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0015 PEN LANE
15 men bane.. a \. ' TOWN Oy BARNSTABLE BUILDING PERMIT APPLICATION Map B Parcel Permit# 'E 6 q 3 Health Division CA- 100( Date Issued 2 0 Conservation Division Application Fee U� Tax Collector �/� Permit Fee Treasurer D Ef2- Planning Dept. EXISTING C M Date Definitive Plan Approved by Planning Board OF BEDROOMS Historic-OKH Preservation/Hyannis LIMITED TO Project Street Address R11 [A NZ Village CI,V1 k vlv �1 Owner � U Address Telephone a D I Permit Request I &0h(Y I'1 n Pyl T` r tm,tw 4t AdLs' &2 M, AAM . J I - * f , Square fee : 1st floor: existing proposed 2nd floor: existing proposed Z Total newt; Zoning Districttood Plain Groundwater Overlay ' Project Valuation H Construction Type `�" rn Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure' Historic House: ❑Yes U No On Old King's Highway: ❑Yes 0 No asement Type: ❑ Full ❑Crawl ❑Walkout 0 Other asement 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 baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other \ Central Air: 0 Yes 0 No Fireplaces: Existing New Existing wood/coal stove: O Yes ❑No Detached garage:0 existing ❑new size Pool: O existing ❑new size Barn:0 existing 0 new size 9 g g g Attached garage:❑existing Cl new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial 0 Yes 0 No If yes,site plan review# Current Use _ Proposed Use . LDER INFORMATION Name I I'll" Telephone Number Address W A License# Home Improvement Contractor# oD ' Worker's Compensation# ® � L.CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO PR I(A �4agF SIGNATURE Y DATE ' FOR OFFICIAL USE ONLY ' PERMIT NO. i DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER • 4 DATE OF INSPECTION: FOUNDATION S oln� ®`ram 1- l -uti FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH r? FINAL GAS: ROUGH FINAL t� FINAL BUILDING 00 rr DATE CLOSED OUT r O ASSOCIATION PLAN NO. cU 1 ` � r _y �- � a!o�� foe�3��'1���arc✓ �-��G�� -- r r r Iol I i r io-05 ,�E- A/ t2-- ....� f !• - - d s 1,57-7 -ZoT73 0 0 G •R c s,7 G Uf f�� O ��2.9 \ z 07- ,�, 7 Z S 7- A I PE;E! T o b.//\✓ cC Goi 7r sc�L—E t,.,'A T E R i s ,4 ✓�� / ! S O L E 1 n/S F' N 'e i"/ C ':- U Sc; '-3 v; eC;`„E,'v'7"S T IDF D.E / Vc L 0 t2,'�-i ;-E D OVEA� 1:2� E SYS7-,E ^' C/;1 ' [ ESS G �?i�' f N- 20 DcS / GN L. o 9D /A-/ /S C/S% D . PRUPo5,Ezj Z- fE S �PT 7--E C UG' 7l �/IL,Sp jc� CAPIZZI HOME IMPROVEMENT INC. 3070/ SPECIFICATIONS AND ESTIMATES PAGE 10 OF 10 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT WE, MR._ k MRS. JOHN W LSON, OWN THE PROPERTY LOCATED AT 15 PEN LANE, CFNTFRV.TT.TR, MASSACHUSETTS. WE HAVE AUTHORIZED__ C:APTUT HOME TMPROVFMFNT TO ACT AS OUR AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE.. WE GIVE OUR 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: i LESSEE'S TELEPHONE: e APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RD COTUTT, MA 02635 APPLICANT'S TELEPHONE: 508/428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY v(/ DATE —"C�` THIS PAGE IS PA T OF AND IN CONFORMANCE WITH PROPOSAL #30721 1 i oard o uil in Re la ons and Standards B g gu One AshbuF on. Place - Room 1301 Boston. Maschusetts 02108 Home Improvemeny��tractor t" ' Registration � Registration: 100740 Type: Private Corporation Expiration: 6/23120D6 CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi, jr. 1645 Newton Rd. Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment n Lost Card ✓/:e '[�omvnzo�zuiea� o�../e2a4azr/u�ae.Cla E\ Board of Building Regulations and Standards License or registration valid for individul use only ju HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration:, 10D740 One Ashburton Place Rm 1301 t-I - Expiration: 612312DD6 Boston,Ma.02108 Type: Private Corporation CAPIZZI HOME IMPROVEMENT,1 %omas Capizzi,jr. 1645 Newton Rd. � � Cotuit,MA 02635 Administrator No�,alid ithout `r _ BOARD OF BUILDING REGULATIONS ? 1, License: CONSTRUCTION SUPERVISOR i Number:=CS 057032 -- Expires 09/26/2005 Tr.no: 7171.0 Restric"Q:1,60;: THOMAS X CA,k 1R 1645 NEWTOWN RD,,; COTUIT, MA 02635 " Administrator i Town of Barnstable 41°* Regulatory Services a�xivsTeBLF, # Thomas F.Geiler,Director .nsnss. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 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: Estimated Cost �`C J �1���/1� // ��V �' " r�'—i Address of Work:' Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building 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 he eby ply for a permit as the agent of the owner. . 6 ,nqjnn � /) 01 Date Contractor a Registration No. OR Date Owner's Name QIonns:homeaff'idav Assessor's map and .lot number � ........... �� MUST BESEPT Ic THE ��S�IW cF ro Sewage Permit number .. ............................................ g4S AL. D ► i s" t �. House number. .............. ... �... ...............:.......::. 1°� a+3 +E la.� o aaMb a AX LE, i 39* 9� 'Ep MA j A, TOWN OF BARNSTABLE BUILDING 11N:S P E C T 0 R APPLICATION FOR ' Suffolk.Realty Trust PERMIT TO ............................................................................................ ................................ TYPE OF CONSTRUCTION single„ family,,:;esidentail , March 1, 1979 ......................................19........ TyOrnTHE INSPECTOR OF BUILDINGS: s. The undersigned hereby applies for a permit according to the following information: Location ........Lot...#...73 Pen Lane......... Centerville�...MA 02632 .. ... .... ...... .. ...... ... ..... .... ........ Proposed Use ..........single...f.amtly..residential...........................................................................................:..:.. ... .... .... Zoning. District single„fardly, residential „Fire District .....qjn ierville -. Osterville ... ............. .... ............................................................ .. ... .. ..... Name of Owner ..,._Suffolk Realty Trust ,,,,Address ..P..O. Box„ 308, Centerville Name of Builder ,,,same Address same Nameof Architect ......................... ................:.........Address..........:.... .................................................................................... Number of Rooms Seven .,,,,,,.,Foundation ........Pour�d,,Co1e ,� e,,,,,,,,,,,,,,,, ......................................................... ........ Exterior .............. cedar. ....shing les ...Roofing ...........a.sl)h.a It;...15hiA9.1e5................... .. .... .......... Floors carpet...over. . ...under.layment...........:........Interior ......�iXiw..Q.Rrt:�...W aa�.ex.................................. .. .. .. .... ..... K Heating forced..hot. wa,ter...by...o .l....................Plumbing ............pV.0................................................................ Fireplace ......bY 1Ck.... block....................................... .Approximate Cost ........... .wOi�.Q.•.Q.Q....................... Definitive Plan Approved by Planning Board ______________________________19_:______. ,�/,, Area 1540 ._ .............. ...........c _ .... Diagram of Lot. and Building with Dimensions Fee Yam,. ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH /0 - 1 i _ E I hereby agree to conform to all the,Rules and Regulations of the Town of Bare4iYc bl'e`reggarding the abo construction. NameI .............. Suffolk Realty Trust No .. Q �?.`.'Permit for ..........1..1/2 story.. t SaJ:ig?.q... amil.Y..dwelliN..................... Location ............15... en..Lane...... i ............................ ........................... Owner ..............;�.pffPIK.Realty...Trust........ � T' e- of Construction I yp frame CQ . . ... ................ ...... ...... ......... r 1 ` 'Plot :................r Lot .:..:... ��73........... E t _ March 2 79` Permit Gra nted ...........................:....:....:..19 Date of Inspection .................. .................19 w Date Completed ' .... ............. .... !..19 0. P7. a/�� v PERMIT REFUSED 19 a _. ............................................................................. ' ... ........................................................................ . a Approved t OF BARNSTABLE 210�'. - TOWNBuilding InspectorPermit No.- I VAUST U Cash OCCUPANCY PERMIT. Band J "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Suffolk Realty Trust Address Box 308, Centerville 1 nt -71 1 5 PPT-t T-oino C=nto",,;1 ca Wiring Inspector (� f ' Inspection date Plumbing Lispector ? Inspection date tt Gas Inspector Inspection date `Engineering Department Inspection date,- J 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. .................✓..�..�.... f..........», 19°/ (...n1. .J.//.�... Building Inspector ak 0 ., sve�/E. ! /A ! `•ate !Y�/`� 346 r' Loy 73 �Qo� -/7�' ; • �dQc� Cs /�/��" 1. 104 5.T,. z 4 72 L--J �s- �`,{ 1. pE;e TOW/`/ DECO)eDS D/1 T"E GDP 7 7-CD W A.I. J^1A T E )2 is A V A / L L E /"Sp ul ogec fi,,—e"y r"I ! n/! r'lC// I s3C1/� DJNG SE7T3F�eK ,2EQU/,E� EJ"JEtiJTS 7- ,E /a DRr VIE r:✓1,49IV Na T " To L3 E /-OC',4-) 7"ED E DA2ooi--IS 3 OVEN SE k✓,�F ,e- ES$ DES/G�/ rcL© L✓ DES /G tV L O ,9 D 1 n/C /5 USED . p;eapoSED L EAe%/ /,9;e ER z R-C O L. RT t G3A./ TES' 7- 0/1Y 0 ;e t-1 TQ .Mr9SS. En! V! aNMEf�/TA ,L 17 9 7 f-r Jt.f D Td Al/v of �3.9�E?rtJr.S T) 84 !T'H EG U L A 7"/ 4/�1,5'. S/L EL E V TQ 8E -- F 7 >✓l8 4 V E 'D: V /— ? 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