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0007 LEXINGTON DRIVE
17w- • F j i ' d Ili I i I I i iE OU PP A lication number...............................f 2��l Date Issued............... .IZ .�.. ..g .............. MASS BuildingInspectors Initials......... I� Lie F�9 Q t� p ... ..................... 1 ! b ��� Map/Parcel............. . ........................:�.�.�.. TOWN TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STAET VILLAGE Owner's Name: I eel e If 11,s 6 e4(,e1,,3 Phone Number Email Address: Cell Phone Number ProJj ect cost $ % Check one Residential y Commercial � !fib OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding ❑ Windows (no header change)# Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an inspector's review ED Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's nam Y, 5 Home Improvement Contractors Registration(if applicable) # l 3 R6 (attach copy) Construction Supervisor's License# LS 1 a_!�6 71 (attach copy) Email of Contractor Aoke.J-4/v�C,5-,RaIrt!7aPho enumber 924/^393-ZI40 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. i APPLICATION NUMBER..................................................... .,.. *For Tents Only* Date Tent(s) will be'erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X ' X X Additional tent dimensions can be attached on a separate pieceof paper. Check one: this event is a: for profit non-profit event Check one: Food,served Yes ' No ` Flame Spread Sheet of each tent must be attached. Provide a site-plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial,events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front- back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature. Date APPLICANT'S SIGNATURE Signature Date1,19111,5" All permit applications are subject to a building official's approval prior to issuance. CERTIFICATE E OF LIAB'I I i i� $�3SURA CE GtTEI *..;:2i7Yr Y) �. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOFi�0ATION ONLY AND CONIFERS NO RIGHTS.UPON THE CERTIFICATE.KOL'DErK.TmS CERTIFICATE{TOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 1 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(S),AUTHORIZED REPRE'S' NTATWE OR PRODUCER,AND THE CERTIFICATE HOLDER. I IMPORTANT: If the certJ#Ica ta holdFs is an ADU?RONAL INSURED,tza pcllcy(lGs)ztus.be erectors d.. If.,u3,.O,.>"i..3gNJ IS aJAIV D,Subject t,. A 3Fro,te;4 ent on this tertificave riot Corner sigiyts to the eiartific to hofdar IT lipij of such endomement s) t elrsYa;ct I r( r_ nj-NAsa� i)If^�+,!L;1 Gan Professionat insurance&Risk-Brokerage,L'LC ? ' .i t7ZI y 825 r475 FAX r 7t#1)c2o-- 46 ' ,4, _ .:. 31 Schoosett St.Suite 309 T a>i4R5s. c}ordan{a�Pirbinsurance.com .Pembroke i`�EA'<J2359 S I>YuyERA ARv1 MUTUAL _. . .,.33758 t Ft�5UYec Fsttz a e The Main Street America Group 14788 1 MaNk cointruction,illc _ ,.. t��r;:r r,YIFrriz 3c�tl 'i vCs ';r55 PO Box 6A13 4,54,1e Seottssdale Insurance Co 11297 L `9P5511RtR F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 71•'SS is I+ f RI s? NIA- F P% U 1 h _r: t J q i + ir'.C 1'_ N ED Tr i ,i15 I^{' Il. AMEEO::, t +: "5 :4Q mac. INDICATED. ANYRrCl_;;RE,AE'ds nF1C`1rtCONft tJO 1 Ai" ONTRp t C � O I {^ NT' TI C� a .r .��f�'" R�._ J E ri! ? T Jr,fi rfiS EPTlrle A{ c � E!SSUE[ MAY PE N H ry J�i t � s-FCQ :ELi BY _H P .- ClE S DES !i Et Nrt Ets1.! CGt?��v[ L XL t T`..-.,J L ulil.l NIS.A< 7 - 1101117rp_ 0 r ?, t.,.rT ('.i= All 1 S SHO,I;4 a .:, I"BEEN O CED ey PAID CLAR!S. Chaco - ALA N s eR POLlCi'E-FF PoLic y E P q.. . i 112rl p_.'' i'^LN'Y?d ,X COMMERCIAL GENERALL!A_iLi7Y E GE l .10I3 t0I? X ISO FORM CGO4001 X X PAV0168733 05/15/18 05/15119 at , in 35.000 I X Contractual LIabili ;> 1 ft09,_G4G i 000 GOC L;r X r, s2D00000 .. h .. ._.. yy yy • f 1 f X �. 1 X ffl3F020•~6P S✓"5:1 U71S '0618719 X ISOCA0001 X... u1113eLu+Ll.xs X r i 004 600 j D ExeEs�i+a8 t ,;i: X X XBS0099N2 05115/18 0511509 _ rE t AND EMPLOYERS, AIFTLM - It A ? iY ^+ X V6Ji '$u%aiisJi93ea1c;i7A Gg.i'4iW 3911*4il c tvauc+ato?,in Uiiy 500,000 'j!F Jii�: -. .r;.•`: _ e:t i 1`,t,�. r.J;+.y t �.5a?0i0tIU Compretienaive Ded $500 �- b Auto Prsysieat Ow-nave M3F0206P OFZ?18?18 06:118fig Collision Deductible 85013 t?ESCRIPTt 1 a ht t,}os'pATHIJJS i I,`,C—,(IONS'V£HICIBf fACORD lei,Add?Iior:al Remarks So-jute..may De am-gilled it mere Space is requiiel" E 1 CERTIFICATE HOLDER CANCELLATION c a Ss'+�4idv,s.sd:e.OF, INvc GES..P - i.. C' `L.. ., T.!41 ,. O: :. _[[ THE E3(ePIRAMN Ort`t'k 1HEREOF, 110 CE .._ DELIVERED 3:4 + AUTiiQ9 ZES.REPRESENTATtVF <DA> ir-1988-2044 ACORfJ CORPORATION'. All-rights reserved. ACORD 25(2014101) The A.CORD nainp and Jog go are raglsket.ecl rrs=1rk:s of ACrJf39 : Office of Consumer Affairs and Business Regulation One Ashb irtork.Papa- --Sui#Q Ebstm-Massachuseft 02108, Home Improvement.Contractor Registration Type: Corporation Regisration: 183807 MDH CONSTRUCTION INC. Expiration: 1 /2 1 5 19 1 0 PO BOX 6413 • PLYMOU A 02362 TH M _- -' Update Address and Retunn Card. h i 1 0 20161-05117 C//in �rraXa+cl!/s t�l(?'lliruacfiutc/!d Pfrice of Consumer Affairs&Business Regulation $ xe"+5° i� <�► 6etore the cq*afPcrr date. If feund'retum to: RegWyati6a.", cxnimari Office of consumer Affairs and Business Regulation 183 =M 10 Palk Plaza-Su3te 5170 MDH CONSTRUCT(ON_)NCw _ Boston,MA 02116 MATTHEVV Pi-ARRIS' g8A EST&FID PLYUIOIJTN M!� 0236f] Not YoRd W7t}1!CPut clan- ye .: .rca�ix.°cry3w deg.ti - i3k rr;r •;:per 7 � - L+a&n�..- �4 C � ;��' .?,: S .'i t r Coftmnanweadthof-Massachusets 3; t�r 'Division of'Peoressiomr Licensure Board of BUINJA9 Regutatiorks and Standards Constr ,66 ;"NiSOr t CS-105679 _yires: 11/07/2019 AL PLYMOUTH MA,i)236i1 Commissioner. CL ' 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 L[ Please Print Legibly Name (Business/Organization/Individual): �S'�/ Address: L6 [3©X ("q/ 3 City/State/Zip: P( e, ' G Ga 362 Phone#: 72 V-3 q 3-q(,60 Are you an employer? heck the appropriate box: Type of project(required): 1.0 am a employer with / 0 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have g ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all 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.❑Other comp.insurance required.] *Any applicant that checks box#I 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. tContractors 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: �>z 00 198 Policy#or Self-ins.Lic.#: '� ✓W 6 260�&ty 2 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 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 certify under the pains and enalties of perjury that the information provided abov is tru and correct Signature: ` Date: 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." - An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants e I u e workers' compensation affidavit completely,b checking the boxes that apply to our situation an if Pleas fill out the w p p y, y g pp y y d, necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 - www.mass.gov/dia DocuSign Envelope ID:28717BE2-D16C-4028-9ED7-5886C833AECE Permit Authorization save.` Form Site ID: 3365043 Customer: Demetrius Becrelis . Demetrius Becrelis owner of the property located at: (owner's Name,primed) 7 Lexington Dr Barnstable, MA 02601 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. rpoeuSigned by: Owner's Signatur$: VVMtfytwS 6tyt, s �3A1D327AEEA44DD... Date: 6/18/2018 1 11:15 AM EDT FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date Name: RISE Engineering Phone: 401-784-3700 Email: o1G �.� 1aI6 �0*1HET Town of Barnstable *Permit# Q ~O Expires 6 months rom issiate Regulatory Services Fee a- y BARN STABLE, + 1639. Thomas F. Geiler,Director ArFp May A _ 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 '2-70 ( U( O Z d Property Address �r�?{I 1st►`('�pa. �� i% �`st1 t�s ,Residential Value of Work �/'� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address r �� 1/vti r X nAA Fai kt miter's Name — Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) k-PRESS PERMIT ❑Workman's Compensation Insurance Check one: �p+R .2 , 2�1Q ❑ I am a sole proprietor Nr I am the Homeowner I have Worker's Compensation Insurance TOWN SRNSTIS�- - Insurance Company Name 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) Re=side - #of doors ' Replacement Windows/doors/sliders.,U-Value Sr c v case' (maximum.44)#of windows _ '*Where required: Issuance of this permit does not exempfcompliance with other town department regulations,i.e Historic,"Conservation etc'.•` -**Note,, " Property Owner must sign.Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction SupervisorsrLicense'is ,re ed. . �; . � �.. .urn .�.... •t. SIGNATURE QAWHILESTORMSIbuil�pperfr��tXPRESS,doc a 1 Revised 090809 - The Commomvealth ofAfassachusetts Department,of Industrial Accidents Office oflnvestigations 600 Washington Street t. Boston, MA 02111 wrvwtmass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): Address: 1 z TEE City/State/Zip: k _ Phone M. _�5ci? ct r Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New constnetion listed on the attached sheet. . 7, ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or addition 3.MI am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or addition myself. [No workers' comp. right of exemption per MOL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box t#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. tContradtors 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 andjob site information. Insurance Company Name: Policy# or Self--ins.Lic.#: 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 required under Section 25A of MOL 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 fin 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 certify under the pains and penalties of perjury that the information provided above is trice and correct. Si attire: `-t�-+- -�-t Date: Phone#: S2> �X,- sqI 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 1 Contact'.P_ersaxi: Phone#: information and: Instructions l Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for,their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should-you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a.reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.inass.gov/dia Town of Barnstable Regulatory Services IT Thomas F. Geller,Director anxxsrABLE, Mass. 94, 1639. � Building Division PIED a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 yvww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 3 JOB LOCATION:L number street village "HOMEOWNER": name home phone# ' work phone V CURRENT MAILING ADDRESS: j /� �Sa ' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and req rements. ignature of meo er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(section]09.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages.a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hr/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form certification for use in your community. Q:\WPFILFS\FDRMS\homee-xempt.DOC Town of)Barnstable �. �THE TDB, Regulatory Services ' ' EAMSTABLEThomas F. Geiler,Director hua9. 9� e6 � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us _ • .Office: 508-862-403E Fa x: 508 7906230 - Property Owne r Must r , s Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ; to act on my behalf, in all matters relative to,work authorized by this building permit application for (Address of Job) F . Signature of Owner Date Print Name r If Property Owner is applying for permit please complete the omc0 ners License Exemption Form on the reverse side. Communication Result Report ( Feb, 24, 2010 2:49PM ) 2) Date/Time : Feb. 24. 2010 2:48PM File Page No, Mode Destination Pg (s) Result Not Sent ----------------------------------------------------------------------------------------------------- - 7927 Memory TX 915087786448 P, 2 OK -------------------------------------------------------=-------------------------------------------- Reason for error E. 1) Hang up or 1 i n e f a i l E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) E x c e e d e d max. E—m a i l s i z e Town of Barnstable Regulatory Services Thomas F.GeBer,Director sun Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 swvetnwn.harnrtahlema.w - Office:508-862-4038 Fax 508-79"230 PLEASE FORWARD THE ATTACHED PAGE(S)TO: ATTN: FAX NO: RE: FROM: 1� DATE: - PAGE(S): i(INCLUDING COVERSHEEI) RE: 7 Lexington Drive , Hyannis MA I agree not utilize the basement for sleeping purposes at the above referenced property. Owne date RE: 7 Lexington Drive , Hyannis MA I agree not utilize the basement for sleeping purposes at the above referenced property. OwnJj date I Barnstable Assessing Search Results Page 1 of 2 - -� - Home: Departments:Assessors Division: Property Assessment Search Results 7 LEXINGTON DRIVE Owner: TOBIN,JAMES Property Sketc h Legend Map/Parcel/Parcel Extension 270 /101/020 Mailing Address a TOBIN,JAMES i 7 LEXINGTON DR All HYANNIS,MA.02601 k 12 2005 Assessed Values: Appraised Value Assessed Value 'v Building Value: $ 183,800 $ 183,800 Extra Features: $2,800 $2,800 Outbuildings: $0 $0 Land Value: $ 128,700 $ 128,700 Interactive Property Map: ap requires Plug in: Totals:$315,300 $315,300 1 have visited the maps before Cl& r Show Me The Man April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: TOBIN,JAMES 3/21/2001 13654/037 $ 190,000 LOOMIS, ROBERT&ROSAMOND S 1/15/1985 4397/285 $87,455 FRANCO, NICHOLAS D TR 8/15/1984 4204/266 $0 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $57.23 Town Fire District Rates Other 1 $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 Hyannis FD Tax(Residential) $479.26 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,907.57 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $2,444.06 Due to rounding differences these values may vary http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=270... 11/30/2005 Barnstable Assessing Search Results Page 2 of 2 i r i� Land and Building Information Land Building Lot Size(Acres) 0.24 Year Built 1984 Appraised Value $ 128,700 Living Area 1871 Assessed Value $ 128,700 Replacement Cost$ 199,763 Depreciation 8 Building Value 183,800 Construction Details Style Ranch Interior Floors CarpetVinyl/Asphalt Model Residential Interior Walls Drywall Grade Average Heat Fuel Gas Stories 1 Story Heat Type Hot Water Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 8 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,800 $2,800 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area (Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=270... 11/30/2005 Town ®f ]Barnstable *Permit# Expires j1.w�ytlz�(ram issue to Regulatory Services Fee � d � Thomas F.Geiler,Director � Building Division T /ijgY 1 To Weet, O, Building Commissioner 0 Q !200' Hyannis,Mtn;02601 w ZQ N QPe * www.town.bamstable.ma.us Office: 508-862-4038 4R/vs , Fax: 508-790-6230 EXPRESS PERA PPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint o2 ld prC. Map/parcel Number 2 ?® C� c Property Address Pr[✓ _f r Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address et ' 2-e- 0 ve ZLO A 1*7 S Contractor's Name .�0/71e< mod&/\ Telephone Number �d �9 2�S Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) [�Vorknran's Compensation Insurance C one: a sole proprietor [t]I aim the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name /—,' Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) `lg Re-roof(strippingold shin les All construction debris will be taken tol:1Jh shingles) � ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign operty Owner Letter of Permission. Home Improvement n c rs License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 i 111YAN IT f]A r � ��T►Jf.-. ��:�::17 51, {(r 1 C,trll ., r( �} by{�e;'� 1��r, ti�r� lIJ�}fj��;' �[dJi�ll�;(1(! ' to a v -L - I TOWN OF BARNSTABLER Permit No. __27082------------------- _ 7�nAn Building Inspector w� Cash --------------------- -- ap OCCUPANCY PERMIT Bond _--____n__________ Issued to Capricam Ieallty'~ Trust Address I-i3t:. 20, 7 Lexington Drive, itaanni s i Wiring Inspector l� J Inspection date �r Plumbing Inspector) (` �,/,_V ,� �"� � Inspection date Gas Inspector `��� t� � � Inspection date Q *Engineering Department { f Inspection date Board of-Health t i; j 'f� inspection date 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. ` .. /i�........�... ......... 19......».... .:...............................................�.................._....._....... — ... Building Inspector FROM TOWN OF BARNSTABLE Mr. Francis Lahteine BUILDING DEPARTMENT Town Clerk 367 MAIN STREET HYANNIS, MA 02MI Phone: 775-1120 L SUBJECT: FOLO HERE DATE January 25, 1985 MESSAGE Work has been completed under Building Permit #27082 (Capricorn Realty Trust) . Please release Bond. SIGN D >i i DATE REPLY ( /� SIGNED N87-RMI -RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE A-ND PINK COPIES WITH CARBON INTACT. �ol z � 3 o 2�'08• Q �\ E � voo o R Lo,Zc� LoT 19 . y:o n zo o a . py.o o fi X � a -ri 6a �� /� 1 }2=52:5o ti A'ZS /®�,O'00 S/� SSA r4svcis CERTIFIED PLOT PLAN :.RT �` n A/O 7- Z,O ` �?�/NGL'Y O Al I1 iG.!cIF Al Al ` IN ' "�,�rOJ�bili2�`•'q�,� JI SCALE, i.4 ® i DATE iCLIENT LgAlvc-c, /p Z I CERTIFY THAT THE 104ly ioN r ®I�TERED REOISTERED SHOWN ON THIS, PLAN IS LOCATED CIVIL LAND 409 No• 2/ S ON THE GROUND AS INDICATED M ENGINEER SURVEYOR OR.BY 7�� CONFORMS TO THE ZONINB LAWS OF BARNSTABLE MASS. T 12' M A I N `S T R E,ET CIL®Y' .,.._��,� �44 0 HYARRISP MASS. SHEET-./—,OF --� D TOE RED.. LAND SURVEYOR 1 t i u h Eq RE y 1 tr w xr t yy�Y t � + �• � ' F 3 }X r r j eyh 4 2 Yti ..4b! (� yvs G�j(• r C. "�/ �Y £ 7, Y .f�s'�•. jyq 4� `�sx•3f-.:?* �w�� + +q� i , trI.y7F •a•+r..� r - V f'.� _ - f4f r1 ';r „• r1 -�• Gams zt r4 tt{{i! �i ��i. } ': i •-�.5 '/.�` Villi e�.;�Fx 3- r p O ,WA 71^ ` �^ - al�r ,$ ram�Y"'i �,�'�t�'r�'� � "� � � f Z k � �s r•e v ef'w O. � ... ,11�1 Q �,�`. � q�'w: Tns /�// ? .+1 \ at�'� w, w 4 r r7,z{ �• �(�.,, '-1 �j + ^" Q'l +, 4z zz"` Yc"�"i ;y!«�•"a '_ r `' ""-. `^S.wY t�,r N , .oY. .' • V i, vrk, UV lam• /19//V; � (�,•�.�� � x,� 2 0//6//U 381 3 if r 8� ;;�. `n �(VI \ ik'". 1 `r�N•k �+k����B,T� {w + �.s +�3 � r /�• fwr �'Q� � r\ �Oy . b '' i7�AVa R.i*"4"r%w� ,C� f N' r - /" zv }t•�,., pRA'&V � '�. .\, .. _\ . 'Y � �0 0•' r�� �+yfiE6e1 #°af �Irv'9 '� Ks ¢4 g �y � �r a"s + �✓'.4,&l� '•v ` Ri t�•. � p . /zc E XaPn+pR ti 1 n+gl M1 rr rx /�• Fr?QAf '/�R Uf` .rat� '" � '.:{+ �• � ... ,+ •::�- � a„ F%Ya t LM f c+t ',:i t iri ROBERT � BHUCE i r 7 t; °iv ELDR'DG ISTS 9NO Sl3� � EG:E QI_TIN® .I PO T•.'ELE1lAT80Bd Ono CERTIFIED PLOT PLAN 3P®T ;.ELEi/ATI®N ,L.v7 z o 1.EwAIC,f0.✓ 1'ocati.on ,of any, existing underground sewerage, 1N' v�e1� gr,�oher utilities shown, on tr.is plan is apgroz- te.�Y4nly as d termined 'fxom records, and/or verbal IS 0 e yx�foxmatiorl,sThe .cont.ractor �s,$resposib�a for ,the. .�„s�. vg �f cxation of the exfsting lacations.ain,-the field. SCALE, /"= Qp' DATES l C41_9NT �—.�.. -- 1 CERTIFY THAT THE PROPOSED \� IE'SER,IM a REt�I,3T'E�Ep '<s Joe,,NO. ?- %4S BUILDING . SHOWN ON THIS PLAN k >g`CIV,fL z��: _ LAwW � � CONFORMS TO THE ZONING LAWS ® ER r RV r� ~---^--^ OF. SARNSTABL MASS: � • � � M '7'uI 2 ill A i`P+i' S TR,E E'P ; CBS, �Y�'' g f�� �• I S.,, MA $ BHEET:.LOF ATE REG. LAND SURVEYOR D :.•.. ...... .... - • Assessor s-map and.-lot ae'7V BULLY P T c a,✓.v cC7' : yoF roe ' .....G os17�f T E Sewage Permit "number .. . . . : MUST CONNECT TO TOWN]SEWER i 3B3 3eTABLE, i House,numberG ... ...: .... ...Z ........... .:. 9�0 639 i TOWN :•OF. '�BARNSTABLE BUILD-I N:G .: IN'SPECTOR 3 Y APPLICATION FOR"PEItMIT'TO CQx18zL1C:t:..S. l .e..FBIDl ..DYgg ,� b31¢ TYPE OF CONSTRUCTION .........W.oad.;.F ram e ................... .................... . ......: ... r• e Si@p.t@Jwk1Rr 21 ♦ ...1584...� TO THE INSPECTOR OF BUILDINGS:;• Th'e_:unders gned hereby applies-for a 'permit.according to the following.information: Location . .............. 'p1;.7,51�:s:'.I�y .rJXl1S�.. 1�Q�SS. ...... Proposed, Use ....: ..... ..... .................... I Zoning Distnct. .R. .8.. ... .. .. ...•Fire District ..... aY31f18 Name of Owner 4p li-' 3 `Z`1 RE28}:' r"g1E '� Address 7(5..�i8 212q'ti'�Zi t Name of B_uil ........... ' ��Y'F�100:.}Zg�c..�.B'tw�2VrC0•Y•�•�•XiL'�`dclress �B,iICk@........................' Name,of Archi#ect ...............Address .....:.... Number.of Rooms: ....six... :... ............ .. . . ..... .........Foundation .. C 4) r Exierior ..Clapboard .a.h /.6r...Shinga. S. .....:.Roofing• .... A }Ia�t 3 rl :$ ` sP ngle' ., Floors -pa,rpg• , * Interior :�S`Yl@E�'tX'CCk r Heating EELS • . F'o- -wAti •••••,.. Plumbing ........, . �.....e Y ,.... gp�r Fireplace .nI0t1@• Approximate. Cost . . � is I•: Definitive Plan Approved by'Planning`Board __ ___ ___:__ __19________.' Area , t _ Diagram of Lot and Building with Dimensions` Fee L ` ' SUBJECT TO APPROVAL'bF'BOARD. OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and :Regulations o he Town of B6rnstable-regardin theJ,above construction. Name ....................... ..... ........ s f f Construction Supervisors License CAPRICORN REALTY TRUST ..27082 .................. Permit for ...............Story......,... . . 1 zA rT %.:..Single,Faniij j).w � i ng..................... Location Wt..20,.....7•..Lexi.ngton..Drive..... 1 r i ........... Yd>1T1a.S.. . ................... ................... Owpe� ...CaPxa4GA]CJCI.. 1ty..TCust...: ,k`... Type 6 Construction ...E`r ........ .... � .................................t.......... ........ .. - .. Plof:...:........................ Lot-•/ _ F....... ................ •b 'aa _ r _ October 11 Kermit,-Granted ..........................i.....'........19 84 ;Date of. Inspection ....................................19 Date "Completed " Z ff ....1-9 , • ice- �R r t ,- _ ,i • . . - , • �"! 'Y.t •� 'bell' �,/ - 4 � i - + :' � r -� Assessor's office Ost floor); j /� 0l � � f THE t ,,Assessor's map and lot number .........................../.................. Q o off♦ Board of Health (3rd fdoor):* / 5�`,- r`- Sewage Permit number ........................................................ ,• ( Z EAMSTAXLE. ! Engineering-Department (3rd floor): o 16 9. e� Housenumber ........................................................................ °�0 mo Definitive Plan Approved by Planning Board ________________________________19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �!� oNFL�o,n. 'ad-f� ,t.S� .0* ..................................................................................................... TYPE OF CONSTRUCTION ...IvGD,O ................................................................................................................... ............ ^..`� 19.. � TO THE INSPECTOR- OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �PXi�/�/ !T�-V ,� .............1.../ i�sL--, .........1`/.`--U% -a2.0 y ............................... .................... .................. . ProposedUse ...... .....I.d0�..........:..lia..ti... .... ....�E.J........................................................................................................ ZoningDistrict .....�.................................................................Fire District .............................................................................. Name of Owner •!/.: .:: 5.....l `�0✓/J/�5.......................Address tr<x1"W'9'17o-V A✓l'� l,Ur�t� l'a�c!r,9,� . s c?� ��r� �. �n,�v,r✓s. /�ii�, Nameof Builder ''y .....° f�..................................... ....................Address ................... ............................................................... Nameof Architect .. !�fC...............................................Address .................................................................................... . Number of Rooms �. ..................................................Foundation � .. ....f .... ........o7`,�ti6'S.r- 1,/l r�) / l Exterior .:.....�-A110f. ...-5!'.�U��f�..............Roofing 14—j ��'�T...��. : � .......................... ....� .. . �,'011sd,�.....`�G`:'.7` /��� ..........................Interior �p�.a'�-�ft` �`✓�,,s�f' Floors ........... .................... ........... ............................................... Heating!?.tom!, ,% y�t' '/,�. .......................Plumbing !J/Sic ..... r ................................................ ......:....:........................ .. . Fireplace .......i-NapP .................................................................A roximate Cost ...... �.....................A Area '.. ''... ..... ...... /..:.............. Diagram of Lot and Building with Dimensions Fee 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. �(/� . ✓.�i'� Name .,..: ��.0.............r�.err•����•.. .................................. Construction Supervisor's License ..00 .................... LOOMIS, MR. &. MRS . A=270-101-020 No ..32112 Permit for , ADD TO Single Family dwelling ......................................................................... Location .....7...Z.,axingtox3... Y .ve............... ...................:..H.y.ann ls....................................... Mr. & Mrs . Loomis Owner4.................................................................. Type of Construction .........Fr.aMe.................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....July._. .......... ...19 88 Date of Inspection ....................................19 Date Completed ......................................19 S j "0...� „.a...�G��f►.r � . . . �F.- ri r r �_i��, .r` �•� � . 1 � a9f8 �!� .�.f .�.y ,. ,l_-.. a Assessor's' map and lot number .. mac ...... ��-Td BUIGD PE,C�iyl/T N�E'c"�ED To C a�/NECT yoF'THE T01r Q q' Sewage Permit number / e Z BBflBSTADLE, i House number �' r ""Oa e...................::............ ..........................`f..... Op 1639. ♦� p u p } TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Construct Single Family Dwellin ............ ....... ..... ........... g TYPE OF CONSTRUCTION .........Wood Frame ................ September 26, .......:...198 ... TO THE. INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot # 20 Lexington Drive, Hyannis, Mass. .. ............. .................................................................................. f iProposed Use .....................................................................................................................................................::........... Zoning District R::..$.'. :.:Fire District. Hyanni8........... ......... Ca ricorn Real t ?65 Falmouth Road Name of Owner .....P................ ..r�'x ..............Address ......................�... Y.a�?Xl ,I3.b..M 88• Name of Builclgr�C0. Rear ESt.DeV.CO..,jpgf4ddress ..............ra .................................... ......... Name of Architect ............................................................:.....Address ......................................................::..;..:.......:..... . Number of Rooms Six Foundation ........P.R.Q..............................: :....................... ...... ................................................ .Clapboard and for, Shingles Roofing A:sph �,t..Shanglala::.........:..:.... E.wlerior .p ........... ................ @ t.................................................................Interior .......... Floors .....C........P.8r ....sheatr.O.Ck......................................... ..:.. Heating. ..GaB.....":.. FoW.A.!.......................:.......:............:Plumbing ............TWO..... '.....CiQ i IElr:.:::.::::..::..:....:.:: ........ Fireplace None ....Approximate. Cost $49l.000 00........ Defin'iti,ve Plan Approved by Planning Board -------------------_-----------19______:_. Area AQ5.6...Sq.,....ft.......... Diagram, of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH , r' fr s • ti 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 ......................... ..."j P.reB... , Construction Supervisor's License ..000989.................. CAPRICORN REALTY TRUST A--270-101 OZ O No .27082.... Permit for . Q..atQLY.............. .......Sa T:1g1E?.•F'.,�--•1y..Dwelling....................... Location ...L t..29.1.....7-14%3 t ..................Hy.�= ts............................................. ,y Owner ..Q?R;d1PQr.11..RA11;Y...` rW..t.............. Type of Construction' ...k']zme............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ......October 11...........1 884 Date of Inspection ....................................19 Date Completed ........................:.......i...19 FILE # E5500 SPP3617 CENSUS TRACT # CLIENT: Ap praisal Associates of Mass DEED BOOK PAGE OWNER : Robert & Rosamond Loomis PLAN O K PAGE L O T APPLICANT: same ASSESSORS PLAN PLOT A 0 R T 6 A G E INSPECTION PLAN of LAND 1 N B A R N S T A B L E DECEMBER 10, 1986 SCALE : 1"= 30' --- 0 e� 43 0 Lot 2-o A� 10,4++15.F. 0 1� 6 0 J rIve- /00.00 Lcnl Ion .firiV� I CERTIFY TO APPRAISAL ASSOCIATES OF MASS, SENTRY FEDERAL SAVINGS BANK AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. OUR MEASUREMENTS INDICATE THIS OFFSET IDS CLOSE TO THE SIDE 'MINIMUM 10 YARD REQUIRE A ZONING DETERMINATION CANNOT BE MADE ,aA►R•aha, WITHOUT AN- ACCURATE -INSTRUMENT SURVEY - THE DWELL I NG SHOWN HERE DOES NOT FALL WITHIN • A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #250001 DATED 8/19/85 BY THE F. I .A. Land Surveyors Clvll Engineers 01be DSfOn Tana Auriarg Co., Int. 172 Pillism $t. Ndo �tbforb, P 02740 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date.' (3) this plan was not made for recording purposes, for use in preparing deed descriptions or for con- slFvctions. (4) Verifications of pr "y line dimensions, building offsets, fences, or lot configuration may be seeorpli shed.only by an gcCur- iment survey. 4� _ - - Assessor's office (1st floorh� �' tNE Assessor's' map and lot number. ..a7� _ /�/...... .d °� toy .. ..................... Board of Health (3rd floor): s WQ E. d Sewage Permit .number ...............�`..6........../....../ .. 2 B9Ba5T4DLt, 1 Engineering Department (3rd floor): . ��$ '°o rb3o• 0� House number ..............................:.........�.............:'............. a� - �0 YP Definitive Plan.Approved by Planning Board ________________________________19--------- . APPLICATIONS PROCESSED:8:30-'9:30 A.M,• and; 1:00-2i00 P,M. only OF BARNSTABLE TOWN' 11) [LDIHG" INSPECTOR APPLICATION FOR PERMIT TOG%�ONF � j�Q , �yy......lj • TYPE. OF CONSTRUCTION ...........:.. „•-,,, TO THE;INSPECTOR OF BUILDINGS: The undersigned,hereby.applies for a: permit according to the following information: Location .. .�px,/ ........'Alp..........:...1 1,�!f4ti�l�...... ...L:..�.0.7 . 020�.� . . ................. Proposed Uso '.D./k.��?7:.... ".<ids !, .:..,r*.���, Y9......:......:...... : .....:.. Zoning' District .. . .:....i..............:.... ....................................... . ...............Fire District ........................... Name of Owner ... ..::............Address .. zlexl..e gfg7q.-1......"'.9 .. .......................... Name of Builder 4 111107VV�ev.... ..I!eeT� a �!`►�6'.......Addres's �.�e&/ y Name of Architect Address mber of Rooms GU0..................: ..........::...... .......Foundation .. ... ...�.v/1E.0 .:�?.:/�d0 /��'. �✓� ��PZ� Exieifor .z!�1111 . ..... .:......:':..:Roofing ..�i�-,.�'��f�.�....��lO!!�'lG�f ...... s f'�ltxa Floors � Gl/� ...J............ '.. .. ..... . .., �� „/..L•.��—...........................Interior �:��f�C.�l.;..��.�'9��--r.'.:....................:........... Heating 4�. , Ll....../�. .....liG?.�✓�..G........................Plumbing ..... ................................................. Fireplace ....... � .....:........................ . .....:: :Approximate Cost ..... Area :.. ...:.. . Q ®co Diagram of Lot:and Building with Dimensions Fee...... ..................... OCCUPANCY PERMITS•REQUIRED FORM NEW DWELLINGS i I hereby ragree to conform to all the Rules and Regulations of the'Town Barnstable regarding,the above construction. 1. Nam :d�' . ...... .. Construction Supervisor's License ..;Z 4.e."YZ LOOMIS, MR. & MRS . - `Jo 3 2 U2.. i Permt for Add 4 To........................ . Sin. e. F.am•i.l. .,..,, Y...D...w..e...l...l...i..n..�..... , ^ kLocation 7 Lexington.•Drive ................. r ...... .. . Hyannis........ ............... .............. Mr. & Mrs Loomis. .... .. �.......... = t Type of Construction FramQ......`................... ' ............... ......~....... � ...:.. .. .... ry ' ' Plot ............................... Lot ...... Per`mit `Granted .............July....-...25,..........-......19 88 ��...Y..K.... Date- of Inspection .... .. 19 Date Completed .... .. .. ..... 19 w 1 o � T , 0 14 is I LOT 2v /U yyv L 71 .1 9 � ~' 0 P"ftw l ZZ R=sz.so ti ' I 776-2 < NE 17 ,ZoN6 /26 I O TAl •.SL' sky CERTIFIED PLOT PLAN ,e 1:R T �1 s* .40 r to LAX."VGr'o N Q2, /!; f IN SCALE, DATE, • I � CLIENT Fk'Aar-- 1 CERTIFY THAT THE Fo&N' � .. 019 Q1jo 9T�ERE� RE®ISTERED SHOWN ON `I H13 PLAN 13 LOCATED ClV1L LAND JOR No- �/ ON THE GROUND AS INDICATED A" ENGINEER SURVEY®R OR.CY� CONFORMS TO THE ZONINO LAWS OF BARNSTABLE , ,®...��--_ ..�......� • l �� / L AS S. 712' MAIN `STREET CI.SY' HYAMIS, -MASS, T 4.'0E-.1L D TE REG. SURVEYOR y 1V:Y®R = , OM=- w Pv�ptHE 1ph� Town of Barnstable Regulatory Services • snRvsTneLE. TS MASS. p Thomas F. Geiler, Director �'OIEDMA'�a 0 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 Building Department Checklist Date: Location: -7 LE7X /06-`7-D q D 2 Year built: t Zoning district: Q ceiling height (7' basement; 7'3" house) after 1973 only sleeping room (70 sq. ft.) smokes egress carbon monoxide detectors # sleeping rooms # sleeping rooms allowed septic or town sewer # kitchens ? apartment exit order car count and license plate# fire separation if needed mechanicals: make up air proper work clearances other lctTC-41Ctj - o WNEiZ sT79--rES 142EA tS R t=d9%,4 1�j 4 PT, - 1-99P-C u-)4G t-I t1 L &u 6-4 -r- "uS F I N -j-ra I. 13 v T I`I o-t p-6:coi?bEE , 1+6--6410`1 vJ * N rl o u s t So L-D ( n '�Ivf - o w iJ E 2 . N�S building permit needed -- 6-FT- AF►O-M yt 7- electrical permit needed plumbing permit needed (° ,�` " OWL CD CP ems\�