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Home My WebLink About0025 WELLESLEY CIRCLEr �s �//rs/n� niche - - i� � , i t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 3_ V Map d Parcel Application # Health.Division Date Issued Conservation Division y Application F Planning Dept. Permit Fee �r1' Date Definitive Plan Approved by Planning Board ' Historic - OKH _ Preservation/ Hyannis Project Street Address a S CO.,i I-e- Village Owner �`�Q,-1 VA I aOq Address. a S tool 4�L, e?,W-( Telephone Permit Request er)c r V' AV Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation T00C) Construction Type Lot Size 10000 / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 9.0 Historic House: ❑Yes @ o On Old King's Highway: ❑Yes ❑ No Basement Type: .4 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing P-- new Half: existing new Number of Bedrooms: - existing —new Total Room Count (not including baths): existing _ 2 new First Floor Room Count 7 Heat Type and Fuel: ZGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes YNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Othe CD Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ '. b �, 03 Commercial ❑Yes ❑ No If yes, site plan review# _ - ~.,a 2 Current Use Proposed Use w M APPLICANT INFORMATION' (BUILDER OR HOMEOWNER) Name %0 Telephone Number Z R-'- PG Address .? AV . i_QA- l.Anly License # ! fo j Home Improvement Contractor# I 0-29(� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO_ 1 r'A arc GiWA4�._ SIGNATUR DATE_, �� /� Ex ° FOR OFFICIAL USE ONLY i APPLICATION# `DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER* s •A DATE^OF INSPECTION: FOUNDATION M5co cs FRAME 1 INSULATION •FIREPLACE ELECTRICAL: ROUGH FINAL W PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT : x ; ASSOCIATION PLAN NO. . .• assacliusetts crlth o M,yam TlzeCorrtrnorcwe f f'den s cct • D e n d r�strial�t1 , arfm erz to Y Office of lrtvesdgatronV 600 Washington Street Fostolf, MA 02111 W.in ass,gov/dta Workers' Compensaf>on Tnsnrance davit: Builders/ContTactors/Electricians/Plurnberg A Licamt Info rmatioli Please Priut Leeb Name (BusincssJOrganizBtion/individual): >� t : ��,^-rt- u City/State/Zip: Phone.#: - .ti t� 34k 2R0Z) Are you an employer? Checic the appropriate box: Type o'f project(required): 1.❑ l am a cmploycr with 4. ❑ l arn a general contractor and 1. 6 ❑Ncw construction employees (full and/or part.time)•* have hired the strb-contractors Rtmo Jelin 2. am a•sole ro rietor or partner- listed on the attached sheet 7. ❑ g P P These sub-contractors have g, ❑Detnoliiion sbip and have no crriployccs , employees and have workers working for mein any capacity. 9, ❑Btulding addition � [No workers' comp,insurance camp, insurance.$ 5. ❑ Wr,area corporation and ii� 10.[] Electrical repairs or additions• required] 3,❑ I am a bomcowncr doing all work officers have exercised(heir 11_❑plumbing repairs or additions myself. [No workers' colop. right of exemption per MGL 12.{] Roof rcpairs insurance required_]t c, 152, §1(4), and we havt no employees. [No workcrs' I3,❑/'Other L7v�G�- comp, insurance required.] *Any applicant that cheeks box#1 rnust also fill out the section below showing their workers' compcnssation policy information. ; t Homcovrncrt:who submit this affidavit indicating they arc doing all work and that hirrr outside contractors must submit a nm affidavit indicating such. h2ontractors lfiat cheek this box must attached an additional sheet showing the name of the sub-coTib-=tors and stain whether or not those entities have amploycrs, lftbc sub-contrxtorx have c-ployces,they must pro-vid✓;their workers'comp:policynnmbcr. Xam all employer Iliad isprovidingworkers'compensafton insurancefr my employees. Below is the policy andjob site information. lnsuzance Companylh=: .. Policy# or Self-ins, Lie.#: Expiration Date. Job Sitc A-ddress: City/Sta.tc/Zip: Attach a copy of the Workers' compensafdnn policy declaration page (sbowing the policy number and expiration date). Failure to socure coverage as rcquirod under Section 25A of MGL c, 152 can lead to-the imposition of criminal ponalties Of Eno rip to 51,500.00 and/or one-year imprisonment, as well as civil penal6cs in the form of a STOP WORK ORDER and a fine of up to 3250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Ogee of lnvesti ations of the bIA for insurance coverage verification. X do hereby certify under the pains•ai d pers es of perjury that the inforrna6on provided above is frue and cop-erf Si a.ture: ("� Date: Phone Offtclal use only. Do not wrhe in this area, fb be completed by 6i y or totpn official City or Town: Perait/License# Issuiog AutborR7(circle one): 1. Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical Inspector. S, PMnbing Inspector 6, Other 4_,, _ Phone #:_ Information and Jus r risa Massachusetts Gcneral Laws chapter 152 requires all employers to provide workers' o l)unda°any r thrirct0oflbi_roes: pursuant to this statute, an employee is defined as ",..eycry person in the service of an otherexpress or implied, oral or written-" An em 1D er is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more py of the foregoing,cngagcd in a joint enterprise, and including the legal representatives o a g e plo eccs.lHow However roceivcr or tzusteo of m individual, partnership, association or other legal entity, employing Y ODCUPant of the owner of a dwelling house having not Taore than the ap�nancea onho c sidr-sori or hreparein, ir or k on such dwelling house dwelling house of another who employs persons to ma or on the gzo�ands or building apia rttriant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall)Rithhold the issuance or reueyvai of a license or permit to operate a business or to constTuct buildings in the coznmonrealth for any applicant who has notproduded•acceptable evidence of compliance with the insurance coverage required." AdditdonaIly,MG ohaptrr 152, §25C(7) states 'Neither the cozmaonwealth nor any of its political subdivisions shall enter•into any contract,for.the performance of public work until acceptable widened of complianec anth the� n uracc requirements of this chapter have been presented to the contracting authority. Applicants. Please fill out the workers' compensation affidavit completely,by chccltiD.g the boxes that.apply to your situation and, it . of necessary, supply sub,contractors)namc(s), address(cs) and phone numbeLz(s s oLL with th A c�oye ss)Cher thara the insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships ( ) members or paztncz8, arc notxcq" ed to carry workers' compensation insurance. If an LLC or LL.P does have Industrial employees, a policy is required. Pe advised that this affidavit mayobc submitted date the cparaffidatmct. t Of affidant should Accidents for confirmation.of utsurancc covcragge. Also be sure t sign andbe returned to the city or town that thc'application for the permit or license is being requested, n6t the Dcparhment of Industrial Accidents. Should you have any questions regarding the law or if you arr,rcquized to obtain a workcCs' all the Dcpaxtment at the nurgber listed below. Self-insured companies should cntcr the cornpcnsation policy,please c ir self-insuran"license number on the appropriatr,he. City or To-ffP Oft'iclals l'lcasc be sure that the affidavit is complete and printed legibly. The Department has provided a spacc�acthe bottli tozn of tho affidavit for you to fill out in the event the OfEtco df Investigations bas to contact you regarding pp Please bo sure to fill in the permiVhccnsc number which will be used as a rcfcrcncc number. In addition, an applicant that roust submit inultiplc pPerxn/licezLscapplications in any given year,need only submit onp affidavit indicating current ity or policy information(if necessary) and under"lob Sita Address the applicant should write"all locationsro provided to the town)."A cbpy of the affidavit that has been ofEcially stamped or mark6d by the city or town may . p applicant as proof that a valid affidavit is on file fox future Permits or licenses. Anew affidavit mustbe Filled out cacti year.'Whero a home owner or citizen is obtaining a licens c or pczWit not related fo any business or commercial venture -permit to bum leaves etc.) said persoA is NOT required to complete this affidavit (i c, a dog license or ho Office of Investigations would like to thank you in advance fox your cooperation and should you have any questions, T P.lcasc do not hesitate to give us a calla The Department's addross, tcicpboae-and fax number: The CommonwWth of Massarhuktts D-,putm=tof Iudustxi0 A.ccidc�nts Office of Iaye,Stigatl.aus 600 Washington Stceet BOSUM, MA 02111 Tel; # 617-727-490.Q ext QQ6 4r 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 ww-.rna. ,s..gov/dia �oprHrro Town of Barnstable -� Regulatory Services 1A"GrA'O Thomas F. Geiler, Director y MAS&6.19. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 w�vw.to�vn.ba rnsta ble.me".us Office: 508-862-403 8 Fax: 508-790-6230 R operty Owner Must COMPZete and Sign This Section If Using A Build d e, , property as Owner.of the subject ro z, U l p hereby authorize f €T R. di✓ to act orn my behalf, in all matters relative to work authorized by this building permit application. for: oZ 4)e)le (Address of Job) S'9 ature of Owner Date 57 Print Name If Property Own& is applying for permit please complete the Homeowners Licetise Exemption Pori on th'e reverse side. Town of Barnstable of YNa RegulatolrY Services y Thomas F. Geiler, Director. 9 kRNS kI3LX. MASS. j3uildiug Divisiozl ,a7P. ,m crFa IAA�a Tom Berry,Building Commissioner , 200 Main Street, .Hyannis., MA.02601 A Wjy,to ivn.b2rnstable.ma.us Fax. 508-790-6230 Office: 508-862-4038 jjonIFOWNC.R LICi;NSE FKEAIPTTON Plense Print DATE: JOB LOCATION: street Pillage number \ • "I-IOMEOWNLR": home phone N work phone 1f name CURRENT MAILING ADDRESS: \ state zip code ci ty/townincl ellin of ts or less The current exemption for"homeownexs"was extend,cd t does not ,ossess a line d a`�ro�ided that the owner act and to allow homeowners to engage an individual for hire w1io P supervisor. DEIINITI®N/ OMEOWNER Berson(s) who owns a parcel of land on•which h. s-e resides rr intends to r toidueh use and/or faun tn-uctures,, oil which tli.erc is, or is ded A to be, a one or two-family dwelling, attached or detached structurNceessory person who constructs more than one Offeial on a forzn in vt�yo-year lacd shall riot be cept' ble to the Building Ofuch fc 1, that heered a homeowner. s he shall be all subinit to the Building"homeowner' shall , homeown / 09,1,1 res onsible for all such work performed under the buildin enTlit, (5ecti.on 1 ) " es onsibili for compliance with the State Building Code and other The undersigned homeowner assume s Y p tY applicable.codes, bylaws, rules and re lations• ands he Town of PA, le BU The undersigned "homeowner" certi es that he/she and thatthe/shevi 1 comply with sad procedures and Department minimum inspection procedures a4A requiremen requirements, Signature of Homeowner Approval of Building Official Note; Three-family dwellings containing 35,000 cubic,feet or larger will be required.to comply with the State Building Code Section 127.0 Construction Control. HoME0WNLR'S I'xEi KP'ITION 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 lo9,l,l -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for-him to do such work, thal such Homeowner shall act as supervisor," the are }Many homeownersenslin o use thi's exemption P�c Constructio Supervisorst;Sect oaware n 2.1 they This lack of awareneesooftenlretsults in scrioussproblemspparii ularly �od Ru1cs &•Regulations for Lic $ when the homeowner hires unlicensed persons. In this cast,our Board cannot proceed against the unlicensed person as it would with a license, Supervisor. The homeowner acting as Supervisor is ultimately cr responsibilities, es responsible. To ensure that the hDMaOWncT is fully res otnshbil tics of a Sluper i or yOn the last page of[his aissue is alform�R it my used by • a dsh c understands th p ccrti that h cowncrcommunity, that the hom c ification for use to your s�Jcral v»vns. You may care t amend and adopt such a foms�c rt *=� Massachusetts- Department of Public Safeh h _ 11M Board of Building; Reg ulations and Standards Construction Supervisor License License: CS 16199 Restricted to EDWIN L PETERSON 83 NAUTICAL`LN S YARMOUTH, MA,92664 . Expiration: 12/8/2011 Tr#: 12138 ('ommissiunea -- Board of Building Reg i ns and Standar:d e j HOME IMPROVEMENT 1 I CONTRgCTOg License or registration valid for individul use only i Registry itli on "' before the expiration date. T07788. Board of B If found return to f Expo�p�_8/6/2010 Tr#. 273048 ,� wlding Regulations and Standards '1 One Ashburton Place YPe DBA Boston Rm 1301 i EDWIN COETERSON 8= ; Ma 02]08 UILDER.? j Edwin.Peterson 83 NAUTICAL '\ I 4 LANE ��,,�",,,fl ! Yarmouth,' 02664'- �~ - r -- Administrator — Not.valid thout signature: _ f V f Pe erson BUILDERS "�rSn � I.J lwy C`WCal 83 NAUTICAL LANE.,S.YARMOM,MA 02664 ) 9 -4 aA°yc lv° Q @`CMS ry VT. 11114 tr S 4SOf eT�IT:7 EPT'°f4,, �iQ7 AAA /y 0 C- I kwcm- -- THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�-C(�--F DATA AU e' L a 5. 7 9 °Z S'4S.,, IL9 27 f Cl L L3 G / 26, V Ao • \ i'.. J ..=--/V G�p�tl 'mil �,•vV C RT6Fl ?3 PLOT' PLAN h 4 , J I NEW C� kV 6� T UCTIO IN �r►� �a �P��t� T'9®6� a � ��' ° ^;� E�L�; :; �/'a ® � xM 41Qe.A . 1� o . TOWN OF BARNSTABLE 27483 Permit No. ------------------------------ Building Inspector • pus. cash ----------------__-- 1639. J x OCCUPANCY PERMIT Bond ---- 1 - — T Issued to Ca-pricorn Realty Trust Address Lot; 1— 25 Wpt-1_cpslptr (' rule. 1-,yp-nnic Wiring Inspector `r Inspection date Plumbing Inspector 1 inspection date Gas Inspector Inspection date "f _ 0C. Engineering Departments Inspection date, �j 4 Board' of Health` /x ��t�� .+� ! Inspection dates f�� 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_p/> _._ ..................................... ...........U..............�'..a.�.... .....__. ._ Building Inspector JOSEPH D. DwLuz - 4TELEPHONEt 775-1120 fRrrilding Comiminionti EXT. 107 e _TOWN OF BARNSTABLE - BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department i DATE: May 7, 1985 An Occupancy Permit has been issued for the building authorized by Building Permit # 27379 issued to rarer, Cora Rea3 ty—T ust Please release the performance bond. s Assessor's map and lot numWb ;l ..�..... ........ 1' CF THE l� C�K T7> B!J/GD Pe.¢M./T NEEDED T'O. CONNECT t' R�*' Sewage Permit number .... . .. DP..NI�a�i�BYaN1YC TQ TOWN SEWER C' House number ............ ...... ::. �'' BARN a r$.� 9 Ir '" �p 1639. \00 TOWN OF' BARNSTABLE '{ . • . BUILDING .I�HSrPECTOR. i ., APPLICATION FOR PERMIT TO .........Construct Single„Family,; Dwelling d ....... TYPE OF CONSTRUCTION Wood r rame i .. ................................ r Sep tem .... 19...8!a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......Zot...#,.1.....n....... ............................. ProposedUse ..........................................:. .............. .......................... ... ... .............. ......... .......................... , H annis Zoning District ............R-.....R...................................:.............Fire District ............... ...y................................................ Name of Owner ...........Capricorn„Realty Tr•ust.Address ...�6 rJ..k�a.AlO.1d�h..�1;7::,....H,y�.TJz115.,...1�2 Mass . Name of BuilderFranco„ Real -Est. (Address• ..........................S.allle,.................................................. Nameof Architect ............................................................ ...:.Address .................................................................................... Numberof Rooms ..............5iX............................................Foundation ................P.O. .0................. ................................ Exterior .. Clapboard and/or ;Shingles Roofing ..................:.asphalt Shingle....................... Carp.et Sheetrock Floors ........ Interior ............................................................................ Heating .,Plumbin ..........'...........TWQ...-....QQ. Gass.................W. ................:_. .,:..... g RS�� :.............................. Fireplace None.......................................................................APProxim ate Cost Definitive Plan Approved by Planning Board -------------------_-----------19--------, Area, .......10-56.....sq...ft....... Diagram of Lot and Building with Dimensions Fee .........7 SUBJECT TO APPROVAL OF BOARD OF HEALTH a OCCUPANCY PERMITS REQUIRED FOR NEW-DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re rding the above. construction. - Nam Pre s.. �, Construction Supervisor's License ............ .... .. ................ �l , ePAPRICORN REALTY TRUST ry k No .•;'•27483•• Permit for ..One Sto•••••••••••••.•••• Single Family Dwelling .... .................................................................. Lot 1 25 Wellesley Circle Location .............�.....................................:........... ................... ar???a.s............................................... - t Owner .:..Capricorn.. ... Realty Trust. ............. .................... ............. ........ .. Type of Construction Frame ........................................ { ...... .............................................. ................ ; PlotLot ........................... r .-� n 'r Permit (ranted ••.:. Jantlar.'.. .....: 19 85 Date of Inspection .....19 ............................... Date Completed �' � ............19CIO �`_. pUri -Ie/y_ l s 79 i j 27 261_ ,`' 79 /a U r 4 4-1SE?7W<rci� 5 ' I CERTIFIED 5�Aa CART PLOT PLAN NEW CONSTRUCTION ONLY �?r;> f [►HiyT *, '� / ' /J `till. RI F .'FOUNDATION IS FEET � ELDiREc,i .. IN KI��QV LOW POINT OF ADJACENT � t: , ; \r . `' SAMS to o SCALES / {� - 4a DATES / ,.,. GE E'N91 ff INS '�®• CLIENT •a N r v ! CERTIFY THAT THEE°v�'✓�A 7�v�1 i ,y ISTERED REOISTERE® SHOWN ON THIS PLAN IS LOCAT1 CIVLLr' IAN® JOI NO.4:2. 1 7 ...ON THE GROUND AS INDICATED AND fRf GINEER SURVEYOR DR.'By 6F- CONFORMS TO THE ZONING LAWS OF G RNSTAOL , MASS ?.f 2 M A I N',S T R E.ET Cps.®,Yj g; HYiAN141S MA MEET OF,,,._, ®ATE REG. LAND SURVEYOR k a ��...Assessor's map and lot number THE poi tot` Sew Permit number ....................................................... ro Ile- Z BARB TAB E . ....:....:.. - NAM 9 L House number' ............a ... ............ .....: *00 "6 9 MPY a\ TOWN OF BARNSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ........Construct„Single .�;am ,ly„Dwel;jT TYPE OF CONSTRUCTION Wood Frame „September 262............19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the fol'lowing information: Location ...... `.. %:..........Wellesley,.C rc�-e. �a. ....M 3 .r...................... . .............. .................. .... .... ProposedUse .........................................................�+?;.....................`...............:...............................................,..:....,................. 4 Zoning District Fire District Hya21T11S...........:................................ ...........R.....B.!.................................... ......... Name of Owne',r ................. ricorn„Realty„Trust.Address ...76 .. ' .L3. 1:.. T .yc'1!1r! .W. ..M.LcS Name of BuilderFrp3ngq..Real,;ESt.DewCo...r.!XlCAddress ........................Banc.......................... . . ........ ........................ - Name of Architect ...............Address Numberof Rooms ..............51 .....................................:......Foundation ...............p.•.0....................................................... Exterior .•.Clapboard and/or Shingles...............Roofing .....................ksphalt„Shingles ` Floors Caret Sheetrock ......................................................................................Interior .................................................................................... Heating - , Gag �' .W.Ei. .........Plumbin 'f'W4...:'...GoPlaex C9.PM............................... Fireplace None .Approximate Cost Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ......10. 9.n...ft....... Diagram of .Lot and Building with Dimensions Fee ,SUBJECT TO APPROVAL OF BOARD OF .HEALTH y is OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reggrding the above construction. } Name .y.., Pre s. Construction Supervisor's License o00989 ................................. CAPRICORN REALTY TRUST A=270-101 4 No ....27483 Permit for One Story G l ........... ............ ................... rocationipl!�.q�c.....25 Wellesley„Circle . .................. ................. ..................tlyc-lririis.............................................. Owner ...........!;aPx qq ...... Type of Construction ...Fri.............. ................................................................................ Olot ............................ Lot ................................. Permit Granted ....J.ar1Ua.ry..30.j..............19 85 .Date of Inspection ....................................19 Date Completed ......................................19