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0023 LEXINGTON DRIVE
-�- .. _ _ � .�_ J :� i I ij Town of Barnstable FfHE 1p� ° do Regulatory Services Thomas F.Geiler,Director • anaxszABM MASS, Building Division .s6gq ♦� Argo 39 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 &I2zf�S Fax: 508-790-6230 PERMIT# �I��(y FEE: $ C�C� SHED REGISTRATION 120 square feet or less Location of shed(address) Villa e roperty owner's name Telephone number 74 — Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? A),4 Old King's Highway Historic District Commission jurisdiction? / 4 Conservation Commission(signature is required) aa GS PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 LOT h' S 79 s.4.IV, n W - / rN\ Qj - �► m N a c 3,oSo s F, ELDRED LEGEND WISTINS SPOT ELEVATION 40 CERTIFIED PLOT PLAN 9XISTION CONTOUR ..._... 0 --- I : SHED SPOT - ELEVATION I' I�iI .D CONTOUR --�- ® vT Z z L.r_Xi�✓��i o�✓ /� r✓ XOT .'-The location of any existing underground sewerage, w+el s, or other utilities shown on this plan is approx- IN mato only as determined from records and/or verbal \, - ' information. The- contra.ctor, is responsible for the verification of the existing locations in the field. SCALE, /"._ .'r� DATES 8 r41,3�7 CL1 N' -•-------- I CERTIFY THAT THE PROPOSED � E ISTERE REGISTEREQ JOB NO. cP'Z -? BUILDING SHOWN ON TH13 PLAN CIVIL LAND ®R.IY� � ,�, CONFORMS TO THE ZONING LAWS E ® ER RV OF I$i�►itNSTAHLE MASS 712 MAI N STREET, CK By HYMN I S, M+AM SHEET 0F I AT �. EG. LAND SURVEYOR Assessor's map and lot number �.... � ..:..� i �TNe r OA; .7=o G1114 A• Race i►ll nJ6EDe�?� ro ce6vN&cT Tory Q Oi + Sewage Permit number MAST CONNECT T � � . DAR33TADLE, • 6 a House nu nber ... .... .. .....:. ........: TOWN TOWN }OF , `BAGB �N STAB LE BUILDING INSPECTOR ; } APPLICATION,FOR .PERMIT•TO .dbnat'ract.--S.ingle TYPE OF CONSTRUCTION .........W,00d::Framet . ....... .... ..... .... s. 'Segtesr 26. Al TO T.HE INSPECTOR OF BUILDINGS -'-The,,undersigned hereby•;applies;for,a permit-according to the following4 information:' y Location ........... T�.� zxlgtpr�..�lx iv>r.,.:.H�tannis,14ass....... Proposed .... ..: ....... .... .. .... ................................. Zoning District, �3. .$ .. Fire District .... a118 Name'of-Owner C8 eOrM...ReE2 `Frtiit3'�.: :........Address 6 F@u'!vhf}'8C$ P 5' y8112't 9 P S$• Name._of Build n :.'Read:••.EB'1;tDev,00-v� .1.ne.,°dares s ...SaXNj............. ; Name'of Architect :.. .. .. .:....... .. ..Addres`s ...... I • y Number of .Rooms; .:. .. ........ ....Foundation .. S F''i'C I Exlerior C1.ajboard...and/0r...Sh ng.1.e•s,:;........ Roofing ...... .asphalt' .Shi gle's Floors GA2'p@fi .... .. Interior BtrOCk Sh-e Heating ;"E'raa ...,...... cy,��A.Y. ... :...Plumbing c�'WQ "CD. �Y' r Fireplace P14xle.:.. .. ....... ...:. .Approximate Cost 0 FQ�04p.0 Definitive Plan Approved by Planning Board ----- ------- -----19--------. Area: Diagram of Lot and Building with Dimensions Fee ... © � 2� • SUBJECT TO APPROVAL OF 'VBOARD OF HEALTH' o ; a OCCUPANCY PERMITS REQUIRED FOR, NEW,DWELLINGS r I 'herebyagree to>'confcrm`to'al'I the Rules and Regulations of the Town of Barnstable,rega_rdi ahe:above construction. - k Name .... ..... . . ! . Construction Superyisor's License ..C.CO ph ...... �. CAPRICORN REALTY TRUST No 275P.L ' hermit for ...1 a..S ?................ - .:........Single..F a•y..Dwelling.................... _ Locafiori ....W t..22.......23..Lexin91On..,Dr1V& _ Hyannis........................ .... .............. y s t OwnL-r, ....Capricorn Rea�, Y..�' t'..N'•. • • - �1 r it - n '. 71 Type of Construction ....Fries........................... s '. ........................................... ................... Plot ' ...................... Lot ' .. . .................... ,. ., r March 7, 85 Permit-Granted ................I......................1.9 I Date,o-r. lnspection 19 Date C-ompleted 1!;4y............ t ,• ry.i t .. •�•-. ...T ,� ...� -.,� r a+''�•� +,.r.•it t x� �..i. 1E r�r E� n s '"4 i. n 'm'� t r'err - � MTr tL J.t'4 � Y�','•T�h •'� ��� r/\ ����LEr- ^. /`.. �� � � .,..�.�, .,.�yvV, Assessor's ma and lot number D� 21 /9� p f.......... �OF THE tp� Sewage.Permit number ........................................................ Z EARNSTODLE, i House number •.................?... ,. ............................ :...:... op r AB a 1639- d 0 MAI a' TOWN OF BARNSTABLE BUILDING INSPECTOR Construct Single Family Dwelling APPLICATION FOR PERMIT.TO ......................................................... .......... ....................... TYPE OF CONSTRUCTION Wood Frame September,, 26 84 ........ ..........19........ I I TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit according to the following information:: Location Lot #...22... ....:......Lexington; Dri„v .r................. 1' ProposedUse ...................... ..................... ...... _ ......................... R. B. Hyannis Zoning District ............................................................... ...:....Fire District ............... ..................:. i ............... Name of Owner CB�Y' G02Y1 Realty...Trust............Address 765..Falmouth Road, :Hyannis. Mail f co Real Est.DeY.Co. Ino Same . ..........i `Address I Name of.Build ..:...., ...........:..... ....:.......... Name of Architect .......................... .....Address .......... i. Six Numberof Rooms .........................................:......................Foundation ....... ......... ...... Clapboard and/or..Shiml.es......... .....Roofing Asphalt. 5h ng�es� ; Exierior ..... (. Floors {iar�@' ......... .. ..........................................Interior She@ 'AG .. Heating Cr8 .......'........F".W.A. .......Plumbing ...........2'? Q.....:: ...... I VOn@ 4Q�Q00.00Fireplace Approximate Cost . I I. Definitive Plan Approved by Planning Board --------------------------------19--------. Area 0J�6'.. Qt...ft.f......... (; Diagram of Lot and Building with Dimensions Fee : SUBJECT TO APPROVAL, OF BOARD OF HEALTH I I III 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 !' Construction Supervisor's License ..QO.0.9.8•g.................. ,r .• --CAPRICOI;N REALTY TRUST f, A=270,'-:;101 70-lob .27589 No .... ........ Permit for ......VStgl, y................ .......... ................... Location ....Lot...2.2........ 23 Drive. ............ . .... .... .................... ........... .... .................... ........... Hyannis ............................................................................... Owner ......CaPri.corn...Rea.l.ty-Trust...................... ........ ...... . .... ........... Type of Construction .Frame................................ ........ ................................................................................ Plot ............................ Lot ................................ March 7, 85 Permit Granted .................................. ......19 Date of Inspection ....................................19 Date Completed .......................I...............19 Jr> - { •;r . TOWN OF B ARNSTABLE Permit No. _27589__________________ ins Building Inspector cash _NAM " _ OCCUPANCY PERMIT Bond ____ ________ Issued to Capricorn Realty Trust Address Lot 22, {fp�3 Lexington Drive, Hyannis Wiring Inspector , / , �� Inspection date -741 ,Z— Plumbing Inspector Inspection date V _� u Gas Inspector �; � G? Inspection date xEngineering Department Inspection date 7- Bodate, _ Inspection date�off Health�'��S/� ,�����_�-.�,.f'v�•" �1l-7 AES— 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. 1 gat .r�. 19. s� p;..................................... ...................................._... v..p - Buildin Ins ector tw TOWN OF BARNSTABLE BUILDING DEPARTMENT _ t TOWN OFFICE BUILDING "- oluY►"� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An =Occupancy =Permit hasibbeen 4ssued,1for the building authorized by BuildingPermit #..»�T...( »�.._» .... ........». _......1...»... .....»... .....» ..»_.... »»».....»»»» issued to .............. ..! :C 1.;.,,CrC! f l.......C� ? .»......»»..........»...................... »» { I Please release the performance bond. S s 2-L4 199-8 Ak u .. cl a N � 31 `,. N.o_ s � Y.4 y LT22 " —.,l O?.. C�t 20 in v RE) .Ai I0,000 S F M i IL zo/jo/ o CENTWIED PLOT PLAN LT 2 Z LEX/ TO, m NE1R! n✓iV/ S . CONSTRUCTION TRUCTI®N ONLY ti/c Drz /-/ ® � TOP' ROF .FOUNDATION IS u...�8„ FEET IN -ABOVE , LOWI POINT OF ADJACENT MAJIBSfL Ae ROAD. SCALES ,,= moo` DATE J Feh DAEDGE EN I CERTIFY THAT THE Fou v�F/-rroN CLIENT rEN TEREO RLCISTEREDSHOWN ON THIS PLAN IS LOCATED VIL LAN® JAN Not' as s ON 'fFIE SROUND AS INDICATED AN.O NEEI3 SURVEYOR tSYs j.._,..�??...., CONFORMS TO THE ZONING 1.A�►9 ;. . CHBII�Y; - ` OF EARNSTA®LE MA�3S �.: �' MAIN S T R E.ET -� �DLAT L�S ,, �•- �(HYaNt�tS, MASS. :.: SHEET._ ..OF. J E -REG. LAND SURVEYOR L o T z,7� /Or zz � S 79 !9 9 Br, PR �, Prow, s.4.Al, sEw� N LAI V) . 30 LUT Z2 \N /3,oSo s,) , "L�Tziv 4� ' 7� " v✓ � g6 `i! , L 01 r<LC? 's LECEN® �;.. � , E91;STING SPOT ELEVATION Ox0 CERTIFIED PLOT PLAN IMSTIO CONTOUR --- 0 -- 'FI SHED SPOT , ELEVATION :P' tMEQ C®NT04lR 0 �v T Lz L.�jciw�%o�✓ l�2/,✓ NM: The location of any existing underground sewerage, --- wells, or other utilities shown on this plan is approx- IN imate only as determined from records and/or verbal \ y; information. The contractor is responsible for the A �1 fA.0 11A.M ASS, Verification of the existing locations in the field. SCALE, DATE � �/ ®R�OGE EAIG/NEE'Rl6NQ CQ /PV CLIENT,_,,..______ I CERTIFY THAT THE PROPOSED %E9 ISTERS REGISTER JOB NO. cf'Z.- /1_S BUILDING SHOWN ON THIS PLAN IVIL LAN® CONFORMS TO THE ZONING LAWS A9FER RV DR.BY ;j_. BARNSTAf3LE , MASS- 712 M AI N STREET CH. By � �' / H Y A IJ N I S, M A$3. ( �-.: ---'~may= SHEET.._. OF AT EG. LAND SURVEYOR G 0 Engineering Dept. (3rd floor) Ma 0Q Parcel , Permit# House# Date Issued —9 Board of Health 3rd floor 8:15 -9:30/,1:00- RV1�t'NNc MUSp Conservation Office(4th floor)(8:30-9:30/1:00-2:00) • OIL L�T��cyl�OIVIS pP P oR 71�R Planning D t. (1st floor/School Admin.,Bldg.) FOR I Defi itive PI Approved by Planning Board 19 - BARNSTABLE. r r MASS. d TOWN OEBARNSTABLE { Building Permit Application , Project Street Address L I ' Village t Owner J 'n r, Co 1 - Address , .Telephone / r •Permit Request r ,�' C Re- to,Ce 1S 1 t&CA evt4v, bec +ai r 'First Floor god square feet Second Floor 5oc7 square feet Construction Type Estimated Project Cost $ 300 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 41� Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House ❑Yes a o On Old King's Highway ❑Yes �o Basement Type: Gull ❑Crawl I ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing _ New d Half. Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New a First Floor Room Count 3 Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes Q1&o Fireplaces: Existing New Existing wood/coal stove ❑Yes " No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) done ❑Shed(size) 8X6 " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Buflder Information Name RN1 &(XJ C, �c.� j r , Telephone Number - J508- ?75—p 8 6 S Address Pko , any 667 License# - Q 6-S¢;,9 7 & q S m 0. . 0 o2 6n Home Improvement Contractor# /ra 6 7- Worker's Compensation# A]o^-e NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0'4�) V 1 S BUILDING PERMIT DENIED FOR THE FOLLOWI G EASON(S) r FOR OFFICIAL USE ONLY PERMIT NO. � w .``' ' -. -' i _ _ - -• �� - .,. - - <. -� DATE ISSUED' " ...c_.� - .., � • "' � " , T a_ f ;, - MAP/PARCEL NO. ADDRESS ' e " VILLAGE = 4k. ♦ f y i LI OWNER y DATE OFjNSPECTION: FOUNDATION - - FRAME ' INSULATION FIREPLACE ELEC'It•ICAL ROUGH •'FINAL_ ol :? ` PLUMBING ROUGH s FINAL GAS: r>`� ROUGH ' FINAL _ FINAL BUILDING - t DATE CLOSED OUT: ` ASSOCIATION PLAN NO. ' I Y• r t The Town of Barnstable �e8 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-7904=7 Building Ccm Fax: SOB-790-6Z30 missioze For ofTrce use only 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 w oo_ ith other requirem uts. Type of Work: ' !' Est.Cost ,e Mr 4n Address of Work: j Owner's Name ���J T�+e� LA C Date of Permit Application: I hereby certify that: Registration is not required for the following renson(s): __Work excluded by law _Job under S1,000. Building not owner-occupied _Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS ARBITRATION PROGRAM ROME OR GUARANTY FUND UNDER MGLPROVEMENT WORK DO O 142A � ACCESS TO THE SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a.permit as t o the o er. .6 'j 1\ ontractor Name Registration No. Date OR Date Owner's Name The Commonwealth of Massachusetts _- .......... Department of Industrial Accidents "`' ==° °= � Olfice n1/n�estigatioos 600 Washington Street *,+i Boston,Mass. 02111 Workers' Com tion Insurance Affidavit name: �, &(CL r�� location: 4:�5 city 14YA n n r S phone# 779 r0 6 ❑ I am'a homeowner performing all work myself. ®-Cam as ole ro rietor and have no one working in any ca achy ❑ I am an employer providing workers' compensation for my employees working on this job. company name: - address: ,.: .. . city phone#: insurance co. nolicv# ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: companv name: address: city: phone#: Insurance co polkv# / ///////// /// ///%////////////// /i%//////// // // / / / •,A 1./,%%////////%/%i _. companv name: address: city:. phone#: insurance co. Fallure to secure coverage sa required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereb r the aki tQ jury that the information provided above is tru,-and correct Si ture Date 714S / _ Print name 1 r �Y Phone it ,Z7L 'O��C Eche-ckif do not write in this area to be completed by city or town official town: permit/llcense# ❑Building Department ❑Licensing Board diate response is required ❑Selectmen's OMce ❑Health Department phone#• ❑Other (mvaed 9/95 P1A) I Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contrsc. 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 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 c: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the,issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha- not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of innu ce 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. City or Towns 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. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 I i ::11 + Jul wlk nf)s�iy l•�r x. A '.i° d 7.. Ti N . Ll y _s 78+ 1 25 199 8 $ r g2•G8 v. . N V0 j, 31 y ti D 9T oN + 30 3 ljo 22 Lo . � Z �13,1950sr 1Of < F ' K BER1 r tNiuGE "ftEUO ZED , R L +tip sua�F`�; 1 ,p 1 n,000 s F q -0 f h CERTIFIED PLOT PLAN NEW CONSTRUCTION' ONLY Lo-r 22; �x/n/GTov filet I�yn�,v�5 TOP OF FOUNDATION IS' FEET ;' IN `` ADOVE LOW POINT OF. AO.IACEMT ;; 1 , � �L io MASOo ®Aim• .:,;j. 7"' - .i t .;� .q +µ� a iy k�r SvhF I'ic*i�{i,y' SCALE, �" - YV, M1�TEt �eP ZZ'✓� 195 s` �Q G� °AI®1AlEEl�IN� .IfV "t I CERTIFY THAT THE Fouw ( -roti __Tl I CLIENT SHOWN AN THIS PLAN IS LOCATEp 9018TERE RIa�ISTERE[F , Joe NO" z► `s " ON THE SRPUND AS INDICATED A". D j CIVILm.' D� CONFORMS TO THE ZONING L411y� ENGINEER SURVEYOI OR' �...�..� OF BARN3TA®LE MA ;�. . { 8.. tij -ti .F-:r>-:_•,:.;.::"§�` A'w ws CY[r I�i x 4 . ` MAIN S T R E.E T ^��,4 ., ''.".�.. �z- s ,! -'`"r S '� rite'`•, h�'�l a .' ._7 '. Hy RIs MAs �.`; =ra+'r $HEE1'.:, F;J- DINE RE4. LA��D SURVEYOR eepi cj 'elp r LL '�/ U-N-1c, tr Ic LA; ep. I C Z a U = p UA oc ,. .mow f .. '• ... W C = J N O d a �w-1 0 •- .-x I G...r m C S • n Q ' ; �_ ,y.I a `"'� m _ a, G O •A 1p � X W d 7 a oe e J ►N-� . V! b-.-� .r �3C S Z �a,:►� #Fj�tq �� m °j i�a y an p`�j �riz{! '� � ? x< t �,: a I Y s�� y a "- ' �.