F. s , �� 1 1 , 11 w f t.: ; t<,r f ij "-,1..,I.'1�t.,t.I I,,I!,�..-�,t...,'. '�,.Il:",;-,1.,,,��__,-i"�.,,.,i T fir,,1} F '` T Y P - ✓ 1' 1'•.. x 9 ., r'`"•^'. �y?+!T r "'c" '4...•�. r ..� o ?r.e 4 G:.S r * _ a t {j sI� 5 i v I- er I +' a T"�� ,r 7 t.3 (�� $^ c. ....{j,! s '( };, �,st4 F 4J t s . k .l // c 5 ',t xl y. d r r h j � d - r 7 S!+ '4, r F s } yj V 1 + t r� !3 `� ,• r l k ¢ t 't �,'..+c�e rc yse 1 }�'e '.aA r r - k ''.Rr1 I t i y, �,..,.'-,s" �..a , 4 t r .? �7a r �.; a>I t� }.! f ..'�.�'„'_.^—_—�. �1.s J 7.Y L 1 - t G•4" § M : �.� 4F):e m -'Y "'rm 1 iifi Y. 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I F t i i x�} 'J!'./ /f'' ,F Cam' •np 14EW COt��CTRUCT'it�N 0N'LY .. _. ! rt_/ t �,'�f - � �' .�./ f ". -- �I 1, wl ���� r � :: A my L 0 OWN ~< OF ,��� �r � .�:,� �,, � , , , . . _ _ SCALE, , „'c� D>AT E i, �, ! / A k ���— .. . CLIENT' - ',~ DGE ENGINE- RING i I ` .' I CERTIFY .THAT HE f�)L, � ", ',-)'%X/ t' KNOWN Ohl`, THIS HIS PLAN 19 LOCAT JOB NO • Ott: THE GAOUND AS it�1�ICAT'ED ANC CIVIL . .LA�f J,.I •� CONFORMS . TO ..T H8 `Z_0NINdi LAw8 EP6QiiP9�L�3 `�lJ��" YO�d l IR',_t�►`o'o _.._'.......' �' 0 ;.E ARNSYA L M A�83, t l�r✓ 1- 9 7.! '�� t4!1 ! P! S T R T'' 0. 1 Yo �' �U i f' ��3 �. a S.HE t� t7AT . . G .,.�:'A�y'q..'' UI�tVE.YQt = 4 _ -- P��JY4_ 'l."_' piO4r" I:..tiv-,� ..�aM. M, :,,t•' `y5.' aY{R, ♦ w4rfi H+ '6i.... N.'-�M' 4 'N'.,. .. ... .�..�i'....vya'^'.t+`.-{i^..r•t!.+`Y-'s-..+.'ttyh'+�..•«-r--�.«er..!wu+vrk.-e-?f�+E�„90. - n. - .....a ..,- «._. :;��r�r�,�y¢� -w�, �t� e: �. iats'2 "� ��F�,?�J A�� sr"�����?,;'r�a:�>e.?�-ms� �n':s �14 a^: «,`�£.�r ,���r,• x r�:<"�"r.»`� TOWN .OF`BARNSTABLE.. .,,-Permit No. .__ 2594$ 1 awn Building Inspector, • •.. _•��O�Y` ¢•':. ...• _ Bid :- � k- _ OCCUPANCY PERMIT on --- Issdo � AddressC $ t� Ip c r Onfi ?? ?9l •C�redhrr3orr•' riron moll s "A Wiring Inspector f Inspection date .. :-. -. .. . .. , . .r: , ip Plumbing Inspector Inspection.date' _ ., Gas Inspector {� s .Inspection;date Engineering Department :Inspection' ate, Board,:of ,Health /ny�ti< '�i �. Inspection date THIS.PERMIT WILL NOT BE.'VALID, AND''THE"BUILDING SHALL' NOT :BE OCCUPIED 'UNTIL SIGNED` BY THE, BUILDING INSPE CTOR;, UPON .SATISFACTORY ,COMPLIANCE 'WITH TOWN-'.. , REQUIREMENTS AND IN ACCORDANCE''WITH SECTION'1I 0:OF THE.MASSACHUSETTS STATE , BUILDING CODE. it a' Builds Inspector. 'FROM TOWN OF BARNSTABL E tYY�a Ftict�ce i ! -a 9 iLYte BUOLDOW DEPARTMENT. i" Town C2e E2 367 BRAIN STREET HYANNIS, MA 020M Phone: 775-1120 SUBJECT: FOLD HERE - -DATE - bitaAck .19, _1984 PA E S S Q G E wos�ik yhu been compeete4 undeA Suitiling FeAm t 025948 t Capaic.oan Reat4 Pteue ket ea a Bond. SIGNED A / DATE R C fry Ll I'( 4 N87-RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES-WITH CARBON INTACT. rf9 a Q'J" 0 F r' Ilk- . /r. if- � '� 1?FL . Assessor's map and lot number .. 7Q' .............� ..... CF THE t0 Q � Sewage Permit number ........................................................ ro``yy�w Z 9AWSTADLE. House number .. � /..... � ............................ 9a M"& ........... pow 1639. 9� �F0 MpY a� TOWN OF . BA:RNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Cogs uct Single Family Dwelling ..... TYPE OF CONSTRUCTION ........"Wood...Frame........................ .................................................................... ='J October 31 f33 ,� ' '.............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �r Location ..!...Lot .....:.. ....�.�. �.....Stac?k?taYv Vane. , varlx�iS.t...r ......................... .. . .................................................................. Proposed.Use- ............................................................................................................................................................................. Zoning District ..R"D..............................................................Fire District H...y.anni.i., .. ......... .. .... ......................................... S Name of Owner .Capri. . corn. ...Realty Trust...........Address .765 Falmouth Road, Hyannis, 1,1A .. ....... ....... .... ..... .. . . . Name of Builder ranco Realt state Dew. Co Address .765 Falmouth Road, Hyannis, MA ....................................... ...................................I............................ Inc. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms S_LX .............Foundation ........P ................................................................. ..................................................... .................................................................... Exterior Clapboard and/or shingles Roofing ......Asphalt shingles .............................................................................. .................................................................. Floors Carpet ......................................................Interior Sheetrocl, ................................ .................................................................................... Heating Gas -• F.T�1.A. Two — CopDer .................................................................................Plumbing .................................................................................. Fireplace None ...............................Approximate Cost $401000.00 ................................................ .................................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ......................................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i 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. .-- , k 174 Name,.,. ......... - `��.4.. .. ....... 00098.9 Construction Supervisor's License .................................... CAPRICORN REALTY- TRUST F 270-229 No �;25948 permit for .One Story ................... Single Family Dwelling `a W e Tle's Location ...Lot 22.'........:........... e ..................Hyanni s............................... Owner .... Capricorn Realty Trust ................ Type of Construction Frame............................. ................................................................................ Plot ............................ Lot ................................ Permit Granted .....January...5.,..........19 84 Date of Inspection ....................................19 Date Completed 19