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0127 LINCOLN ROAD
A i_ Town of Barnstable 1HE) � RARNSTABLE, • f N; Regulatory Services - MASS. 1639• Building Division --- - prfO MAy A 20Y Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Type of Loc tion 7 ��nJG OGN �f Permit Number i Owner Builder One Ttice to remain on job site, one notice on file in Building Department. The following items needs 4c�6G— T — SwcZe�4 a�t/ax v ry G� eNG of lkOfC E 7EWO"V-< /�AJ C � i a1 = 388�2AR on. / � CZ �J �p�G7 Inspected by 4 ✓� Date Fb 3 3 F i �a n rp 1 #' p 3 Lb _lulpw0 g11EaH iit ssoiPPV h691-Z98-80S:HNOHd HIVdaH HO AH.LNa Tdodag JLN2[WLIIVd3QH,L'IV3H.LDV,LNoj is . �4 379 V.L19 VHNINn z P � "flI IIIIS 33VSNn sno a��x NOISIM H.L'IV�H S R3lAH 3S'IV.LNd W NOH IAN 3 i QNVA,L3dVS`H.LrIV3H do LNdyv jLHVddd TRIVIS1 Va L40 N�A v lX10x iagwnu uuua x y' vmmz - t-µ. n .. g:�;�; ' �s a ' i,r ya t v I t• �„sr . _ r 71 ,.. 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A� t �d f t 1 � _ i Health Master Detail Page 1 of 1 Logged in As: TOWN\miorandd Health Master Detail Wednesday, August 28 2013 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 270-022 Location: 127 LINCOLN ROAD, HYANNIS Owner: TOLEDO, FRANCISCO Business name: Business phone: Rental property: r__ Deed restricted: r Number of bedrooms : __ Contaminant released: r Fuel storage tank permit: - Save Parcel`Changes` F Return to Lookup _ Parcel Info Parcel ID: 270-022 Developer lot:LOT 106 Location: 127 LINCOLN ROAD Primary frontage:60 Secondary road: Secondary frontage: Village:HYANNIS Fire district:HYANNIS Town sewer exists at this address:No Road index:0895 Asbuilt Septic Scan: 270022_1 Interactive map " WP (Wellhead Protection Overlay Town zone of contribution:District) State zone of contribution:IN Owner Info Owner: TOLEDO, FRANCISCO Co-Owner: Streeti:9 SUFFOLK AVENUE Street2: City:HYANNIS State:MA Zip: 02601 Country: Deed date:7/7/2011 Deed reference:25552/89 Land Info Acres: 0.17 Use: Single Fam MDL-01 Zoning:RB Neighborhood: 0104 Topography:Level Road:Paved Utilities:Public Water,Gas,Septic Location: Construction Info Building No ear Buil Gross Area Living Area Bedrooms Bathrooms 1 1939 1844 1780 12 Bedroom Al Full Buildings value:$54,700.00 Extra features: $0.00 Land value: $63,200.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=270022 8/28/2013 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map Abutters Map Size ® [ Zoom Out M I®In Full `*C" ids • �.y / �i v;, ...�.N...—. ® c JPG Map: 270 Parcel: 138 Property 270012 -270250 270051 Location: 141 LINCOLN ROAD Info 4140 N28 N170 270032 Owner: UPTON,FRANK L p 171 Location Information 270217 z70052 Map&Parcel 270138 N 23 270143 N 160 Location 141 LINCOLN ROAD N9 Acreage 0.62 acres Current Owner Mailing Address UPTON,FRANK L PO BOX 612 `s 270138 270063 HYANNIS PORT,MA 02647 , p 141— O 4 146 Appraised ppraised Value(FY 2013) Nt15 262 Extra Features $27,500 ' 27D N 2g) 270054® N 140 _ Out Buildings $65,500 Land $75,900 Buildings $137,800 270260 2700 55 Total Appraised $306,700 , pill 270263 270022 N 138 } N 116 q l27 -p,�9. Assessed Value(FY 2013) Extra Features $27,500K INX270265 2 1264 270 g �FO N102 270057A26 Out Buildings $65,500 N 12 270029 N 20 N 121 1 Land $75,900 Buildings $137,800 > Total Assessed $306,700 Set Stale 1" = 92 _ _ I Aerial Photos_ -V�'. I MAP DISCLAIMER J Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS - BdrnstableMA v1.2.4748[Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=270138 8/28/2013 AsBuilt Page 1 of 1 TOWN OF BA.RNSTA.BLE LOCATION pg i L t t.ICIt-t4 IZj SEWAGE# VILLAGE T_ASSESSOR'S MAP&PARCEL 4 - 13 INSTALLER'S NAME&PHONE NO. _ SEPTIC TANK CAPACITY C-y—1 in" - LEACHING FACILITY.(type) �i��-t�cGt{FT_ (size) NO.OF BEDROOMS ZS 10, 4tt•6ke, f 0 Ft L. OWNER .97 d14 L--"-::J PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility _S Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) _j`l Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) N Feet FURNISHED BY I i i Gera ft :lei 7 r Ave SS � V � may, FT I &T I -I- S i http://issgl2/intranet/propdata/prebuilt.aspx?mappar=270138&seq=2 8/28/2013 MY i �' •'.art i f, y.��„�� �Y7 J i ��p�.r f♦tit r�1 , ; z v y w-e 'a .��� •+i.^r+h"_r-• .-cam. �i•�s ...7—"- �-'psi., r"-�.._ —�-,-r's__._�-x. �_.�`..'.�`-�_�,—�'--���+--�;s_��5�-"^sue" .. +� ��� � �-�-- =' T_� —= ��.y_'�.,= *emu.'���--•r�_'a�•�'�_�sr ���__,z � � _.::.., ram^ t Ma EM '_7:: t i T } t 77 r �` ,�j ' �„ -�.� apt �' - . ,'�7 - k� . '; .✓ y J ,.w�� �w� n . S• ,f, - -, �' ,� � .� � '!' •5� t Li a _ � f;, ,:4,.T ,�'+7a�. .+G_*"` '} � .w,.. r ,�-x £. .. E:►. e ..: -' ,P.�-��.; ^.� .• -,.���p rr.fit c, AN = r. i `�'*"��, y � r,.�ry„,�,.,��L ''� P,.._ .. - `�\a;�rs'•i.. `'�"^^"•..f:'?..' �'�' as.,,' .:f,� u.'j .- ..•�.� � 4-Rw.. jo,r .�' -�� .�c L�0'tj3.c. • r .y.. a� r+ ` .�• nor `� � 14Y��• µ�' f• \7 �f,,� S"`i�.�'�e.`-�.�,��Zk �1s •t n �0 4i - \♦A '•�{#�, { ,�` t'y K! FS �1 ` y On - 9 M3 .v TOWN OF BARNSTABLE BARNSTABLE, VAG& 1639- a M BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...............470. 4:ID......../.0.....x...Z.Z........70-4.4.... TYPE OF CONSTRUCTION 414o..O.......rA Aml."t................................................................................................ ............ . 1 q.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... ..#. A.!�).......AIA IYAIJ.4....AVA L........................................................................... ProposedUse .......Zmo. a........................................................................................................................................... Zoning District .... ..................................................Fire District ....... Name of Owner .....................Address ........?�.Z.7.. Nameof Builder ............ .....................,................................Address ....... ........................................................ Nameof Architect ...... IA. /................................................Address .......jeld.,me.4................................................................. Number of Rooms ...../...........................................................Foundation .....1'jFjw-,;-7.....RP-A T.- o..P...A.ko.r-,le.�......... Exterior 0 ......I................................................Roofing ...... //.I's Floors ............../.......................................................................interior .......Vd. Heating .......Alo Al h-:.............................................................Plumbing .........A&A.1.,g............................................................ Fireplace .....11,.&�:'...............................................................Approximate Cost ...... .....V4 ... ......................................... Difinitive Plan Approved by Planning Board --------------------------------19--------- /C`l T Diagram of Lot and Building with Dimensions WF S 7 ffA;ji, 7 (YA tylif ks THE PROPOSED METHOD OF PROVtDING FOR SANITARY WATER SUPPLY, SEWAGE.DISPOSAL, AND DRAINAGEIS HEREBY �PPR D ST ' 7 OWN OF ARNSTAB BOARD OF HEALTH MUST LICENSED INSTALLER PERMIT. AND INSTALL SYSTEM. OBTAIN SEWAGE ti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name at.... ............................. Gibby,. Ronald B. No ...17.0... Permit for ......tool shed ............................................................................... Location 127..Linc&.ln Road ............. ...................................... Hy.anni s.................................... Owner ............Ronald B. Gibby..................... ' Type of Construction ......fr A......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted S.eptember. ... ......19 28 70 . ...... .......... .... Date of Inspection 19 Date Completed ....,�,e!.`..�.9...........19 70 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... o Approved ................................................ 19 ............................................................................... ............................................................................... . a ....a rfG 1 Assessors map and lot number s.........r......... ..................... IN E Sewage Permit number ..................................................0� .! 1 44- Z B9BB�SBT�LE, i House number 11 a OR a` ti TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......C4ns.Construct Single :Family' Dwelling ....................................................................................................... TYPE OF CONSTRUCTION ......... .I aMMR .............................................................. r ........... .une....20..................19....3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........Lot... 4 38 — Sudbury Lane —.....................Kuann e... YiA........................................................................................... ........ ProposedUse ............................................................................................................................................................................. Zoning District .....R,B• ....................................................Fire District .....HV7Y1niS .......... ............................................................. Name of Owner ...Capricorn Realty Trust Address 765..Falmouth Road, Hyannis Name of BuilderFranco Real Estate Dev. COAddress .765 Falmouth Road, Hyannis ....................... ..................................................... lnc. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms SAX...........................................................Foundation .....F. C.r............................................................... Exierior .... �3T�bc� .rc3,, x1f t r k1s�,�t't i P9 Roofing APP!141.t Sh.ingleffl......................................... Floors ...qp;!Pq"t...................................................................Interior ......S..YIe.. .. .....®tr. . g..c.k ......................................................... Heating G3S _ F. („ ...........................Plumbing .TWO..."...Co.-aiDex................................................. ........:.............................................. Fireplace >kQr>a .........Approximate Cost .....�?Y +00.©•0.p......................................................................... ......................................................... Definitive Plan Approved by Planning Board -----------____---------------19_______. Area .... a_��b...` ......f.t.......... sa Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH J A { 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. Nam / ..... P/1,19�5 fP 'eS. CAPRICORN REALTY UST A=270-22 �.�4 No 2 5 4 9 3 permit r ,,,One Story Sincle Family Dwelling I4`706 lClg�Rcl Location ..Lot 3.8A X Lane .................HXannis.............................. .............. Owner ....Cap.ricorn Realty Trust ........... .... Type of Construction .,.Fra...me ............................ ................................................................................ Plot ............................ Lot ................................ I Permit Granted ,, September 1, 19 83 ........................ Date of Inspection ....................................19 Date Completed ......................................19 017C) 3� t Town of Barnstable Permit# Regulatory Services Expires 6 mondrs from issue date A�A Fee a N.CT�II��*J! i MASS Thomas F. Geller,Director �0:19. h � -,PRESS PERMIT Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 r0 VVN OF BARNSTAB*LE www.town.bamstabld.ma.us Office: 508-862-403 8 EXPRESS PER UT APPLICATION - RESIDENTIAL ONLY Fax: 508-790-6230 Not Valid without Red X-Press Imprint Map/parcel Number c;) 2d dc) Property Address 2. 7 ) n/ l U Residential Value of Work 5, 6 00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name1 Telephone Number_ ��+%,�. t� L) dome Improvement Contractor License#(if applicable) construction Supervisor's License#(if applicable) ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor 2 I am the Homeowner ❑ I have Worker's Compensation Insurance :p'', ' surance Company Name JUL orkman's Comp. Policy# ►py of Insurance Compliance Certificate must accompany each permit. ��/� OF BARNSTAB LE nnit Request(check box) Re-roof(stripping old shingles) All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of r000 ® Re-side #of doors—l_ 1)(_)o A, 9- Replacement Windows/doors/sliders. U-Value__Y (maximum .44)#of windows *Where required: issuance of this permit does not exempt compliance with other town department regulations i.e.His toric,Conservation,etc. ***Note: Property Ownef must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. 1ATURE: The Commonwealth of Massach usetts f Department of Industrial Accidents Office of Investigations 600 Washington Street 41iti i \4 / Boston,MA 02111 www.marsgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/organizaBon/Individual): r 1� /_� 1� C (t j� (�3 �"P /J Lj r Address: City/State/Zip: )-(�k _n//t/i� Al P2(6')Phone #: [1.91 an employer?Check the appropriate box: Type of project(required): a employer with ' 4. ❑ I am a general contractor and I 6 ❑New construction loyees(full and/or part-time).* have hired the sub-contractors a sole proprietor or partner- listed on the attached sheet. t ?•. ❑modeling and have no employees These sub-contractors have 8. ❑•Demolition king for me in any capacity. workers' comp. insurance. 9 ❑Building addition workers' comp. insurance S. ❑ We are a corporation and its ired.] officers have exercised their 10.0 Electrical repairs or additions a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions lf, [No workers'comp. c. 152, §1(4), and we have no ]2,❑ Roof repairsance required] t employees,[No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing thcirworkers'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 suclL #Contractors that check this box mast attached an additional sheet showing the name of the sub-contractors and their workers'comp•policy information. I am.an employer that is providing workers'compensation insurance for my ernpinyees. Below is the paltry and jab'site information Insurance Company Name: .Policy#or Self-ins.Lic.#: Expiration Date: '. Job Site Address: City/StatelZip: 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 a1,500.00.and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for.insurance coverage verification. T do hereby certify under the pains and penalties of perjury that the informatt'on provided above is true and tarred ;. Date- 'hone#: Official use only. Do not wy*e in this area;to be completed by city or town bffx&j City or Town: - Perm WLicense# Issuing Authority(circle one): 1 Rn. A ..sv__tii __- I - — . __ '. %I J 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 tinder any contract of hire, expressor implied,e�oral or written. • P An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the fore oin engaged in a 'o' enterprise, mt g g gag ) and including the Iegal 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 bean 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()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),addresses)and phone nurnber(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 insumnce 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 ih the event the Office of Investigations has to contact youi 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 obtainin a license or permit not relate.g p d to any business or commercial venture Ge, a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice 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 T._1 11 11r1 Town of Barnstable Yxe Regidatoiy Services zttwsrascs. Thnmas F. Geiler,Director .% Building Division Tom Perry,Building Commissioner 200 Maid-Strcct,_Ayannis, MA 02601 H yr-tomb arnstable_ma.us Office: 508-8624038 Fax_ 508-790-6230 HOMEOvi�NER LIL�'SE EXEMPT70N 7 Please Print YY/ 2. 7 � _ JOB LOCAT]ON: I lV/ e(7 g o 6 �/I,j /t'l/) o Co number street village .4OMEOWNER": ,�(?A'�/ f t I J Ty 7Fny 1,D ?30 L) 7 mine born=phone# work phone# city _ 2ip eadc The etarcnt exemption for"homeowners"was extended to include owner-occupied dwellinu 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. DEF=ON OFEOML07FTM Persons)who owns a parcel of land on which helshe resides or infends to reside, on whtchtbcrt:is, or is intruded to- be, a one or two-family dwelling attached or detached structa cs accessory to such use and/or fawn structi'. A person who constrgcfs mart than tine hone in a two-year period shah not be considered a hOmct]WneTS. Such "homeowner"sha71 submit to the Btnlding Ofcial on a fonm acceptable to tine Budding Official, that helshe shall be resooz?siblo for aIl such work Pcermed*=dertbe building peimit. (Section 109.1.1) the imdcrsigncd`homeowner•'a cc+T**+es responsibility,for compliance with the Statc Building Code and other applicable codes, bylaws,rules and regulations. The imdcrsigned'homoawne'certifies that.badshe understands the Town of Barnstable BwldingDepaztmrnt �nitzaim inspection procedures and r=nnrrr,rr,b and that hehhe will comply with said procedures and r nts. Sigru>irrc of FIamcawna Apprawl of Bu:lding,Ofcial Note: Three-family dwellings containing 35,000 cubic feet or larger will be requi-cd to comply wit$the ' State Budding Code Section 127.0 Construction Control. limaowmm q ExxhirnbN The Code suites that 'Any b==*Mrr pcfor g worrc for which a budding parrot is=p6rd shall be==�,V from the provisions F this seetioa(section]09.1.1-lj=%sing of canatroetion Sopervisors);provided tha t if the bcrneoVyncr=gages a pe soo(s)for hire to do such orlc, that such Harnccsvna shall act as supayisrn:" h iay bomeatmas who use this tirm are unawars that they are arsuming the responsiibDities of it supervisor(see Appcadb:Q, tIcs do R;6]ations for)Lj....ing Coustruebem Snpcyisou,Section 2.1.5) This lack ofawara=brL mobs is serious problems,partiestlar}y ICM the homcow rr hires uolierasrd pc7mm In this case,our Board cannot proceed against the unlimrsed person as it would with i IicaLscd 3ervisor. The homeowner acing as stiperrisar is nitiaatdy tcsponsible. To cnciim that the homeowner is fully awerc I , Town of Barnstable • Regulatory Services '+ LIgNSrf Rf r i Thomas F.Geiler,Director Building. g bivisi on Tom Perry,Building Commissioner 200 Main Strcct,Hyamai4 MA.02501 www.town.b arnstab le.ma.us Office: 508-862-403 8 Fax: 50 8-790-623 0 Property Owter,must .Complete and Sign This Section If Using A Builder CO % 0 l �) , as Ownerofthe sih'ert J pmperty hereby authorize to act on my beha]f . la all matters relative to work authorized by this binding permit application for. (Address of Job) z o of $1 TTE Owner J''J Date '� Friar Name If Prop ea Owneris applying for per ' *t pleas e coxes lete.the Homeowners License Exemption Form on the reverpe side.